Job Description

This role of the Nurse Associate (NA) is as part of the Frailty service working with the Registered Nurses and Geriatricians and other members of the multi-professional team, providing, and monitoring high quality care and contributing to the ongoing assessment, as agreed with supervising clinician(s) and in line with the service pathways. They will monitor the condition and health needs of people within their care on a continual basis in partnership with the multi-professional team.



Due to the success of our Frailty Service in the community and the hospital an exciting expansion and development opportunity has arisen. We are now looking to recruit an enthusiastic and motivated Nurse Associate to join our dynamic team of dedicated Frailty Nursing and Medical Staff.



The post holder will provide direct patient care, working in the community for the Virtual Frailty Ward, Community Frailty and Urgent Community Response services (all under one team) reviewing patients in their own homes. Part of the role will also be in the hospital working on the Ambulatory unit and ward, and in the acute trust as well as working in the Emergency Department with the Advanced Clinical practitioners.



You will be as an autonomous expert practitioner, offering a patient-cantered holistic approach to care planning and maximizing independence and well-being of those living with frailty.



Deliver high quality, person-centred care under the direction of a Registered Nurse or other registered care professional, dependent on settings



Have proficient attitudes and behaviours compatible with NHS Values



Work as part of a designated clinical and care team delivering care that focuses directly on the needs of the person



Carry out specific delegated clinical and care tasks and responsibilities to a high standard and competency, under the direction and supervision of a Registered Nurse or other registered care professional.

Where appropriate work without direct supervision, delivering care independently in line with the individual's defined plan of care, within designated parameters of practice of the Nurse Associate role, accessing clinical and care advice when needed.

Continue to develop and improve practical and theoretical knowledge, competence, and skills whilst in clinical practice and maintain all evidence required.

Contribute towards developing a culture of learning and innovation, developing high quality learning environments.

ECG's (training will be provided)

visit patients in their own home independently.

work within A&E with an Advanced Nurse Practitioner to case find frailty patients and support early discharge.



The Secretary of State has approved the partnership between St Helens & Knowsley Teaching Hospitals and Southport & Ormskirk Hospitals.



From 1 st July we have come together as a single organisation under the name Mersey & West Lancashire Teaching Hospitals NHS Trust.



The Trust delivers acute hospital care, intermediate care, community, and primary care services to a population of over 600,000 people with a combined workforce of around 9000 dedicated and skilled staff from 17 locations including Whiston, Southport & Formby, St Helens, Ormskirk and Newton hospitals.



The Trust provides regional services for burns, plastic surgery and spinal injuries to more than 4 million people across Mersey and West Lancashire, Cheshire, the Isle of Man and North Wales.

Our Vision is to deliver 5 Star Patient Care:

CARE that is evidence based, high quality and compassionate ??????SAFETY that is of the highest standards COMMUNICATION that is open, inclusive and respectful SYSTEMS that are efficient, patient centred and reliable PATHWAYS that are best practice and embedded, but also respect the individual needs of patients

Our achievements include:

Trust rated Outstanding by CQC Inspection August 2018

Top 100 places to work in the NHS (NHS Employers & Health Service Journal)

Awarded National Preceptorship Accreditation (2023) for our Nursing & AHP Preceptorship Programme



CLINICAL & PROFESSIONAL RESPONSIBILITIES



Under indirect supervision and working in partnership with a Registered Nurse provide and deliver a high standard of nursing care Maintain understanding of all elements of the nursing process and be able to assist the registered nurse in the on-going assessment, planning, management, and evaluation of care. Support people with all aspects of individualised care including daily living, providing person-centred care and promoting health and independence through awareness raising and care navigation to other professionals as appropriate. Provide care that recognises the individual needs of patients, ensuring reasonable adjustments are in place for patients with protected characteristics. Manage and monitor the condition and health needs of patients within their care following administration of medicines. Recognise and report any situations, behaviours or errors that could result in poor care outcomes related to medicines management. Perform and record clinical observations including blood pressure, temperature, respirations, pulse, and any additional requirements within the speciality. Undertake clinical tasks including cannulation, venepuncture, venesection, ECGs as appropriate to competence and setting. Accurately record nutritional and fluid intake Ensure the privacy, dignity and safety of people is maintained at all times. Act in accordance with all organisational policies and procedures and within expected values and behaviours Actively participate in and attend ward/unit meetings. Demonstrate the ability to recognise changing priorities seeking advice and guidance from the Registered Nurse or other registered care professionals as appropriate. Report back and share information with the registered nurses on the condition, behaviour, activity and responses of people. Recognise issues relating to safeguarding vulnerable children and adults and report any problems or raise concerns to the appropriate registered care professionals. Assist in the assessment of and contribute to the management of risk across several areas within the environment where care is being delivered. Assist in the implementation of appropriate action to meet the specific physical, emotional, and psychological, social, cultural and spiritual needs of individuals and carers. Assist in the delivery of complex care as prescribed by the registered nurse. Maintain an understanding of caring for individuals with particular conditions, for example dementia, mental illness, learning disabilities. Maintain skills in relation to coaching/teaching individuals/carers/other staff. Assist with the implementation and monitoring of clinical standards and outcomes. Develop a working knowledge of other providers' resources and referral systems to ensure individual's needs are met, within parameters of practice. Engage in reflective practice including management of self and reflection on own reactions, asking questions, and reflecting on answers given. Demonstrate good understanding of principles of consent and ensure valid consent is obtained prior to undertaking nursing and care procedures. Demonstrate good understanding of the Mental Capacity Act/Deprivation of Liberties and applies principles to everyday practice seeking advice/guidance from the registered nurse or registered care professional as required. Communicate effectively across a wide range of channels and with a wide range of individuals, the public, health and social care professionals, maintaining the focus of communication on delivering and improving health and care services. Demonstrate those inter-personal skills that promote clarity, compassion, empathy, respect and trust Contribute to team success and challenge others constructively. Communicate with individuals, carers and other visitors in a courteous and helpful manner, whilst being mindful there may be barriers to understanding. Report to appropriate registered care professional information received from the individuals, carers and members of the team. Ensure all patient related information is treated sensitively and always adhere to the principles of confidentiality. Report any accidents or incidents and raise any concerns as per organisational policy. Ensure clear, concise, accurate and legible records and all communication is maintained in relation to care delivered adhering to local and national guidance. Ensure ability to manage electronic records system taking cognisance of need to protect access (ID, passwords, swipe cards) Exercise personal responsibility and work independently within defined parameters of practice, taking the initiative in a variety of situations and performing a range of clinical and care skills consistent with the role, responsibilities and professional values of being a Nurse Associate Exercise judgement in assessing patient condition, comfort and wellbeing using analysis of a range of possible factors. Ensure that only those activities for which competence has been achieved are undertaken without supervision and the recognition is given to the impact and consequences of practising outside capability.

ADMINISTRATIVE RESPONSIBILITIES



Develop skills to maintain professional standards of record keeping. Follow all information governance guidance and policies. Maintain confidentiality as outlined within data protection policies.

TEACHING & TRAINING RESPONSIBILITIES



Comply with mandatory competencies in line with Trust policy. To actively engage in area specific competency assessments Contribute to formulation and maintenance of own objectives and personal development plan. Support, supervise, teach (where appropriate) and act as a role model to trainee nursing associates, student nurses, healthcare support workers and new staff members, promoting reflection and providing constructive feedback. Contribute to the maintenance of the learning environment. Adopt a reflective approach to own practice and with a view to continually improve. Undertake further training as required, prior to carrying our any additional duties identified as relevant to role, to comply with Trust policies and procedures.

RESEARCH & AUDIT



Identify relevant sources of evidence to inform practice. Critically consider and analyse own practice in light of best available evidence. Contribute to surveys, audits and research activity as required to own role, supporting recommended changes in practice. Promote health and safety maintaining best practice in health, safety, and security. Share ideas with colleagues to improve care and suggest areas for innovation. Adhere to legislation, policies, procedures, and guidelines both local and national. * Regularly attend workplace and staff engagement meetings and contribute positively to discussions about the improvement of care.