The post holder will care for patients in the community and work within the Ambulatory Outreach Team (AOT). Assist in the development, implementation, delivery and evaluation of the AOT [Acute Hospital at Home (AHaH) & Complex Outpatient Parenteral AntimicrobialTherapy (COPAT)] function and contribute in further development and streamlining of the AOT. As a senior nurse, the post holder is expected to work and provide specialist input, and flexibly rotate within both services.
The post holder is expected to work autonomously and support other team members. Care for patients in their home environment, support and improve the patient discharge process for patients who can safely be managed at home with a defined care plan. The post holderneeds to be able to perform holistic clinical assessment for Admission Avoidance patients (training will be provided) at the patient's home.Main duties of the job
Senior Specialist Nurse
If you have passion to deliver a better urgent care service to the people of Oxfordshire then look no further, as this could be an opportunity for you! The NHS is changing, with more emphasis being put on community-based care and this is especially true during covid-19 with a growing need for virtual wards and supported care in the home.
As such our Ambulatory Outreach Team and Hospital at Home service is expanding as we take on more work. Due to the nature of our work a min of 2 years practice in an acute area of work is a must.
The Ambulatory Outreach Team (AOT) comprises of numerous roles which include Hospital at Home Central, Hospital at Home Horton, OPAT (Outpatient Parenteral antimicrobial Therapy) and Covid Care at Home. We also work closely with the Ambulatory Assessment Unit (AAU) at the JR and Rowan Ambulatory Unit (RAU) at the Horton. Therefore, there is a variety of work including hospital-based work, community work and the opportunity to work from home with covid care at Home service.About usOxford University Hospitals NHS Foundation Trust
is one of the largest NHS teaching trusts in the country. It provides a wide range of general and specialist clinical services and is a base for medical education, training and research. Find out more herewww.ouh.nhs.uk
The Trust comprises of four hospitals - theJohn Radcliffe Hospital
andNuffield Orthopaedic Centre
in Headington and theHorton General Hospital
in Banbury.Job descriptionJob responsibilities
We are responsible for providing an alternative to acute hospital admission, treating and monitoring patients so that they can remain at home or in their care home during acute illness. This includes supporting care homes and patients with covid-19 with visits and following them after discharge through our covidcare@home virtual ward. We also facilitate early supported discharge from hospital, providing care that would previously been provided in an acute setting.
We can provide: Point of care blood testing, point of care ultrasound (POCUS), and we can guide clinical management decisions, non-medical prescribing, intravenous therapy, drain management, nebulisation, clinical reviews, insulin administration, support with care, management of heart failure/COPD. The team consists of visiting Ambulatory Consultant, Specialist Nurse Practitioners and Paramedics with a dedicated team Pharmacist. Our teams aim is to provide treatment or care in the patient's home that is equivalent to inpatient care. We work collaboratively across the whole of Oxfordshire with all hospital at home services and the Urgent Community Response Service (2-hour response). We are a fast-developing service, now Neutralising Monoclonal Antibodies (nMAb) treatment is starting within our service for covid infection patients who are immunocompromised and may not have mounted an adequate response to covid vaccination.
The successful candidate will need enhanced clinical decision-making skills, as we take our specialist nursing/ paramedic skills into individuals homes. They would be responsible for assessing patients, planning their care, administering treatment, and discharging or referring patients to other appropriate healthcare services. As part of Covid Care at Home we will use these skills to triage patients virtually and discharge or escalate patients care needs as appropriate.
We are a supportive service and training will be provided. We have regular teaching sessions and days to enhance staffs development and there is opportunity for development through advanced courses at Brookes such as the Advanced History Taking course.
Please contact Linsey.email@example.com or firstname.lastname@example.org for more information or to arrange an informal visit. Planned interview date: to be confirmed Please see Job Description PDF files attached.Person SpecificationValues and BehavioursEssential
Education, training, qualificaEssential
- Able to demonstrate the ability to put patients and their families and carers at the heart of what you do and recognising different needs by encouraging a spirit of support, integrity, respect and teamwork.
- Shows pride in the quality of care they provide for patients and learning from successes and setbacks.
- Able to deliver a high standard of care for patients and always striving to improve on what you do through change and innovation.
- Registered Nurse (Part 1. 8. 12 or 15 of the Nursing and Midwifery Council Register depending on area of practice) or National Certification in area of Practice.
- UK recognised Degree in Nursing relevant to post.
- Evidence of ongoing professional development through maintenance of an NMC revalidation or equivalent
- Post-graduate qualification related to an area of practice
- Articulate and knowledgeable of skills needed to deliver a high standard of care in the area of practice
- Able to work under own initiative within boundaries of role
- Demonstrates awareness of importance of working as part of a team
- Able to document observations, results, decisions and actions etc. effectively in patient's notes and communicate these effectively to appropriate members of the multi-disciplinary team.
- Able to communicate effectively with patients/relatives and carers and all members of the multi-disciplinary team.
- Able to proactively contribute to the education of learners and non-registered and less experienced staff.
- Demonstrates ability to manage, direct and evaluate the nursing care for a defined caseload of patients.
Leadership and ManagementEssential
- Competent to administer intravenous medicines
- Competent in central venous access management
- Excellent communication skills
- Able to prioritise own workload and that of others as appropriate
- Demonstrates ability to maintain and contribute to the development of standards of practice, conduct or decision making in conjunction with their line manager.
- Acts as a role model and are able to lead by example to ensure the Trust's values and behaviours are reinforced throughout their area of practice
- Able to supervise non-registered and less experienced staff to ensure effective care delivery.
- Able to effectively and appropriately escalate concerns to reduce risk and promote patient safety.
Improving Quality and DevelopiEssential
- Previous experience of managing clinical incidents and complaints.
- Previous experience in the relevant specialty
- Understanding of professional and current issues related to area of practice.
- Demonstrates ability to keep up to date with professional issues that influence nursing practice relating to the area of clinical practice, management education and research.
- Able to identify own learning needs and ensure own professional development is maintained by keeping up to date with practice developments
Personal Qualities and PhysicaEssential
- Able to contribute to the development, implementation, monitoring and evaluation of policies/protocols/guidelines relevant to area of practice
- Demonstrates ability to question and challenge nursing practice in a constructive way so that standards of patient care are continually evaluated and improved
Employer detailsEmployer name
- Motivated and able to articulate reasons for desire to work in the specific practice area
- Being self-aware and able to accept constructive criticism
- Positive enthusiastic character
- Resilient under pressure
- Smart professional appearance
- Pleasant personality
- Good self-presentation
- Able to undertake specific procedures involving physical skills commensurate with practice area
Oxford University Hospitals NHS Foundation TrustAddress
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