Senior Community Nurse - Community Response Team (CRT)

Job description

Job responsibilities

To provide effective clinical leadership within the Community Response Team, enabling the service to deliver to the highest possible care standards, ensuring that evidence-based practice is used. To act as a role model and exercise good leadership.

Providing highly skilled nursing assessment, intervention and advice to clients and carers. Communicating with members of the multi-disciplinary team to maintain high standards of care

To work as an accountable and autonomous professional responsible for the diagnosis, advanced assessment and treatment of community dwelling clients who are experiencing a sudden health crisis, who may have additional complex multiple pathology and or social circumstances, including Palliative and End of Life Care.

The post holder will guide and support junior staff and students in the organisation of their work, providing clinical advice and specialist expertise.

To deputise for the Professional Lead on an equitable basis with other senior nurses as needed

To be professionally and legally accountable for all aspects of own work, including the management of their work, ensuring a high standard of clinical care.

To undertake a comprehensive assessment of clients with a wide variety of complex conditions using advanced investigative and analytical skills of clinical and non-clinical information to form accurate diagnosis and prognosis

To formulate individualised treatment plans, using sound clinical reasoning skills and utilising a wide range of evidence-based treatments to formulate a specialised programme of care which is client led and goal orientated.

To assess competency for and delegate appropriate tasks to other team members, carers and their families

To have clinical responsibility for dealing with unplanned and unpredictable urgent referrals for clients living in the community

To demonstrate ongoing evaluation of nursing interventions with the client and respond accordingly

To carry out treatment plans for other professionals in their absence under delegation and within your competency.

To work innovatively to address the challenges posed by providing treatment in a variety of community settings.

To undertake specialist-nursing interventions, which require accuracy and precision, some of which will be invasive.

To demonstrate highly developed knowledge and skills in the health surveillance of acutely ill community-based clients.

To take an active lead in advising and teaching health education and health promotion to clients, other professionals, families and carers.

To assess for and provide equipment in accordance with ICES (Integrated Community Equipment Store) guidelines

To regularly work unsupervised and alone in clients homes

To immediately report to the Professional Lead/Clinical lead any variance to the clients care pathway and document in accordance with the agreed procedure.

To identify urgent need for, and initiate an emergency response, giving appropriate first aid as necessary within own capabilities.

To work at all times strictly within the Trusts Infection Control Guidelines. To ensure that therapy / treatment / care does not constitute a risk of infection either to the health professional, the patient / client or to visitors, and to report any situation that compromises the safety of staff, clients / patients or visitors with regard to risk of infection.

To communicate effectively with clients and carers to maximise rehabilitation potential, using a wide range of verbal and non-verbal communication skills

To gain valid consent to intervention where possible in accordance with the legal framework and consent policy. To identify and report concerns where clients may lack capacity.

To liaise and effectively communicate assessment and rehabilitation outcomes with other multi- disciplinary teams, voluntary agencies and health and social care professionals in accordance with South Warwickshire Foundation Trust information sharing guidelines. This communication will include verbal, report or letter format and include case conferences and multidisciplinary team meetings

To maintain accurate, comprehensive, contemporaneous documentation and maintain confidentiality in accordance with local intermediate care protocols, South Warwickshire Foundation Trust records policy and national professional standards

Under the direction of the Professional Lead/Clinical Lead assist in the delivery of training/clinical education for staff and students, including: peer clinical supervision, interdisciplinary reflection, individual clinical supervision of junior staff, the training and support of NVQ candidates including writing expert witness statements and annual appraisal of specific junior staff.

To attend professional meetings and study days appropriate to the needs of the service. Thereafter, to provide written evidence of learning and feedback to the Urgent Response Team.

To undertake all mandatory training.

Following the principles of clinical governance to maintain a high quality of service through liaison with the Team leaders, leading the implementation of: recognised professional standards, evidence based practice, effective clinical audit and clinical bench marking, risk management and validated clinical outcome measures. Make recommendations for change.

Participate in the development and implementation of clinical initiatives and protocols.

To work within agreed national and local clinical guidelines and be aware of and abide by the guidelines and protocols of the Integrated Team.

To be aware of and abide by the approved policies and procedures of the Trust and the Nursing and Midwifery Councils guidelines on professional conduct.

To be responsible for your own continuing professional development which is demonstrated in a portfolio.

To participate in appraisal scheme and attend external courses where identified as part of individual appraisal.

To be aware of the agreed procedures and Community Nurse involvement in the event of a major accident

To liaise with the team leader in deploying staff on a day-to-day basis, allowing flexibility within the team so that the needs of the service are met.

To maintain adequate levels of nursing stock and undertake a quarterly equipment audit within work area

To undertake and promote efficient use of available resources

To assist in the recruitment and selection of junior staff

Organise the induction of new staff.

Adhere to information governance both for internal and external sources for patient data.

Such other duties as are within the spirit of the job purpose, the title of the post and its grading

This is an outline job description. It is subject to review at periodic intervals and may change over time with the development of Community Services following discussion with the post holder.

Post holder will be required to have access to independent means of transport for work purposes to travel across the South Warwickshire Foundation Trust and to other agencies.

South Warwickshire Foundation Trust endorses the principle that whether people smoke or not is a matter of personal choice but where they smoke is a matter of public concern. The policy on smoking and health protects non-smokers and requires that all the South Warwickshire Foundation Trust premises are smoke free.

General Items:

Person Specification

Qualifications

Essential

• Degree or equivalent
• NMC registered
• Evidence of relevant post graduate courses/CPD
• Health Assessment Module
• Leadership Qualification/Training or demonstrable experience

Desirable

• Nurse Prescriber (independent)

Experience

Essential

• Relevant post registration experience including a variety of specialities including Palliative/EOL care.
• Two years' experience in working in the community setting.
• Experience in the clinical supervision and training of staff and students.

Skills

Essential

• Demonstrates knowledge of clinical governance and experience of audit.
• Ability to work independently.
• Excellent interpersonal, communication Skills.
• Forward thinking.
• Ability to pass on skills and knowledge to others within both formal and informal environments.
• Critical appraisal, research and presentation skills.
• Ability to influence and adapt to service need and demand
• Experience of nurse leadership and management
• Ability to prioritise and delegate
• IT literate.
• Ability to work collaboratively across professional and organisational boundaries.

Personal

Essential

• Committed to personal and team development.
• Ability to work at fast pace
• Adaptable, flexible and good problem-solving skills.
• Motivation, drive and enthusiasm.
• Confident and assertive.
• Clear vision of role/commitment to speciality

Other

Essential

• Able to travel independently in the community.
• Car driver.
• Willingness to work on a flexible basis to meet the needs of the service

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).

Employer details

Employer name

South Warwickshire University NHS Foundation Trust

Address

Community Response Team- Based at Stratford

Stratford Hospital

Stratford-upon-Avon

CV37 6NX

Employer's website

https://www.swft.nhs.uk/ (Opens in a new tab)