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Community Nurse

2 months ago


London, United Kingdom Central London Community Health Trust Full time

Job summary

To provide skilled nursing care working under the supervision of the Community Nurse Team Lead and Deputy Team Lead to patients in a variety of community settings. We believe community nursing gives dedicated healthcare professionals the opportunity to spend more time with the patients you care for in their own environment and work collaboratively with other clinicians to provide more coordinated care.

The post holder will undertake community nursing duties involving delivery of nursing services and holistic assessments of patient's health needs using a person-centred approach. This includes providing quality and seamless nursing care to housebound patients and being proactive in co-ordinating their care needs as appropriate, avoiding unnecessary admission to hospital or long-term care institutions. In addition, the post holder will be involved in facilitating self- care for patients with long term conditions, health promotion and innovative activities and projects that enhance patient service delivery.

What's it like to live and work in the London Borough of Wandsworth?o It's still affordableo Second cheapest council tax in the whole country

Main duties of the job

The successful candidates will demonstrate flexibility, excellent communication skills and the ability to work as a team member as well as using your own imitative. This is an excellent opportunity to further develop your clinical skills and knowledge of population health work and reducing health inequalities.

We believe community nursing gives dedicated healthcare professionals the opportunity to spend more time with the patients you care for in their own environment and work collaboratively with other clinicians to provide integrated and more coordinated care.

About us

Just as we care about our patients' wellbeing, we care about yours

We can offer you:

A comprehensive induction into the community service followed by a local induction to introduce you to the role Car lease scheme *T&C's apply Flexible working options Annual travel card loan Training, support and development in your career

To have a full look at our benefits and what it's like working for us please go here:

Job description

Job responsibilities

Clinical

To give skilled nursing care, based on principles of best practice and clinical evidence. This includes Chronic disease management, end of life care, continence promotion and wound management. Specific skills include phlebotomy, administration of medication via syringe drivers and intravenous therapy, PEG management, urinary catheterisation, and tracheostomy suctioning. Act as a Named Nurse with the support and supervision of the DN Team Lead. To take continued responsibility for the holistic health needs assessment including care planning, evaluation and appropriate implementation of health care and ensuring continuity of care following referral from acute care, rehabilitation units, GPs and other agencies. Undertake comprehensive assessment of the physical, psychological, and social care needs of patients using the Single Assessment Process and including the needs of carers. To provide individualised and person-centred care plans that provide monitoring and promotion of self-care to prevent unnecessary hospital admissions Act as the patients advocate and to facilitate the patients own choices with regard to nursing care, promoting independence and self-care, as appropriate. To identify and record new problems and other relevant information reporting back to the DN Team Lead as appropriate. Maintain accurate, comprehensive and contemporaneous records in accordance with Trust and NMC guidelines. Liaise with, and where appropriate initiate referrals, to ensure adequate care and support to patients and carers. To provide information and support to patients, relatives and other carers that promotes and optimises positive health.

Undertake health promotion and disease prevention activities such as flu immunisation, advice on stopping smoking, falls prevention, dietary advice and foot health. To have knowledge of, and be able to effectively use local services and resources to promote patient care. For example specialist services. To ensure the safe handling of body fluids and contaminated sharps. Be alert to the needs of vulnerable adults including risk assessment and taking appropriate action when required. To develop and utilise specialist nursing skills such as leg ulcer assessment and management, syringe driver set up, intravenous drug administration, continence assessment, and palliative care. Support patients and their carers with managing their medicines and undertaking medicines management reviews as directed. To provide care to people with long term conditions undertaking reviews in accordance with the individual patient care plan and with support of more experienced colleagues as required. Undertake nutritional assessments and advice and support patients with their nutritional needs. For example PEG feeds.

Establish and maintain good working relationship with colleagues, the primary health care team and other health and social services providers, so as to provide a comprehensive service to patients and carers. To organise and prioritise own work without direct supervision, reporting any issues, concerns or personal limitations to the DN Team Lead. Participate in the supervision and co-ordination of the work of junior staff on a day to day basis and in the absence of the DN Team Lead/ Deputy Team Lead To attend and participate in team, Locality and other relevant Trust meetings.

Person Specification

Qualifications

Essential

Registered Nurse (RN) NMC Registration

Desirable

Evidence of other post-registration education and training

Experience

Essential

oRecent clinical nursing experience negotiating and liaising within a multi-disciplinary team oWorking with people with complex health needs oSupporting students and other learners HCAs teaching others in the practice environment oExperience of undertaking general assessment by utilising evidence-based care. oPrevious experience in the Nursing process, care planning and fluent in record keeping oExperienceof providing holistic carethat involves the multidisciplinary team. oExperience of undertaking general assessment by utilising evidence-based care. oPrevious experience in the Nursing process, care planning and fluent in record keeping oExperience of providing holistic care that involves the multidisciplinary team.

Desirable

Experience of training other students. Participation in audit; research projects; service development Post registration experience in a NHS community environment

Skills

Essential

Knowledge of out of hospital care and the role of the Community Nurse Knowledge of PREP Ability to listen effectively and ability to give constructive feedback to clients and colleagues. Time management skills. Knowledge of how Equal Opportunities can be implemented in practice Knowledge of reasonable response to service user needs and prioritising and dealing with those needs with a required urgency. Awareness of the management and use of data in the NHS setting Knowledge of risks involved in working in the community. Knowledge of evidence-based practice. Knowledge of management of long-term condition Diabetes and an understanding of the concept of self- management Knowledge of infection control Knowledge of general wound care Promotion of continence Literacy and numeracy skills

Desirable

Knowledge of recent government legislation and Changes in community care delivery Understanding of resource management Knowledge of the audit process

Key Attributes

Essential

Ability to work in a team and be a proactive member and able to engage in change process in the team. Ability to organise and participate in weekly work allocation and be able to prioritise and delegate effectively. Ability to assess a situation and act promptly. Ability to implement learning in practice and inform others. Ability to communicate well verbally and in writing such as computerised documentation and data entry Ability to facilitate and support students and HCAs Hold a full, valid, UK driving licence and have access to a car to use for business purposes (unless you have a disability as defined by the Equality Act 2010)

Desirable

Ability to critically analyse and evaluate research relevant to practice.