Central and North West London NHS Foundation Trust
Urgent Community Response Nurse/Paramedic
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Urgent Community Response Nurse/Paramedic
Job Overview
Community Independence Service Urgent Community Response
Are you a Band 7 Nurse or Paramedic seeking a new challenging role in the community?
Community Independence Service (incorporating Urgent Community Response (UCR); Hospital at Home and D2A pathways) are currently seeking to employ Band 7 Registered Nurse's or Paramedic's with substantial experience in Acute care (e.g. A&E; Paramedic; ITU; CCU; HDU).
This role is a senior practitioner role who will be clinically competent to lead the team on a daily basis providing visible leadership, as well as working as an autonomous practitioner providing initial assessment and follow care to those in our unoptimized and or optimised patient pathways.
Potential post holders must possess current, valid NMC (UK) or HCPC (UK) registration.
Main duties of the job
Urgent Community Response
Nursing / Paramedic
The main duty of an Urgent Community Response (UCR) nurse/paramedic is to provide, high-quality care to patients in the community who are experiencing an acute deterioration in their health, that could otherwise lead to a hospital admission. UCR nurses/paramedics assess, manage, and treat patients in their own homes or care settings, aiming to review patients within two hours of referral. UCR nurses/paramedics play a crucial role in ensuring patients receive timely medical support, enabling them to recover safely at home and reducing the strain on emergency services.
Shifts
The UCR service is a 7 day a week service working hours from 8 am until 10pm and shift patterns are expected and we currently have an 8-8 and 10-10 shift.
Working for our organisation
All gender identities, sexual orientations and/or BAME professionals are welcomed and encouraged to apply.
The successful applicant may have contact with patients or service users. As an NHS Trust we strongly encourage and support vaccination as this remains the best way to protect yourself, your family, your colleagues and of course patients and service users when working on our healthcare settings.
CNWL strives to support provision of a healthy work-life balance which in this role includes:
- Providing you with an opportunity to earn extra pay as CNWL automatically enrols new recruits onto the bank at a competitive pay rate.
- An individual training package of £300 per person, per year
- Creating an inclusive and supportive working environment and team dynamic who are receptive to the culture of change.
- Working closely with the multidisciplinary team, specialist services and the wider integrated care system
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CNWL is recognized locally and nationally for providing high quality and innovative healthcare, frequently contributing to national health strategy and policy development.
Our nurses and paramedics enjoy their experience of visiting patients in their own home. They report feeling ‘honoured to build such close professional relationships with their team and patients alike.’ There is no typical day in RAS. Every visit requires a different set of skills and approach, the variety keeps the job interesting and the learning never stops.
Detailed Job Description And Main Responsibilities
Some of relevant skills:
- Physical Assessment (Health Assessment course essential for RGNs)
- Venepuncture (with ability to identify the required blood tests)
- Cannulation
- Medication Administration (PO; PR; IV; IM; SC etc)
- Triage
- Autonomous Practice
- Confidence in knowledge and skills
- Awareness of the Mental Capacity Act and Mental Capacity Assessment
- Proficient at taking on a Nurse/Paramedic in Charge role and Clinician of the Day role
- Non-Medical Prescriber (Desirable)
- Teaching skills
- Mentor / Practice Assessor
Within the team, we have Registered Registered Nurses; Paramedics; Occupational Therapists and Physiotherapists and support roles. We work together closely with our OT/PT colleagues, at times undertaking joint patient visits to meet all of their needs.
Successful candidates will have completed a Physical Assessment Module (or a suitable alternative such as the A&E; ITU or DN Course). Paramedics are exempt from this as it's part of the basic curriculum for student paramedics.
Working in this role you will be autonomous but supported by an experienced clinical team, our GP with Special interest and the patients own GP you will be providing care to patients in their own homes who are needing an urgent response to avoid an admission as appropriate, your clinical assessment and decisions will inform the onward care and or escalation of a patient. Confidence in your clinical knowledge is essential. You should be forward thinking and able to prioritise based on clinical need. As a Senior Practitioner, you may be the person others are coming to for advice around decision making too.
Ideally you will possess a Full UK Driving licence as we cover the entirety of the Tri-Borough which includes Westminster/Kensington and Chelsea and Hammersmith and Fulham travel cost within working hours will be reimbursed if a suitable candidate does not have a licence. A car is provided for use on some shifts (automatic gears) but this is for our urgent response so other modes of transport or walking is strongly supported.
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We would like to wish any potential candidates the best of luck in the process.
These roles will be based in Kensington and Chelsea
Person specification
Education And Qualifications
Essential criteria
- Registered Nurse with current NMC registration / Registered Paramedic with current HCPC registration.
- Bachelor’s Degree (BSc) in Nursing/Paramedic Science
- Evidence of continued professional development
- Physical Assessment Course (Registered Nurses only)
- Mentorship (Post Grad Module) or Practice Assessor / Supervisor Training or willingness to undertake
Desirable criteria
- Master’s or working towards
- Independent Nurse Prescriber
Previous Experience
Essential criteria
- Extensive post registration experience in Acute care including Paramedic; ITU, A&E, Acute assessment units and/or Rapid Response.
- Evidence of MDT Working
- Understanding of the role of Primary care in admission prevention and supporting a timely discharge
Desirable criteria
- Community working
Skills & Knowledge
Essential criteria
- Phlebotomy, IV Cannulation and IV therapy skills and knowledge (Including PICC and Central line) or willing to achieve on appointment
- Excellent clinical reasoning skills & decision making skills
- Able to work confidently in an independent and autonomous role whilst being aware of own limitations
- Understanding of evidenced based practice
Desirable criteria
- evidence of experience with frailty/community/palliative care
- other extended practice roles
Attitudes, aptitudes, personal characteristics
Essential criteria
- Demonstrates CNWL core values
- Awareness of team work and able to perform to a high standard within a team framework
- Motivated to own personal development
- Appraise, interpret and apply suggestions, recommendations and directives to improve services
Other
Essential criteria
- Awareness of NHS polices in respect to primary care and reducing hospital admissions
- Good IT skills and Knowledge of Microsoft applications
Desirable criteria
- leadership qualities
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