Community Staff Nurse - Out of hours

Job responsibilities

Main Duties & Responsibilities

Key Areas of Responsibility

• To respond to unplanned care and prevent admission to hospital.
• To assess, prescribed and deliver care packages for patients, e.g. with long term conditions, palliative care and rehabilitation needs, to achieve quality of life and independence where possible.
• To work within the integrated team to facilitate early discharge from hospital
• To work within the integrated team to prevent unnecessary admission to

Hospital.

• To work with all health care professionals, and statutory/non statutory agencies to provide a seamless, integrated service to our service users.
• Engage with mobile working.

MAIN RESPONSIBILITIES

Clinical

The post holder will need to:

1. Assess, plan, implement and evaluate all aspects of patient care, and develop care plans, using clinical reasoning skills, which may need to be delivered from a range of options.
2. Following a holistic assessment, devise an individualised, evidence-based care programme for each patient, modifying it as required.
3. Assess patients holistic needs, communicating complex and sensitive information to patients and carers as to their assessment, diagnosis, prognosis and treatment plan.
4. Where there are barriers to understanding, such as hearing impairment, mental capacity impairment and other difficulties in comprehension, explanations require adjustments in order to gain understanding, consent and concordance.
5. Be required to use tact and persuasive skills in order to gain the patients co-operation in their care management plan.
6. Liaise with GPs, Social Services, inpatient teams, other allied health care professionals and the voluntary sector to ensure identified needs are met and care co-ordinated appropriately.
7. Be aware of assistive technology and utilise where appropriate.
8. To participate in multi-disciplinary/multi-agency meetings as appropriate, e.g. Gold Standard Framework.
9. Ensure own caseload is planned and prioritised according to service targets and patient need.
10. To manage and maintain all areas if intravenous therapy delivery including peripherally inserted central catheter (PICC lines)
11. Ensure patient held records are completed for each visit, and that SystmOne inputting is completed on a daily basis.
12. Demonstrate dexterity and co-ordination when using specialist equipment and fine tools, advanced sensory skills, manual and mobilising skills.
13. Contribute to the requisitioning of supplies and equipment through electronic ordering systems.
14. Ensure informed consent is obtained prior to initiating interventions.
15. Will be exposed to bodily fluids, infected material, blood products on a daily basis, therefore must utilise universal precautions and adhere to infection control policies.

Professional

The post holder will:

1. Actively contribute to multidisciplinary team meetings and other meetings where appropriate.

1. Support all team members within the integrated team, respecting them, their roles and contributions.
2. Be responsible for safe use and maintenance of equipment and supplies.
3. Remain accountable for own professional actions as determined by the professional bodies.
4. Provide advice / training to less experienced staff and supervise / support other staff and students where appropriate; contributing to the induction process for new staff/students.
5. Comment on draft policies.
6. Maintain own continuous professional development
7. Ensure own workload is planned and prioritised
8. Be accountable for work delegated to others within the team, ensuring staff are competent to undertake delegated work.
9. Attend in-house training as required to develop current job role.
10. Demonstrate leadership skills within own competence.

Organisational

The post holder will:

1. Follow Trust policies, and local procedures, and use discretion in interpreting them according to the setting and circumstances.
2. Undertake mandatory training as required.
3. Participate in a Personal Development Review process.
4. Undertake Personal Development Plans for more junior staff members.
5. Be aware of Trusts behaviour framework and ensure behaviours are embedded in role.
6. Ensure Trusts behaviour framework is utilised when managing and supervising staff, and that behaviours are embraced and embedded within the team.
7. Take part in clinical supervision as per Trust Policy.
8. May be required to demonstrate own duties to students, new starters and/or less experienced staff.
9. Provide mentorship for students undertaking pre/post registration course.
10. Ensure absence reporting is undertaken as determined by Team Leader and Trust Policy.
11. Contribute to clinical audit as required.
12. Complete the staff survey as required.
13. Complete risk assessments and incident forms as required

Experience

Essential

• Previous experience of working in a community setting

Desirable

• Admission Avoidance
• Experience in acute setting

Skills, Abilities and Knowledge

Essential

• Ability to use own initiative
• Ability to manage stressful situations
• Concentrate when undertaking patient care & inputting data/patient records
• Have basic IT and standard keyboard skills
• Able to kneel, bend & stoop, and work in cramped environments
• Flexible approach to work to accommodate patient/service needs
• Good time management skills
• Good observational & reporting skills
• Ability to undertake telephone triage
• Highly motivated
• Able to manoeuvre limbs of around 5-6 kg
• Able to manoeuvre patients
• A team player

Desirable

• Knowledge of additional specialist areas through in-house training & short courses, including: Palliative care, Long term conditions, Diabetes management
• Be aware of Assistive Technology

Qualifications

Essential

• Diploma or 1st level degree in Nursing or equivalent
• RN Qualification
• Current NMC registration
• Evidence of continuing professional development

Desirable

• Leg ulcer care
• Interest in Diabetes

Other

Essential

• The post holder will be required to work over seven days a week
• The post holder will need to be passed fit to be able to perform full duties of the post through occupational health with any reasonable aids and adaptations if necessary

Desirable

• Experience working at night

Communication

Essential

• Good communication skills
• Tact & diplomacy
• Empathy & sensitivity
• Ability to report and escalate issues as required
• Able to communicate effectively using the English language (both verbally and written).

Personal Attributes / Behaviours

Essential

• Professional appearance
• Be reliable
• Able to identify with the Trust's commitment to safeguarding and promoting the welfare of young people/vulnerable adults

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.

Certificate of Sponsorship

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).