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District Nurse Band 7
2 months ago
Job summary
A vacancy has arisen to cover maternityleave, for enthusiastic and flexible registered District Nurse to join ourcommunity nursing teams in the borough of Kingston.
Rated OUTSTANDING for CARE by the CQC,you will be leading a team of highly skilled and compassionate nurses, nurseassociates and health care assistants.
You will manage a caseload of patients,attached to 1 or 2 GP surgeries, including case management of patientsidentified as being at risk of hospital admission. You will complete skilled,professional holistic assessment of health needs, plan and provide relevantnursing care to adults in their own homes or care home setting.
The Team Leader works in partnershipwith the primary health care team, social services, private and voluntarysector, addressing health promotion priorities both locally and nationally.
You will need to have a District Nursingqualification. Also experience ofmanaging patients with a range of long-term conditions and multi pathologies.
You will act as a role model, teachingand supporting staff and students on placement in the community, so will needto be a trained Practice Assessor.
You will also manage team members,developing their skills and providing feedback through 1-1 meetings andappraisal and managing sickness and capability as required. You will also beinvolved in audit to ensure care remains at a high quality and evidence based.
You will need to be a car driver andhave access to a vehicle.
Main duties of the job
To provide professional leadership including line management, recruitment, supervision/ appraisal and development both qualified and unqualified staff within the Community Team. To provide an expert and evidenced based Nursing service to patients requiring nursing care within their own homes. To work autonomously and as a member of the multi-disciplinary team, developing and maintaining effective working relationships with other agencies including acute, primary and voluntary sectors.
About us
Welcome to Your Healthcare CIC, weare a not for profit social enterprise, proud of delivering patient-led, highquality health and social care community services for residents in the Boroughof Kingston, as part of the NHS family.
Your Healthcare is located in the SouthWest of London within the Royal Borough of Kingston. Working as a CommunityInterest Company (CIC), our status allows us to invest any surplus or profitback into front line services, where it is needed most by you, our community.
Job description
Job responsibilities
To work as an autonomous practitioner and be professionally and legally accountable for all aspects of their professional and clinical work, within agreed national, local and professional standards and guidelines. To assess the health needs of clients, formulating and implementing evidenced based nursing interventions based on best practice, knowledge and experience. Develop a comprehensive and concordant plan of care with the client and/or carers, promoting choice and empowerment of the client. To monitor, develop and maintain a high standard of clinical practice both for self and other nursing staff within the team. To provide leadership within the team and to manage conflicting and competing priorities both clinically and managerially.Clinical
To assess, identify and manage risk within the community setting. To be responsible for maintenance of timely and accurate written and electronic patient records in line with professional and Your Healthcare protocols and guidelines. To act as advocate for the client to ensure health needs are met with the consent of the client. To develop and maintain links with the district nursing service and promote integrated working with other community agencies to ensure an optimum and seamless patient pathway which delivers flexible and timely care To promote partnership working with acute sector staff to ensure safe and effective discharge of patients from hospital to community, attending discharge planning meetings as appropriate. To provide appropriate care of patients requiring intravenous therapy, subcutaneous therapy, peg feeds or other appropriate treatments. To facilitate pain management, continence and bowel management as required. To plan and implement care that aims to prevent avoidable hospital admission. To optimise opportunity to provide care in patients preferred place, including where practicable, terminal care.Governance
To accept responsibility as a professional for his/her actions in relation to own work and work delegated to others, acting at all times within the Nursing and Midwifery Council Code of Conduct. To maintain knowledge of current practice and promote evidenced based practice. To maintain professional competence and personal development by participation in mandatory and appropriate training. To be responsible for maintenance of timely and accurate written and electronic patient records in line with professional and Your Healthcare policy ensuring confidentiality is maintained in accordance with the Data Protection Act and DOH policy on patient consent. To demonstrate understanding of clinical governance and risk management and integrate this into practice. To participate in audit and standard setting. To plan and participate in the induction of new staff. To participate in a supervision and appraisal process and ensure the development and maintenance of a personal development plan which contributes to team and personal objectives. To have an awareness and adhere to Joint Safeguarding of Vulnerable Adults Policies and Safeguarding Children Policies. To facilitate a learning environment for pre and post registration nursing students and students from other health and social care settings. To participate in and ensure team compliance in the collection of statistical information which informs performance data for the team. To promote integrated team working and adherence to YHC policies. To effectively communicate relevant local and national initatives to the team. To practice at all times within a clinical governance framework that promotes quality.Management
To ensure the smooth and efficient running the Community Nursing Team in partnership with the Locality Manager, further developing the service to meet the needs of the population. To provide line management for the team of qualified and unqualified nursing staff including appropriate delegation and organisation of workload, management of absence and performance and ensuring adequate staffing. To undertake supervision and appraisals of team members in order to develop personal development plans, contribute to team and personal objectives and ensure ongoing assessment of staff performance and conduct. To participate in recruitment and induction of new staff. To participate in the development and integration of care pathways, policies and procedures, which will influence service delivery and practice. To support an environment that is patient focused and enables the nursing team to challenge all aspects of patient care. To demonstrate excellent communication skills in the management of conflict across a range of circumstances. To be a role model through the exercise of good personal time management, punctuality, consistent reliable attendance and high quality care provision. To deputise for the Locality Team Manager as appropriate.Communication and Working Relationships.
To provide strong leadership and promote team working. To establish robust and effective communication networks and working relationships with the wider district nursing service, through attendance at team meetings and regular caseload meetings. To ensure effective communication between the team and clients/families and other stakeholders in both statutory and voluntary sectors. To evaluate, adopt or adapt communication methods as appropriate to educational/social background and recognising barriers to this communication. To initiate and participate in team meetings and facilitate/attend organisational meetings or working parties as required/delegated by the Locality Team Manager. To ensure all information from meetings is documented and disseminated to all team members and that recommendations are implemented as necessary. To develop and maintain communication links with ward staff, promoting the importance of community team involvement in discharge planning. Person Specification
Skills & Abilities
Essential
Able to communicate succinctly and effectively verbally, in writing and electronically Able to present information effectively to individuals and groups Ability to prioritise and organise workload effectively Ability to balance management and clinical work Intermediate IT skills Able to perform and demonstrate expanded clinical skills including but not limited to intravenous therapy (including management of IV long lines) , cannulation, syringe drivers, male and female supra-pubic catheterisation, Digital rectal Examination, management of PEG and RIG tubes, Basic audit skills Ability to teach other professionals and carers Counselling skills
Other factors
Essential
Car driver/owner with current driving license Ability to work flexibly to include early and late shifts, evenings and weekends
Knowledge
Essential
Understanding of national policy governing the delivery of adults and older peoples services Awareness of current developments in health and social care Knowledge of clinical governance/ risk management and reporting Legislation affecting service area Clinical Supervision and appraisal An up to date working knowledge of Acute, chronic and terminal illness, wound management, care of the elderly, care of the post op patient, drug interactions, aetiology and physiology of pain, pain assessment, and strategies for effective pain and associated symptom control. An understanding of the implications of cultural difference for service delivery Knowledge and understanding of audit and research
Experience
Essential
Community experience of assessment and delivery of care to people with complex needs Negotiating and working across organisational boundaries Working as part of a multi disciplinary team Mentoring students and other health care professionals Experience of lone working and decision making
Desirable
Experience of using research and other evidence to inform practice. Experience of audit.
Qualifications
Essential
Registered Level 1 District Nurse Qualification or equivalent Evidence of recent post registration, professional and portfolio development Degree Level education Nurse Prescriber Assessor/mentorship competency or willing to undertake training. Advanced Assessment and Clinical Decision Making
Desirable
Working towards Masters level Working towards Management and/or Leadership qualification.
Personal Qualities
Essential
Ability to self motivate and direct to achieve the objectives of the post Able to act as a catalyst to promote change and demonstrate innovative practice. Able to manage and work effectively as part of a team Able to build effective working relationships at all levels. Able to work harmoniously with a diverse workforce and demonstrate an awareness of equal opportunities in delivery of patient care