Community Nurse

22.5 hours per week. TheCommunity Nursing Team provide nursing care to patients in their own homes inthe beautiful setting of west Devon. The Community Nursing Servicesits within a health and social care team so the work involves working with anintegrated approach to care, making every contact count. The team work closelywith GP partners, local Hospice's and Voluntary Partnerships. Its an excitingand vibrant opportunity to join the team. This is a great opportunity to gainskills working in the Community Nursing Service.

This rolemay not be eligible for sponsorship under the Skilled Worker route, pleaserefer to the Direct Gov website for more information with regards toeligibility.

Main duties of the job

The main duties of the role areto provide nursing care for housebound patients in their own homes. To promoteself care and preventative approaches to ill health with focus on wellbeing theemphasis being of preventing hospital admissions and living well.

All Livewell Southwest staff are expected to able and willing to work across a 7 day service.

About us

Livewell Southwest is an independent, award-winning social enterprise providing integrated health & social care services for people across Plymouth, South Hams & West Devon, as well as some specialist services for people living in parts of Devon & Cornwall. With teams in community hospitals, GP practices, sports centres, health & wellbeing hubs.

As an organisation with a strong social conscience, we always value being kind, respectful, inclusive, ambitious, responsible and collaborative. Transforming services to make them sustainable, ensuring that we value, support & empower each other.

We are committed to involving the people we care for, families & carers in everything that we do, working towards co-production where we can. Helping us to deliver the right care for people, in the right place & at the right time. By putting people at the centre of what we do, we ensure to support people to lead, healthy independent lives & be the very best at helping people to live well.

Valuing our employees making an investment in their development a priority. We offer:

Protected CPD time for registered staff

Various development pathways and ongoing regular training packages for all staff

Access & funding for training including Care Certificate, Assistant Practitioners Course & Scholarship Into Nurse Training

A Robust Preceptorship

A bespoke induction programme

Existing members of the NHS Pension Scheme can continue their membership when they join the organisation.

Job responsibilities

Duties:

9.1. Provide holistic evidence based / best practice care to patients in accordance with National and Organisational approved policies/procedures and individual care plans.

9.2. Be responsible for the assessing, triaging, planning, implementation and evaluation of care packages on a day-to-day basis with support from the Caseload Holder and in her/his absence. The work may be unpredictable and complex and often of a sensitive nature.

9.3. Problem-solve and liaise as soon as possible with the Caseload Holder issues that may arise.

9.4. Be involved in referrals, triaging, discharge planning, and case conferences to support or manage appropriate care packages for patients.

9.5. Maintain accurate records, which are confidential, up-to-date, and legible and that all care given has to be documented. These records may be paper or IT based system and must be maintained as specified in the Organisation 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.

9.6. Work within challenging and unpredictable environments e.g. patients homes, which may have constraints and require adaptability

9.7. Undertake comprehensive risk assessments of all situations associated with the care of patients in order to ensure nurses and carers safety. This may include assessment and provision of equipment ensuring it is used safely.

9.8. Monitor and maintain the health, safety and security of self and others.

9.9. 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 received, then it is the individuals responsibility to escalate to Director of Operations/ Chief Executive office).

9.10. Be conversant with the vulnerable adult and child protection procedures and policies of Plymouth Community Healthcare.

9.11. Be responsible for organising own time management on a daily basis in line with caseload demands balancing patient needs with the administrative aspect of the role.

9.12. To act as a clinical advisor on health care issues within their area of expertise and act as a Link Nurse.

9.13. Provide education and continuing support to patients, family and carers.

9.14. Identify areas of improvement of practice and communicate to the Caseload Holder.

9.15. Undertake health promotion as requested to all age groups and contribute to planned health promotion activities.

9.16. Be aware of organisational, professional and national developments within primary care and work within these guidelines e.g. NSF/ NICE/ NMC.

9.17. Initiate and participate in Clinical Supervision.

9.18. Be involved in audit and research.

9.19. Be aware of and abide by LWSW approved Policies, Patient Group Directives, Standards and Quality Assurance Initiatives.

9.20. Be involved in all aspects of clinical governance including audits and effective and safe use of resources and equipment.

10.1. Share knowledge and information to promote a cohesive team.

10.2. Be responsible in the absence of the Caseload Holder to delegate nursing care to appropriately skilled staff and ensure that they are supported.

10.3. Act as a role model for all staff and students demonstrating clinical skills and high standards of practice and professional conduct.

10.4. Participate in the recruitment and selection of new staff.

10.5. Participate in team activities to develop and consolidate a cohesive and supportive team ensuring openness within the team.

10.6. Contribute to national and local policy development.

10.7. Utilise resources economically, effectively and promote cost consciousness throughout the service.

10.8. In collaboration with the budget holder may be an authorised signatory for ordering stores, equipment and stationary.

10.9. Ensure that all loans of equipment are monitored and maintained in good working order as per operational policy.

10.10. Complete on time and submit all necessary forms, documentation, including IT data and forward as required by the manager/organisation.

10.11. The post holder will be required to use a computer, being responsible for timely recording patient activities for IT data collection, dealing with e-mail queries, stock and equipment ordering.

10.12. To preserve confidentiality and comply with of the Data Protection Act, Access to Health Records and Consent for Treatment.

10.13. Have a flexible approach to the working day in order to meet the needs of the patient/service.

10.14. Report to line manager any untoward incidents e.g. complaints, accidents, defective equipment and take appropriate action to ensure safety of patients, relatives, self and colleagues and follow up with appropriate documentation.

10.15. Be aware of pressures facing your work colleagues and offer support and ensure they are aware of additional support that may be available to them.

11. Communication:

11.1. Report and record all incidents and near misses relating to health, safety, security, fire, physical violence, aggression and verbal abuse.

11.2. Develop and maintain effective and appropriate communication networks with other members of the Primary Health Care Team and other agencies.

11.3. Have good communication skills to effectively communicate with patients, their relatives and carers about sensitive and accurate information about their condition.

11.4. Provide and receive complex, sensitive and confidential information and over come potential barriers to communication, such as language and disability.

11.5. Promote patient concordance with regard to their prescribed treatment.

11.6. To communicate the role and eligibility criteria of the District Nursing Service.

11.7. Maintain accurate and up to date patient records and inform other professionals about changes in patients condition.

11.8. Act as a patient advocate as required ensuring individual needs, preferences and choices are delivered by the service.

11.9. If the post holder is supplied with a mobile phone and a lone worker device they are for work purposes and are expected to abide by Organisation.

12. Professional:

12.1. Works within the NMC Code.

12.2. Remain updated and competent and ensure that clinical practice is evidence-based.

12.3. Have an up to date personal development plan and professional portfolio.

12.4. 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.

13. Education & Training:

13.1. Maintain own professional expertise by attending meetings, study days and in-service training and learn new specialist skills required for service development.

13.2. Attend and participate in working groups and research projects as required.

13.3. Participate in Reflective Practice, Clinical Supervision and Appraisals as per Trust policies.

13.4. Assess, teach, support, and supervise colleagues including pre- registration nursing students and medical students.

13.5. Take responsibility for own personal professional development and education.

13.6. Work towards becoming a Nurse Prescriber, if appropriate, and prescribe within the organisation policy and NMC guidelines. With a responsibility to monitor finances and adherence to formulary.

Person Specification Experience

• Experience of working in a nursing team
• Experience of working in Community Nursing Experience of end of life care
• Experience of working in Community Nursing Experience of end of life care

Band 5 Nurse

• Applicant needs to demonstrate excellent interpersonal communication skills
• Applicant needs to be able to use IT functions

Qualifications

• The post holder will be delivering nursing care to include, wound care, medication administration, bowel care, catheter care, Complex Wound Management of end of life care, managing frailty as part of the MDT approach in preventative care. Using an recognised Nursing Model to assess, plan, implement, evaluate nursing needs of the patient. The use of IT as many records are now completed electronically.
• Its an exciting role with training offered
• Please see attachments for JD/PS
• Degree level qualification - NMC Registration is essential (Nursing students about to qualify may apply)
• As the role requires traveling around the rural community own transport is essential car/bike.
• Phlebotomy skills Wound Care Care of the end of life patient Care of Syringe Drivers Catheter Care Bowel Care Medication administration Able to use IT packages including email and Microsoft Excel Caring for patients with lower limb ulceration

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.

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