Job summary
Up to 30 hours per week. Join a dedicated team providing intravenous therapies in patients' homes across Plymouth, South Hams, and West Devon. Ideal for an experienced and motivated nurse eager to contribute to a growing Urgent Care Nursing service.
You will deliver high-quality, patient-centered care in the community, helping individuals remain safe and independent at home while supporting their health and wellbeing. The role involves utilizing clinical skills and expertise within the Intravenous Therapy Day Service.
We seek a nurse with strong clinical knowledge, sound judgement, and the ability to work autonomously and collaboratively in a forward-thinking team.
You will deliver a range of clinical skills and expertise providing care in the community. The role will involve working within the Intravenous therapy day service.
You will need the ability to working autonomously and as part of a forward thinking team demonstrating initiative and passion with sound clinical knowledge and judgement.
LWSW is dedicated to produce a competent workforce; by offering career progression and in return we expect commitment from all our staff. If you feel you have ambition, courage and energy to meet the health and social care challenges ahead.
All LW staff are expected to be able and willing to work across a 7 day service.
Main duties of the job
You are:
Responsible for the delivery of high quality evidence based care for acutely ill patients within their homes.
Liaise with the referring clinician when accepting patients for treatment & be supported by senior clinicians & clinical manager
Will deliver intravenous therapies for patients within our service
Responsible for effectively assessing, planning, implementing, monitoring & evaluating patient care.
To prevent & reduce hospital admissions & minimise hospital lengths of stay by providing intensive & advanced nursing input, & involving appropriate members of the multi-disciplinary team
Responsible for coordinating a shift in the absence of a senior clinician
The Urgent Care Nursing team work on a flexible rota shift system. The service covers 24 hours per day over seven days a week.
The Intravenous therapy service runs from 08:00 - 20:30.
The out of hours shift covers 17:00 - 23:00 this post covers a 6 hour shift.
The post holder will need to travel and attend to service users based across Plymouth and other geographical areas. Full and valid driving licence and access to a car for work purposes is required. Reasonable adjustments under the Equality Act will be taken into account for the successful applicant.
Able to provide the interface between hospital, primary care, community & social care settings
Please note that this role may not be eligible for sponsorship under the Skilled Worker route, please refer to the Direct Gov website for information
Job Share(s) Considered
About us
Livewell Southwest is an independent, award-winning social
enterprise delivering integrated health and social care services across
Plymouth, South Hams, and West Devon, with specialist services in parts of
Devon and Cornwall. Our teams work in community hospitals, GP practices, sports
centres, and health hubs.
As an organisation with a strong social conscience we are guided by our values,kindness, respect, inclusivity, ambition, responsibility, and
collaboration. We focus on transforming services to ensure sustainability, while
empowering staff and those we serve.
We involve the people we care for, along with their families and carers, in
shaping the care they receive, striving to deliver the right care at the right
time and place. Centering our work on individual needs helps people lead
healthy, independent lives.
We prioritise employees' development, offering protected CPD time, training
pathways, leadership programs, and funding for qualifications like the Care
Certificate and Nurse Training Scholarships. Our induction and preceptorship
programs ensure a smooth transition into our organisation.
Livewell Southwest values diversity and encourages applications from all
sections of the community, including those with armed forces experience, lived experience of mental
health, neuro-diverse conditions and learning disabilities. If you need assistance or reasonable adjustments during the
application process, contact the Recruiting Manager listed in the job advert.
Job description
Job responsibilities
Clinical
Provide holistic evidence based / best practice care to patients in accordance with National and Organisational approved policies/procedures and individual care plans.
Be responsible for the assessing, planning, implementation, and evaluation of care on a day-to-day basis. The work may be unpredictable and complex and often of a sensitive nature.
Work autonomously and unsupervised in the community setting, recognising the risks associated with lone working, both clinically and socially and work proactively to reduce those risks.
Work as an autonomous practitioner, managing and prioritising delegated workload according to local guidelines and identified need. Working in a variety of community settings, exercising a high level of judgement, discretion and decision making in clinical care.
Work within challenging and unpredictable environments e.g. patients homes, which may have constraints and require adaptability
Responsibility for the specialist assessment and co-ordination of planned care to individual patients in conjunction with patients and carers.
Supporting other members of the team in their planning of patient care.
Provides support and advice to patients carers and relatives (on patients conditions and prognosis) where appropriate.
Responsibility for reviewing care delivery and maintaining records in accordance with local and with NMC guidelines.
Maintain accurate records, which are confidential, up to date, legible and that all care given must be documented. These records may be paper or IT based system and must be maintained as specified in the Organisation Policies, NMC guidelines and Government directives. The post holder will be expected to oversee the standard of patients records by audit or peer review and have regular open discussions with team members.
Works as part of a multi-disciplinary team
Acts as patient representative to facilitate appropriate care pathways which involves effective communication to peers, other specialist practitioners, GPs and Consultants.
Delivery of Direct Care
To assess, plan and evaluate care provided for patients.
Participates in monitoring of evidence-based standards through research, clinical trials, audits and staff initiatives.
Initiates prescribed care in conjunction with Team Manager/Consultant/GP and other clinicians.
Without direct supervision and reporting directly to Consultant Physician or GP will work towards undertaking care delivery involving an extensive range of activities including:
Subcutaneous/intramuscular, therapy and diabetic injections
Administration of medication
Acute and chronic disease management
Assisting the multi-disciplinary team in palliative care (EOL)
Acute/chronic pain management
Facilitating appropriate care for elimination needs (Bowel and catheter management)
Wound assessments and management
Management of surgical drainage systems
Blood glucose monitoring
Health promotion
Acting as a formal mentor to pre-registration nursing students
Adopting link roles
Intravenous drug therapy
Administration of Nebulised drugs
Administration of oxygen therapy
Undertaking investigative procedures to support diagnosis, including ECG
Computer skills
Liaising with and referring on to other agencies and professionals.
Pulse oximetry and interpretation
Recognising and managing emergency situations e.g. treatment of anaphylaxis (using Patient Group Directions PGD) and cardiac/respiratory arrest/Sepsis
Undertake and interpret acute observations using an appropriate tool e.g. News 2, ABCDE
Blood tests for monitoring
Management of Lines e.g., TIVAD, PICC and Midline
Management and Leadership:
Have on-going responsibility and duty of care for patients, staff, self and others in all aspects of Health, Safety and Risk.
Act as a role model, promoting good performance and practice.
Participate in team activities to develop and consolidate a cohesive and supportive team ensuring openness within the team.
Participate in recruitment and selection of new staff.
Reporting of all incidents and near misses. Supporting team manager in investigations of incidents. Report to line manager any untoward incidents e.g., complaints, accidents, defective equipment and take appropriate action to ensure safety of patients, relatives, self and colleagues and follow up with appropriate documentation.
Inform Band 6 or 7 of any on-going nursing/management issues affecting patient care or working capacity.
Be aware of pressures facing your work colleagues and offer support and ensure they are aware of additional support that may be available to them.
To be responsible for the procurement and monitoring of equipment for patients on caseload.
The post holder will be required to use a computer, being responsible for timely recording patient activities for IT data collection, dealing with e-mail queries, stock and equipment ordering.
To preserve confidentiality and comply with of the Data Protection Act, Access to Health Records and Consent for Treatment
To have a flexible approach to the working day to meet the needs of the patient/service.
Please find full job description within supporting documents section.
Job description
Job responsibilities
Clinical
Provide holistic evidence based / best practice care to patients in accordance with National and Organisational approved policies/procedures and individual care plans.
Be responsible for the assessing, planning, implementation, and evaluation of care on a day-to-day basis. The work may be unpredictable and complex and often of a sensitive nature.
Work autonomously and unsupervised in the community setting, recognising the risks associated with lone working, both clinically and socially and work proactively to reduce those risks.
Work as an autonomous practitioner, managing and prioritising delegated workload according to local guidelines and identified need. Working in a variety of community settings, exercising a high level of judgement, discretion and decision making in clinical care.
Work within challenging and unpredictable environments e.g. patients homes, which may have constraints and require adaptability
Responsibility for the specialist assessment and co-ordination of planned care to individual patients in conjunction with patients and carers.
Supporting other members of the team in their planning of patient care.
Provides support and advice to patients carers and relatives (on patients conditions and prognosis) where appropriate.
Responsibility for reviewing care delivery and maintaining records in accordance with local and with NMC guidelines.
Maintain accurate records, which are confidential, up to date, legible and that all care given must be documented. These records may be paper or IT based system and must be maintained as specified in the Organisation Policies, NMC guidelines and Government directives. The post holder will be expected to oversee the standard of patients records by audit or peer review and have regular open discussions with team members.
Works as part of a multi-disciplinary team
Acts as patient representative to facilitate appropriate care pathways which involves effective communication to peers, other specialist practitioners, GPs and Consultants.
Delivery of Direct Care
To assess, plan and evaluate care provided for patients.
Participates in monitoring of evidence-based standards through research, clinical trials, audits and staff initiatives.
Initiates prescribed care in conjunction with Team Manager/Consultant/GP and other clinicians.
Without direct supervision and reporting directly to Consultant Physician or GP will work towards undertaking care delivery involving an extensive range of activities including:
Subcutaneous/intramuscular, therapy and diabetic injections
Administration of medication
Acute and chronic disease management
Assisting the multi-disciplinary team in palliative care (EOL)
Acute/chronic pain management
Facilitating appropriate care for elimination needs (Bowel and catheter management)
Wound assessments and management
Management of surgical drainage systems
Blood glucose monitoring
Health promotion
Acting as a formal mentor to pre-registration nursing students
Adopting link roles
Intravenous drug therapy
Administration of Nebulised drugs
Administration of oxygen therapy
Undertaking investigative procedures to support diagnosis, including ECG
Computer skills
Liaising with and referring on to other agencies and professionals.
Pulse oximetry and interpretation
Recognising and managing emergency situations e.g. treatment of anaphylaxis (using Patient Group Directions PGD) and cardiac/respiratory arrest/Sepsis
Undertake and interpret acute observations using an appropriate tool e.g. News 2, ABCDE
Blood tests for monitoring
Management of Lines e.g., TIVAD, PICC and Midline
Management and Leadership:
Have on-going responsibility and duty of care for patients, staff, self and others in all aspects of Health, Safety and Risk.
Act as a role model, promoting good performance and practice.
Participate in team activities to develop and consolidate a cohesive and supportive team ensuring openness within the team.
Participate in recruitment and selection of new staff.
Reporting of all incidents and near misses. Supporting team manager in investigations of incidents. Report to line manager any untoward incidents e.g., complaints, accidents, defective equipment and take appropriate action to ensure safety of patients, relatives, self and colleagues and follow up with appropriate documentation.
Inform Band 6 or 7 of any on-going nursing/management issues affecting patient care or working capacity.
Be aware of pressures facing your work colleagues and offer support and ensure they are aware of additional support that may be available to them.
To be responsible for the procurement and monitoring of equipment for patients on caseload.
The post holder will be required to use a computer, being responsible for timely recording patient activities for IT data collection, dealing with e-mail queries, stock and equipment ordering.
To preserve confidentiality and comply with of the Data Protection Act, Access to Health Records and Consent for Treatment
To have a flexible approach to the working day to meet the needs of the patient/service.
Please find full job description within supporting documents section.
Person Specification
Knowledge
Essential
- Background knowledge of nursing and health care. Government Policies relating to acute care in the community.
- Understanding of Clinical Governance.
- Understanding of clinical supervision and continued professional development.
- Understanding of team function
- Overview of Acute Discharge process and community nursing
- Current and up to date knowledge of Code of Conduct (NMC)
Desirable
- Knowledge of Secondary & Primary Care Sector
- Basic knowledge of Acute and Long-Term Conditions
Skills
Essential
- To be able to respond to urgent calls in different parts of the city
- Strong evidence of Acute Care background and skills
- Working without supervision
- Evidence of autonomous practice
- Clinical Risk Management
- End of Life Care
- Emergency Care Management
- Infection control experience
- Evidence of recent study
- Acute care assessment skills
- Excellent communication skills
- Computer literacy
- Good time management
- Delegation skills
- Managing care of infections
- Intravenous/subcutaneous/central line management skills
- Excellent interpersonal skills
- Organisational skills
- Ability to discuss complex patient care with senior clinicians
- Non judgemental
- Ability to motivate others
- Flexible/adaptable
- Ability to prioritise
- Leadership, co-ordination and management skills
Desirable
- Previous triage experience
- Respiratory background
- Cardiac background
- Alert Aim-Impact etc course
- Wound care background
- Surgical background
- Venepuncture & cannulation skills
Behavioural Attributes & Competencies
Essential
- Familiar with and committed to the principles and values of the NHS.
- Demonstrate commitment to and focus on quality, promotes high standards to consistently improve patient outcomes.
- Consistently put clinicians at the heart of decision making.
- Creates and fosters a culture of openness, honesty, integrity and inclusiveness.
- Values diversity and difference.
- Uses evidence to make improvements and seeks out innovation.
- Demonstrates commitment to partnership working.
- Flexible approach to working.
- Attention to detail.
- Highly motivated with ability to influence and inspire others.
- Outcomes focused.
- Ability to act as a champion for patients/carers and their interests, ensuring the patients voice has an impact on service developments.
Qualifications
Essential
- NMC Registered Nurse (Adults) Relevant post registration courses/knowledge base relevant to the post. The post holder will need to travel and attend to service users based across Plymouth and other geographical areas. Full and valid driving licence and access to a car for work purposes is required. Reasonable adjustments under the Equality Act will be taken into account for the successful applicant.
Desirable
- Recognised teaching or mentorship qualification at degree level or equivalent Non-medical prescribing
Experience
Essential
- Experience in clinical assessment
- Experience or understanding of community working
- Experience of a variety of healthcare settings
Person Specification
Knowledge
Essential
- Background knowledge of nursing and health care. Government Policies relating to acute care in the community.
- Understanding of Clinical Governance.
- Understanding of clinical supervision and continued professional development.
- Understanding of team function
- Overview of Acute Discharge process and community nursing
- Current and up to date knowledge of Code of Conduct (NMC)
Desirable
- Knowledge of Secondary & Primary Care Sector
- Basic knowledge of Acute and Long-Term Conditions
Skills
Essential
- To be able to respond to urgent calls in different parts of the city
- Strong evidence of Acute Care background and skills
- Working without supervision
- Evidence of autonomous practice
- Clinical Risk Management
- End of Life Care
- Emergency Care Management
- Infection control experience
- Evidence of recent study
- Acute care assessment skills
- Excellent communication skills
- Computer literacy
- Good time management
- Delegation skills
- Managing care of infections
- Intravenous/subcutaneous/central line management skills
- Excellent interpersonal skills
- Organisational skills
- Ability to discuss complex patient care with senior clinicians
- Non judgemental
- Ability to motivate others
- Flexible/adaptable
- Ability to prioritise
- Leadership, co-ordination and management skills
Desirable
- Previous triage experience
- Respiratory background
- Cardiac background
- Alert Aim-Impact etc course
- Wound care background
- Surgical background
- Venepuncture & cannulation skills
Behavioural Attributes & Competencies
Essential
- Familiar with and committed to the principles and values of the NHS.
- Demonstrate commitment to and focus on quality, promotes high standards to consistently improve patient outcomes.
- Consistently put clinicians at the heart of decision making.
- Creates and fosters a culture of openness, honesty, integrity and inclusiveness.
- Values diversity and difference.
- Uses evidence to make improvements and seeks out innovation.
- Demonstrates commitment to partnership working.
- Flexible approach to working.
- Attention to detail.
- Highly motivated with ability to influence and inspire others.
- Outcomes focused.
- Ability to act as a champion for patients/carers and their interests, ensuring the patients voice has an impact on service developments.
Qualifications
Essential
- NMC Registered Nurse (Adults) Relevant post registration courses/knowledge base relevant to the post. The post holder will need to travel and attend to service users based across Plymouth and other geographical areas. Full and valid driving licence and access to a car for work purposes is required. Reasonable adjustments under the Equality Act will be taken into account for the successful applicant.
Desirable
- Recognised teaching or mentorship qualification at degree level or equivalent Non-medical prescribing
Experience
Essential
- Experience in clinical assessment
- Experience or understanding of community working
- Experience of a variety of healthcare settings
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Additional information
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
