PCN Frailty Team Nurse

1 month ago

Dorchester, United Kingdom Mid Dorset Primary Healthcare Ltd Full time

Job summary

An exciting opportunity awaits the right candidate to work within an extremely supportive clinical team based in Dorchester. Our team of nurses and paramedics are led by an experienced Advanced Nurse Practitioner in providing high quality and personalised care to the frail and older patients living in care homes across Mid Dorset.

We are looking for maternity cover for an initial period of six months, which may be extended to one year, commencing in December 2024.

The role is advertised as ideally full time, but we would consider part time for the perfect candidate.

Want to know more? please contact

Main duties of the job

TheFrailty Nurse will have a clinical role working autonomously with supervisionand support to assess, manage and monitor the health and social care needs ofpatients with complex, long term health problems. The post holder will workcollaboratively with the Frailty Team, Care Home Teams, GPs, Community NursingTeam, Rehabilitation Teams, Community and Acute hospitals. The service will be delivered to a defined patient population requiring case management ofThe service will bedelivered to a defined patient population requiring case management of frailtywithin the community setting.

About us

Mid Dorset Primary Care Network, provides central clinical and administrative services for patients across the eight GP practices within the Mid Dorset area. We are a highly effective organisation where we put the patients at the very heart of our services.

We always strive to make our teams the best they can be, where every individual is valued and encouraged to develop new ideas. We provide our employees with an environment in which to grow and develop their skills through supported learning and mentoring. We are extremely lucky that we have clinicians within our team who are registered trainers outside of the PCN, bringing their wealth and knowledge to our organisation.

We are made up of multidisciplinary teams, supported by GPs, nurses and a range of other healthcare professionals. We do not work in isolation and proactively reach out to develop new services for our patients in partnership with other healthcare providers within secondary, community and social care.

For the right candidates we offer support, care and understanding where you would be made to feel instantly as part of our Mid Dorset Family.

Job description

Job responsibilities

Be competent at identifying at risk patients and adding them to the caseload

Proactively monitor and manage an identified patient caseload of patients within care/residential homes.

Empower patients to self-manage their care at appropriate stages and support them to cope with changes

Work with patients and carers to develop and review personalised treatment, care and management plans.

Provide advice and information to assist individuals to make lifestyle changes and to manage and monitor their frailty.

Support and manage patients care at the end of their life.

Ensure that patients are appropriately referred to other practitioners when it is in the best interest of the individual needing action, care or treatment.

Ensure that help is requested from a suitably qualified and experienced healthcare professional to carry out any action or procedure that is beyond the limits of your competence.

Work in partnership with secondary care and Community Hospitals to facilitate the planning of care and services on discharge for case-managed patients.

Work in partnership with clinicians with specialist skills and knowledge to meet the needs of people with complex long-term conditions (including frailty).

Actively work towards reducing hospital bed days and innovative new ways of working to provide more care in the community.

Take all reasonable personal precautions necessary to avoid any potential health risks to colleagues, people receiving care and the public.

Remain objective and have clear professional boundaries at all times with people in your care, their families and carers.

Safeguard and promote the welfare of vulnerable adults, children and young people in all areas of work.

Person Specification

Qualifications

Essential

Registered Nurse Experience of Care Planning for older people Experience of holistic assessment of older people Clinical skills in clinical observations and phlebotomy

Information Technology

Essential

Working with IT systems, including word, Excel and Access. The ability to handle sensitive information confidentially.

Desirable

Experience in using clinical systems SystmOne.

Experience

Essential

Experience of working under own direction. Experience in the ability to self-motivate, organise and prioritise workload.

Desirable

Previous experience working in a primary/community care setting in a similar role. Experience of supporting service improvement.

Personal Attributes

Essential

Excellent written and verbal communication skills Using own initiative and work safely in lone working environments. Demonstrable skills in written and spoken English, adequate to enable the post holder to carry out the role effectively. Subject to the provisions of the Equality Act, able to travel using own vehicle on Network business.

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