Be responsible for the provision of planned and unplanned care to patients and their carers in a defined geographical area working as part of a twenty-four hour District Nursing Service.
Be able to respond to urgent referrals for patients, carers, and the multi-disciplinary team. To triage and accept appropriate referrals directly from other disciplines, patients, carers, and members of the public and/or refer to other agencies where appropriate.
Be responsible for assessing, diagnosing, planning, organising, and reviewing complex packages of care including case conferences. The candidate must have the knowledge and confidence to have delicate conversations around advance care planning in anticipation of end-of-life care including treatment escalation and have the skills required to make clinical decisions around resuscitation status based on the person's clinical presentation.
Ensure privacy, dignity, and human rights are respected for all patients and carers. Undertake comprehensive risk assessments of all situations associated with the care of patients in order to ensure nurses and the carers' safety. Assessments might include the provision of equipment ensuring it is used safely.
Be responsible for overseeing, monitoring of equipment, and ensuring maintenance and repair. To report and record all incidents and near misses relating to health, safety, security, fire, physical violence, aggression, and verbal abuse.
Maintain accurate records, which are confidential, up to date, legible, and that all care given has to be documented. These records may be paper or IT-based systems and must be maintained as specified in the Trust Policies, NMC guidelines, and Government directives. The post holder will be expected to oversee the standard of patients' records by audit or peer review and have regular open discussions with team members.
The post holder is required to comply with all infection control policies and guidance, attend relevant updates, and report issues of concern to their immediate line manager. If no action or explanation is received, then it is the individual's responsibility to escalate to the Director of Operations or Chief Executive Office.
To monitor and maintain the health, safety, and security of self and others. Be responsible for organising own time management on a daily basis in line with caseload demands balancing patient needs with the non-clinical aspect of the role.
Work within challenging and unpredictable environments, e.g., patients' homes, which may have constraints that require adaptability. Act as a clinical advisor on health care issues within their area of expertise. Undertake health promotion whenever possible to all age groups and also contribute to planned health promotion activities.
Nurse Prescriber and takes responsibility for prescribing in line with Non-medical Prescribing policy and within the Devon Formulary. Identify community health needs and participate in new projects, research, and audit.
Act as a role model for other staff and students demonstrating high standards of practice and professional conduct. Be involved with the development, implementation, and monitoring of standards. Develop links with other professional and voluntary bodies to ensure maximum effectiveness of the service and patient care.
Work alongside the Community Matron for Long Term conditions if appropriate in monitoring complex health needs of the patients and reduce hospital admissions. Ensure that work which is often unpredictable is prioritised and suitably delegated to other members of the multi-disciplinary team.
Implement, participate, and facilitate Clinical Supervision as per organizational Policy. Participate in an annual appraisal of their work in line with the Knowledge and Skills Framework (KSF) where the job description will be reviewed and objectives set. In line with the annual development plan, the post holder will be expected to undertake any training or development required to fulfil their role.
Be conversant and adhere to the vulnerable adult and child protection procedures and organizational policies.
Support the District Nursing Manager regarding equity of workload throughout the larger team and deputise in his/her absence.
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