NursingNetUK

Detailed job description and main responsibilities

The post holder will:

 Clinically:

1. Undertake holistic assessments of patient new to the community nursing service.
2. Complete assessments such as Purpose T, MUST/MUAC, wound assessments for all patients on the caseload and ensure that all staff members are completing these assessments.
3. Manage chronic wounds such as leg ulcers, pressure ulcers using best practice and NICE guidelines.
4. Manage short term wounds such as surgical wounds.
5. Manage patients with JVAC drains, lantern drains, pig tail drains and flushes when required.
6. Care for PICC lines and chemotherapy disconnections – Full training will be given.
7. Care for other central lines such as Mid lines, portacaths – Full training will be given.
8. Undertake the administration of intravenous antibiotics in the community, bolus or infusion.
9. Manage the caseload of patients requiring daily administration of Insulin, Dalteparin ensuring patients are also taught to self-manage their long term conditions such as Diabetes.
10. Attend pressure ulcer panel to discuss patients who have developed a pressure ulcer whilst in the care of the community nursing team.
11. Share the learning from pressure ulcer panel with the team.
12. Ensure patients on the community nursing caseload have pressure relieving equipment in place or referred to the appropriate service for additional pressure relieving equipment for specialist items.
13. Liaise with the patients GP when needed and communicate effectively with the GP practice to build relationships with our GP colleagues.
14. Be part of the Integrated care team, attending weekly MDT meetings in the absence of a community matron.
15. Be the patients advocate when needed.
16. Refer patients to safeguarding when required, understand the need for safeguarding patients in the community setting.
17. Ensure staff are completing their electronic records in line with trust policy and within the NMC guidelines.
18. To adhere to the NMC standards.
19. Provide excellent end of life care to patients who wish to be cared for in their homes, ensuring communication and care is joined up with other services such as the local hospice.
20. Provide excellent palliative care and symptom management to the patients with a terminal diagnosis, sign posting, referring on to other services such as living well, local hospice, CNS.
21. Liaise with the tissue viability service, complete referrals to the TVN service for patients with chronic leg ulcers, pressure ulcers or other wounds that require the expertise of the TVN.
22. Liaise with the Diabetic CNS for patients on the caseload who require daily insulin administration or if their condition deems intervention from a Diabetic CNS.
23. Ensure all planned visits are allocated before 3pm daily, being part of the 3pm TEAMS call, asking for support with unallocated visits.
24. Have excellent communication skills, be able to manage difficult situations in patients’ homes or in other clinical areas.
25. Ensure staff adhere to trust policy with regard to clinical waste management, health and safety at work.

Refer to person specification and detailed job description for more information.