As part of a multidisciplinary team the post holder will support the Registered Nurse or Paramedic in the provision of care within the Urgent Care Service and will regularly work unsupervised.
Urgent Care is a professional, patient-focused service committed to caring with dignity and respect.
To provide high quality, evidence based unscheduled care for patients with illness and injury in line with national standards and local policy.
- Ordering supplies of drugs and consumables
- Maintenance of health and safety
- Report information regarding patients to the Emergency Nurse or Care Practitioner
- Provision of Clinical Care to patients attending the Urgent Care Services
Oxford Health is a great place to work and to be able to showcase the best of yourself when making an application please read the “candidate guide to making an application” and ensure your supporting statement is tailored to the role you are applying for and addresses any essential criteria.
As a Trust we provide physical, mental health and social care for people of all ages across Oxfordshire, Buckinghamshire, Swindon, Wiltshire, Bath and Northeast Somerset. Our services are delivered at community bases, hospitals, clinics and people’s homes, delivering care as close to home as possible. Our vision is that no matter who you are or where you are, you will tell us that you receive: “Outstanding care delivered by an outstanding team”
Our values are: “Caring, safe and excellent”
We offer a wide range of benefits designed to support your career and wellbeing. These include:
- Excellent opportunities for career progression
- Access to tailored individual and Trust wide learning and development
- 27 days annual leave, plus bank holidays, rising to 33 days with continuous service
- NHS Discount across a wide range of shops, restaurants and retailers
- Competitive pension scheme
- Lease car scheme
- Cycle to work scheme
- Employee Assistance Programme
- Mental Health First Aiders
- Staff accommodation (please note waiting lists apply)
- Staff networking and support groups hosted by our Equality, Diversity & Inclusion team
To assess, treat and discharge patients within Band 4 Urgent Care competency framework including wound closure, S/C and IM injections, catheterisation, and focused patient history taking.
- To work within own competency, recognising the legal and accountability limits within the role.
- To support the Band 3 Emergency Nurse Assistants in personal and professional development.
- To take a leadership role for the supervision and induction of Band 3 Emergency Nurse Assistants.
- To be responsible for the day-to-day Emergency Nurse Assistant rota management including Annual requests.
- To assist and facilitate the clinical leads and clinical practice educator in the provision of “in house” training as identified by Urgent Care Service.
- To establish in house programmes on fundamental aspects of care in correlation with the clinical practice educator
- Take a key role in health promotion for Urgent Care and promote health options to patients.
- To provide patient care in support of the Nurse or Care Practitioner and Radiographer to unsure delivery of a high-quality patient care
- Participate in the audit programme particularly focussing on band 3 activity and standards of working.
- Record and report patient observations to ensure maintenance of accurate and up to date records.
- To carry out eye irrigation when required and requested by the Emergency Nurse or Care practitioner.
- To work within own competency recognising the legal and accountability limits within the role.
- Co-operate with and foster good relationships with other disciplines that are attending and treating clients to maximise patient care.
- Maintain good relationships and an empathic approach to patients, carers and relatives and refer them to a Nurse or Care practitioner for any questions they may have on the patients’ condition or for any suggestions or complaints they may wish to raise.
- Work within Oxford Health NHS Foundation Trust policies and procedures to ensure maintenance of safe working practices for patients and colleagues.
- Adhere to unit procedures for the use of supplies and equipment in order to promote the effective and efficient use of resources.
- Maintain stock levels of all supplies and carry out housekeeping duties, to support the smooth running of the MIU and OOH area.
- Ensure accurate filing and administration of patient case notes, including copying and sending of letters to GP’s, Clinics etc.
- Participate in personal career development plan to maintain skills and develop personal growth through training and education.
- Always maintain patient confidentiality.
- To take patient details and enter them onto the MIU and OOH information system.
- To answer the telephone in a professional friendly manner, taking clear messages and replaying them to members of the multidisciplinary team as appropriate
EQUIPMENT AND MACHINERY
- Automated External Defibrillation device
- Cardiac monitor
- ECG machine
- Suction unit
- Plaster Saw and related equipment.
- Ring cutter
- Thermometer
- Wheelchairs
- Crutches and walking assistance devices
SYSTEMS
- Current software system
- EPR
- Toxbase
REVIEW OF WORK
- Assignment of work will be by the duty Emergency Nurse/Care Practitioner/ Clinical Managers and Operational Managers.
- The post holder will be expected to work unsupervised and exercise initiative when providing patient care; however, a trained nurse will be available for advice and guidance.
- Work review and formal appraisal of performance will be carried out by the band 6 Emergency Practitioner
DECISIONS AND JUDGEMENTS
- Practitioner Planning order of work
- Acknowledging changes in patients’ conditions and taking appropriate action as necessary.
- Ability to recognise change in patient condition and know when to refer to on to the nurse or Care Practitioner.
MOST CHALLENGING/DIFFICULT PARTS OF THE JOB
- Managing competing demands on time.
- Dealing with patients who are anxious and distressed and often challenging.
- Occasional exposure to distressing sights.
- Necessity to work under pressure.
- Occasional exposure to body fluids/faeces
- Occasional exposure to aggressive behaviour.
COMMUNICATIONS AND RELATIONSHIPS
- The post holder will communicate on a regular basis with the patient, their relatives, the multidisciplinary team and external agencies involved with the provision of care.
External
- Ambulance Service, Police, Social Services, voluntary agencies, other NHS Trusts
- Acute trusts, outpatient clinic staff
- Child Protection Agencies and the Safeguarding Adult and Children Representatives
- Guys Poisons Unit
Internal
- Other Emergency Practitioners, EMU/H@H/SPA, General Practitioners, Paramedics, District Nurses and Health Visitors
- Lead Nurse for safeguarding children and younger people
- Lead Nurse for safeguarding vulnerable adults
- Clinical Governance representatives
- Attached medical and nursing staff including undergrad and post grad students
- Clinical Manager and Operations Manager
PHYSICAL, MENTAL, EMOTIONAL AND ENVIRONMENTAL DEMANDS OF THE JOB
Physical Skills:
- Skills in patient assessment
- Skills in plaster of Paris application
- Skills in uncomplicated wound toilet and closure
- Catheterization
- Intramuscular and sub cutaneous injections as prescribed by a non-medical practitioner/general practitioner.
Physical Demands:
- Patient movement with use of mechanical aides, manoeuvre patients
- Push trolley’s, wheelchairs
- Stand/walking for the majority/long periods of a shift.
- Application of plaster of Paris
Mental Demands:
- Concentration required when ascertaining triage priority
- Concentration required when inputting patient data on the MIU information system
- Concentration required when undertaking personal care of patients
Emotional Demands:
- Communicating with distressed/anxious/worried patients/relatives.
- Caring for patients following receipt of bad news
- Dealing with patients with severely challenging behaviour
- Dealing with the terminally ill and their families/relatives especially on home visits
Working Conditions:
- Exposure to body fluids, (several times each shift)
- Exposure to verbal aggression (occasionally)
- Exposure to physically aggressive behaviour (rarely)
KNOWLEDGE, TRAINING AND EXPERIENCE REQUIRED TO DO THE JOB
- Basic and Life Support including AED
- Good IT literacy skills
- Ability to work with people and as part of a multidisciplinary team.
- To be able to demonstrate good literacy skills.
- Previous experience in caring environment/role minor injuries or Emergency Care desirable
- Ability to work unsupervised.
- Effective written and verbal communication skills
- Willingness to undertake basic clinical tasks.
- Ability to carry out assigned tasks effectively in a busy environment.
- NVQ level 3 desirable
- Foundation degree in Health and Social Care
