Community Nurse

Overview

To work as a member of the Community Nursing Team within an Integrated Community team (ICT) delivering care to patients/residents within an Integrated Care Team population. To provide a high standard of skilled nursing care to people in their own homes or clinic settings. To manage the Community Nursing Team and Nursing Caseload in the absence of the team Leader - District Nurse / Senior Community Nurse (for annual leave, study leave & sickness).

• Assess patient and carer needs through strength-based assessment.
• Develop individual care plans in partnership with patients and carers, including information, advice, sign-posting and education.
• Provide skilled nursing care interventions, support and advice to colleagues, patients and carers.
• Collaborate with colleagues in the Integrated Community Teams and other aligned services to enable people within their communities, maximise their potential and promote their independence.
• Administer and monitor medications consistent with policies and procedures.
• Assist in providing consistently high standards of evidence-based care that meets the patient s requirements and satisfaction.
• Maintain accurate patient documentation on the electronic clinical recording system.
• Regularly evaluate care plans to ensure they are up to date and appropriate, reporting clinical changes or areas of concern to the appropriate member of the team.
• Work to reduce unwarranted variation in clinical practice, providing evidence-based interventions which effectively enable people.
• Discuss issues relating to care and support of individual patients with other disciplines and agencies, and refer to those who can better meet their needs.
• Contribute to the prioritisation of workload, taking responsibility for a delegated caseload of patients.
• Respond appropriately to feedback from patients and carers about the service, using an open approach and within Duty of Candour expectations.
• When suitably experienced, act as a Named Nurse, providing care oversight for a defined cohort of patients managed in the ICT Community Nursing caseloads.
• When suitably experienced, act as a clinical triage nurse within the centralised Community Nursing referral centres, providing clinical review of patients and engaging with health and care professionals to enable effective patient flow and referral management.