Pcn Nurse: Care Home

3 months ago

Brighton, United Kingdom Preston Park Community PCN Limited Company Full time

Job Summary The post holder is registered with the NMC and will be able to provide support for acute, chronic and proactive care across varying settings to our frail patients, whilst working within their professional boundaries. Our service is supported by and consists of a diverse multi-professional workforce which includes pharmacists, care coordinators, social prescribing link workers, nurses, paramedics, ACPs, a digital transformational lead and an occupational therapist. The role will be supported by direct clinical supervision to support comprehensive assessment, care planning and intervention delivery for older adults with frailty. The post holder will use systems to accurately record patient care/contacts using relevant clinical and other reporting templates to ensure outcomes are coded correctly in the clinical systems and other tools as required in line with local and national targets.

There will be some lone working with patients and the role will be based across a number of settings. Key Responsibilities To provide nursing activities which include the following responsibilities; 1. Assist in the management of care treatment plans for patients at risk of developing a long-term condition and patients with acute and chronic conditions. 2.

Assist with the management of patients with active and long term conditions. 3. Demonstrate a high level of interpersonal, communication and IT skills to communicate effectively with patients and internal and external colleagues. 4.

Within your scope of practice independently undertake and develop care plans and treatments, care coordination, onwards referral to appropriate community and specialist services, as appropriate, ensuring a seamless care approach. 5. Work with patients, carers and families as needed, in order to support compliance with and adherence of prescribed treatments. 6.

Work within a wider multi-disciplinary team to ensure effective care plans and treatments are in place for complex patient palliative care and long term conditions. This will include participating in PCN Multi-Disciplinary Team meetings, as required. 7. Demonstrate a thorough understanding of and commitment to equality of opportunity for patients and colleagues and awareness and commitment to diversity.

8. Help prepare patients and their carers/families for changes in condition which can include support for choice about end of life care. 9. Liaise with appropriate clinical service staff and managers to undertake any required clinical audits and interpretation of findings as required.

10. Maintain good working relationships internally and externally. 11. Participate in management and review of patient complaints and significant events and identify learning from these.

14. Support the management and review of chronic conditions, including contributing to PCN and practice targets required in line with local and national targets. 15. To assess the physical and psycho-social needs of housebound and residential, utilising the appropriate tools to complete care plans and ReSPECT forms.

16. Appropriately handover any acute clinical conditions that present during the patient review to the relevant clinical lead and make any relevant onward referrals. 17. Support care home staff with education and health promotion to help develop their knowledge and skills required to deliver excellent and safe care to patients.

18. Support the management and maintenance of the patient list. 19. Support the coordination of any project plans, resources, and communications.

20. Provide vaccinations (consent and administration) to patients and sometimes internal and external staff appropriately and ensure accurate record keeping. 21. Store and transport vaccines appropriately ensuring cold chain maintained.

22. Support the management and maintenance of the patient list. 23. Support the coordination of any project plans, resources, and communications.

24. Provide Annual Health Reviews and vaccinations (consent and administration) to patients appropriately and ensure accurate record keeping. 25. Store and transport any vaccines appropriately ensuring cold chain maintained.

26. Support the management and maintenance of the patient list. 27. Support the coordination of any project plans, resources, and communications.

**Leadership Role**: 28. Assist in the leading on the coordination of project plans, resources, communications, and patient lists for PCN services and ad hoc projects if required. 29. Assist in in the leading on the production and implementation of clinical and non-clinical guidelines and protocols if required.

30. Work within the parameters of agreed budgets and scope of service and/or project delivery. 31. Support service review and development including producing service performance reports and option papers for service developing and improvement.

32. Undertake mentorship and clinical supervision, if appropriate, for more junior staff, assessing competence against set standards of

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