Job responsibilities
The post holder will contribute to development and delivery of a high quality innovative service to the patients within the community, through the implementation of evidence based clinical practice, supported by continual professional development, and provide support and mentorship to all healthcare professionals.
Communication
1. Communicates effectively as a member of the ICC clinical team. Works with the frailty team and communicates with clinicians and administrative team members from all involved organisations within the Integrated Care Community.
2. To provide leadership and mentoring of the Frailty Coordinators working within the team.
Clinical skills
1. The Frailty Nurse(s) will be supported by the ACPs and where necessary by the GPs working in the GP practices but the Frailty Nurse(s) will also be required to work independently within their scope of professional practice.
a) Manages their clinical workload responding effectively to patient needs and ensuring patient choice and ease of access to services.
b) Functions at a high level to manage patients without input from a medical practitioner remaining within scope of a professional practice.
c) Ability to recognise the need for escalation or onward referral where appropriate.
d) Participate in Audits where required
2. Functions at a high level in relation to communication skills through nursing assessment of physical, psychological and social needs.
a) Communicates effectively, building a rapport towards a therapeutic relationship.
b) Assess, plan and implement patient centred care working where necessary with other healthcare professionals and onward referral where appropriate
3. Adapts to change within the working situation managing unscheduled/unexpected emergency situations.
a) Basic life support, severe breathing problems, serious cardiovascular problems, collapsed patients and seriously ill patients.
4. Demonstrate clinical competence in the management of patients under the care of the frailty team. To help manage and monitor patients with any chronic disease such as diabetes, asthma and chronic pulmonary disease both during periods of acute illness and regarding the ongoing management of the chronic diseases.
5. Performs safe manual handling techniques.
6. Delivers a high standard of care without discrimination, to all ages, sexes and ethnic origins of the population through continuum of life.
7. Performs investigations required to enable the team to reach a differential diagnosis using core clinical skill and competence. Initiate treatment including diagnostic investigations.
a) Recognition of abnormal vital signs observing respiratory rate and effort, heart rate rhythm and volume, temperature and blood pressure as appropriate.
b) Perform investigative procedures including, Lying and Standing Blood Pressures, Urinalysis, Blood Glucose monitoring, Venepuncture.
8. Deliver safe, effective evidence based care and advice to ease patients problems
9. Independently discharge patients from your care or refer to the appropriate health Professional or healthcare provider for further care intervention
10. Promote self-care when appropriate and encourage modification of lifestyle factors to improve patients health and wellbeing.
Organisational skills
1. Able to adapt to change in the workplace being involved in new developments in the delivery of care.
2. Ensure faulty equipment is reported and repaired and adequate for use
3. Participate and support the implementation of clinical governance, clinical audit and clinical risk assessment, setting and monitoring standards of care
4. Promote improving the health of the community through reporting and preventing occurrences of infectious disease, providing advice and education
5. Comply with Practice policies and procedures
6. Has a flexible approach to working externally including home visits and with other nominated practices and ICCs to access and provide services to patients. The post holder will also be required to attend meetings held by other agencies and internally within the practice.
Professional
1. Complies with Nursing and Midwifery council code of conduct and maintain professional registration
a) Works within scope of professional practice and pro-actively promote the role of Frailty Nurse within the practices, and externally to key stakeholders and agencies.
b) Work collaboratively with colleagues within practices and the wider ICC.
2. Ensure practice and implementation of care is evidence based by adhering to local and national guidance. Promote evidence based practice using the latest research-based guidelines and the development of practice-based research
3. Maintain confidentiality of information regarding patients
4. Ensure accurate, concise documentation and consultation data in patient records in accordance with the latest NMC guidance and other pertinent standards
5. Maintains
professional development in all aspects of mandatory training requirements including (but not limited to) risk awareness, health and safety, manual handling, fire safety at work, Child and Adult protection,
conflict resolution and basic life support by completing on line training and
also attending annual mandatory training.
6. Identify and/or participate in strategies of risk
assessment to avoid or prevent clinical incidents and near misses incorporated
in the clinical governance framework including:
a)
Risk management policies, Child and Adult
protection policies and Drug policies
b)
Monitor the effectiveness of own clinical practice
through quality assurance strategies including audit and peer review
Leadership
1)
Ensure mandatory staff training has been accessed
2)
Is a support network for other colleagues
Training & Educational
1)
Currently enhancing professional development and to
maintain a personal development plan.
2)
Continually keeps up to date with current evidence
based practices
3)
Is involved in lifelong learning
4)
Participates in in-house training provided and
completion of all mandatory training at clinical and practice levels.
5)
Keep up to date with pertinent health- related
policy and work with the practice team to consider the impact and strategies
for implementation.
6)
Training requirements will be monitored by yearly
appraisal and will be in accordance with practice requirements. Personal
development will be encouraged and supported by the practice. It is
individuals responsibility to remain up to date with recent developments.
7)
Maintain continued education by attendance at
courses and study days as deemed useful or necessary for professional
development ensuring PREP requirements are met.
8)
If it is necessary to expand the role to include
additional responsibilities, full training will be given.
Teaching and Mentoring Role
Promote a learning environment for patients, nurses and other health professionals.
Work Setting and Review
The Frailty Nurse(s) is responsible for working
within own competence, skill and experience as confirmed within the Nursing and
Midwifery Council Code of Conduct.
The organisational policies of the PCN and NHS.
Individual Responsibilities
The post holder is expected to:
Adhere to Practice policies and procedures and
relevant legislation including the requirements of any professional bodies
Attend mandatory training as identified by the
Practice
Confidentiality
The post holder must maintain the confidentiality
of information about patients, staff and Practice business in accordance with
the General Data Protection Regulation, Caldicott principles and Practice
Information Governance policies and procedures.
Health & Safety
Each employee is responsible for his
or her own acts or omissions and the effect that these may have upon the safety
of themselves or any other person.
Sets and maintains high standards of infection
control to protect patients, self and colleagues.
Every employee must use safety equipment or
clothing in a proper manner and for the purpose intended.
Any employee who intentionally or recklessly
misuses anything supplied in the interests of health and safety will be subject
to disciplinary procedures.
Every employee must work in accordance with any
health and safety procedures, instructions or training that has been given.
No employee may undertake any task for which they
have not been authorised and for which they are not adequately trained.
Every employee is required to bring to the
attention of a responsible person any perceived shortcoming in our safety
arrangements or any defects in work equipment.
All employees are under a
duty to familiarise themselves with the risk management/fire, health and safety
policies
