Job Purpose - Monday - Sunday
-6 or 8.30 - 4.30
To provide skilled nursing care working under the supervision of the Community Nurse Team Lead and Deputy Team Lead to patients in a variety of community settings.
The post holder will undertake community nursing duties involving delivery of nursing services and holistic assessments of patients' health needs using a person-centred approach. This includes providing quality and seamless nursing care to housebound patients and being proactive in co-ordinating their care needs as appropriate, avoiding unnecessary admission to hospital or long-term care institutions. In addition, the post holder will be involved in facilitating self-care for patients with long-term conditions, health promotion and innovative activities and projects that enhance patient service delivery.
Main duties of the job
Main Duties and Responsibilities
1. To give skilled nursing care, based on principles of best practice and clinical evidence. This includes: Chronic disease management, end of life care, continence promotion and wound management. Specific skills include phlebotomy, administration of medication via syringe drivers and intravenous therapy, PEG management, urinary catheterisation and tracheostomy suctioning.
2. Act as a Named Nurse with the support and supervision of the DN Team Lead. To take continued responsibility for the holistic health needs assessment including care planning, evaluation and appropriate implementation of health care and ensuring continuity of care following referral from acute care, rehabilitation units, GPs and other agencies.
3. Undertake comprehensive assessment of the physical, psychological and social care needs of patients using the Single Assessment Process and including the needs of carers. To provide individualised and person-centred care plans that provide monitoring and promotion of self-care to prevent unnecessary hospital admissions.
4. Act as the patient's advocate and to facilitate the patient's own choices with regard to nursing care, promoting independence and self-care, as appropriate.
5. To identify and record new problems and other relevant information reporting back to the DN Team Lead as appropriate.
About us
We provide community health services to more than two million people across eleven London boroughs and Hertfordshire.
Every day, our professionals provide high-quality healthcare in people's homes and local clinics, helping them to:
* stay well
* manage their own health with the right support
* avoid unnecessary trips to, or long stays in, hospital.
We support our patients at every stage of their lives, providing health visiting for new-born babies through to community nursing, stroke rehabilitation and palliative care for people towards the end of their lives.
Our vision: deliver great care closer to home.
Our mission: working together to give children a better start and adults greater independence.
Job description
Job responsibilities
1. To participate in the implementation and monitoring of the Trust's clinical and operational guidelines and policies.
2. Be aware of, and act in accordance with, the Trust's Organisational and Clinical Guidelines and Policies.
3. To be aware of, and act in accordance with the NMC Code of Conduct and other professional Guidelines.
4. To ensure the safe handling of body fluids and contaminated sharps.
5. Be alert to the needs of vulnerable adults including risk assessment and taking appropriate action when required.
6. To develop and utilise specialist nursing skills such as leg ulcer assessment and management, syringe driver set up, intravenous drug administration, continence assessment, and palliative care.
7. Support patients and their carers with managing their medicines and undertaking medicines management reviews as directed.
8. To provide care to people with long term conditions undertaking reviews in accordance with the individual patient care plan and with support of more experienced colleagues as required.
Person Specification
Education/Qualification
Essential
* Registered Nurse (RN)
* NMC Registration
Desirable
* Evidence of other post-registration education and training
Experience
Essential
* Recent clinical nursing experience negotiating and liaising within a multidisciplinary team
* Working with people with complex health needs
* Supporting students and other learners e.g. HCAs teaching others in the practice environment
* Experience of undertaking general assessment by utilising evidence-based care.
* Previous experience in the Nursing process, care planning and fluent in record keeping
Desirable
* Experience of training other students
* Participation in audit research projects service development
* Post registration experience in a NHS community environment
Skills and Knowledge
Essential
* Knowledge of out of hospital care and the role of the Community Nurse
* Knowledge of risks involved in working in the community.
* Knowledge of infection control
* Knowledge of general wound care
Desirable
* Knowledge of recent government legislation and changes in community care delivery
* Understanding of resource management
* Knowledge of the audit process
Other
Essential
* Ability to organise and participate in weekly work allocation and be able to prioritise and delegate effectively
* Ability to assess a situation and act promptly
* Ability to communicate well verbally and in writing such as computerised documentation and data entry
* Car Driver
Desirable
* Ability to critically analyse and evaluate research relevant to practice.
Employer details
Employer name
Central London Community Health Trust
Address
Elstree Way Clinic
Elstree Way
Borehamwood
WD6 1JT
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