ICRAS Nurse Practitioner - Maternity Cover Liverpool, England
Job description
The ICRAS service operates for 24 hours a day over 7 days, services across Liverpool and South Sefton may vary in operating/shift hours for example therapists core hours/shifts and weekend rota.
ICRAS provides high quality, culturally sensitive, nursing and therapy treatment/interventions for people in their permanent or temporary place of residence (Hub rehab units). Promoting a co-ordinated approach to admission avoidance that facilitates a seamless service leading to improved health and social care outcomes.
Therefore reducing the incidence of re-admission through education seeking early intervention providing an evidence based approach to clinical practice to improved patient care.
ICRAS aims to prevent inappropriate and/or avoidable hospital admissions by providing short term, intensive, multidisciplinary and holistic assessment treatment of care, ensuring collaborative working with existing social care providers and other agencies.
Shortlisting is planned for: 7th March 2023
Interviews are planned for: 22nd March 2023
We have an exciting opportunity for band 6 nurse practitioner to work within the community ICRAS team .
The vision for the Integrated Community Re-enablement and Assessment Service (ICRAS) is that a multidisciplinary team work together to manage the care of people both in the community, requiring support of an urgent nature and who are risk of imminent hospital admission as well as those transitioning from an acute environment who require additional support. The service consists of a multidisciplinary approach including General Medical Practitioners, Advanced Practitioners, Pharmacists, Nursing staff, Occupational Therapists, Physiotherapists, Social Workers, Podiatrist, Dietician, Assistant Practitioners and Health Care Assistants.
The ICRAS service operates for 24 hours a day over 7 days, services across Liverpool and South Sefton may vary in operating/shift hours for example therapists core hours/shifts and weekend rota.
Mersey Care is one of the largest trusts providing physical health and mental health services in the North West, serving more than 11 million people.
We offer specialist inpatient and community services that support physical and mental health and specialist inpatient mental health, learning disability, addiction and brain injury services. Mersey Care is one of only three trusts in the UK that offer high secure mental health facilities.
At the heart of all we do is our commitment to ‘perfect care’ – care that is safe, effective, positively experienced, timely, equitable and efficient. We support our staff to do the best job they can and work alongside service users, their families, and carers to design and develop future services together. We’re currently delivering a programme of organisational and service transformation to significantly improve the quality of the services we provide and safely reduce cost as we do so.
1. Provide autonomous decision making as a practitioner adjunct to the shared decisionmaking responsibility of a member of the multidisciplinary team.
2. Maintain the clinical governance framework to support the quality objectives of the unit, reflecting on care standards using clinical incident reviews, national benchmarking and taking responsibility in implementing the results of this practice.
3. Align role to deliver care according to national service frameworks and tackling and preventing health inequalities.
4. Support the multi-agency team on the ground with emphasis on a sound communication network.
5. Encourage and facilitate junior practitioners to participate in the delivery of various health care programmes and models of practice.
6. Facilitate the development of the skills and knowledge of the junior practitioners and health practitioner assistants through clinical supervision and perform their personal development reviews.
7. Ensure that the organisation of the ward over the shift period supports the efficient and effective delivery of care e.g. that the environment is clean, safe and supports privacy, dignity and confidentiality to patients.
8. Observe, assess and evaluate what is influencing the workload i.e. level of patient demand, supply of staff and what level of hands on care is required and plan for the following shift duration.
9. Contact bank service and arrange bank staff
10. Manage unproductive time and operational duties i.e. check work time cards of nursing staff within the team when required.
11. Control the patient admission/case load, liaising with primary and secondary care sectors, in accordance with the admission policy of intermediate care.
12. 12. Deputise in the absence of the team lead operational responsibility for the team when needed.
13. Support the team lead in conducting the personal development reviews for the band 5 and 3 nurse practitioners.
14. Act as the unit co-ordinator in the absence of team lead out of hours i.e. evenings and week ends
15. Participate in own PDR with team lead to establish objectives, reporting arrangements, supervision and ongoing development
16. Demonstrates own role to new starters and students from a variety of different disciplines.
17. Participation in mandatory training events
18. Work with groups to improve patient participation and involvement
19. Provide high quality, evidence-based care, integrating the multi-agency approach in the delivery of services to meet patients’ needs.
20. Perform duties that would currently be done by a junior medical officer, including a comprehensive history and focused physical assessment of patients, taking decisions to discharge patients and/or refer to a specialist service.
21. Carry out emergency procedures i.e. resuscitation, defibrillation and anaphylaxis.
22. Carry out minor invasive procedures i.e. venepuncture, cannulation.
23. Manage intravenous infusions
24. Where necessary refer patients for tests, including x ray (under a patient directive) Doppler, and ultrasound to confirm a deep vein thrombosis.
25. Interpret results of a range of blood tests including full blood count, urea, electrolytes and troponin levels and initiate treatment.
26. Be proactive in following agreed national and local protocols and pathways to manage specific diseases e.g. diabetes framework, hypertension assessment tool, multiples need of the frail/elderly such as an ambulatory injury/fall and place on a fall’s pathway.
27. Take the decision to discharge patients and/or refer for a specialist opinion using SAFER bundle.
28. Manage an effective discharge according to DOH and Trust process, pathways and practice guidelines.
29. Refer patients to mainstream services on discharge e.g.: GP, pharmacist, NHS Direct, as an alternative strategy to the hospital emergency service.
30. Adhere to Trust policy for reporting sickness/absence and with emphasis on managing risk and infection control.
31. Sustain an effective communication network by interacting with multi-agency professionals, clients’ relatives and carers, disabled and bereaved and facilitate multidisciplinary case conferences,
32. Undertake additional education and training to undertake patient management
33. Work and reflect the principles laid down by the code of professional conduct and scope of practice of the NMC.
34. Participate in caseload reviews, clinical audit, pressure monitoring and critical incident analysis when required
