Job summary
The role is to provide a holistic health service as part of the Multi-Disciplinary Team to service users (SU) with unmet healthcare needs and to take account of other health problems that could interact with drug treatment within the Substance Misuse Service. In conjunction with the management team contribute to the delivery of comprehensive harm reduction, Opiate Substitute Therapies and promoting a professional and safe service and predominantly plan and support community alcohol detox regimes.
The role of the Registered Nurse is to undertake health assessments, plan community alcohol detoxes with the SU, Recovery Worker (RC) and the SU social support person and social network, administer medication and treatments, perform diagnostic tests as appropriate and to provide and evaluate a range of health interventions to identify any unmet healthcare needs and to take account of other health problems that could interact with substance misuse treatment.
The post holder will be required to work flexibly across the service to provide responsive, evidence based interventions working alongside other professionals and stakeholders.
Demonstrate SMS knowledge and communication skills to improve role and promote service in positive light.
Safeguarding appropriate to the role.
Main duties of the job
To Promote and support community alcohol detoxification programs, improve service KPI.
Enhance the service user experience and safety.
Share knowledge of harm reduction advice on effects of alcohol and substances on the body in a manor understandable by service users and none registered professionals.
About us
BE THE DIFFERENCE IN HEALTHCARE
Join our team
We're looking for passionate individuals to join our diverse and innovative team.
Whether you are starting out in your healthcare journey or are an experienced healthcare professional looking for a new challenge we've got a role for you!
- Access to NHS Pension
- Annual leave on your Birthday
- Welcome payment for some posts
- Refer a friend scheme
- Training and Development opportunities
- Flexible Working
- Access to Employee Assistance and Health and Wellbeing programmes
- Up to 33 days annual leave
We have an ambition to become a truly lived experience inclusive employer, changing how we approach staff experience and value personal stories our colleagues bring with them.
We welcome applications from everyone, including applicants with lived experience, those who belong to LGBTQIA+ Community and are Lesbian, Gay, Bisexual, Transgender, Queer (or questioning), Intersex and Asexual, people with a disability, neurodivergent applicants and people from Black, Asian and Minority Ethnic (BAME) backgrounds.
Spectrum Community Health CIC provides a range of award-winning healthcare services on behalf of the NHS, Local Authority Public Health services, and other partners across substance misuse, sexual health, and health and justice settings. As a not-for-profit social enterprise and Community Interest Company our focus is centred on people - our patients, service users, staff and partners.
Job description
Job responsibilities
Maintaining patient records, contributing to care plans and medication records on the electronic patient record in line with NHS Information governance standards. Providing appropriate clinical information and assessment to support service users (SU) in treatment. Communicate pharmacological information in a manor that SU and none registered staff will understand and be able to support prescribed regimes. Provide information as appropriate to support the service in its work with primary care Work collaboratively with Humankind staff to deliver a fuller recovery package for SU and enable progression in treatment and detoxes both alcohol and opiate. Participate in service audits, both local and national and to provide accurate information. Support SU to identify any unmet healthcare needs and to take account of other health problems that could interact with drug treatment Support patients and exercise positive relationships within professional boundaries as part of a purposeful and caring regime Adhere to Spectrums information sharing policies and those of the partnership when dealing with requests for potentially sensitive information To actively participate in individual and/or group clinical supervision
1. Analytical Data and Information
- Respond effectively to emergency situations which require a rapid nursing response analysing the SU, immediate risks and management strategies required
- Systematic assessment and screening of SUs
- Analysing outcome from assessments to provide judgement on clinical problems which require further investigation, treatment or referral and develop appropriate treatment plans with SU.
- Assess and manage a SU who expresses suicidal ideation, liaising and referring to appropriate services to support the SU and establish protecting factors
- Determining when to seek advice from senior clinical or management staff.
- Determining appropriate response to crisis situations and acting accordingly.
- Manage competing priorities and react to unforeseen circumstances, incidents, and emergency situations.
- Engaging support/intervention from other professional or agencies.
- Work within a demanding and high emotion environment with challenging patients which requires compassion and empathy
Participate in audits both local and Spectrum specific and NHS data collection activity.
2. Planning and Organisational Work
- Plan, organise and carry out allocated tasks/ activities.
- Organise own time and may organise that of junior staff and learners.
- To balance SU related and professional demands, and ensure that these remain in accordance with those of the service as a whole.
- To attend relevant meetings and participate in discussions concerning the running of the service and management of SUs.
- Deliver training to SUs to empower them to self-manage their chronic disease.
Deliver training to Humankind staff as required to enhance their substance misuse knowledge.
3. Patient/Client Care
- To deliver high quality care and intervention to SUs by demonstrating up to date evidence based practice
- To ensure SUs medication is administered in accordance with risk assessment and policy
- Develop detox plans with the SU inline with their assessment needs using the monitoring tools of the service for e.g. SADQ, CIWA, AUDIT and observational assessment.
- Deliver programmes of care for individual SU that meet their needs
- Assess, Plan, implement and evaluate episodes of care for all SUs.
- To be involved in multi-disciplinary and inter-agency care planning to support seamless care provision for those identified with complex health needs. This also includes carers or significant others as necessary or required.
- To be involved in the multi-disciplinary and inter-agency liaison to support and/or facilitate assessments as part of the agreed care-pathway.
- To attend all clinical meetings or multi-disciplinary meetings at the request of the Clinical Lead.
- To work effectively as a member of the partnership multi-disciplinary team.
- To support the coordination of the primary care, mental health and substance misuse services for the SU to empower their recovery
- To liaise with primary care, mental health and A&E services for allocated patients.
- Empowering SUs to take responsibility for their own medication administration as directed, health, wellbeing, recovery and future lifestyle.
- To conform to NMC professional codes of conduct thus safeguarding the interests and wellbeing of SU.
- Maintain accurate up-to-date clinical records and care plans in accordance with NMC standards for records and record keeping, ensuring compliance with the Data Protection Act and the Freedom of Information Act.
- Provide clinical input to the multi-disciplinary referral allocation, assessment and post assessment decision making to ensure accurate, effective and sensitive feedback to all referring agencies.
- Attain and maintain clinical competencies required for effective care and treatment of SUs within the substance misuse service
- Provide support to primary care in conjunction with alcohol detoxification in the community, offering advice and monitoring of withdrawal symptoms using service tools
- Support alcohol and opiate detox preparation, for both SU and associated professionals.
- Support SU through domiciliary visits to complete alcohol detoxes, offering symptom review and recording signs on Spectrum clinical system to enable prescriber to make decisions about future care or reviews.
- Signpost SU to secondary, acute and primary care services to meet their Long term conditions or acute needs.
- Promote adherence to recovery plans for substance misuse and their primary care plans for existing conditions.
- Promote relapse prevention medication for post detox needs
4. Policy and Service Development.
To support managers to develop effective pathways and audits
Manage own pathways to support better delivery and SU outcomes for the patient
5. Financial Resources
- To be responsible for equipment used in carrying out clinical duties, and to adhere to departmental policy, including competence to use equipment.
Support Spectrums SAVE cost improvement programme, working efficiently and effectively; alerting managers to potential cost savings
6. People Management and Development
mentoring nurse associates, offering professional support to none qualified staff within the service.
Willing to develop own skills and progress inline with service need.
7. Continuous Professional Development
- Participate in the induction all new nursing and health care support staff into the team. Supervise junior staff and learners in all areas of nursing practise and revalidation
- Responsible for own clinical supervision.
- To ensure compliance with NMC CPD requirements for successful revalidation
Undertakes statutory and mandatory training in line with Spectrum policies.
8. Information Resources
Keep contemporaneous notes on the digital service system and any other required system to support Data capture and safe note keeping for patient safety.
9. Research and Development
Assist and participate with research department as requested and raise any potential research opportunities if available
10. Freedom to Act and Autonomy
Act autonomously within NMC and Spectrums code of practice, manage own work load and work within lone working policy. Liaise with service manager to notify work plan
Job description
Job responsibilities
Maintaining patient records, contributing to care plans and medication records on the electronic patient record in line with NHS Information governance standards. Providing appropriate clinical information and assessment to support service users (SU) in treatment. Communicate pharmacological information in a manor that SU and none registered staff will understand and be able to support prescribed regimes. Provide information as appropriate to support the service in its work with primary care Work collaboratively with Humankind staff to deliver a fuller recovery package for SU and enable progression in treatment and detoxes both alcohol and opiate. Participate in service audits, both local and national and to provide accurate information. Support SU to identify any unmet healthcare needs and to take account of other health problems that could interact with drug treatment Support patients and exercise positive relationships within professional boundaries as part of a purposeful and caring regime Adhere to Spectrums information sharing policies and those of the partnership when dealing with requests for potentially sensitive information To actively participate in individual and/or group clinical supervision
1. Analytical Data and Information
- Respond effectively to emergency situations which require a rapid nursing response analysing the SU, immediate risks and management strategies required
- Systematic assessment and screening of SUs
- Analysing outcome from assessments to provide judgement on clinical problems which require further investigation, treatment or referral and develop appropriate treatment plans with SU.
- Assess and manage a SU who expresses suicidal ideation, liaising and referring to appropriate services to support the SU and establish protecting factors
- Determining when to seek advice from senior clinical or management staff.
- Determining appropriate response to crisis situations and acting accordingly.
- Manage competing priorities and react to unforeseen circumstances, incidents, and emergency situations.
- Engaging support/intervention from other professional or agencies.
- Work within a demanding and high emotion environment with challenging patients which requires compassion and empathy
Participate in audits both local and Spectrum specific and NHS data collection activity.
2. Planning and Organisational Work
- Plan, organise and carry out allocated tasks/ activities.
- Organise own time and may organise that of junior staff and learners.
- To balance SU related and professional demands, and ensure that these remain in accordance with those of the service as a whole.
- To attend relevant meetings and participate in discussions concerning the running of the service and management of SUs.
- Deliver training to SUs to empower them to self-manage their chronic disease.
Deliver training to Humankind staff as required to enhance their substance misuse knowledge.
3. Patient/Client Care
- To deliver high quality care and intervention to SUs by demonstrating up to date evidence based practice
- To ensure SUs medication is administered in accordance with risk assessment and policy
- Develop detox plans with the SU inline with their assessment needs using the monitoring tools of the service for e.g. SADQ, CIWA, AUDIT and observational assessment.
- Deliver programmes of care for individual SU that meet their needs
- Assess, Plan, implement and evaluate episodes of care for all SUs.
- To be involved in multi-disciplinary and inter-agency care planning to support seamless care provision for those identified with complex health needs. This also includes carers or significant others as necessary or required.
- To be involved in the multi-disciplinary and inter-agency liaison to support and/or facilitate assessments as part of the agreed care-pathway.
- To attend all clinical meetings or multi-disciplinary meetings at the request of the Clinical Lead.
- To work effectively as a member of the partnership multi-disciplinary team.
- To support the coordination of the primary care, mental health and substance misuse services for the SU to empower their recovery
- To liaise with primary care, mental health and A&E services for allocated patients.
- Empowering SUs to take responsibility for their own medication administration as directed, health, wellbeing, recovery and future lifestyle.
- To conform to NMC professional codes of conduct thus safeguarding the interests and wellbeing of SU.
- Maintain accurate up-to-date clinical records and care plans in accordance with NMC standards for records and record keeping, ensuring compliance with the Data Protection Act and the Freedom of Information Act.
- Provide clinical input to the multi-disciplinary referral allocation, assessment and post assessment decision making to ensure accurate, effective and sensitive feedback to all referring agencies.
- Attain and maintain clinical competencies required for effective care and treatment of SUs within the substance misuse service
- Provide support to primary care in conjunction with alcohol detoxification in the community, offering advice and monitoring of withdrawal symptoms using service tools
- Support alcohol and opiate detox preparation, for both SU and associated professionals.
- Support SU through domiciliary visits to complete alcohol detoxes, offering symptom review and recording signs on Spectrum clinical system to enable prescriber to make decisions about future care or reviews.
- Signpost SU to secondary, acute and primary care services to meet their Long term conditions or acute needs.
- Promote adherence to recovery plans for substance misuse and their primary care plans for existing conditions.
- Promote relapse prevention medication for post detox needs
4. Policy and Service Development.
To support managers to develop effective pathways and audits
Manage own pathways to support better delivery and SU outcomes for the patient
5. Financial Resources
- To be responsible for equipment used in carrying out clinical duties, and to adhere to departmental policy, including competence to use equipment.
Support Spectrums SAVE cost improvement programme, working efficiently and effectively; alerting managers to potential cost savings
6. People Management and Development
mentoring nurse associates, offering professional support to none qualified staff within the service.
Willing to develop own skills and progress inline with service need.
7. Continuous Professional Development
- Participate in the induction all new nursing and health care support staff into the team. Supervise junior staff and learners in all areas of nursing practise and revalidation
- Responsible for own clinical supervision.
- To ensure compliance with NMC CPD requirements for successful revalidation
Undertakes statutory and mandatory training in line with Spectrum policies.
8. Information Resources
Keep contemporaneous notes on the digital service system and any other required system to support Data capture and safe note keeping for patient safety.
9. Research and Development
Assist and participate with research department as requested and raise any potential research opportunities if available
10. Freedom to Act and Autonomy
Act autonomously within NMC and Spectrums code of practice, manage own work load and work within lone working policy. Liaise with service manager to notify work plan
Person Specification
registration
Essential
Desirable
shortlisting
Essential
- RGN RMN
- driver, access to own car
- substance misuse experience
- alcohol knowledge
knowlage of substance misuse
Essential
- experience of qualification in substance misuse
- knowledge of alcohol use and community detox
- applying safe community alcohol detox within a community setting
Desirable
- independent prescriber
- experience of using Theseus clinical system
Person Specification
registration
Essential
Desirable
shortlisting
Essential
- RGN RMN
- driver, access to own car
- substance misuse experience
- alcohol knowledge
knowlage of substance misuse
Essential
- experience of qualification in substance misuse
- knowledge of alcohol use and community detox
- applying safe community alcohol detox within a community setting
Desirable
- independent prescriber
- experience of using Theseus clinical system
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Additional information
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).