Senior Community Nurse

Job summary

YOU WILL REQUIRE A UK DRIVING LICENSE AND ACCESS TO A CAR TO APPLY FOR THIS POST.

This is an exciting opportunity for an experienced Nurse to work as a Band 6 District Nurse/Senior Community Nurse as part of our friendly and dynamic multi-disciplinary care team.

You must be an enthusiastic individual with excellent leadership and communication skills and motivation in your approach to care delivery to ensure we maintain a high quality service for our patients in the changing environment of community services.

You will need to demonstrate the ability to manage a caseload and to lead the day to day management of the team of community staff nurses whilst supporting, directing and teaching junior team members in all aspects of care delivery. You will also need to work as part of a multi-disciplinary/multi-agency team, liaising closely with our Primary Care Networks and Neighbourhood Teams as part of the out of hospital model of care.

The community nursing service is commissioned to provide services between 7am and 11pm, seven days a week, including evenings, weekends and bank holidays. Applicants will be required to work a shift pattern within these hours as part of the role although flexibility can be discussed.

Flexible working is considered within all applications.

Main duties of the job

The post holder carries continuing responsibility for the caseload, incorporating the assessment of care, including complex needs, the development, implementation and evaluation of programmes of care. She/he is responsible for the overall management of the caseload, including the supervision and deployment of staff within his/her sphere of responsibility. The role encompasses treatment, advice and teaching within professional competence of the post holder.

The post holder will be responsible for providing highly skilled nursing care to the residents of West Essex, promoting the health of the population and reducing the effects of ill health and disability and maximising the individual's potential for independence. She/he will work closely with General Practices, Social Services and other statutory and non-statutory services to meet the needs of the local population using public health information to support service development.

The main focus will be on integration and implementation of the Out of Hospital model to ensure the service is of the highest quality, implementing and monitoring the clinical and management strategy for the service

The post holder will work as an autonomous practitioner within the Community Nursing Team supporting the delivery of care and supporting patients own homes working in collaboration with system partners and as part of the Primary Care Networks and Neighbourhood Teams as part of the out of hospital model of care

About us

EPUT are looking for motivated staff who shares our Trust values of Care, Learn and Empower. In return, EPUT can offer you a range of benefits and development including;

Season Ticket Loans NHS discounts for staff Excellent Training facilities and opportunities Buying and Selling annual leave scheme The opportunity to work bank shifts and expand knowledge and experience in other areas Salary Sacrifice schemes including lease cars and Cycle to Work Day One Flexible Employer

Join our Staff bank

What is Staff Bank?

Our EPUT NHS staff bank is an entity managed by the trust that hires clinical and non-clinical healthcare professionals to take on shifts at our trust hospitals and community settings. Here at EPUT we maintain our own bank of specialist staff to ensure that we are able offer safe and effective care at all times.

All our permanent staff are automatically enrolled onto the staff bank however this does not mean you have to work any additional shifts, but the option is there for you if you wish.

If you are joining our Trust in a fixed term role, please indicate on your New Starter Paperwork that you wish to join our staff bank.

Job description

Job responsibilities

KEY RESPONSIBILITIES

Clinical/Professional Duties

Undertake comprehensive and complex assessment of patient/family needs in conjunction with the patient, family/carer and hospitals which includes discharge planning Initiates palliative care packages with multi-agency providers in collaboration with primary, secondary sectors and patient/family To provide a comprehensive service to patients in a variety of community settings including patients own homes, GP Surgeries, Clinics, residential homes and community hospital Is aware of current evidence based approaches to patient care and demonstrates this in practice Frequently provide support to patients and their families when they are emotionally distressed as a result of terminal illness Frequently required to deliver complex and distressing information to both patients/family/carers Lead/contribute to the development and review of guidelines/policies Lead and contribute to audit programmes and disseminate/apply findings Assess the need for service aids and equipment and ensure that those provided are used appropriately and safely Report to the Integrated Clinical Manager any deficiency in the provision of service aids, equipment and staff Maintain accurate nursing records that exist contemporaneously in accordance with NMC guidelines and local policy Responsible for the development and allocation of teaching programmes/practice placement for all pre and post registration nurses and others To undertake Continuing Healthcare Assessments and be the link nurse with the Continuing Healthcare Team

Patient/Client Care

Work in partnership with the patient to achieve optimum levels of self-care. Demonstrate, teach and supervise the nursing care that families can undertake safely, advising as necessary. Documenting on the care plan accordingly Advise the family on prevention of illness and accidents. Foster and support a self-management approach to care where appropriate.

Communication Skills

Organise patient care with other Health Care Professionals, Statutory and/or Voluntary Agencies co-ordinating these through case conferences Work closely with General Practice and other relevant professionals in identifying health needs of the practice population, and develop services in response to those needs

Education and Research

Attend relevant education and training programmes to maintain personal/professional development and meet NMC requirements Undertake the role of preceptorship/mentorship as required Engage in Nurse Prescribing following V100/V300 qualification and NMC registration and ensure safe prescribing practice within professional and Trust guidelines/policies Lead the team in the development of the skills necessary to deliver the core Community Services Participate in team, Locality and Trust initiatives as required with specific focus on the Nursing Strategy and other relevant modernisation agenda Reflect on practice regularly and plan personal/professional development in order to achieve growth and development. Access Clinical Supervision to enhance reflective practice.

Managerial Responsibilities

Undertakes risk management in a variety of unpredictable and unavoidable working conditions. For example may involve taking appropriate precautions when dealing with chemotherapy drugs, bodily fluids, threatening patients and unhygienic conditions which may constitute a health risk. Ensure that Service Aids and Equipment are used in accordance with manufacturers guidance and to notify all known hazards to appropriate personnel The District Nurse/Senior Community Nurse will ensure that in their absence team members are aware of the nominated District Nurse/Senior Community Nurse who will support the caseload and the team The District Nurse/Senior Community Nurse will delegate responsibility to the appropriate community nurse within the team to undertake and manage the workload of the teams and any Trust objectives Provide relevant support to other Community Nursing teams in the absence of the District Nurse/Senior Community Nurse Report on all incidents and untoward occurrences and implement recommendations Manage informal complaints and implement the recommendations following formal complaints Meet with team members daily to plan, delegate and evaluate patient care and to review and adjust allocation of work accordingly Arrange in conjunction with the Clinical Team Lead, Induction Programmes for new members of staff Attend relevant meetings to support the team and locality Meet with team members on a regular basis to disseminate Trust information Ensure statistical returns for the whole team are completed within agreed times scale by self and team members Be responsible for the development of the team through individual staff professional/personal development reviews, supervision and team meetings Implement appropriate operational frameworks and objectives as agreed by the team and locality or the professional forum

Information Management

Input data and information accurately.

Policy/Service Development

Ensure all trust policies and procedures are implemented by staff, recommending and negotiating changes as necessary.

Freedom To Act

The post holder will at times be required to work unsupervised.

Effort and Environment

Manage work load effectively. Ensure that the environment is safe and is an area that is conducive for learning and for patient care.

Competence

You are responsible for limiting your actions to those which you feel competent to undertake. If you have any doubts about your competence during the course of your duties you should immediately speak to your line manager/supervisor.

Registered Health Professional

Must comply with the Code of Professional Conduct of the Nursing and Midwifery Council, which incorporates the Scope of Professional Practice and the Guidelines for Professional Practice All registered nurses will be required to provide evidence of relevant registration(s) as required. Failure to do so may lead to disciplinary Responsible for ensuring that the Community Nurse Team work within relevant Trust guidelines/Policies and ensuring agreed standards of practice are achieved

ADDITIONAL DUTIES

In addition to the above duties you will also be expected to perform the below key activities in line with your job role;

Complete mandatory training in line with Trust policy and procedure To participate in the staff appraisal process and to undertake for any staff you manage To keep yourself updated on all matters relating to Trust policy To provide management supervision where appropriate You will be expected to work collaboratively with key partner organisations, service users, carers, clinicians and other practitioners within the multi-disciplinary team in delivering services; providing a 7-day a week for 365 days a year working shifts, where appropriate and operationally required. Person Specification

Qualifications

Essential

Registered General Nurse

Desirable

District Nurse Qualification Non-Medical Prescribing

Skills

Essential

Compression Bandaging SKilss Palliative Care experience Catheter care experience Wound management

Desirable

Previous experience at Band 6 Prescribing skills Continuing Healthcare knowledge

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