1. Communication and relationship skillsInternalHead of serviceClinical leadClinical nurse managersAdvanced Community PractitionersTeam leadersCommunity nursing staffOther services/professionalsMedOCC ExternalPatients and their family/carersGPs and practice teamsSocial servicesVoluntary agencies including care navigatorsHousing servicesOther primary healthcare organisationsAcute hospital trustsCommunity pharmacistsCare home providers and staffContinuing care Ensure effective communication within the community nursing team, the patient and otherprofessional main stream services and to act as the patient advocate.Communicate complex patient information, verbally and in writing to various professionals.Provide advice, motivation and education to patients family and carers in respect of theirmedical/health condition, where there may be barriers to understanding, being empathetic andproviding reassurance.2. Knowledge, training and experienceRegistered 1st Level NurseENB 998/preparation of mentorsDistrict nurse qualification or educated to degree level in the community pathway desirableEvidence of further learningNurse prescribing qualification or the willingness to undertake qualificationExtensive intravenous therapy experience in the administration of IV medications through avariety of devicesCompetent in Cannulation and VenepunctureProven experience in acute care desirableAnaphylaxis experience and competenceEvidence of appropriate core community nursing clinical competence and ongoing professionaldevelopment. Additional knowledge to include venous anatomy and physiology.Up to date knowledge of local and national nursing, health, social care drivers and policies.Understanding of the community setting and functioning of community services.Act as a resource for the community nursing service.Teach Community Nurses best practice for IV therapy and essential steps audits.Responsible for annual updates and signing staff competencies3. Analytical and judgement skillsAssess patients/community health needs, develop, implement and evaluate health careprogrammes to ensure effective high quality, evidence based health care, health promotion andprotection. This will be done in agreement with the patient. This will take account of patientswith complex and intensive needs e.g. care of the dying, Safeguarding Vulnerable Adults, caseconferences and transfer of care planning.4. Planning and organisational skillsActively manage a defined community caseload within Medway Community Healthcareaccording to set criteria, standards and organisational policies.Prioritise and allocate workloadAssist with the organisation of the IV training programme including annual updates and staffcompetencies5. Physical skillsUndertake a range of clinical skills including intravenous therapy, vascular access devices,cannulation, syringe drivers, phlebotomy, wound/ leg ulcer management and catheter care.Basic keyboard skills are required6. Responsibility for patient / client careAssess patients/community sometimes complex health needs. To develop, implement andevaluate health care programmes to ensure provision of effective high quality, evidence basedhealth care including health promotionTo liaise with other services to provide a seamless patient experience and quality outcomeTo assess patients for specialist equipment and provide the appropriate teaching to patients,relatives, carers and colleagues to ensure correct and safe use.Actively promote equality and value diversity7. Responsibility for policy and service development implementationMaintain a professional manner and act as a role model, adhering to the NMC code ofprofessional conduct and organisational policies and protocols. Comment on policies andprocedures.Actively participate in clinical audit and clinical governance activities including risk assessments,complaint investigation.Participate in data collection, activity reporting and outcome measuring for community nursing.Identify and progress practice development to improve patient care standards and outcomes.Actively progress integrated/interprofessional patient care.Contribute to the achievement of organisation and community nursing service objectives.8. Responsibilities for financial and physical resourcesAuthorised signatory for Teams expenses, study leave and timesheets.Responsible for the safe use of expensive equipment e.g. syringe drivers, infusion pumps,specialist venous equipmentPromote compliance to the organisations procedures for supply of consumables including IVsupplies and dressings 9. Responsibilities for human resources (HR)Manage a defined caseload in accordance with agreed criteria.Assist with managing the Community Nursing Team, i.e. Community Staff Nurses, associatepractitioners and Healthcare Assistants. To include recruitment, staff appraisal, supervision ofpractice, training and education, induction and rotas.Management responsibility for ensuring continuing quality of patient care by evidence basedpractice.Provide teaching and education to students, colleagues, patients, relatives and carers. Provideclinical cover for other team leaders in their absence.Participate in own appraisal and clinical supervision as supervisee and/or supervisor.Support new members of the community nursing team and students.10. Responsibilities for information resourcesEnsure records are kept up to date and safeguard patient confidentiality by being aware ofprofessional, legal and ethical responsibilities.Record and submit accurate, timely data and information to inform caseload management andservice development.11. Responsibilities for research and development (R&D)Actively participate in clinical audit and clinical governance activities to maintain quality ofservice and support service developments including risk assessments and complaintsinvestigation.12. Freedom to actWork as an autonomous practitioner within the community nursing team, with overallmanagement responsibility of a defined caseload.Assist with the management of the community nursing team13. Physical effort (refer to effort factor questionnaire)14. Mental effort (refer to effort factor questionnaire)15. Emotional effort (refer to effort factor questionnaire)16. Working conditions (refer to effort factor questionnaire)