Senior Community Nurse - District Nursing
Bridgewater Community Healthcare NHS Foundation Trust
Are you a registered nurse who is looking to progress in their career within the area of district nursing? Do you have recent experience of working within a district nursing service? If so, we have an exciting opportunity available for the right candidate to join our district nursing service in Halton Borough. We are currently looking for registered nurses with proven experience of working within a district nursing service for the role of senior community nurse. This includes palliative care, wound care, and catheter care. If you feel you have the skills and experience to be able to manage a cohort of higher acuity/complex patients as directed by the team leader (caseload holder), we would welcome your application. Applicants will need to demonstrate excellent communication skills and a sound ability to prioritize, manage their own patient visit list, complete complex holistic assessments, lead on developing plans of care, and support/mentor junior staff members within the service. All flexible working requests will be considered.
Main duties of the job
The post holder will work as a senior member of the District Nursing Team collaborating with the Team Leader (caseload holder) and support the provision of clinical leadership within the team. A key feature of the role is to support the proactive management of patients with complex or higher acuity conditions on the District Nursing Caseload. This will include collaborating with other members of the multi-disciplinary team involved in the patient's care to establish a person-centred approach to management of health/social care needs that also promotes self-management. They will require the use of extended clinical skills and expert knowledge to assess the physical and psychosocial needs of a defined patient group, instigating therapeutic treatments based on best available evidence in order to improve health outcomes. In doing so, they will assess, plan, deliver and evaluate patient-centred programmes of care ensuring that they practice within their sphere of competence and knowledge. The post holder will work to professional and NMC codes, standards and guidance at all times ensuring that their practice is based on the most up-to-date evidence-based theory and practical knowledge. They will be responsible for developing new and innovative clinical practices responding to emerging knowledge and techniques and working with the District Nurse Coordinator, Team Leader and other services, where appropriate to make improvements.
Job responsibilities
1. Clinical
1. Demonstrates a detailed theoretical and practical knowledge of common aetiologies, pathologies, conditions, and presentations involving a critical understanding of theories and principles.
2. Be proficient in core skills required to deliver care within a district nursing service such as tissue viability, palliative/end of life care, diabetes management.
3. Demonstrate innovative and specialist skills required for assessment and interpretation of complex patient conditions and determining the appropriate course of action.
4. Select methods and tools to holistically assess, plan, implement and evaluate in a complex patient condition.
5. Analyse and act appropriately in complex situations and escalate wherever applicable e.g., to District Nurse Coordinator, Team leader, Safeguarding Lead, GP.
6. Make judgements on complex facts requiring interpretation and comparing treatment/management options ensuring clinical reasoning is reflected accurately in case records.
7. Prioritise their own workload and support the Team Leader with allocation and workload management of the wider team, within agreed objectives deciding when to refer to others as appropriate.
8. Approach each individual with care, compassion and sensitivity ensuring that these values are reflected in all areas of practice including the management of any complaints and compliments.
2. Leadership
1. Deputise for the Team Leader at internal and external meetings when required.
2. Support the Team Leader in developing effective lines of communication that ensures that the team are aware of the Trust's strategic direction and local business plan objectives and performance targets.
3. Ensures that a professional service and image is maintained at all times, thereby acting as a role model to all staff promoting a positive image of community nursing.
4. Provides a leadership style which is underpinned by strongly held values around equality, diversity, and openness; effectively builds and maintains relationships with the wider team, management teams and other key individuals across the organisation.
5. Provide an educational role for patients, carers, and new team members.
6. Demonstrates the ability to delegate, organise and prioritise workload to ensure the safe delivery of care to an identified cohort of patients including the management of referrals and discharges using locally agreed support mechanisms e.g., on-call manager and making judgements in complex situations.
7. Demonstrates clinical leadership, initiative, and creativity in identifying and supporting projects inspiring others to be positive in their contribution to continuous improvement.
8. Demonstrates resilience when responding to challenge, change and complex or difficult situations.
9. Ensures that all objectives, for self and those directly supervised by the post holder, are clearly defined within the wider Directorate framework and in line with Trust's objectives, using the appraisal process as a vehicle for this.
3. Learning and Development
1. Undertakes any training required to develop and maintain their proficiency in response to changes in service delivery or new and emerging techniques and demonstrate competence within professional body requirements.
2. Reflects on and evaluates own practice and identifies areas of development by setting appropriate objectives via appraisal and clinical supervision.
3. Conducts research projects, or other research and development activity, appropriate to clinical area.
4. Undertakes supervision and is responsible for teaching and training both inside and outside work area.
5. Supporting the Team leaders with the learning and development of others including students and preceptees providing supervision and mentorship to junior staff.
6. Support the Team Leader in reporting and investigating complaints and incidents.
Partnership and Team Working
1. Actively develops and maintains effective clinical and corporate working relationships both within and outside the Trust.
2. Explores the potential for collaborative working and takes opportunities to initiate and sustain such relationships to improve and develop service delivery.
3. Actively contributes to the multi-disciplinary team supporting the patient including communication with external care providers, voluntary support services and other agencies; acting as a credible source of information for other agencies/professionals involved in the care as required.
Innovation and Quality
1. Implements, monitors, and maintains agreed standards of care, reporting to the Team Leader/District Nurse Coordinator when standards are not met.
2. Implements policies relevant to service area and supports the Team Leader to ensure team members are aware of policy requirements.
3. Identifies areas for improvement within own team and proactively addresses these with the support of the Team Leader/District Nurse Coordinator within the overall organisational governance frameworks and corporate objectives reflecting the changing needs of the population, local and national initiatives.
4. Actively works to continually improve the quality of own service area within the overall organisational governance frameworks and corporate objectives e.g., through audit or suggesting changes to practice.
5. Contributes to and undertakes clinical audit.
6. Works with District Nurse Coordinators, Team Leaders, and other key colleagues to identify, manage and minimise risks within the overall organisational risk management frameworks. This includes understanding and applying knowledge of clinical role in safeguarding and an active involvement in incident management processes.
7. Acts as an advocate for patients and their families/carers recognising the boundaries of their clinical knowledge; liaising and referring on to other services/agencies as required.
8. Ensures that patient experience is core to all clinical care delivered and gaining support from the appropriate corporate teams as required.
9. Actively ensures completion of required data in a timely manner to meet the Quality Framework requirements, outcome measures and best practice standards in order to deliver an effective, high-quality service.
Person Specification
Qualifications
* Registered Nurse
* Post Graduate qualification in specialist field or working towards
* Evidence of proficiency in core skills required for delivery of care within a district nursing service such as, tissue viability, palliative care, diabetes management.
* Mentorship qualification / skills and/or experience or committed to undertaking appropriate mentorship programme.
* Evidence of continual professional development
* Mentorship qualification or equivalent
* Non-medical prescribing
* Clinical examination
* Clinical Skills
* Tissue Viability
* Palliative Care
* Diabetes management
* Frailty
Additional Questions
* Do you have the right to stay and work in the UK without sponsorship (share-codes will be checked if applicable)
* If you are related to a director, or have a relationship with a director or employee of an appointing organisation, please state the relationship:
Experience
* Experience in the clinical field or a closely related clinical area as part of a wider multidisciplinary team
* Experience in supervising and delegating to other members of staff.
* Experience of clinical leadership skills e.g., leading/supervising junior staff and students.
* Working in community setting.
* Working in primary care-based teams
* Experience of acting in an advocate/champion role
Skills & Knowledge
* Specialist assessment, planning and evaluation skills.
* Complex analytical and creative problem-solving skills in unpredictable situations
* Leadership skills and excellent decision-making capabilities.
* Competent IT skills in order to collect and interpret data, present reports, and compile simple presentations.
* Effective verbal, non-verbal and written communication skills including communicating complex or potentially distressing information to patients / carers and managing conflict when appropriate.
* Reflective practice skills able to give clear and effective feedback.
* Able to research, understand and evaluate evidence in order to contribute to practice development.
* Experience in research and/or clinical audit
* Workload management including delegation of tasks and day-to-day team leadership.
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Bridgewater Community Healthcare NHS Foundation Trust
Please quote job reference - C9835-HA24-086a
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