District Nurse - Proactive Care Team

Job description

Job responsibilities

You will take responsibility and professional accountability for the management of a defined caseload of housebound patients including the delegation of tasks to other members of the Proactive Care Team.

Prescribe within your individual scope of practice and ensure that nurse prescribing is undertaken in a safe, cost-effective manner.

Develop a caseload profile, identifying those groups with specific health needs and implement and evaluate programmes of care to target groups taking a case management approach.

Act in accordance with current Safeguarding Vulnerable Adults and Trust guidelines/policy to protect vulnerable adults.

Provide appropriate nursing care to patients on your defined caseload. Provide specialist advice appropriate to health and social care to patients, carers, relatives and other agencies.

To attend the Proactive Care Team meetings, reviewing patients, contributing ideas and developing strategies for housebound patients.

Demonstrate excellent communication and negotiation skills in situations which may be complex, highly sensitive and emotive. All communication will be underpinned by the principles of data protection, dignity and confidentiality.

Take responsibility for initiating and/or engaging in open discussion with statutory and voluntary agencies and all members of the wider multi-disciplinary team as appropriate.

Ensure effective communication to support continuity of care on transfer between hospital, community, residential and care home settings and vice versa.

Promotes and maintains accurate record keeping, confirming to policy and data protection legislation.

Responsible for communicating and receiving sensitive, complex, and sometimes contentious information, dealing effectively with staff, relatives, and carers whilst ensuring confidentiality. Will use developed persuasive, motivational, negotiating skills, where agreement and cooperation is required.

To input information by electronically recording daily activity on EMIS, ensuring each contact/activity is recorded in real time.

Demonstrate and contribute to a positive team culture which promotes a collaborative and supportive environment. Supporting the Lead GP of the team and being receptive to mentorship, clinical supervision, openness and candour, and provision of an educational environment.

Take responsibility for the complex and holistic assessment or delegation of planning, implementation and evaluation of care on an individual basis, utilising recognised models and tools, e.g. end of life care and long-term conditions.

Diagnostic assessment, routinely utilising patient head to toe examinations in order to diagnose, implement treatment plan, including prescribing, and/or escalating when clinically required and appropriate.

Be prepared to be flexible and to provide cover as required in our Urgent Care Centre or for our reactive home visiting team as demand requires, e.g. in response to increased winter pressures.

As a District Nurse there will be a need for a varied clinical skill set, including, but not limited to the following -

End of Life Care - symptom control

Wound Care Including complex e.g. Vacuum assisted therapy

Leg Ulcers Including compressions therapy

Continence Management Catheters, Bowel Management

Patient education and training of self-management techniques

Multi Comorbidities and prevention of deterioration management e.g. Heart Failure, Diabetes, Respiratory, Frailty, Dementia

Social prescribing

Be proactive in offering health promotion and participate in health promotion activities for a defined caseload.

You will be able to quickly build excellent working relationships and communication links with all stakeholders including Local Authorities, Social Care teams and voluntary services as appropriate for patient care.

The above is not an exhaustive list of duties and you will be expected to perform tasks as necessitated by your changing role within, and the overall objectives of, the organisation agenda. Discussions on any major changes will be held with the postholder.

Person Specification

Qualifications

Essential

• Registered Nurse (1st Level)
• First level degree in related subject
• District Nursing Specialist Practitioner Qualification

Experience

Essential

• Experience - Essential
• Significant Post registration community experience.
• Evidence of Continued Professional Development.
• Post registration experience of caseload management.
• Evidence of Personalised Care planning and complex patient management.
• Ability to take appropriate action to assess and manage risk.
• Experience of empowering a positive culture for interdisciplinary and interagency teams.
• Skills - Essential
• Ability to critically understand and apply relevant legal, regulatory and governance requirements, policies, and professional and ethical frameworks.
• Advanced clinical decision-making skills to support patient centred care.
• Advanced clinical skills to include a variety of patient conditions and comorbidities.
• Must have excellent prioritisation and time keeping skills.
• IT Literate.
• Ability to work collaboratively across professional and organisational boundaries.
• Autonomous decision maker in challenging situations

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

The Red & Green Practice

Address

The Waterside Health Centre

Beaulieu Road

Hythe

Southampton

SO45 5WX

Employer's website

https://www.redandgreenpractice.co.uk/ (Opens in a new tab)