Community Staff Nurse

Job description

Job responsibilities

Skills and Responsibilities

• The post holder must be a Registered Nurse and provide evidence of both continuing professional development and completion of Core Skills Training.
• As a Registered Nurse the post-holder is personally accountable for his/her actions and omissions in clinical practice.
• Critically appraise research and other relevant literature to influence best clinical practice.
• Demonstrate autonomy and critical decision making in relation to responsibilities of the role.
• The Community Staff Nurse must recognise and work within the limits of his/her competence actively seeking the appropriate skills for self as well as all members of the nursing team. This will ensure that knowledge and skills acquired are evidence-based and proficient to provide a safe and effective level of practice to enable patients with complex needs to be discharged safely into the community setting.
• To provide evidence-based, highly skilled nursing care encompassing a broad range of clinical interventions to all adult patients including the transitional cohort where necessary. The anticipated outcome in all cases will be a promotion of quality of life and end-of-life care, maximising independence and minimising the effects of debilitating conditions.
• Liaise with GPs and/or other colleagues to review patients in line with advanced care directives and completion of a DNAR (do not attempt resuscitation).
• Recognise triggers of deterioration/increased need of patients, informing the District Nurse/Team Leader of the possible need to commence the Continuing Healthcare/NHS Funded Nursing Care assessment process.
• Contribute to the nursing assessment for Continuing Health Care/NHS Funded Nursing Care of patients with complex needs to assist with the preparation of electronic care plans and Decision Support Tools as required by the District Nurse/ Team Leader.
• Demonstrate excellent communication and negotiation skills in situations which may be highly sensitive and emotive. All communication will be underpinned by the principles of data protection, dignity and confidentiality.
• Adopt and promote the highest level of verbal, non-verbal, written and electronic communication skills. Be open and honest, act with integrity and uphold the reputation of the profession as directed by the Nursing Midwifery Council (NMC, 2015).
• Contribute to open discussion with statutory and voluntary agencies and all members of the wider multi-disciplinary team reporting to District Nurse and/or Team Leader as appropriate.
• As delegated by the Team Leader, source patients/relatives/carers views and feedback on their experience of District Nursing Services in order to influence and inform future service provision.
• Communicate complex and highly sensitive information to staff, patients and others as required.
• Ensure effective communication to support continuity of care on transfer between hospital, community, residential and nursing care settings and vice versa.
• To attend meetings as required and ensure that information is fed back to the District Nurse/Team Leader.
• Demonstrate working knowledge of incident reporting, risk management, safeguarding, concerns and wider governance related issues with completion of the relevant documents as required.
• Be able to recognise actual and potential risks to patient safety ensuring the completion of relevant documentation, reporting to the District Nurse/ Team Leader as appropriate.
• Have the knowledge and skills to recognise safeguarding issues and have the ability to initiate the formal safeguarding process taking into account the Deprivation of Liberty Safeguards and Mental Capacity Act requirements.
• Be able to identify and assist with the management of risk and exposure to hostile environments.
• In conjunction with the multi-disciplinary team, plan and implement programmes which promote and protect health, for example, immunisation, chronic disease management and health promotion.
• Be able to identify opportunities for health promotion for families at home, in residential and clinic settings contributing to public health initiatives.
• Advise, encourage and motivate patients and their families to develop strategies to manage their own health.
• Have the necessary dexterity to manipulate and manage intricate procedures, for example chest drains, complex dressings and other procedures. Other clinical interventions range from screening activities to complex interventions i.e. calculating drug doses on multiple medications for infusions; caring for central and mid lines, and administering cytotoxic drugs.
• Be physically able to undertake activities that require fine dexterity eg. keyboard skills, computer skills/IT literacy and some specialised aspects of wound care etc.
• The Community Staff Nurse is responsible for ensuring that all patients/carers/relatives are treated with respect and dignity. He/She will act as an advocate for those in their care particularly those who lack capacity or the ability to consent and are deemed vulnerable. There may be a requirement to seek advice from the wider disciplinary team.
• To contribute to the implementation and audit of policies, guidelines and procedures ensuring practice is evidence-based and patient centred.
• Assist the District Nurse/ Team Leader with the implementation of all University Health Boards policies/guidelines and procedures within the Nursing Team.
• Will assess patients need for relevant equipment to assist with their care, completion of requisitions ensuring that regular reviews are undertaken and equipment is upgraded or downgraded to meet the changing clinical need of the patients on the caseload.
• Ensure the cost effective requisition of stores/ONPOS whilst maintaining minimum and maximum stock levels.
• To ensure personal development and education and the maintenance of own expertise by attending relevant study days, courses and undertaking self directed learning.
• Assist with the delivery of a comprehensive induction programme for new staff members.
• Ensure personal responsibility to prepare and contribute to their Personal Development Reviews (PDR) and relevant development/individual training requirements in line with NMC Revalidation and Pay Progression requirements.
• Responsible for providing a suitable learning environment for both pre and post registration nurses and actively participate in their mentorship to develop their competence and confidence.
• Contribute to the promotion of team morale, recognising and preventing conflict within the team by adopting an open and honest approach in order to seek resolve.
• To identify and provide learning opportunities for patients/relatives/carers providing instruction and demonstration of nursing interventions as appropriate.
• Ensure the use of electronic mobile devices to improve efficacy and patient care/safety.
• Demonstrate a working knowledge and understanding of all relevant software programs eg. Adastra, Myrddin, WCP, Vision, ESR.
• To maintain accurate patient records, both written and electronic, in accordance with NMC guidelines and University Health Board Policy having regard to information governance, confidentiality and safekeeping.
• To input statistical information by electronically recording daily activity, ensuring each contact/activity is recorded in real time.
• Take ownership of learning needs in relation to all aspects of information technology related to the role.
• Maintain own ESR record in a timely manner.
• Will participate in research and development projects within the clinical field, embracing opportunities to develop knowledge by undertaking further study whilst sharing initiatives with others.

Person Specification

Registration

Essential

• Live UK NMC registration

Experience

Essential

• Experience in a wide range of clinical skills

Desirable

• Competence and confidence in a wide range of clinical skills including palliative care, chronic disease management and wound management

Knowledge

Desirable

• Working towards Supplementary Nurse Prescriber qualification
• Working towards Diploma/Degree/Masters qualification in CHS [District Nursing] Specialist Practitioner DN

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

Cwm Taf Morgannwg University Health Board

Address

Keir Hardie Health Park

Aberdare Road

Merthyr Tydfil

CF481BZ

Employer's website

https://joinctm.wales/ (Opens in a new tab)