Inpatient Detox Nurse

Main purpose of the role

As directed by the Lead Nurse, the post-holder will be an

integral member of a multidisciplinary team offering specialist clinical

interventions to a cohort of residents at the service.

All nurses in this role will provide evidence-based care

• that is person centred, recovery focused and in line with national and
• organisational policies and procedures.
• As this is a residential unit the care provided needs to be
• holistic and may encompass managing chronic long term health problems that may
• or may not be associated with their addiction.
• It is important that as a nurse you strive to increase your
• knowledge and skills in all aspects of safe and effective care.

All members of staff are required to always act in

accordance with CGL expectations of attitudes and behaviours. These attitudes

and behaviours include, but are not limited to:

Representing CGL in a professional manner on all

occasions.

Striving to improve and share good practice, and

work towards continuous improvement

Maintaining and promoting effective

communication and shared good practice across the organisation as a whole and

externally.

Promoting mutual trust and respect as a guiding

principle for all working relationships both internal and external

Adopting a Co-operative approach to service

delivery which draws on the strength, knowledge and expertise of all

individuals including service users, staff and volunteers

To be committed to safeguarding and promoting

the welfare of children, young people, and vulnerable adults.

Reporting relationships

The role will report directly to the Lead Nurse. Reporting

relationships may change

Role-specific responsibilities

Clinical Practice

All interventions delivered must be recovery focused,

integrated, effective, and delivered to a high standard.

To be professionally responsible and accountable for all

aspects of your own work and that of the team you are working with including

the management of residents in your care.

Ensure nursing treatment to residents is in line with

national guidelines and local inpatient detox policies and protocols.

Provide education, health promotion and screening for blood

borne viruses (BBV). Provide Hepatitis B vaccinations when indicated.

Work within and consolidate integrated care and treatment

pathways for individuals who are identified as being infected with BBV/s

(Hepatitis B, Hepatitis C and/or HIV).

Undertake full clinical assessments and manage the health

needs, planning, delivery, and evaluation of care.

Care for both acute and chronic conditions, integrating both

drug- and non[1]drug-based

treatment methods into residents treatment plans.

Undertake phlebotomy, as required, ensuring adherence to

identified pathways for blood sample labelling, collection, obtaining results

and signposting.

Use blood results to support the assessment of the current

health status of service users prior to admission and the suitability for

inpatient detoxification.

Maintain accurate, comprehensive, and up to date

documentation in line with the NMC Code of Conduct, NMC Guidelines on Medicines

Management and the NMC Guidelines on Record Keeping and any relevant change

grow lives policies.

Contribute to CGLs Naloxone Strategy by training staff and

residents in the use of Naloxone. Ensuring Naloxone is distributed to residents

at every opportunity.

Offer wound care assessment and basic wound dressing to

service users. Organise signposting to other services as required and ensure

clear pathways into other treatment arenas as appropriate.

To accurately gather and interpret clinical information

about residents, instigate appropriate remedial action and promptly record

changes on CRiiS.

Understand and adhere to the legislation surrounding the use

of patient group directives (PGDs).

Utilise psychosocial in both one-to-one and group settings

to promote engagement in treatment services and ownership of recovery planning.

Have a clear understanding and adherence to the Controlled

Drugs process in line with the Standard Operating Procedure for Controlled

Drugs.

Be thorough and diligent in all drug administration and

demonstrate a duty of candour in relation to any incidents relating to

medicines management.

Ensure understanding and adherence to change grow lives

infection control procedures through a clear understanding of enhanced

requirements associated with a residential setting.

Demonstrate a sound understanding of Clinical Governance and

• be active in applying to your work situation, including maintaining own
• continuous professional development by keeping up to date in clinical practice,
• national guidelines and developments, and incorporate them as necessary into
• your work.

Have a clear understanding of the Health and Safety aspects

of your work and implement any policies which may be required to improve the

safety of your work area. Including your prompt recording, recording any

accidents, and ensuring the safe use of equipment. To risk assess all areas of

your work including manual handling risks, know when and how to use the hoist,

biohazards from body fluids, and managing anxious or upset residents or

residents with mental health or cognitive dysfunctions.

Have a demonstratable ability to manage emergency situations

• by being proficient in intermediate life support and defibrillation plus carry
• out emergency anaphylactic and Naloxone administration as required until
• paramedic ambulance crew arrive, whilst maintaining the safety of all
• concerned.

Ensure residents involvement in the planning of their care

to maximise engagement and retention.

Communication

• Develop therapeutic alliances with people who have substance
• misuse problems and develop effective partnerships with them to support their
• individual recovery journeys, offering health promotion and harm reduction
• advice.

Communicate effectively within the referring Team and other

partner agencies, prompting open and trusting relationships and develop

effective communication pathways and partnerships.

Ensure that there is good communication of treatments

• offered, treatment progress and outcome of any investigations to referring
• service and other healthcare agencies, including GPs.
• Maintain a current knowledge of appropriate interventions.
• Ensure that all revalidation requirements are being met and communicated to
• line manager.

Develop and provide health education, regarding problematic

alcohol and drug use and alcohol and drug detoxification.

Attend meetings appropriate to the development and

• maintenance of the role in agreement with and under the direction of the Lead
• Nurse.
• Delivering a Quality Service
• The post-holder will contribute to the service to ensure
• that people who use substances consistently receive high quality services that
• adhere to the best practice guidelines and to the highest professional
• standards.

Ensure that procedures are constantly reviewed to promote

best practice and evidenced based practice in accordance with UK Guidelines on

Clinical Management, NICE guidance, and CGL clinical protocols and procedures.

Leadership

Provide clinical leadership within the service, including

providing support, coaching and teaching to staff working at the service around

harm reduction and BBV, covering both drug and alcohol service users.

Team Working

Contribute to the overall performance of the service to

ensure that contractual output targets are achieved.

Working with colleagues in the service to design and deliver

opiate and alcohol detoxification plans utilising a care co-ordinated approach

to service user care.

Risk Management

Provide harm reduction advice and health promotion

information to residents in the unit and awaiting admission.

Undertake risk assessments and contribute to risk management

plans for residents in the unit and awaiting admission.

Utilise appropriate prevention techniques to reduce

substance misuse related harm and to aid in the prevention of multiple physical

harms caused by drugs and alcohol.

Managing Information

Record and input client data and information in order that

the service operates within contractual, administrative, and financial

requirements.

Ensure that all data requirements in relation to service

users are met within defined deadlines.

The above is an outline of the post holders duties and

responsibilities. It is not intended as an exhaustive list and may change from

time to time to meet the changing needs of CGL.

Staff will need to work flexibly across operational sites as

• required within an agreed number of hours to maintain the most appropriate
• level of service provision.
• This role works as part of a team to a shift pattern that
• includes nights, weekends and bank holidays.