Are you a registered nurse who is looking to progress in their career within the area of district nursing? Do you have proven recent experience of working within a district nursing service? If so, we have an exciting opportunity available for the right candidate to join our district nursing service in Warrington and Halton Boroughs. We are currently looking for registered nurses with proven experience of working within a district nursing service for the role of senior community staff nurse. This includes palliative care, wound care, catheter care. If you feel you have the skills and experience to be able to manage a cohort of higher acuity/complex patient as directed by the team leader (caseload holder) we would welcome your application. Applicants will need to demonstrate excellent communication skills, and a sound ability to prioritise, time manage their own patient visit list, complete complex holistic assessments, lead on developing plans of care and supporting/mentoring junior staff members within in the service. All flexible working requests will be considered.Main duties of the job
The post holder will work as a senior member of the District Nursing Team collaborating with the Team Leader (caseload holder) and support the provision of clinical leadership within the team. A key feature of the role is to support the proactive management of patients with complex or higher acuity conditions on the District Nursing Caseload. This will include collaborating with other members of the multi-disciplinary team involved in the patients care to establish a person-centred approach to management of health/social care needs, that also promotes self-management. They will require the use of extended clinical skills and expert knowledge to assess the physical and psycho social needs of a defined patient group, instigating therapeutic treatments based on best available evidence in order to improve health outcomes. In doing so, they will assess, plan, deliver and evaluate patient centred programmes of care ensuring that they practice within their sphere of competence and knowledge. The post holder will work to professional and NMC codes, standards and guidance at all times ensuring that their practice is based on the most up to date evidence-based theory and practical knowledge. They will be responsible for developing new and innovative clinical practices responding to emerging knowledge and techniques and working with the District Nurse Coordinator, Team Leader and other, services, where appropriate to make improvements.About us
Flexible working will be considered for all roles.Unfortunately, we do not hold a sponsor licence for working Visas.
At Bridgewater, our PEOPLE values shape how we deliver our NHS services in your local community.
They help us deliver our mission to improve local health and promote wellbeing in the communities we serve.
After all, values are about people and they were created in partnership with our staff to reflect what they felt was important to them
Here at Bridgewater our shared values flow through the organisation.P
- Person-centred-We are passionate about individual needs and promote independence in the healthcare we provide..E
- Empowered- We empower our people and encourage new ideas to deliver and create improvements in community care.O
- Open and Honest -We behave in a way that develops relationships based on trust, openness, honesty and respect.P
- Professional-We support our people, so everyone has the right skills and training to deliver outstanding patient care.L
- Locally Lead -We are always learning about our communities and show great pride in being a local provider of health and care.E
- Efficient -We use our resources wisely to provide sustainable and value for money healthcare for our patients.Job descriptionJob responsibilities1. Clinical
Demonstrates a detailed theoretical and practical knowledge of common aetiologies, pathologies, conditions, and presentations involving a critical understanding of theories and principles.
Be proficient in core skills required to deliver care within a district nursing service such as tissue viability, palliative/end of life care, diabetes management.
Demonstrate innovative and specialist skills required for assessment and interpretation of complex patient conditions and determining the appropriate course of action.
Select methods and tools to holistically assess, plan, implement and evaluate in a complex patient condition.
Analyse and act appropriately in complex situation and escalate wherever applicable e.g., to District Nurse Coordinator, Team leader, Safeguarding Lead, GP.
Make judgements on complex facts requiring interpretation and comparing treatment/management options ensuring clinical reasoning is reflected accurately in case records.
Prioritises their own workload and support the Team Leader with allocation and workload management of the wider team, within agreed objectives deciding when to refer to others as appropriate.
Approach each individual with care, compassion and sensitivity ensuring that these values are reflected in all areas of practice including the management of any complaints and compliments.2. Leadership
Deputise for the Team Leader at internal and external meetings when required.
Support the Team Leader in developing effective lines of communication that ensures that the team are aware of the Trusts strategic direction and local business plan objectives and performance targets.
Ensures that a professional service and image is maintained at all times, thereby acting as a role model to all staff promoting a positive image of community nursing.
Provides a leadership style which is underpinned by strongly held values around equality, diversity, and openness effectively builds and maintains relationships with the wider team, management teams and other key individuals across the organisation.
Provide an educational role for patients, carers, and new team members.
Demonstrates the ability to delegate, organise and prioritise workload to ensure the safe delivery of care to an identified cohort of patients including the management of referrals and discharges using locally agreed support mechanisms e.g., on call manager and making judgements in complex situations.
Demonstrates clinical leadership, initiative, and creativity in identifying and supporting projects inspiring others to be positive in their contribution to continuous improvement.
Demonstrates resilience when responding to challenge, change and complex or difficult situations.
Ensures that all objectives, for self and those directly supervised by the post holder, are clearly defined within the wider Directorate framework and in line with Trusts objectives, using the appraisal process as a vehicle for this.
2.1. Takes responsibility for their own and others health and safety in the working environment.
To support the Team Leader in the management of higher acuity patients and leading on the assessment care planning and ongoing management of an identified cohort of patients.
Collaborate with primary care, secondary care and social services and other colleagues to plan and implement treatment as required.3. Learning and Development
Undertakes any training required to develop and maintain their proficiency in response to changes in service delivery or new and emerging techniques and demonstrate competence within professional body requirements.
Reflects on and evaluates own practice and identifies areas of development by setting appropriate objectives via appraisal and clinical supervision.
Conducts research projects, or other research and development activity, appropriate to clinical area.
Undertakes supervision and is responsible for teaching and training both inside and outside work area.
Supporting the Team leaders with the learning and development of others including students and preceptees providing supervision and mentorship to junior staff.
Support the Team Leader in reporting and investigating complaints and incidents.Partnership and Team Working
Actively develops and maintains effective clinical and corporate working relationships both within and outside the Trust.
Explores the potential for collaborative working and takes opportunities to initiate and sustain such relationships to improve and develop service delivery.
Actively contributes to the multi-disciplinary team supporting the patient including communication with external care providers, voluntary support services and other agencies acting as a credible source of information for other agencies/professionals involved in the care as required.Innovation and Quality
Implements, monitors, and maintains agreed standards of care, reporting to the Team Leader/District Nurse Coordinator when standards are not met.
Implements policies relevant to service area and supports the Team Leader to ensure team members are aware of policy requirements.
Identifies areas for improvement within own team and proactively addresses these with the support of the Team Leader/District Nurse Coordinator within the overall organisational governance frameworks and corporate objectives reflecting the changing needs of the population, local and national initiatives.
Actively works to continually improve the quality of own service area within the overall organisational governance frameworks and corporate objectives e.g., through audit or suggesting changes to practice.
Contributes to and undertakes clinical audit.
Works with District Nurse Coordinators, Team Leaders, and other key colleagues to identify, manage and minimise risks within the overall organisational risk management frameworks. This includes understanding and applying knowledge of clinical role in safeguarding and an active involvement in incident management processes.
Acts as an advocate for patients and their families/carers recognising the boundaries of their clinical knowledge liaising and referring on to other services / agencies as required.
Ensures that patient experience is core to all clinical care delivered and gaining support from the appropriate corporate teams as required.
Actively ensures completion of required data in a timely manner to meet the Quality Framework requirements, outcome measures and best practice standards in order to deliver an effective, high-quality service.Person SpecificationKnowledge & UnderstandingEssential
- Detailed theoretical and clinical knowledge appropriate to District Nursing service
- Knowledge of relevant current issues in health and social care, ethics, and innovation
- Demonstrates awareness of limits to knowledge base
- Application of clinical governance and quality measures in practice
- Experience in the clinical field or a closely related clinical area as part of a wider multidisciplinary team- Proven experience.
- Experience in supervising and delegating to other members of staff.
- Experience of clinical leadership skills e.g., leading/supervising junior staff and students.
- Working in community setting.
Skills and AttributesEssential
- Working in primary care-based teams
- Experience of acting in an advocate/champion role
- Specialist assessment, planning and evaluation skills.
- Complex analytical and creative problem-solving skills in unpredictable situations
- Leadership skills and excellent decision-making capabilities.
- Competent IT skills in order to collect and interpret data, present reports, and compile simple presentations.
- Effective verbal, non-verbal and written communication skills including communicating complex or potentially distressing information to patients / carers and managing conflict when appropriate.
- Risk assessment skills
- Reflective practice skills able to give clear and effective feedback.
- Able to research, understand and evaluate evidence in order to contribute to practice development
- Experience in research and/or clinical audit
- Workload management including delegation of tasks and day-to-day team leadership.
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