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Detailed job description and main responsibilities

Clinical Duties:

• To work as a member of the multidisciplinary team in the management and treatment provision of the specialist service to people with problematic use of novel psychoactive substances with associated problem drink and drug use attending the service/unit, including harm minimisation approaches, motivational interviewing, relapse prevention, care planning, individual intervention, health assessments and education and detoxification programmes, pre and post test BBV’s counselling and vaccination and group work.
• To assess continuously the psychological, emotional, social and rehabilitative needs of own clients/patients, taking into account the needs of family, local community and developing 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.
• To provide case management and direct clinical care to a defined number of complex clients including clients dual diagnosed with mental health and physical health issues, concurrent with substance misuse problems, as agreed with the Service Manager. This includes assessment, care planning and providing specialist nursing care.
• To use agreed and established Outcome Monitoring Tools (TOP) and any other relevant quality measures.
• To contribute to the development, provision and review of care plans.
• To manage the transfer of individuals between agencies and services.
• To counsel individuals about their substance use and related behaviours, using motivational interviewing, relapse management and other evidencebased interventions,
• To provide clinical advice and support to other colleagues within the health care setting and to other agencies concerned with substance misuse.
• To be responsible for the safe and effective storage and administration of drugs, exercising responsibility for the custody and maintenance of statutory records of such drugs in accordance with the Trust Policies/Procedures on the
  supply and carriage of drugs in the community
• To ensure full risk assessments and risk management is delivered effectively.
• To undertake dry blood spot testing for BBV and urinalysis when required
• To screen clients at risk of, or affected by, blood borne diseases and to plan and agree service responses according to needs.
• To provide education and to assertively promote Hepatitis B vaccination for clients who are at risk of contracting the virus.
• To administer Hepatitis B vaccination in accordance with CNWL Medicine Policies and Protocols.
• To provide pre and post test discussion to clients screened for blood borne viruses in accordance with CNWL guidelines.
• To ensure the CNWL Hepatitis care plan is used for all clients.
• To actively promote attendance at the hepatology clinic for clients affected by liver disease.
• To collaborate with the individual Statutory, Non-Statutory teams, GPs, Primary Care Services, Virology, Chemical Pathology and Liver/ Gastroenterology Departments, and provide expert care without direct medical supervision, using clinical guidance documents and patient group directions as agreed by the Trust.
• To assist in the transfer of individuals between the service and Hepatology/Gastroenterology and other relevant agencies
• To be familiar with the Trust and local Resuscitation, Infection Control and Needle Stick Injury Policies and Procedures.
• To attend mandatory yearly updates on CPR and Anaphylaxis training.
• To ensure an understanding and implementation of clinical governance
• The post holder will work within CNWL’s Child Protection Policy and in partnership within all agencies responsible for ensuring compliance with the local Safeguarding Children’s Board working practices.
• To prepare reports and attend client meetings such as professional net work meetings, Child Protection Case Conferences and Core Group meetings as required.
• To plan and agree service responses which meet the individual need and circumstances of clients at risk of, or affected by, substance misuse during pregnancy.
• To recognise the professional duty of care to protect where clients present a risk to themselves or others, and comply with statutory requirements regarding Safeguarding Children, Child Protection including the Children Act 1989 and Hidden Harm guidelines.
• To assess risk behaviours of clients, provide information and implications of any risks identified on health and social well being and work with clients to address and modify risk behaviours to promote positive changes.