Senior Community Nurse in Haslemere

Do you want to develop your career within a clinically led organisation, at the forefront of the revolution of adult community nursing? Are you passionate for high quality patient care and experience? This unique position offers you the opportunity to work as part of a highly skilled community workforce who are the cornerstone of safe patient care. You will work collaboratively with the multi-disciplinary team to visit patients in their own homes and care homes to avoid unnecessary hospital admissions. We have lots of training and development pathways at every level through from band 3 to band 8. We provide a preceptorship program to support you in your role and ongoing training and development. We use electronic clinical records through EMIS and a work iPad and iPhone will be provided.

We are seeking a highly motivated and ambitious Senior Registered Nurse to join the wider Community Nursing Team which includes Community Matrons, District Nurses, Registered Nurses, Nursing Associates and Healthcare Assistants. You will work under the direction of a District Nurse to assess, implement and evaluate person centred care for a caseload of patients. You will undertake clinical skills including venepuncture, wound care, catheterisation and end of life including syringe drivers.

Post holders will be available to work Monday to Sunday between 8am and 8pm. A full UK driving license and vehicle for business use is required for this post; however, reasonable adjustments will be made for disabled individuals in line with the Equality Act 2010.

Procare Community Services are not a UKVI sponsoring organisation, so all candidates are required to have their own independent right to work.

The Procare Chief Operating Officer is a Nurse by background, who has a real passion for all aspects of Community working. Our board is clinically led with a Director of Nursing and GPs who have vast community experience, ensuring that Procare has the expertise and knowledge base needed to develop sustainable integrated services. With a strong emphasis on high-quality care, patient safety, and a positive patient and carer experience as the core of our strategy, our goal is to ensure excellent care for our local community. We aim to achieve this by creating a supportive and highly skilled workforce, making Procare a great place to work. We are an innovative, ambitious, friendly, and supportive local team. We take pride in our clinically led and flat management structure, which ensures transparent leadership from all directors. We are in search of an individual with the requisite skills and attributes, someone who is pragmatic and solution-focused, and who desires to be a part of our local Community Nursing Services.

Detailed job description and main responsibilities

• Communication
• Communicates effectively with patients, carers, and all members of the multidisciplinary team.
• Maintains accurate and legible documentation and clinical records in line with professional and organisational requirements – this includes contemporary paper records and electronic clinical record system, EMIS.
• Acts as the nominated Lead Nurse and oversees daily handover ensuring record of the daily handover is logged.
• Maintains strong working relationships and communicates effectively with GPs, practice nurses, social services, acute/community hospital colleagues, borough council staff and the local voluntary sector.
• Communicates effectively with others involved in patient care including weekends/out of hours, using mobile phone, and emails to enable a timely response to patient’s needs.
• Attends GP/caseload meetings and MDT meetings if the District Nurse caseload holder is unable to.
• Actively contributes to locality based, team, working groups and GP meetings.
• Patient Care / Safety / Quality
• Works under the direction of the District Nurse to document and ensure high quality and effective assessment, treatment, implementation, and evaluation of nursing care to patients and carers within their own home setting.
• Takes responsibility for a defined caseload in the absence of the District Nurse.
• Responsible for the effective triaging of referrals and allocation of work across a locality within the Community Nursing Team.
• Prioritises daily work in line with clinical/patient need and escalates where there are issues with undertaking daily visits.
• Undertakes full nursing assessments of patients, including those with multiple pathology and complex health and social needs.
• Responsible for agreeing the patient’s care plan, liaising with others, and adapting the care and treatment delivered according to need and patient choice.
• Responsible for the monitoring of medication regimes, assessing effects and advising patients on the safe storage and disposal of drugs.
• Initiates, implements, and evaluates health promotion activities and self-care strategies with individuals, patients, and carers.
• Evaluates care and treatment in agreement with the patient and as defined in the care plan.
• Escalates any deviation from the care plan or change in condition at hand over and to the District Nurse/GP accordingly.
• Responsible for the correct use of aids and equipment supplied for patients and carers and for the security, care and maintenance of equipment ensuring standards of infection control and safety are maintained – including equipment loaned to patients.
• Undertake all aspects of medicines management related activities in accordance within the company’s medicines policies to ensure the safe, legal and appropriate use of medicines.
• Responsible for recognising the needs of the service, identifying risk, and making rapid autonomous decisions, escalating to the District Nurse Team Lead and Clinical Lead as required.
• Participates in risk assessment and promotes the safety and well-being of patients, staff and any other persons and ensures a safe work environment.
• Appropriately delegates patient visits to other members of the team, including non-registrants.
• Service Development
• Actively involved in the development and implementation of adult community nursing service developments and initiatives.
• Promoting and supports the implementation of innovation and technology within the workplace.
• Participates in clinical audit and the implementation of changes to ways of working/clinical practice from findings, recommendations, and action plans.
• Actively participates in and contributes to meetings and working groups that inform the adult community nursing service and nursing profession.
• Acts as a link nurse for defined area e.g. tissue viability, end of life, diabetes, infection prevention and control.
• Leadership and Management
• Support the District Nurse with operationally managing Registered Nurses in the community nursing team.
• To monitor stock levels of dressings and other equipment in line with budget and to be responsible for the ordering of dressings and other equipment in line with lean stock management and efficient principles.
• Ensures that all complaints, untoward incidents, accidents, and areas of clinical risk are identified and reported to the District Nurse and on the electronic incident reporting system (DATIX) in accordance with policy.
• Responsible for the security, care and maintenance of equipment ensuring standards of infection prevention and control and safety are maintained.
• Acts as a role model for all 6C’s.
• Development of self and others
• Accountable for own professional actions in line with the NMC code and local policy and guidelines.
• Recognises own limitations in the provision of clinical care and urgency of patient’s needs, referring to other health care professionals accordingly and is accountable for his/her own actions often without direct supervision.
• Keeps up to date with professional nursing and regulatory requirements, health care developments, clinical evidence, National Service Frameworks for practice, national and local policies, and guidelines to maintain up to date technical and professional knowledge relevant to the post.
• Responsible for the self-development of skills and competencies through participation in learning and development activities and continuing professional development to maintain up to date technical and professional knowledge relevant to the post.
• Responsible for completing all own mandatory training within required time frames and for ensuring this is completed for other team members.
• Participates in own annual appraisal and objective setting each year.
• Access regular 1-1 meetings with line manager.
• Accesses, participates, encourages, and facilitates regular clinical supervision and peer review.
• Undertakes assessor (mentor) training (if not already done so) and updates to ensure skills are available to facilitate the teaching and learning experiences for all students, colleagues, visitors, and employees.
• Supporting induction, competency achievement, supervision and mentoring of new team members and supporting pre-registration student nurses.
• Undertakes formal student assessments and participates in the maintenance of an effective learning environment.