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Nurse for Older People

3 months ago

ShipstononStour, United Kingdom Shipston Medical Centre Full time

Job summary

Shipston Medical Centre islooking for a replacement nurse in our Older People/Frailty Team due toretirement. The Older Peoples / Frailtyteam take referrals from the wider practice team and undertake holisticassessment and case management of members of our community who are identifiedas frail or becoming so.

Main duties of the job

Frailty isbecoming recognised as a new discipline within the care sector, and holistic care witha focus on maximising peoples life potential is important.

Workingwith support from the specialist Advanced Nurse Practitioner, the Nurse forOlder People will undertake holistic assessments within the communityincluding:

Social situation

Mobility

Long term condition management

Immunisations

Diet and nutrition

Living arrangements and transportation

Screening for dementia where applicable

After assessment and where casemanagement is needed the Nurse will be responsible for liaising with otherbodies, such as carers, safeguarding colleagues, social services and otherparties to support the meeting of identified needs

This is a job where complexity isroutine and there is always something to learn

About us

Shipston Medical Centre provides primary health care services for thepopulation of Shipston on Stour and the surrounding villages. We have around 12000 patients and continue togrow as the population in the area grows.We are a patient focused and caring organisation which values educationand development, and as such we have a long history of hosting learners andsupporting colleagues in their professional development. Our focus on high quality evidence based carewith compassion has enabled us to achieve and maintain our 'Outstanding' ratingfrom the CQC.

The Medical Centre team are friendly, helpful and passionate about the carewe provide. Looking after each other is as important as looking after ourpatients, and a key element of how we operate.

It is a requirement that employees at the Medical Centre have a completecourse of vaccination against COVID-19 where clinically possible.

Job description

Job responsibilities

JOB PURPOSE AND DESCRIPTION

To work with colleagues within the multi-disciplinary team to provide high quality, evidence based care appropriate to the patient's needs.

To provide assessment, screening and treatment services which are relevant to the patients and their families with emphasis on improving diet and exercise routines whilst actively discouraging cigarette smoking and alcohol abuse through health promotion clinics.

To work within the community undertaking the holistic review of older and frail patients, including:

1. Social situation

2. Mobility

3. Long term condition management

4. Immunisations

5. Diet and nutrition

6. Living arrangements and transportation

7. Screening for dementia where applicable

Develop a relationship of trust with the patients who after assessment are identified as being someone for whom case management would be beneficial, liaising with other bodies, such as carers, safeguarding colleagues, social services and other parties to support the meeting of identified needs.

Support patients to assist themselves in accessing care and support where appropriate.

Work in partnership with our Advanced Nurse Practitioner for Older People and with the patient's usual GP to ensure seamless care, undertaking tasks to support the ongoing case management of patient's.

In a timely fashion to identify and review discharge information relating to older patient's whose admission to secondary care was unplanned, contacting patient's in order to ensure sufficient support is available to meet their post-discharge needs.

In line with personal competencies undertake the assessment, review and treatment of patient's, recording care according to the practice requirements and referring on where necessary. This could be routine nursing skills, such as wound assessment, and for those with enhanced training this could include examination techniques.

To adhere to the practice's policies, protocols and guidelines, including appropriate use of resources and referral to colleagues and other services as required.

Contribute to and undertake own clinical audit, supporting quality improvement and evidencing practice service standards.

Participate in clinical supervision and manual appraisal, and the development of annual Personal Development Plans.

Attendance at mandatory training and maintain professional development by attending clinical supervision, courses and study days.

To advocate for patients when necessary. To be confident in your knowledge about local safeguarding procedures, reporting safeguarding concerns through appropriate channels in a timely fashion where appropriate.

Participation in annual flu clinics (some of which will require working additional hours)

To feed into the development of protocols and guidelines for use in the Practice and liaise with the management team to give advice on the appropriate use of time, recall and appointment systems and resource development.

Attendance at monthly nurse meetings, regular education meetings and working group meetings which focus on the quality and development of the service.

To contribute to the teaching of medical students, GP registrars and Community nurses in training.

To participate in the administrative and professional responsibilities of the practice team and to contribute to the formulation of practice philosophy, strategy and policy.

To maintain confidentiality and follow information governance good practice.

To report "near misses", incidents and significant events in line with practice policy and procedures, to participate in significant event analysis to aid the learning for the organisation and individuals from such events and to follow the practice's 'whistleblowing' policy should the need occur.

Members of the nursing team must retain their NMC license to practice, achieve revalidation when required and work in accordance with the NMC code of professional conduct.

MOST CHALLENGING/DIFFICULT PARTS OF THE JOB

To make evidence based decisions whilst implementing care appropriate to the patient's needs within the resources available within the practice and the wider NHS and social care system.

Prioritising a varied and demanding workload on a daily basis to meet deadlines/performance indicators.

To manage the risk in patient care, balancing patient's wishes and preferences against patient safety, recognising that for older, vulnerable patient's there is a greater level of risk than is usual.

Keeping up to date, enhancing the provision of service from the Nursing Team in line with practice strategic priorities.

Responding appropiately to complex situations, ethical dilemmas and emergencies.

COMMUNICATIONS AND RELATIONSHIPS

Nurses will regularly communicate with various people through face-to-face or via the telephone/e-mail

Key relationships

1 . General Practitioners

2. Practice Manager

3. Nurse Manager

4. Other members of the Nursing Team

5. District Nurses

6. Social Services and other social care providers

7. Clerical/admin staff

PHYSICAL, MENTAL, EMOTIONAL AND ENVIROMENTAL DEMANDS OF THE JOB

Pertinent to roles undertaken with the Practice - skills undertaken will vary between practitioner

These are dependent on role, but could include

Principle Physical Skills:

1. Supporting patients

2. Wound care

3. Holistic Assessment

Physical Demands:

1. Sitting

2. Walking

3. Standing

4. Driving to visit patients in the community

5. Light and moderate physical effort. The dressing of wounds and particularly leg ulcers, can be physically taxing.

Mental Demands:

1. Applying physical skills to Practice

2. Scheduling visits, working to time

3. Attending and contributing to case conferences

4. Record keeping as per NMC code

5. Inputting data

6. Analysing assessment data

Emotional Demands:

1. Care of terminally ill

2. Being required to manage a large workload and prioritise accordingly

Working Conditions:

1. Exposure to body fluids

2. Infectious materials

3. Sharps

4. Challenging behaviours

Person Specification

Experience

Essential

Experience of working on own initiative. Evidence of ability to self-motivate, organise and prioritise workloads. Previous recent experience of adherence to the need for strict confidentiality, as laid down by NMC The Code of Conduct. Ability to manage the risk in patient care, balancing patients wishes and preferences against patient safety, recognising that for older and vulnerable patients there is a greater level of risk than is usual. Evidence of on-going professional development. Evidence of excellent communication skills. Willingness to work flexibly when required. Clean driving license and car ownership.

Desirable

Recent experience in Primary or Community Care. Evidence of computer literacy. Other relevant nursing qualifications. Awareness of current issues in primary care. Venepuncture skills. Examination skills.

Qualifications

Essential

Registered General Nurse

Desirable

.