RMN Long line of work - Wales

Job Title: Registered Mental Health Nurse (RMN)

Band: 5

Location: North Wales (Across 3 Main Sites)

Reports To: Ward Manager / Sister / Charge Nurse

Responsible For: Delivery of holistic, evidence-based mental health care, supervising Healthcare Support Workers (HCSWs) and student nurses.

Job Purpose

To act as a primary or associate nurse responsible for the assessment, planning, implementation, and evaluation of individualized, evidence-based mental health nursing care. Working collaboratively within a multidisciplinary team (MDT), the post holder will deliver high-quality, patient-centered care to individuals experiencing acute, complex, or enduring mental health challenges, facilitating safe pathways toward recovery and community discharge.

The Three Sites & Clinical Contexts

Betsi Cadwaladr University Health Board operates across three distinct geographical areas. An RMN may be deployed or stationed at any of these primary hubs depending on the specific vacancy:

1. West Area: Hergest Unit (Ysbyty Gwynedd, Bangor)

• Context: Serving Gwynedd and Anglesey. The Hergest Unit is an acute inpatient mental health facility providing specialized adult and older-person psychiatric care.

• Environment: Acute admission wards, high-dependency units, and close links to local community mental health teams (CMHTs).

2. Central Area: Ablett Unit (Ysbyty Glan Clwyd, Bodelwyddan)

• Context: Serving Conwy and Denbighshire. This site delivers a broad range of adult mental health services, psychiatric intensive care (PICU), and older people's mental health (OPMH) care.

• Environment: Rapidly evolving acute ward structures, crisis resolution, and home treatment integration.

3. East Area: Wrexham Maelor Hospital (Wrexham)

• Context: Serving Wrexham and Flintshire. Mental Health services here cover acute adult admission wards (such as Mason Ward) and specialized psychiatric consultation-liaison services to the main district hospital.

• Environment: Busy urban psychiatric environment, dealing with diverse dual-diagnosis (co-occurring mental health and substance misuse) and emergency presentations.

Main Duties and Responsibilities

Clinical Practice & Patient Care

• Assessment & Care Planning: Complete comprehensive, collaborative risk assessments and design person-centered care plans in partnership with patients, carers, and the MDT.

• Therapeutic Engagement: Establish meaningful therapeutic relationships, utilizing evidence-based psychological interventions and encouraging patient participation in structured ward routines and community activities.

• Medication Management: Safely administer, store, and monitor psychotropic medications in strict accordance with the NMC Code and Health Board policies.

• Crisis & De-escalation: Identify early signs of behavioral distress and use proactive de-escalation techniques. Resort to Restrictive Physical Intervention (RPI) only as a last resort, using approved techniques to maintain patient safety.

• Safeguarding: Actively recognize and report safeguarding concerns for vulnerable adults and children, participating in multi-agency safeguarding procedures.

Leadership & Teamwork

• Shift Coordination: Act as a shift coordinator or "nurse in charge" when required, delegating tasks effectively to skill-mix teams.

• Supervision: Support, guide, and formally supervise Healthcare Support Workers (HCSWs), Assistant Practitioners, and pre-registration nursing students.

• MDT Collaboration: Actively contribute to ward rounds, clinical reviews, CPA (Care Programme Approach) meetings, and discharge planning.

Clinical Governance & Quality Assurance

• Documentation: Maintain precise, timely, and legally defensible electronic patient records (via NHS Wales systems).

• Incident Reporting: Promptly report all clinical and non-clinical incidents via Datix, assisting in investigations to improve ward safety.

• Evidence-Based Practice: Participate in ward audits, service developments, and the ward accreditation process to advance clinical excellence.