Community Twilight Nurse

Job responsibilities

• To give skilled nursing care, based on principles of best practice and clinical evidence. This includes: Chronic disease management, end of life care, continence promotion and wound Specific skills include phlebotomy, administration of medication via syringe drivers and intravenous therapy, PEG management, urinary catheterisation and tracheostomy suctioning.
• Act as a Named Nurse with the support and supervision of the DN Team To take continued responsibility for the holistic health needs assessment including care planning, evaluation and appropriate implementation of health care and ensuring continuity of care following referral from acute care, rehabilitation units, GPs and other agencies.
• Undertake comprehensive assessment of the physical, psychological and social care needs of patients using the Single Assessment Process and including the needs of carers. To provide individualised and person centred care plans that provide monitoring and promotion of self-care to prevent unnecessary hospital admissions
• Act as the patients advocate and to facilitate the patients own choices with regard to nursing care, promoting independence and self-care, as
• To identify and record new problems and other relevant information reporting back to the DN Team Lead as
• Maintain accurate, comprehensive and contemporaneous records in accordance with Trust and NMC
• Liaise with, and where appropriate initiate referrals, to ensure adequate care and support to patients and
• To provide information and support to patients, relatives and other carers that promotes and optimises positive
• Undertake health promotion and disease prevention activities such as flu immunisation, advice on stopping smoking, falls prevention, dietary advice and foot
• To have knowledge of, and be able to effectively use local services and resources to promote patient care. For example specialist
• To ensure the safe handling of body fluids and contaminated
• Be alert to the needs of vulnerable adults including risk assessment and taking appropriate action when

• To develop and utilise specialist nursing skills such as leg ulcer assessment and management, syringe driver set up, intravenous drug administration, continence assessment, and palliative
• Support patients and their carers with managing their medicines and undertaking medicines management reviews as
• To provide care to people with long term conditions undertaking reviews in accordance with the individual patient care plan and with support of more experienced colleagues as
• Undertake nutritional assessments and advice and support patients with their nutritional needs. For example PEG feeds

Please refer to the attached Job Description for full list of responsibilities.

As an NHS Trust we strongly encourage and support vaccination uptake as this remains the best line of defence against COVID-19.

Education/Qualification

Essential

• Registered Nurse (RN)
• NMC Registration

Desirable

• Evidence of other post-registration education and training

Experience

Essential

• Recent clinical nursing experience negotiating and liaising within a multi-disciplinaryteam
• Working with people with complex health needs
• Supporting students and other learners e.g. HCAs teaching others in the practice environment
• Experience of undertaking general assessment by utilising evidence based care.
• Previous experience in the Nursing process, care planning and fluent in record keeping
• Experience of providing holistic care that involves the multidisciplinary team.

Desirable

• Experience of training other students.
• Participation in audit; research projects; service development
• Post registration experience in a NHS community environment

Skills and Knowledge

Essential

• Knowledge of out of hospital care and the role of the Community Nurse
• Knowledge of PREP
• Ability to listen effectively and ability to give constructive feedback to clients and colleagues.
• Time management skills.
• Knowledge of how Equal Opportunities can be implemented in practice
• Knowledge of reasonable response to service user needs and prioritising and dealing with those needs with a required urgency.
• Awareness of the management and use of data in the NHS setting
• Knowledge of risks involved in working in the community. ? Knowledge of evidence based practice
• Knowledge of management of long term condition e.g. Diabetes and an understanding of the concept of selfmanagemen
• Knowledge of infection control ? Knowledge of general wound care
• Promotion of continence
• Literacy and numeracy skills

Desirable

• Knowledge of recent government legislation and changes in community care delivery
• Understanding of resource management
• Knowledge of the audit process

Other

Essential

• Ability to work in a team and be a proactive member and able to engage in change process in the team.
• Ability to organise and participate in weekly work allocation and be able to prioritise and delegate effectively.
• Ability to assess a situation and act promptly. ? Ability to implement learning in practice and inform others
• Ability to communicate well verbally and in writing such as computerised documentation and dataentry
• Ability to facilitate and support students and HCAs
• Car Driver

Desirable

• Ability to practice. critically analyse and evaluate research relevant to

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).