Admiral Nurse

Job responsibilities

Main Duties and Responsibilities:

Clinical

1. Provide clinical leadership on the care of people with dementia and their carers/families with complex care needs from peri diagnosis to post bereavement support.

2. Provide specialist nursing assessment, using the Admiral Nurse Assessment Framework for carers/families affected by dementia.

3. Provide a range of bio-psychosocial interventions to promote health and wellbeing for people with dementia and their carers/families.

4. Work collaboratively with other professionals to improve the identification and management of co morbidities and frailty for people with dementia and their carers/families.

5. Develop and support care plans for people with dementia and families including positive risk management and review these regularly.

6. Support people with dementia, carers/families and staff to understand and respond to changes in behaviour and relationships as a result of dementia.

7. Provide care coordination for a clinical caseload of families with complex needs as identified within triage assessment in clinics or via home visit if required.

8. Ensure the safeguarding of vulnerable adults and that all legal requirements relating to The Capacity (Bailiwick of Guernsey) Law 2020, and Mental Health (Bailiwick of Guernsey) Law (2010), are considered and adhered to in relation to patient care.

9. Act as an advocate for people with dementia and their carers/families to promote their rights and best interests.

10. Participate and lead on case conferences, continuing health care processes and best interest meetings where required.

11. Work collaboratively with health, social and voluntary sector services to achieve coordinated and integrated care.

12. Work in partnership with colleagues to promote the use of advance care planning for people with dementia and to support and inform families, around advance care planning, best interest decisions and end of life care.

13. Manage and advise on complex care transitions for people with dementia and their carers/families to reduce the frequency of crisis situations.

14. Ensure that care is delivered in accordance with relevant local and national guidelines and all relevant Health and Social Care policies.

15. Recognise the limits of own competency and professional boundaries and make appropriate and timely referrals to other services where required

Education and Leadership

1. Facilitate and support the development and delivery of innovative dementia training and education to staff, to improve competence and confidence, in line with best practice and guidance.

2. Participate in and/or lead formal training events promoting best practice in dementia care and disseminating Admiral Nursing work. 3. Provide professional and clinical leadership and mentorship, acting as a clinical role model on the delivery of evidence-based practice in dementia care within Health and Social Care.

4. Advise and support on the development and delivery of work streams as part of Health and Social Care, dementia strategy, where appropriate.

5. Work proactively with key local and national stakeholders to develop more integrated care pathways and holistic models of care, through dissemination of specialist skills and knowledge.

6. Contribute to the delivery of local policy, procedures and protocol for Health and Social Care to improve identification, assessment, ongoing support for people with dementia and their family carers.

Evaluation and Audit

1. Support the audit and evaluation of quality improvements and initiatives aimed at improving the delivery of dementia care within Health and Social Care, where appropriate to role.

2. Collect and review quantitative and qualitative data, as agreed, to evaluate and audit the Admiral Nurse Service and make necessary improvements.

3. Undertake analysis and evaluation and make any recommendations to the Health and Social Cares Dementia Strategy Group or similar.

4. Ensure service information and data recorded is relevant, accurate, complete and captured in a contemporaneous manner.

5. Support evaluation of workforce development in dementia to improve staff knowledge and skills across the host organisation.

Professional

1. Ensure all nursing practice is carried out in accordance with the agreed policies and procedures of Health and Social Care and the NMC Code.

2. Attend and actively participate in practice development, clinical supervision, and continuing professional development, including the Admiral Nurse Competency module and the Admiral Nurse Forum, as supported by Dementia UK.

3. Develop own competence through use of the Admiral Nurse Competency Framework and portfolio development using resources provided by Dementia UK.

4. To maintain professional registration in line with NMC guidance, including re-validation.

5. Contribute to and lead the development of policies, procedures and protocols relevant to dementia and Admiral Nursing within Health and Social Care, including the Standard Operational Policy.

6. Ensure compliance with Health and Social Care clinical governance requirements.

7. Participate in clinical supervision/mentoring within Health and Social Care where appropriate.

8. Maintain up-to-date knowledge of evidence-based recommendations on supporting people with dementia and their carers/families.

9. Maintain positive working relationships with Dementia UK.

Managerial

1. Undertake staff appraisals/managerial supervision of staff.

2. Ensure the recording and investigation of all accidents, complaints, untoward incidents and losses in accordance with Health and Social Care policy.

3. Manage staff sickness and absence according to the policies set out locally.

4. Participate in recruitment of other healthcare professionals where appropriate.

5. Lead on Admiral Nurse steering groups with Dementia UK and Health and Social Care.

6. Lead, manage and develop the Admiral Nurse service, continuously seeking improvement opportunities in collaboration with the Admiral Nurse Steering Group.

Please note that this job description serves to provide an illustrative example of the duties and responsibilities the post holder will undertake during the course of their normal duties. It is not therefore an exhaustive list and the post holder may be required to undertake other responsibilities and duties that correspond with the band.

Experience

Essential

• Experience
• Significant post registration clinical experience of supporting people with dementia and their carers/families.
• Experience of:
• Completing holistic nursing assessments
• Providing bio-psychosocial interventions
• Working as an autonomous practitioner
• Professional supervision and development/mentoring of staff
• Audit/evaluation of clinical practice
• Collaborative/multi-agency working
• Experience in service specific setting
• Experience of facilitating and delivering training/development of staff
• Skills and Knowledge
• Ability to demonstrate the 6 Admiral Nurse competencies:
• Person-centred care
• Therapeutic skills
• Triadic relationship centred working
• Sharing knowledge
• Delivering best practice
• Critical reflective practice
• Skills to enable clinical leadership, including:
• Strong communication skills
• Good facilitation/presentation skills
• Ability to influence change
• Ability to act as a decision maker and advocate
• Expert clinical practice
• The ability to use appropriate information technology, including MS office software to enable efficient service delivery
• Knowledge to enable clinical leadership, including an understanding of:
• Admiral Nursing and its application
• Relevant policies/national strategy in relation to dementia care
• evidence based practice in dementia care and practical application within the relevant setting
• Values and Attributes
• Ability to build constructive relationships with warmth and empathy
• Ability to treat families affected by dementia with respect and dignity
• Working together for people with dementia/carers
• Demonstrates compassion and a caring nature
• Demonstrates a commitment to quality of care
• Demonstrates integrity and respect

Qualifications

Essential

• Person Specification:
• To support your application for this post we strongly recommend that you complete the Dementia UK Pre Admiral Nurse e-learning module, accessible via www.dementiauk.org/careers.
• Registered Nurse (RN/RNMH/RNLD).
• Postgraduate qualification in relevant field, or evidence of specialist training/education within the field of dementia equivalent to this level.
• Evidence of continued professional development/training in relevant areas, including dementia and leadership.
• Commitment to continued professional and practice development.

Desirable

• Further specialist training/education within the field
• of dementia equivalent to a Masters levels.

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).