An exciting opportunity has arisen for a Band 5 (Complex Discharge Facilitator) to Join the D6 (East) nursing senior team. D6East is a 20 bedded Fracture Neck of Femur (NOF) unit offering care to patients who have undergone significant Trauma and the team requires knowledge and skills to optimise patients outcome and recovery. D6 East is a busy, fast paced environment and you will need to be able to work under pressure circumstances.
We are looking for an enthusiastic, highly motivated and dynamic individual who will support both the nursing team and wider MDT with both simple and complex discharges. The successful candidate will work closely with both the ward leadership team and Integrated Discharge Service (IDS) allowing them to be proactive in identifying potential delays and have the skills to generate and pursue solutions. This will not only enhance patient experience by ensuring a safe and efficient discharge from hospital but also support wider flow across the organisation. The successful candidate should have got excellent communication and interpersonal skills and be able to contribute to the development of the ward and work collaboratively with members of the team to provide a high quality and cost-effective service for all patients.Main duties of the job
- Support the discharge and Discharge to Assess (D2A) process by providing the background information on referred patients within the ward by liaising with partner colleagues.
- Support the ward team by ensuring key IT systems are up to date (including bed-view and safe-care).
- Support the identification and transfers of patients for transfer to community beds.
- Work in collaboration with the multidisciplinary team (MDT) and the IDS to ensure timely discharge of patients within their caseload when working on the wards.
- Identify critical delays in the patient care pathway and be pro-active in generating solutions to speed up processes.
- Deputise in specific (non-clinical) areas for the Senior Sister/Charge Nurse as required to support the smooth operational function of the ward.
- Be actively involved in any data collection and reviews as indicated.
- To be visible and available for support in the ward.
- Support the Senior Sister/Charge Nurse in the management of other complex operational issues as they arise on the ward.
- To be a focal point for problem-solving and troubleshooting in the daily operations of the ward.
The Trust is committed to driving excellence in care for our patients and communities and was rated good by the Care Quality Commission report published 2020 and became a University Hospital. We are ranked as the third in the country for research embedding education and training across the organisation and we continuously strive to achieve our core values which are at the heart of everything we do. The Trusts main hub is the Queen Alexandra Hospital, starting life as a military hospital over a century ago and now one of the largest hospitals on the south coast and you may have seen us on the TV series Nurses on the Ward. The Trust provides comprehensive secondary care and specialist services to a local population of 675,000 people across South East Hampshire. The Trust employs over 8,000 staff and are #ProudtobePHU our patients come from all walks of life and so do we. We hire great people from a wide variety of backgrounds, not just because its the right thing to do, but because it makes our hospital stronger. If you share our values and our enthusiasm for providing outstanding care and support for patients, colleagues and our community you will find a home at PHU. In recruiting for our team, we welcome the unique contributions that you can bring in terms of your education, opinions, culture, ethnicity, race, sex, gender identity and expression, nation of origin, age, languages spoken, veterans status, colour, religion, disability, sexual orientation and beliefs.Job descriptionJob responsibilities
Key Working Relationships
- To support and co-ordinate discharges through the D2A process by multi-agency coordination and working with patients and families to discharge in a timely manner. Responsibility for a cohort of patients along with the ward nursing team responsibility for co-ordinating their timely discharges.
- Managing all data and recording of information for cohort of patients.
- To support on providing advice and support to patients and relatives regarding placements and packages of care. Signposting to services to support discharge.
- With the ward team, co-ordinate the discharge of patients engaging the IDS and MDT in any concerns or provision of needs.
- To work autonomously within their scope in, providing comprehensive advice and information to ward staff, patients and relatives, operationally and around discharge.
- To identify critical delays in the entire diagnostic, treatment and care processes and be proactive in generating solutions that could be out of the norm that will speed up the process eg: escalating to departments and Managers, thinking of services that can stop gap or be purchased in a different manner and bring to the attention of the Senior Sister/Charge Nurse for consideration.
- To support the Senior Sister in the management of other complex operational issues as they arise on the ward.
- To assist the ward team in keeping IT flow systems such as Bed-View up to date.
- To assist the ward areas as directed by the Senior Sister/Charge Nurse when other members of the team are on leave.
- To attend board rounds and facilitate meetings with staff about discharge and operational issues.
- To follow the Trusts Discharge Policy and in liaison with Community, Social Services and other healthcare colleagues, to facilitate timely, appropriate and safe discharges of patients to the community.
- To ensure that confidentiality of information regarding patients is maintained and that both written & electronic documentation is complete, accurate and up to date.
- To agenda and support multi-disciplinary meetings in response to complex discharges with the goal to resolve any outstanding blocks to a successful discharge.
- Support the identification of patients who would fit into the parameters of Continuing Health Care and whose needs are high intensity health needs and support referrals.
- Identify when there is need to resolve disputes or disagreements around operational issues, discharge planning or leaving hospital and to work for a resolution to avoid delayed discharge, being autonomous in this, escalating any issues unable to resolve to the Senior Sister/Charge Nurse.
- Support on any administration roles and rehab roles where required.
- To have knowledge and understanding of Power of Attorney and Court Protection and how this impact on patient plans including, power of Receivership Mental Capacity Act Deprivation of Liberty and other legal frameworks.
Information and Reporting
- Internally the post holder will develop effective working relationships with the multi-disciplinary team and the IDS working with colleagues from partner organisations including audit social care, continuing health care and community services.
- Accurate data entry IT systems using the correct response times on Bed-View, PAS, Oceano and other available systems.
- To Participate in audit of the effectiveness of discharge planning within the acute Trust and to collect and analyse relevant data as required.
- To be up to date with relevant policies and changes in legislation in regards to Health and Social care which may affect the discharge process.
- To participate on MOFD calls and the tracking of patients.
- To facilitate and support training relevant to ward teams, including clinical and non-clinical colleagues.
- To participate in on-going teaching and training and review competencies of staff across professional boundaries, as required by the Senior Sister/Charge Nurse.
- To attend ward team meetings and share any knowledge, experience or relevant information.
Key Result Areas
- To undertake the defined responsibilities over a seven-day period in response to the needs of the service weekend working may be required, in discussion with the Senior Sister/Charge Nurse and Care Group Matron.
- To support the Senior Sister/Charge Nurse, Matron and Seniors in supporting safe discharges and operational processes.
- Accurate records for audit purposes and liaise to review feedback by service users in order to evaluate the effectiveness of the service.
- To assist the Senior Sister/Charge Nurse in the investigation of complaints in a timely fashion.
- As part of the ward team, to initiate and develop policies and procedures relevant to the speciality.
- To support the department and organisation by carrying out any other duties as qualified and able.
- To manage and support a cohort of patients complex discharges and co-ordinate all relevant services to ensure timely, appropriate, and safe discharges.
- To have made an effective contribution to reaching the Trusts vision, strategic objectives.
- Support the reduction in delayed transfers of care, whilst enhancing patient flow.
- Keep key electronic systems are up to date.
- Supporting the D2A process and timely discharge of patients from wards.
Communication and Working Relations
- The eligible candidate will be responsible for the organisation and management of the ward/department when on duty. Have an overall view of the intensity of the workload and the experience of the staff and act to utilise the nursing skill mix on duty, to ensure the nursing cover achieves a high standard of nursing care.
- Be proactive in the prevention and management of complaints (formal and those via Patient Advice and Liaison Service) and whenever they occur, investigate and respond in a timely manner. Use any learning to share widely with the MDT to improve discharge process.
- Comply and promote compliance with Trust policies and guidelines e.g. Health and Safety, Clinical Risk and Infection Control.
- Take appropriate action to address unexpected changes and situations, informing the Senior Sister/Charge Nurse or other if support is needed and unable to resolve.
- Communicate highly sensitive and complex information with empathy ensuring that information is well understood.
- Maintain excellence in communicating and co-operating with other wards and departments, promoting and maintaining good working relationships within own clinical area and across the organisation, giving accurate information as required and keeping everyone informed of any untoward incidents.
- Develop expertise in dealing with interpersonal conflict and be responsible for the resolution of any adverse situation/incidents. Comply and promote compliance to Trust policies e.g. Harassment and Bullying.
- Make sure to be an active member of the clinical nursing team contributing to relevant Trust wide nursing groups and meetings.
- Represent the Senior Sister/Charge Nurse in their absence at ward level.
- Significant specific medical administrative or speciality knowledge gained by education or relevant clinical experience equivalent to degree level.
- Substantial range of experience with the NHS.
- Working towards management/leadership qualification.
- Training in Mental capacity Assessments.
Skills and KnowledgeEssential
- RGN, NVQ AHP.
- Evidence of recent study in the Health field.
- Must be able to demonstrate, in relation to patients, visitors, colleagues and other individuals connected with the Trust and NHS:
- You have knowledge & awareness of diversity and human rights as appropriate to your role.
- You are able to communicate effectively to ensure high standards of care, treatment, service or support as appropriate to your role.
- Patients facing roles be able to understand an individuals communication, physical & emotional needs recognise their needs and preferences.
- Able to provide a customer focussed service.
- Working with the public in a position of Trust and authority.
- Planning and organising own workload.
- Basic knowledge of Excel.
- NHS Constitution.
- Trust vision, values and strategic objectives.
- Keyboard skills
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