We have an exciting opportunity to recruit a Band 5 Community Nurse to join the Mid-Norfolk Community Nursing Team based in Dereham.
This friendly and busy team requires a keen and motivated Nurse to provide assessment and quality interventions to the population of patients restricted to receiving care in their homes.
You will be a registered nurse with skills in palliative / end of life care, wound care (including management of leg ulcers and pressure ulcers) for this vulnerable group of patients and a strong desire to further develop your community nursing skills and experience.
You will be required to work over a 7 day working week including weekends and be hard working, motivated, with excellent communication skills. You will be able to demonstrate knowledge and skills in holistic assessment, to demonstrate that you use your initiative and have a keen interest in working with this group of patients. You must hold a full and valid driving licence and have access to a vehicle.
You will support staff working at a band 3 and 4 level, along with students and apprentices.
This post is suitable for both newly qualified Nurses and experienced Nurses.
Job Purpose
To contribute in the delivery of high standards of health care to patients within their own homes, care homes, the travelling community and in clinics, by assessing, planning, implementing and evaluating treatments.
Key Areas of Responsibility
1. To assess, prescribe and deliver interventions for patients, for example with long term conditions, palliative care and rehabilitation needs, to achieve quality of life and independence where possible.
2. To work within the integrated team to facilitate early discharge from hospital.
3. To work within the integrated team to prevent unnecessary admission to hospital.
4. To work with all health care professionals, and statutory/non statutory agencies to provide a seamless, integrated service to our service users.
The Nursing team based in Dereham consists of Nurses, Assistant Practitioners and Healthcare assistants. The Therapy team work closely alongside the Nursing team and consist of Physiotherapists, Occupational Therapists and Assistant Practitioners.
Apply now to join an organisation that has been awarded an ‘Outstanding’ rating by the Care Quality Commission (CQC), the highest possible rating and the first stand-alone NHS community trust in the country to be awarded the title.
Clinical Responsibilities
1. Assess, plan, implement and evaluate all aspects of patient care, and develop care plans, using clinical reasoning skills, that may need to be delivered from a range of options.
2. Following a holistic assessment, devise an individualised, evidence-based care programme for each patient, modifying it as required.
3. Assess patients’ holistic needs, communicating complex and sensitive information to patients and carers as to their assessment, diagnosis, prognosis and treatment plan.
4. Where there are barriers to understanding, such as hearing impairment, mental capacity impairment and other difficulties in comprehension, explanations require adjustments in order to gain understanding, consent and concordance.
5. Be required to use tact and persuasive skills in order to gain the patient’s cooperation in their care management plan.
6. Liaise with GPs, Social Services, inpatient teams, other allied health care professionals and the voluntary sector to ensure identified needs are met and care co-ordinated appropriately.
7. Be aware of assistive technology and utilise where appropriate.
8. Participate in multi-disciplinary/multi-agency meetings as appropriate, e.g. Gold Standard Framework.
9. Ensure own caseload is planned and prioritised according to service targets and patient need.
10. Ensure patient held records are completed for each visit, and that SystmOne inputting is completed on a daily basis.
11. Demonstrate dexterity and co-ordination when using specialist equipment and fine tools, advanced sensory skills, manual and mobilising skills.
12. Contribute to the requisitioning of supplies and equipment through electronic ordering systems.
13. Ensure informed consent is obtained prior to initiating interventions.
14. Will be exposed to bodily fluids, infected material, blood products on a daily basis, therefore must utilise universal precautions and adhere to infection control policies.
Professional Responsibilities
1. Actively contribute to multidisciplinary team meetings and other meetings where appropriate.
2. Support all team members within the integrated team, respecting them, their roles and contributions.
3. Be able to make own travel arrangements to patients’ homes, clinics, base and meetings etc as required.
4. Be responsible for safe use and maintenance of equipment and supplies.
5. Remain accountable for own professional actions as determined by the professional bodies.
6. Provide advice/training to less experienced staff and supervise and support junior members of staff and students where appropriate; contributing to the induction process for new staff/students.
7. Follow Trust policies, and local procedures, and use discretion in interpreting them according to the setting and circumstances.
8. Comment on draft policies.
9. Maintain own continued professional development.
10. Ensure own workload is planned and prioritised.
11. Be accountable for work delegated to others.
12. Attend in-house training as required to develop current job role.
13. Demonstrate leadership skills within own competence.
Organisational Responsibilities
1. Undertake mandatory training as required.
2. Participate in a Personal Development Review process.
3. Undertake Personal Development Plans for more junior staff members.
4. Take part in clinical supervision as per Trust Policy.
5. Demonstrate own duties to students, new starters and/or less experienced staff.
6. Provide mentorship for students undertaking pre/post registration course.
7. Ensure absence reporting is undertaken as determined by Team Leader and Trust Policy.
8. Contribute to clinical audit as required.
9. Complete the staff survey as required.
10. Complete risk assessments and incident forms as required.
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