We currently have a vacancy for an enthusiastic and flexible Band 6 senior community nurse to join our community nursing teams in the borough of Kingston.
Rated OUTSTANDING for CARE by the CQC, you will be supporting the team leader and working with a team of highly skilled and compassionate nurses, nurse associates, and health care assistants.
You will work closely with the team lead to assist with managing a caseload of patients, attached to one or two GP surgeries, including case management of patients identified as being at risk of hospital admissions. You will act as a role model, providing high-quality care and skilled assessment of clients' needs. You will also support team members, developing their skills and providing feedback through 1-1 meetings and appraisal.
You will need to have 2 years of experience at Band 5 in a community setting and must be a Practice Assessor. You will have experience of managing patients with a range of long-term conditions and multi-comorbidities. Physical assessment and prescribing qualifications are desirable.
You will work collaboratively with the wider multi-disciplinary team and other health and social care practitioners to provide the best care and quality outcomes for patients and service users. There will be opportunities for further development within the role.
You will need to be a car driver and have access to a vehicle. The position is full time, worked over various shifts including weekends. Part-time and job share will be considered.
Main duties of the job
The post holder will work as part of a Health and Social Care Team, providing skilled nursing care for patients in the community and within the practice environment. In conjunction with the District Nurse Team Leader, you will be responsible for assessing, planning, implementing, and evaluating programmes of care for service users and their carers. The post holder will also assist with the leadership and management of the nursing team and the organisation of nursing work as required.
Job responsibilities
* To provide District Nursing and Community Care Services within the context of our primary care networks across the borough, delivering integrated, person-centred, responsive, coordinated, and high-quality care services.
* To be responsible for the case load management in the absence of the District Nurse by planning, providing, and reviewing nursing care in response to the assessment of immediate and long-term needs of patients and their families in their own homes and other places deemed necessary.
* To assess and plan in conjunction with the District Nurse the holistic health and social care needs of service users and carers through the Nursing Assessment Process, accessing care as appropriate to the individual assessed needs, coordinating, agreeing, and implementing a care plan.
* To act as the Care Manager for an agreed number of service users with assessed nursing needs or who meet the Continuing Care Criteria, with responsibility for monitoring, reviewing the care plan, and evaluating services.
* To continuously develop expertise in risk assessment or management and adult protection, ensuring the use of these skills in practice at all times, adhering to Your Healthcare policies, and alerting the District Nurse in their absence, the Team Manager, and other Team members when exceptional risks are identified.
* To be accountable as a professional for actions in relation to own and work delegated to others, acting at all times within the NMC code of professional conduct.
* To ensure the continuity of care by effective liaison with colleagues in the Integrated Long Term or intermediate short-term Care teams, members of the Primary Health Care team, and the hospital setting.
* To participate in and develop health promotion activities for service users and families in line with Your Healthcare and local community priorities.
* To participate in Clinical Governance activities such as clinical audit and research.
* To comply with current Evidence Based Guidelines, Your Healthcare, and relevant Royal Borough of Kingston policies and procedures.
* Undertake performance review and appraisals in accordance with Your Healthcare's policy and procedure.
Person Specification
Qualifications
* Registered General Nurse
* Relevant post-registration study at diploma/degree level
* ENB 998 or equivalent Mentor or Practice Assessor course
* Evidence of continuing professional development
* District Nurse Specialist Practitioner qualification or willing to work towards
* Independent Prescriber or willing to work towards non-medical Prescribing
* Relevant courses in Long Term Conditions Management
* Clinical Decision Making qualification or will work towards
Experience
* Minimum 2 years community experience with demonstrable clinical expertise at band 5 community Nursing level
* Evidence of sound decision making including clinical decisions
* Experience of leading a team to achieve results
* Working within a multi-disciplinary team
* Management of change within a complex environment
* Experience of teaching, facilitating, and mentoring nursing students
* Experience of participating in investigations and managing complaints
* Evidence of participating in clinical audits in the workplace
* Knowledge of Safeguarding of Vulnerable Adults
* Holistic Assessment skills
* Core clinical skills
* Clinical reasoning skills
* Ability to promote self-care of patients
* Awareness of Safeguarding Children Level 1 & 2
Skills & Abilities
* Excellent communication including interpersonal, negotiations, and presentation skills. This includes report writing.
* Be able to communicate where there may be barriers to understanding
* Able to work without supervision, however maintaining strong teamwork
* Teaching skills
* IT skills including Excel, Word, and database
* Ability to utilise research in clinical practice
* Dexterity and coordination for manipulation of intravenous injections, syringe pump, and other similar procedures in a community setting or will undergo training.
Other factors
* Full valid driving licence and access to a car to use regularly for business purposes is essential
* Be able to use moving and handling equipment
Knowledge
* Knowledge of NMC Code, Scope of Professional practice, Accountability, and Revalidation
* Understanding of current political/policy context in Primary health care and the role of community nursing
* Evidence of Research based nursing practice
* Aware of current NHS policies and guidelines
* Knowledge of clinical governance and its implications
* Customer care and Knowledge and understanding of Adult protection issues
* Knowledge of research process
* Understanding of nursing issues in relation to finance and resource management
Personal Qualities
* Highly self-motivated
* Flexible - to be able to deal with situations which may lead to adjustments within teams workload
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.
£42,939 to £50,697 a year inclusive of HCAS / pro rata per annum
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