Overview
You will be responsible for the provision of skilled nursingcare to the population of York Central locality. You will deliver care within the boundaries ofyour role, focusing on supporting patients to be healthy, monitoring long termconditions, health prevention and screening activities. You will workcollaboratively to meet the needs of patients, ensuring the highest standardsof care, supporting the delivery of policy and procedures. You must always work within your own competence andprofessional Code of the Nursing and Midwifery Council (NMC).
Main duties of the job
Clinical responsibilities:
* Assess plan, develop, implement and evaluate programmes of care to improve health and well-being and meet the healthcare needs of individuals.
* Perform and interpret spirometry (ARTP Registered)
* Perform routine nursing tasks: Clinical observations, Height/ Weight
* Provide a holistic approach and deliver evidence-based care.
* Administer and monitor medication consistent with protocols, standards and legislation.
* Enable patients, families and carers to develop their knowledge and understanding about their health and well-being and be as self-managing as possible.
* Prioritise health problems and intervene appropriately to assist patients in complex, urgent or emergency situations, including initiation of effective emergency care.
* Assist in the provision of nursing care within the context of primary care for patients with mental health problems.
* Offer advice about adult and child vaccinations.
* Delegate aspects of care clearly and appropriately, adopting the principles of safe practice and assessment of competence.
* Ensure that all daily checks are recorded accurately and in a timely manner e.g. Spiro/FeNo equipment, defibrillator, emergency equipment, oxygen.
For a full list of job responsibilities please refer to the job description.
About us
Nimbus is a not-for-profit organisation that aims to be a collaborative and agile provider that cares for its people and patients. Nimbuscare is based in York and is owned by all the practices in the city, however we deliver services over a wider footprint.
Nimbuscare deliver Urgent Care services in collaboration with the hospital and GP practices in York, Scarborough, Whitby, Malton and Selby. We also provide community based frailty care, which focuses on treating people in the community where we can. We also aim to shift services in the community diagnostics centres run in partnerships with the Acute Trust.
We are committed to contributing towards a better NHS based on equity, fairness, innovation, collaboration and quality.
We are part of the system, and we are here to stay. Nimbuscare is committed to improving the diversity of its workforce to better reflect the communities we serve. We welcome applications from everyone and work to promote an inclusive supportive culture that values and celebrates our differences.
As a disability confident committed employer disabled applicants who meet the essential criteria for this job are guaranteed an interview.
Please advise us of any reasonable adjustments we can make to support you throughout the recruitment process. There is no sponsorship available for this role.
Job responsibilities
Job Summary:
You will support and assist the Board of Directors in theprovision of patient care.
You will be responsible for the provision of skilled nursingcare to the population of York Central locality. You will deliver care within the boundaries ofyour role, focusing on supporting patients to be healthy, monitoring long termconditions, health prevention and screening activities. You will workcollaboratively to meet the needs of patients, ensuring the highest standardsof care, supporting the delivery of policy and procedures.
You must always work within your own competence andprofessional Code of the Nursing and Midwifery Council (NMC).
Duties and Responsibilities:
The duties and responsibilities to be undertaken may includeany or all the items in the following list.Duties may be varied from time to time under the direction of the MedicalDirector or Board of Directors, dependent on current and evolving workload:
Clinical responsibilities:
Assessplan, develop, implement and evaluate programmes of care to improve healthand well-being and meet the healthcare needs of individuals.
Perform andinterpret spirometry (ARTP Registered)
Performroutine nursing tasks:
Clinical observations
Height/ Weight
Provide aholistic approach and deliver evidence-based care.
Administerand monitor medication consistent with protocols, standards andlegislation.
Enablepatients, families and carers to develop their knowledge and understandingabout their health and well-being and be as self-managing as possible.
Prioritisehealth problems and intervene appropriately to assist patients in complex,urgent or emergency situations, including initiation of effectiveemergency care.
Assist inthe provision of nursing care within the context of primary care forpatients with mental health problems.
Offeradvice about adult and child vaccinations.
Delegateaspects of care clearly and appropriately, adopting the principles of safepractice and assessment of competence.
Ensurethat all daily checks are recorded accurately and in a timely manner e.g.Spiro/FeNo equipment, defibrillator, emergency equipment, oxygen.
Other responsibilities:
Recogniseand work within own competence and in accordance with the professionalCode of the NMC.
Supportshould be provided to other clinical team members as required
Monitor the safety andeffectiveness of own clinical practice.
Maintainaccurate and complete documentation and records utilising IT asappropriate.
Use ownjudgement, resourcefulness and common sense.
Followagreed protocols, referring to GPs as appropriate.
Followlocal and national Infection Control guidelines.
Assistwith the maintenance of equipment and report defective equipment
Takeresponsibility that any equipment either clinical or otherwise, used whenworking, is taken due care of and locked away at the end of every workingsession.
Maintain stock levels ofclinical equipment and supplies, reporting the Reception Team as required.
Assist insetting up the Community Diagnostic Centre at the start of the session andensure equipment is appropriately stored at the end of the shift.
Act as a positive role model.
Maintain ethos and culture of Nimbuscare.
Positively promote Nimbuscare.
Support Line Managers as required.
Adhere toHealth & Safety and educate staff within your role.
Apply Nimbuscare policies,standards and guidance.
Attend in-house governance,educational and staff meetings as appropriate.
Suggest and support theintroduction of new working processes to optimise quality.
Communicateto ensure that all employees operate as an effective team.
Build and maintainrelationships with other healthcare professionals, including GPs, GP surgerypersonnel, care home personnel, CCG personnel, Students.
Everyone within Nimbuscare has a responsibility for,and is committed to, safeguarding and promoting the welfare of adults-at-risk(vulnerable adults), children and young people and ensuring that they areprotected from harm.
Be fully aware of and understand your duties andresponsibilities arising from the Childrens Act 2004 and Working Together to SafeguardChildren 2018, in relation to child protection and safeguarding children andyoung people
Be fully aware of and understand your duties andresponsibilities arising from the DOH Policy No Secrets (2000), and theprinciples of safeguarding as they apply to Adults-at-risk (vulnerable adults)in relation to your work.
Recognise the types and signs of abuse and neglect.
Ensure the Nimbuscare Safeguarding Lead is alertedto, and kept fully informed of, any concerns you may have in relation tosafeguarding adults, children and young people.
Adhere to Nimbuscare and local Child Protection andSafeguarding Adult policies and procedures.
You will participate in any training programme implementedby Nimbuscare as part of this employment, such training to include:
Participation in individualperformance reviews, including maintaining a record of own personal and/orprofessional development.
Workingin conjunction with senior management, assess own learning needs andundertake learning as appropriate.
Makeeffective use of learning opportunities within and outside the workplace,evaluating their effectiveness and feeding back relevant information.
Disseminatelearning and information gained to other team members in order to sharegood practice and inform others about current and future developments.
Undertakemandatory and statutory training as required.
Understandown role and scope in the organisation and identify how this may developover time.
Work asan effective and responsible team member, supporting others includingstudents and exploring the mechanisms to develop new ways of working.
Acceptdelegation from senior staff, prioritise own workload and ensure effectivetime management strategies are embedded in own practice.
Participatein team activities that create opportunities to improve customer care.
Contribute to the effectiveness ofthe team by reflecting on own and team activities and making suggestionson ways to improve and enhance the teams performance.
Participateand support local projects as agreed with the management team.
Delegateclearly and appropriately, adopting the principles of safe practice andassessment of competence of those taking on delegated duties.
In the course of seekingtreatment, customers entrust us with, or allow us to gather, sensitiveinformation in relation to their health and other matters. They do so in confidence and have theright to expect that staff will respect their privacy and actappropriately.
In the performance of the dutiesoutlined in this Job Description, you may have access to confidentialinformation relating to customers and their carers, Nimbuscare staff andother healthcare workers. You mayalso have access to information relating to Nimbuscare as a businessorganisation. All such information from any source is to be regardedas strictly confidential.
Be aware of your responsibilitiesunder the General Data Protection Regulations (GDPR).
Youwill assist in promoting and maintaining their own and others health, safetyand security as defined in the Nimbuscare Health & Safety Policy, toinclude:
Using personal security systemswithin the workplace according to guidelines
Identifying the risks involved inwork activities and undertaking such activities in a way that managesthose risks.
Making effective use of trainingto update knowledge and skills.
Using appropriate infectioncontrol procedures, maintaining work areas in a tidy and safe way and freefrom hazards.
You will support the equality, diversity and rights ofcustomers, carers and colleagues, to include:
Acting in a way that recognisesthe importance of peoples rights, interpreting them in a way that isconsistent with Nimbuscare procedures and policies, and currentlegislation.
Respecting the privacy, dignity,needs and beliefs of customers, carers and colleagues.
Behaving in a manner which iswelcoming to and of the individual, is non-judgmental and respects theircircumstances, feelings priorities and rights.
You will strive to maintain quality within Nimbuscare, andwill:
Alert other team members to issuesof quality and risk.
Assess own performance and takeaccountability for own actions, either directly or under supervision.
Effectively manage own time,workload and resources.
Work within own limitations andexperience.
Be aware of and co-operate withaudit.
Work effectively with individualsin other agencies to meet patients needs.
You should recognise the importance of effectivecommunication within the team and will strive to:
Communicate effectively with otherteam members.
Communicate effectively withcustomers and carers.
Recognise peoples needs foralternative methods of communication and respond accordingly.
Thisjob description is neither exhaustive nor exclusive and will be reviewedperiodically in conjunction with you. You are required to carry out any dutiesthat may reasonably be requested by the Medical Director/Board of Directors. Youwill need to be flexible in developing the role to provide the best possiblecare to patients.
Person Specification
Physical Skills
* VDU use
Qualifications
* Current Professional Registration (NMC)
* Evidence of continuous professional development
* Qualification in performance and interpretation of spirometry with ARTP registration
* Long term condition management (Asthma/ COPD)
Skills and Knowledge
* BLS trained
* IT Skills (MS office / Systmone / EMIS)
* Excellent communication and interpersonal skills
* Able to work autonomously and as part of a team.
* Evidence of Statutory and Mandatory Training
Personal Attributes
* The ability to prioritise effectively.
* Ability to work under pressure
* Flexible
* Self-motivated
* Ability to use own initiative
Experience
* Minimum 1 years' experience in Primary Care setting
* Experience of Multidisciplinary working
* Experience using patient group directions (PGD)
* Experience in adult and child immunisations
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.
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