2NHS Direct Nurse Advisor Is this the job for me?Working at NHS Direct is very different from working anywhere else in the health serviceWe do not train our new recruits to be nurses, but to use their nursing skills in a different wayThe following slides will challenge you, they are not meant to be off putting, rather to tell it as it is, so there are no surprises for new staff and also show that we understand what you will be feeling and that you will be supported
3Questions to ask yourself! Am I competent in using a computer?Am I flexible?Am I committed?Can I work well under pressure?Can I deal with stressful situations?Can I use critical thinking’?Do I thrive in a fast-changing environment?Am I a team player?Do I strive to continuously improve my performance?Do I want to provide a quality service?
4Using a computerYou must be able to use a computer, feel confident in opening and closing programs, accessing and using and the intranetYou do not need to be a touch typistsOnce someone has been successful in interview and assessment and had a provisional job offer, support can be given re IT skills (Elite basic IT skills and e-type) if requested before staff commence employment
5Am I flexible?We are a 24-hour service and are busiest in the evenings/weekends/bank holidays (out-of-hours)Shift times and patterns are different to hospitals, we need staff on duty when calls come inYou will be rostered to meet the needs of the service
6Can I work well under pressure? At busy times calls are transferred continuously to nursesYou will have targets to meet, which will be explained to you by your managerWe pride ourselves on delivering an excellent, safe service with the correct outcomes for our callers, at times this is challenging so we need staff who are committed to work with us to achieve thisIn line with the rest of the NHS we have to work to targets, these are set by our commissioner the East of England Health Authority, and include things like how quickly we answer calls, return calls to patients and outcomeWe have financial penalties if we don’t achieve our targets from our commissionerThis means a greater focus on performance management than possiblyin other parts of the NHSHowever new staff are given time to develop their competencies onusing the system and supported to do this
7Types of callsYou will need the ability to “switch” from one speciality to anotherAs well as general calls you will get specific calls about :Mental HealthSuicidal callsPaediatric callsBut you will receive specialist training in dealing with these
8Can I use critical thinking? You must be able to:Not jump to conclusionsNot make assumptionsReflect on your actionsAnalyse and evaluate informationConsider is my outcome the right one for the patient rather than what the patient wants?
9Do I thrive in a fast-changing environment? Our system is constantly being reviewed and updated to take account of the latest research and evidenced based practice, the whole of the NHS is embarking on a period of change and we will be included in thisThis may include:System changes / upgradesChanges to type of calls receivedChanges to way calls are dealt withDifferent models for different servicesIntroduction of new servicesContinuous new guidance / procedures being introducedYou will be supported through these changes and given training as required
10Am I a team player? Working with others supporting them Considerate of others, keeping workstations clean and tidy, we hot deskCovering for breaksSwapping shifts
11Do I strive to continuously improve my performance? Do you want to improve and always give your best performanceWe want staff who are willing to improve, take on new challenges and keep themselves up to dateAre you able to accept and act on constructive criticism and feedback from team leaders/colleaguesAre you able to learn from mistakesAre you able to Identify your own areas for development and want to develop them
12Do I want to provide a quality service? Do you:Take a pride in your workWant to provide the best service for the patientsCare about what you’re doingOne measure of quality is by using call reviews, and each nurse will have 4 calls reviewed each month, with feedback given
13Answered “Yes” to all these questions? Then this is the job for you!!
14TrainingTwo weeks classroom training; learning how to use our systems and your nursing skills in a different wayThen its three weeks supported practice, a transition from the classroom to independent practice whilst being supported by experienced nurses
15Assessment milestones Classroom – achieving success in skills functionality & achieving a safe practice call ire showing us you can use the systemWeek 1 supported practice – achieving three consecutive safe/satisfactory callsWeek 2 supported practice – achieving five safe/satisfactory calls out of eight, plus achieving satisfactory results in two generic call reviewsWeek 3 supported practice – achieving sign off by manager