The post holder will be responsible for overnight community nursing care to patients within Herefordshire. They will be the sole nurse for home visits between 8pm and 8am based within Taurus GP hub. The shifts are split into two positions, Twilight nurse shifts which run form 8pm to midnight and the overnight shifts 10pm to 8am, nurses are able to flexibly pick up shifts between the two positions if desired. The role will include lone working and visiting patients in their own homes for specified urgent community nursing skills, including urinary catheterisation via female, male and suprapubic methods, end of life symptom management, lacerations and chemotherapy failure. The post holder will be expected to work flexibly across a 7 day rota to meet the needs of the overnight service. MAIN RESPONSIBILITIES Clinical Responsibilities: To work in a clinical nursing capacity within a community setting, primarily within a person's home. To undertake necessary risk assessments/screening prior to implementing assessment and / or intervention. To advise, educate and give treatment, using evidence-based practice as a guideline, and using your ability to empathise, motivate, negotiate, persuade and communicate sensitively and reassuringly to those you are working with. To monitor progress, follow-up and evaluate nursing interventions and to effectively communicate all patient interventions with the District Nursing Team To work alone, providing skilled nursing care overnight, ensuring effective handover to district nurses, GPs and other professionals involved in the patient's day to day care To treat all people (staff and patients) with dignity and respect, and ensure Confidentiality guidelines and information governance principles are always adhered to. To plan and organise own workload and to be flexible to frequent readjustment following triage and reassessment, according to the needs of the service, and with support from the call handler Cope with unpredictable work patterns and demands, dealing with urgent/complex patient issues as necessary. To adhere to the NMC Code To travel to the individual people's homes within the County, either accompanied by a driver or alone as required by service To adhere to lone worker procedures To ensure clinical incidents / near misses within the sphere of responsibility are managed in a timely manner and report actions taken to minimise risks. Administrative Responsibilities To ensure that the policy on records management is followed and complies with the NHS Code of Practice for Records Management. To ensure effective handover to district nurses, GPs and other professionals involved in the patient's day to day care Research & Audit: To be able to evaluate the clinical effectiveness of your intervention and adjust clinical practice accordingly, in line with Clinical Governance guidelines. To participate in research and audit as required Training & Development: To undertake supervision and contribute to the induction, preceptorship and learning of/ or act as sign off mentor for pre-registration Nursing Students and new team members. The post holder will ensure, in agreement with line manager that Continuous Professional Development remains a priority and that all mandatory training is up to date. Identify areas for development/training within the appraisal structure. Participate in in-service and external training opportunities provided by Taurus. To maintain a continuous professional development portfolio. Take on delegated responsibilities conducive to personal development. To develop IT knowledge and skills to enhance patient-centred care. To demonstrate specialist knowledge within sphere of practice and act as a resource *A full Job Description & Person Specification is attached to this advert*