Community Discharge Liaison Sister - London, United Kingdom - Central and North West London NHS Foundation Trust

Central and North West London NHS Foundation Trust

Verified Company

London, United Kingdom

3 weeks ago

Posted by:

Tom O´Connor

beBee Recruiter

Description

Bridging Role between Acute and Community Services - Support complex discharges from Hillingdon Borough Acute into Community Nursing Services, chase up medication and or understand, escalate and find solution for any clinical / process and system blocks and reduce District Nursing or other Adult Community nursing services time chasing/follow up pre/post discharge.

Opportunity to enhance the discharge process between acute and community services.

Promoting patient self management and referral onto relevant services.

Identifying patients under community services and promoting discharge back to home and community services.

Hours of service will be between 09.00hrs

17.00hrs. Monday to Friday.

To improve patient care and discharge processes.

To reduce inappropriate ED attendance, hospital admissions and long stays in acute hospitals as part of an innovative Acute/ Community Discharge Liaison Service.

The role will be underpinned by specialist knowledge and skills that enable discussions with a wide range of healthcare disciplines to enable safe and effective discharges from The Hillingdon Hospital to Central and North West London NHS Community Trust.

To liaise with members of Core Community Service and the Acute Hospital staff, to set up safe discharge paperwork and handovers to enable patients to be transitioned effectively to their home.

To act as a role model in communicating between the acute and community services providing best practice.

This is a new role to work for the community services within the acute hospital, you will be primarily based with the Integrated Discharge team within the hospital but will also have access to local District Nursing teams in Hillingdon.

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

To work to identify current patients who may require teaching on ward pre discharge to reduce unnecessary referrals.
To work with ward staff to complete referral forms and medication forms appropriately, safely and timely to enable safe quality discharges
Work with IDT to continue communication across discharge platforms
Engage wards with identifying if patients known to services already and ease discharge promptly due to CNWL preexisting knowledge of patient and situation. i.e. insulin administration, catheter care, End of life care.
For innovation re piloting and developing the role of improving quality, safety and timely discharges from acute to community services.
Act as a role model in expert practice facilitating and supporting the delivery of effective patient care by use of clinical judgement and decisionmaking skills, in line with best practice according to Clinical Governance mechanisms.
To have the knowledge about the inner working of the hospital and community and to have the ability to move seamlessly between the services.
Implement individualised care plans, based on best available evidence for and with individuals and their families in partnership with acute and community colleagues.
Ensure the patient is discharged with appropriate assessment paperwork and prescribed information in place to enable the patient to remain safely in a community setting.
Manage a rapidly changing caseload of patients with highly dependent needs whilst covering the demands of discharge information required led by the community nursing services.
Provide seamless discharges by educating ward staff of all levels re referral documentation standards required to administer medications safely within the community settings e.g. intravenous antibiotics, Insulins, Rocket drains.
Maintain flexible caseload management, prioritizing needs.