Substance Misuse Nurse

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1 HMP Woodhill, Milton Keynes 1. Main purpose of the role (Salary as advertised) 37.5 hours per week Permanent Westminster Drug Project s (WDP) HMP WOODHILL is an integrated substance misuse service operating within HMP Woodhill. WDP WOODHILL provides an integrated drug treatment service, delivering clinical and psychosocial interventions to address the needs of service users, supporting and enabling them to achieve individualised recovery based goals and aspirations. Our service works as part of a larger multi-disciplinary team and relies on close partnership working to provide our clients with a holistic care approach. WDP develop individualised recovery plans, providing a safe therapeutic environment for individuals to address their drug and alcohol problems from the point of custody, through sentence and to maximise their potential for remaining abstinent on release into the community. Within the service, we manage a clinical caseload with a complexity of needs. We provide 24/7 clinical care, with a team of specialist practitioners, comprising of specialist substance misuse doctors, non-medical prescribers, substance misuse nurses (both RMN and RGN), pharmacy technicians and psychosocial recovery practitioners. The post holder will be a Registered Nurse RMN or RGN who will report to the Clinical Nurse Manager. They will have working knowledge and experience of drug and alcohol detoxification and treatment programs with an understanding of both clinical and psychosocial aspects of care. The main duties of the role will be: Supporting caseload management of the wider team. This will involve assessing, planning and implementing clinical care whilst managing clients general health needs Responding to clinical and medical emergencies, managing crisis as first line intervention and assessing risk and safeguarding The safe and efficient administration of controlled drugs and general healthcare medications to clients in compliance with medicines management guidelines. Page 1 of 11

2 2. Reporting and working relationships Reporting relationships: Reports to Service Manager Line manages Clinical Nurse Lead Service Manager Clinical Nurse Lead Substance Misuse Nurse Working relationships: Medical Director Service Manager Clinical Nurse Manager Recovery Practitioners Local Doctors Pharmacy Technician Recovery Champions Service Users Peers Partner Agencies Medical Director Partner Agencies Peers Service Users Medical Director Substance Misuse Nurse Recovery Champion Service Manager Pharmacy Technician Clinical Nurse Manager Recovery Practitioners Local Doctors 3. Role-specific responsibilities Clinical 3.1 To understand and implement WDP s policies and procedures. 3.2 To work as a member of the multidisciplinary team that provides a range of specialist services to problem drinkers and problematic drug takers attending the service, Page 2 of 11

3 including harm minimisation approaches, motivational interviewing, relapse prevention, individual intervention, health education and detoxification programmes and group work. To make continuous assessments, under supervision, of the psychological, emotional, social and rehabilitative needs of prisoners, taking into account the needs of family, local community, and environment. To develop systematic plans for care and evaluation of treatment plans. To be able to assess and case manage clients who inject drugs, in particular assessing injection sites and be conversant with the precepts of harm minimisation, taking a predominant role in providing duty assessments to clients who are new to the service. To develop and adhere to working relationships and or protocols with drug treatment services, probation, prisons, courts and community services. To provide case management and direct clinical care to a defined number of clients as agreed with the team manager and lead nurse and under the supervision of a designated professional within the team. This includes assessment, planning and providing specialist care. It is expected that the caseload will consist of clients with needs of a low to medium complexity. 3.7 To refer clients to the relevant professionals or treatment providers To work with other professionals or treatment providers with assessing / reviewing of client s needs. To use agreed and established DATA and Outcome Monitoring Tools and any other relevant quality measures Supervise volunteers and student placements to deliver WDP s service objectives To manage the transfer of individuals between agencies and services To ensure that all work is performed in accordance with organisational policies and procedures, including the incident, accident, and complaints reporting. To ensure the highest quality of service is delivered by following local and national quality and performance standards, guidance, protocols, procedures and practice guidelines. To ensure full risk assessments and risk management is delivered effectively, under supervision. To open, maintain, close and actively engage and support the Assessment, Care in Custody and Teamwork (ACCT) process of risk management within the establishment, ands take part in reviews as appropriate. To support and encourage the screening and vaccinating of clients on own caseload against BBVs. To respond to requests to provide clinical advice and support to other colleagues within the healthcare setting and to other agencies concerned with substance misuse. Page 3 of 11

4 To support individuals about their substance use, using motivational interviewing, relapse management and other evidence-based interventions. To respond to clinical and medical emergencies and managing crisis as first line intervention and be aware of potentially unpredictable situations that may arise with this client group. Working in partnership with Hotel 1 (NHS emergency healthcare response) to manage medical emergencies To deliver psycho social interventions supporting Service Users in there recovery Quality Control Oversee and maintain clinical governance procedures in line with the CQC, WDP and NMC requirements. nsure that all information in relation to safeguarding is maintained and reported in line with local policy and procedure. nsure that all service delivery is in line with the service specification and service contracts, and meet agreed targets. To develop and implement measurable quality assurance targets for the service, including outcome monitoring and service evaluation. To develop and maintain quality assurance processes that measure and report performance against these targets, including procedures for service user consultation, systems for routine data collection and reporting, and the keeping of accurate records with due regard to confidentiality. nsure that all complaints are dealt with promptly and reported in line with CQC and WDP requirements. You must adhere to and uphold the Nursing and Midwifery Council (NMC) Code of Standards of conduct, performance, and ethics for nurses and midwives. To ensure services and duties are delivered in compliance with the law and relevant national and local policies, standards and guidance, including the CQC, NTA, NIC and other quality standards. Be familiar with and comply with, WDP policies for infection control and hand hygiene in order to reduce the spread of healthcare-associated infections. This will include a requirement to attend mandatory training in Infection Control and be compliant with all measures known to be effective in reducing healthcare-associated infections, including correct uniform and dress code policy, the use of personal protective equipment policy, safe procedures for using aseptic techniques, and safe disposal of sharps an clinical waste. Being responsible for the health and safety of colleagues and service users through upholding organisational infection prevention and control policies in compliance with CQC essential standards. To manage daily medical needs of clients within WDP WOODHILL including facilitating appropriate referral and appointment bookings for partnership agencies and WDP Page 4 of 11

5 WOODHILL clinical and psychosocial services To facilitate staff supervision as required. Service Communications 3.33 To participate in multidisciplinary meetings, both on site and in the community relating to client management To develop close links with partner agencies and services To liaise and communicate clinical information with partner agencies within the strict guidelines / protocol on shared confidential information between WDP and named partner agencies. To promote an open dialogue culture where a positive culture on improving communication, and maintenance of a healthy therapeutic relationship with clients are enhanced and valued. To contribute to the promotion of team cohesiveness, multidisciplinary working and at all times work collaboratively with colleagues in all parts of the organisation to achieve healthy and effective communication. To work collaboratively in developing professional links with other statutory and voluntary service providers, ensuring a corporate approach is adopted. To provide specialist advice, when required, on drug/alcohol misuse to other colleagues in relation to the assessment, treatment planning and implementation of interventions to substance misusing clients. To participate in a range of partnership arrangements both internal and external to the service/unit while remaining within the boundaries of good practice. To liaise closely with operational staff and involve them in decision making process of clients move on and off WDP WOODHILL allocated house unit. To ensure that recording of clinical case notes is of a high standard and in accordance with NMC record-keeping guidelines, WDP information governance policy and data protection act and is undertaken within the required periods. Raise drug and alcohol and recovery awareness within the community, sharing your knowledge and experience by developing packages that train and educate establishment, community and other interested groups. Performance 3.44 To be responsible for the effective management of own caseload To maintain accurate and up-to-date documentation of all service clients records, ensuring the confidentiality of such records of information are in line with the Data Protection Act and Information Sharing Protocol. To ensure that client information is entered in the service database system and to ensure activity input to NDTMS data forms is accurate and timely. Page 5 of 11

6 3.47 To be responsible for use of resources allocated for the purpose of the post To demonstrate responsible time management To ensure that all local and WDP administration systems are followed. Liaison 3.50 To represent and positively promote WDP with external partners To network with other managers in the organisation and external service providers as required To liaise closely with your line manager and other senior managers as required. Others 3.53 The post holder will be required to be nurse in charge of the House Unit To ensure that WDP s quality and Diversity Policy is incorporated into daily work practice at all times To work within WDP s policy and procedures at all times In conjunction with the team, to ensure that WDP s Health & Safety and Infection Prevention and Control policies are incorporated into daily work practices and are adhered to. The has the authority to carry out all tasks implicit in the above responsibilities using his/her discretion to prioritise work commitments without the need to defer to their line manager for approval. To work flexibly to provide adequate cover for all aspects of the service to flexibly provide 24 hour nursing care, seven days a week within the shift patterns of early, late and night shifts as required To treat people as individuals and respect their dignity To be open and honest, act with integrity and uphold the reputation of your profession and WDP as an organisation General accountabilities To be an active and positive member of the team To participate constructively and positively in staff and other meetings to promote and support communication channels within the organisation To comply with WDP s policies and procedures To comply with all health and safety policies and guidelines, taking responsibility for your own safety, that of colleagues and others as applicable. To comply with Infection Prevention and Control policies Page 6 of 11

7 To observe professional integrity in relationships with all stakeholders To treat all information acquired as a result of your employment at WDP as confidential, complying with all relevant policies and procedures. 4. WDP s commitment to you WDP works within the following framework and requires all employees to do the same. 4.1 qual Opportunities WDP is committed to promoting anti-discriminatory practices within society, its organisation and in the promotion of its services to the community. WDP expects all employees to understand, comply with and to promote its policies in their work and to challenge prejudice and discrimination and where necessary to undertake any appropriate training. 4.2 Recovery WDP is a recovery focused organisation. Our staff and volunteers are committed to helping our service users improve their health and wellbeing, and to become free from dependency. 4.3 Career Development and Progression At WDP we actively encourage career progression from the talent we have from within and we strive to provide not only promotional progression but to develop a specialist and lead responsibility roles with teams and other services within WDP. 4.4 Safeguarding WDP is committed to ensuring the safeguarding and wellbeing of children and vulnerable adults, and all applicants will be required to demonstrate understanding of and commitment to best safeguarding practice. 4.5 Care Quality Commission (CQC) Many of WDP s services are monitored, audited and regulated by the Care Quality Commission (CQC), the independent regulator of health and adult social care in ngland. Whether or not a particular service is registered, we believe CQC represents the minimum standard we expect for all of our services. We therefore work with all of our staff to make sure that every WDP service provides people with safe, effective, compassionate, high quality care and we encourage our services to learn and improve. 5. Your commitment to WDP 5.1 WDP Vision, Mission and Values Promoting and understanding the values, vision and mission statement of WDP. To understand what it means to you in your respective role, to your team and to service delivery. 5.2 Vulnerable children and adults Demonstrating an understanding of and commitment to best safeguarding practice. Taking Page 7 of 11

8 immediate and appropriate action as required. 5.3 Boundaries and behaviours Observing professional integrity in relationships with service users, peers and other relevant professionals. 5.4 Health & Safety Being responsible for your health and safety and that of colleagues and service users (including Infection Prevention and Control). mployees should co-operate with management and follow established systems of work, use protective equipment where necessary and report defects and hazards to management. To comply with Infection Prevention and Control policies and procedures. 5.5 Confidentiality Treating all information acquired through the course of your employment as confidential and complying with all the appropriate policies, systems and procedures. 5.6 Information Governance Applying information governance processes to ensure all necessary safeguards are in place regarding personal information and its appropriate use about our service users, workforce and members of the public. 5.7 Continuous Professional and Personal Development Working within a learning organisation, seeking learning opportunities either by attending learning and training events either externally or internally to improve and broaden their knowledge and skills and develop the personal qualities required in their professional lives. The above is an outline of the post holder s duties and responsibilities. It is not intended as an exhaustive list and may change from time to time in order to meet the changing needs of WDP. Person specification ssential and desirable requirements ( & D) for the role and assessing and testing the necessary level of competence required for this role either via the application form (A); interview (I); and/or exercises (). Please note - applicants are asked to evidence their ability to meet each aspect of the person specification below, e.g. by highlighting relevant key achievements and duties held within roles. 1. ducation, knowledge and experience 1.1 One-year post-registration experience in Mental Health or Substance Misuse (Level 1 nurse in adult or mental health nursing of the NMC /D Measured by Page 8 of 11

9 register). 1.2 Counter Terrorism nhanced Clearance to work in HMP Woodhill. D 1.3 xperience in undertaking risk assessments, risk management and contingency management within the field of substance misuse. 1.4 xperience working with patient information systems. 1.5 Good communication skills. 1.6 Good standard of both written and verbal nglish. A high level of accuracy when writing reports and completing client information. 1.7 xperience of conducting assessments and developing, implementing, and reviewing care plans. 1.8 xperience of using motivational interviewing techniques. D 1.9 xperience of delivering harm reduction interventions A proven commitment to anti-discriminatory practices and an understanding of qual Opportunities policy and practice xperience of managing a caseload within the community or residential setting An understanding of harm minimisation and health promotion in the specific context of substance misuse. D 1.13 A willingness to complete motivational interviewing training. D 2. Abilities and skills 2.1 Ability to work autonomously and to prioritise effectively. 2.2 An appreciation of the range of issues that may affect substance misusers. 2.3 IT literate: competent using Microsoft Word and able to report clinical activity data on patient information systems. 2.4 Proven ability to work on one s own initiative and as part of a team. 2.5 xperience of using Systm One case management tool. D 2.6 xperience of working with fellow criminal justice professionals. Page 9 of 11

10 2.7 As and when required the ability to work shifts including evenings and weekends. 2.8 To develop own competency and that of the organisation by taking opportunities to learn new skills and to spread new knowledge through the organisation. 2.9 To work within WDP s framework of commitment to employees. 3. Working within WDP s framework of commitments to employees 3.1 A commitment to engaging with, understanding and promoting WDP s values, vision and mission. 3.2 An understanding of and commitment to safeguarding best practice. 3.3 An understanding of the importance of professional integrity in relationships with service users, peers and other relevant professionals. 3.4 A responsibility for your own health, safety and wellbeing as well as those around you (e.g. colleagues and service users). 3.5 An understanding of and commitment to treating all information acquired through the course of your employment as confidential. 3.6 An understanding of information governance processes and a commitment to follow and apply all necessary safeguards. 3.7 A commitment to seek learning opportunities to improve and broaden your own professional knowledge and skills and to contribute to and where relevant oversee the learning of others. 4. quality, diversity, vision, mission and values 4.1 An empathy for and understanding of our mission, vision and values. 4.2 Commitment to equal opportunities and overcoming barriers to diversity and equality. 4.3 xperience of working with people from a range of social, cultural and ethnic backgrounds. 4.4 xperience and commitment to supporting and working within diversity awareness environments. 5. Circumstances Page 10 of 11

11 5.1 Able to travel as required for the role and attend meetings and other activities outside office hours 5.2 A flexible approach to workload. Authors Version number Date Initials Initials Initials 1.0 September 2013 WB 1.1 March 2015 RP 1.2 November 2015 WB HR Page 11 of 11

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