This is an exciting time to join Imperial College Healthcare NHS Trust (ICHT) as a bank Registered Mental Health Nurse (RMN). We have recently invested in three new senior mental health nursing roles to lead on improving mental health outcomes and experience at ICHT. This includes the establishment of two new mental health nursing teams at Charing Cross and St Marys sites as well as supporting the development of a broader strategy to enhance the care of patients with mental health needs.
As part of this expanding service, bank RMNs will play a key part in this organisational change, providing flexible therapeutic support to patients and acting as a resource and source of expertise to other clinicians across the hospital. The senior leadership team will also support bank RMNs to build on their own practice, progress their career, and enhance their expertise through robust supervision, and access to training and development opportunities.
We are looking for RMNs who are adaptable and comfortable with covering all clinical areas as demand requires this could mean working flexibly to use your specialist skills in another part of the hospital during the course of a shift. By joining the Staff Bank you put yourself at the top of the list for any shifts requiring extra staff throughout the Trust. We have long day shifts, day shifts and night shifts available.Main duties of the job
The post holder will provide support when patients require specialist mental health input across clinical areas. As a bank RMN you will have an important role in promoting parity of esteem between mental and physical health in the general hospital setting. You will be required to demonstrate excellent communication skills while providing first line advice, support, and information to a wide range of patients that present with acute mental health needs, and colleagues looking after them.
You will need to have excellent nursing assessment and risk management skills, knowledge of the legal frameworks that inform acute mental health care, an understanding of mental health diagnoses and a well-informed understanding of psychosocial interventions. You will be on the frontline of mental and physical health care and we will equip you with the skills you need to respond to a variety of clinical needs and provide you with career development opportunities.
You will be joining a highly motivated, diverse, and enthusiastic team that has a ready to help attitude. We believe in embracing the expertise of our nurses, medics, allied health professionals and health care support workers, working together to lead on improving the quality of patient care and experience.
This post requires that you are highly motivated, professional and can be flexible in an ever changing environment and are able communicate effectively across a multi-professional team. About us
Imperial College Healthcare NHS Trust Values
We are absolutely committed to ensuring that our patients have the best possible experience within our hospitals. We are looking for people who are committed to delivering excellent patient care, whatever their role, and who take pride in what they do. We place a high value on treating all patients, customers and colleagues with respect and dignity, and seek people who strive for excellence and innovation in all that they do.
We value all of our staff and aim to provide rewarding careers and benefits, fulfilling work environments and exciting opportunities.Kind
- We are considerate and thoughtful, so you feel respected and included.Collaborative
- We actively seek others views and ideas, so we achieve more together.Expert
- We draw on our diverse skills, knowledge and experience, so we provide the best possible care.Aspirational
- We are receptive and responsive to new thinking, so we never stop learning, discovering and improving.Job descriptionJob responsibilitiesJob purpose
To deliver high quality, effective and individualised nursing care that is compassionate, caring, and in line with evidence based professional practice.
To assess care needs and develop, implement and evaluate nursing care plans without supervision
To undertake risk assessments and contribute to the reduction of vulnerable patients coming to harm
To provide clinical areas with mental health expertise
To support the department/ward-based nursing team in the development of mental health guidance
To work as one of the department/ward-based nursing team in assessing, planning, implementing and evaluating nursing care without direct supervision
To work flexibly between clinical environments on one hospital site depending on the needs of the service Key stakeholders
Medical and multi-disciplinary teams
Patients and visitors
Senior Nurses and ward managers
Clinical site management team
Mental health servicesKey areas of responsibility Communication and relationships
Possess excellent communication skills and be able to form a positive, therapeutic relationship with people who are experiencing acute crisis or distress in the context of partnership and trust
Be an effective communicator and be a role model in liaising with patients, family/carers and other healthcare professionals internally and externally.
To be self-aware how your own personal verbal and non-verbal communication can be interpreted by others and ensure a polite approach is maintained at all times.
To create an environment that fosters good communication between patient and health care professionals in which patients views are effectively sought and where possible incorporated into care, including the efficient processing of complaints in accordance with Trust policy
To escalate professional concerns to the nurse in charge of the department and appropriate senior nurse in the mental health team, and promote professional practice at all times
To ensure that information of a confidential nature is not divulged to any unauthorised person and is stored in line with the provisions of GDPR.
Ensure all documentation and patient care records are legible, accurate, furnished in a timely fashion and is in written in accordance with Trust policy, profession guidance and best practice Clinical and patient care
Support the enhanced care team to deliver personalised therapeutic direct patient care in collaboration with the multi-disciplinary team in that area.
Demonstrate an enhanced understanding of signs and symptoms associated with mental ill health, how this may present in patient behaviour, such as through risk, and how to respond appropriately.
Ensure safe and effective enhanced care of complex patients through assessment, planning, implementation and evaluation of care.
Identify and intervene where circumstances contribute to an unsafe environment for patients and staff and bring these instances to the attention of the nurse in charge of that area and enhanced care team members.
Work autonomously within the parameters of the role to deliver quality nursing care aligned to the principles of recovery.
Demonstrate an in-depth knowledge of and understanding of the fundamentals of the Mental Health Act, Mental Capacity Act, DOLS/LPS and other legislation applicable to the practice area, the application to practice and how to ensure adherence and how they are implemented in practice ensuring adherence to legislation at all times.
Act as an advocate for patients within the department, to ensure a patient orientated, recovery approach to the delivery of care is upheld and standards within statutory, regulatory and clinical guidance is met.
Respect, and within the resources available, accommodate the cultural needs of patients to ensure high quality care and a good patient experience, with respect and regard for their customs, religious beliefs and personal doctrines.
Monitor patients progress, work towards safe and timely discharge plans and ensure barriers to discharge are identified and acted on appropriately
To be an effective communicator with patients/carers/families regarding treatment and management.
Ensure the timely and accurate monitoring and recording of enhanced care in accordance with Trust policy and approved documentation templates on the electronic notes system. Leadership and Managerial
Organise ones own work, ensuring the most effective and therapeutic use of time.
Provide leadership, support and guidance to staff in the planning, delivery and evaluation of individualised care, demonstrating specialist knowledge, high standards of clinical practice, and giving advice when necessary.
Contribute to the development of this role and wider enhanced care team through monitoring of clinical standards, participation in audit, and highlighting ways to improve standards according to changes in evidence, patient need, and feedback from patients, family/carers and staff.
Contribute to the provision of a seamless, high quality service whilst the patient is under enhanced care, by enhancing the interface between ICHT staff, patients, liaison psychiatry, community mental health teams staff, and others involved in the provision of care. Education, Training and Health Promotion
Assess the needs of patients, relatives and carers and provide them with information as requested
Act as a role model and mentor to nursing assistants, pre-registration students and nurses undertaking supervised practice and return to nursing programmes
To contribute to the development and maintenance of a positive learning environment for colleagues, patients and visitors. Professional
Be wholly accountable for practice in line with the NMC code of professional conduct and taking every reasonable opportunity to sustain and improve knowledge and professional competence.
Remain up to date with current developments in nursing and ensure evidence based practice
Develop new skills and knowledge pertaining to the speciality as advised by the Mental Health Matron and/or Lead Nurse for Mental Health.
Conduct oneself in accordance with the NMC Code of Conduct and Trust policies
Be aware of and take appropriate action in regard to psychiatric emergencies, cardiac arrest, fire and major incident
Be aware of and adhere to Trust policies and procedures
Undertaken responsibilities that have been delegated whilst retaining professional accountability.General Responsibilities Policy and service development
Under the supervision of the team leader work on delegated projects related to local policy and service development.
Promote high quality clinical care, and assist in the development of the enhanced care team, through the use of evidence based practice and monitoring of clinical standards, including data collection. Financial and physical
To work together with the ward team to ensure effective use of resources and adequate stock levels.
Have and demonstrate standard basic keyboard skills
Implement safe moving and handling techniques
Meet the physical requirements of the post subject to any requirements for the Trust to make reasonable adjustments for the post holder. Staff and people
Actively manage own annual leave in line with Trust and local Policy and Procedure.
Participate in the programme for clinical supervision as required.
Maintain a personal, professional profile, identifying role and skill developments in line with the scope of professional practice.
Participate fully as a team member, sharing knowledge and information and supporting colleagues, including support staff to promote a cohesive ward team and the achievement of team objectives. Information resources
To be involved actively in maintaining data quality on PAS or similar systems in the future.
Undertake relevant training for electronic information systems in place & under development. Research and development
Demonstrate and understanding of the importance of evidence based practice through holistic approach to nursing care and day to day clinical endeavours.
Participate in the collection of audit and research data as required.
At first under supervision, participate in conducting nursing audit to achieve the agreed standards.
Participate in Trust wide research awareness sessions for nurses and midwives and recommend innovations for clinical practice. Freedom to act
At preceptorship and foundation gateways: required to use a degree of initiative and deal with matters independently where they can, for example a postholder may be required to deal with patient enquiries which are generally routine, but would refer non-routine enquiries to others (level 2).
At second gateway: required to act independently within appropriate clinical/professional guidelines and refer to their manager when necessary (level 3).Person SpecificationQualificationsEssential
- NMC Registered Mental Health Nurse
- Educated to degree level
- Evidence of continued professional development
- Nationally recognised preceptorship/ mentorship qualification
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