An exciting opportunity has arisen for a band 5 registered nurse to join our team of IV therapy community nurses. We are looking for an enthusiastic and motivated individual to support the achievement of excellent standards of quality care for our patients. In return for this commitment, we will support and aid development in fulfilling this role within our friendly Trust. We provide a 7-day service which consists of visiting patients in their own home, administering intravenous medications whilst carrying out holistic assessments as part of the nursing process.Main duties of the job
Key Areas of Responsibility
- To work within the community setting, managing patients at home undergoing intravenous therapy
- To make risk assessments, establishing the safety or otherwise of a patient's ability to stay at home, whilst receiving intravenous therapy and to escalate through the established pathways when clinically necessary.
- To provide evidenced based clinical/therapeutic interventions based on 'best practice' in order to improve health outcomes and promote choice.
- To provide in-reach to inpatient units and step-up beds where required
- To act as the patient's advocate, facilitating choice, patient empowerment and independence.
- To work with all health care professionals, and statutory/non statutory agencies to provide a seamless, integrated service to our service users.
Apply now to join an organisation that has been awarded an Outstanding rating by the Care Quality Commission (CQC), the highest possible rating and the first stand-alone NHS community trust in the country to be awarded the title
Job descriptionJob responsibilities
- Follow Trust policies, and local procedures, and use discretion in interpreting them according to the setting and circumstances.
- Undertake mandatory training as required.
- Participate in a Personal Development Review process.
- Undertake Personal Development Plans for more junior staff members.
- Be aware of Trust's behaviour framework and ensure behaviours are embedded in role.
- Ensure Trust's behaviour framework is utilised when managing and supervising staff, and that behaviours are embraced and embedded within the team.
- Take part in clinical supervision as per Trust Policy.
- May be required to demonstrate own duties to students, new starters and/or less experienced staff.
- Provide mentorship for students undertaking pre/post registration course.
- Contribute to clinical audit as required.
- Complete the staff survey as required.
- Complete risk assessments and incident forms as required
- Ensure absence reporting is undertaken as determined by NCH& C trust policy
- Assess, plan, implement and evaluate all aspects of patient care, enabling the safe administration of IV medication in peoples own homes.
- Following a holistic assessment, devise an individualised, evidence-based care programme for each patient, modifying it as required.
- Assess patients holistic needs, communicating complex and sensitive information to patients and carers as to their assessment, diagnosis, prognosis and treatment plan.
- Where there are barriers to understanding, such as hearing impairment, mental capacity impairment and other difficulties in comprehension, explanations require adjustments in order to gain understanding, consent and concordance.
- Be required to use tact and persuasive skills in order to gain the patients co-operation in their care management plan.
- Liaise with the Clinical Lead and Norfolk and Norwich University Trust clinicians when clinical concerns are raised.
- Liaise with Homeward, Supportive Care, GPs, Social Services, inpatient teams, other allied health care professionals and the voluntary sector to ensure identified needs are met and care co-ordinated appropriately.
- Be aware of assistive technology and utilise where appropriate.
- To participate in multi-disciplinary/multi-agency meetings as appropriate, e.g. Gold Standard Framework.
- Ensure own caseload is planned and prioritised according to service targets and patient need.
- Ensure patient held records are completed for each visit, and that SystmOne inputting is completed on a daily basis.
- Demonstrate dexterity and co-ordination when using specialist equipment and fine tools, advanced sensory skills, manual and mobilising skills.
- Be skilled at intravenous cannulation, IV line management and general phlebotomy, following local policy and guidance
- Contribute to the requisitioning of supplies and equipment through electronic ordering systems.
- Ensure informed consent is obtained prior to initiating interventions.
- Will be exposed to bodily fluids, infected material, blood products on a daily basis, therefore must utilise universal precautions and adhere to infection control policies.
- Become competent in numerous nursing skills to provide urgent and unplanned response to patients to prevent avoidable admissions to hospital.
- The post holder will:
- Actively contribute to multidisciplinary team meetings and other meetings where appropriate.
- Support all team members within the integrated team, respecting them, their roles and contributions.
- Be responsible for safe use and maintenance of equipment and supplies.
- Remain accountable for own professional actions as determined by the professional bodies.
- Comment on draft policies.
- Maintain own continuous professional development
- Ensure own workload is planned and prioritised
- Attend in-house training as required to develop current job role.
- Diploma or 1st level degree in Nursing or equivalent
- RN Qualification
- Current NMC Registration
- Evidence of working at relevant level within the community or acute setting
- Knowledge of additional specialist areas through in-house training and short courses
- Cannulation / IV Therapy administration
Skills, Abilities and KnowledgeEssential
- Experience in acute setting
- Highly motivated
- Able to provide high standards of care
- Ability to use own initiative
- Good observational & reporting skills
- Ability to manage stressful situations
- Concentrate when undertaking patient care & inputting data/patient records
- Good time management skills
- Good interpersonal skills
- A team player
- Flexible approach to work to accommodate patient/service needs
- Have basic IT and standard keyboard skills.
- Able to kneel, bend & stoop, and work in cramped environments
- Able to manoeuvre limbs of around 5-6 kg
- Able to manoeuvre patients using handling aids
- Able to make own travel arrangements to patients' homes, clinics, base and meetings etc, as required by the service
- Knowledge of additional specialist areas through in-house training & short courses, including:Palliative care, Long term conditions, Diabetes management, Be aware of Assistive Technology
- Previous experience using SystemOne
Personal and People DevelopmentDesirable
- Good communication skills
- Tact & diplomacy
- Empathy & sensitivity
- Ability to report and escalate issues.
- Able to communicate effectively in written verbal English language.
Personal Attributes / BehavioursEssential
- Experience supervising junior staff
- Professional appearance
- Be reliable
- Able to identify with the Trust's commitment to safeguarding and promoting the welfare of young people/vulnerable adults
Employer detailsEmployer name
- The post holder will be required to work over seven days a week
- The post holder will need to be passed fit to be perform full duties of the post through occupational health with any reasonable aids and adaptations if necessary.
- Must hold full and valid driving license and have access to a vehicle
Norfolk Community Health and Care NHS TrustAddress
Norwich Community Hospital
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