Community Sister/Charge Nurse

Be responsible for the provision of planned and unplanned care to patients and theirCarers in a defined geographical area working as part of a twenty four hour District Nursing Service Be able to respond to urgent referrals for patients, carers and the multi-disciplinary team To triage and accept appropriate referrals directly from other disciplines, patients, carers and members of the public and / or refer to other agencies where appropriate Be responsible for assessing, diagnosing, planning, organising & reviewing complex packages of care including case conferences the candidate must have the knowledge and confidence to have delicate conversations around advance care planning in anticipation of end of life care including treatment escalation and have the skills required to make clinical decisions around resuscitation status based on the persons clinical presentation. Ensure privacy, dignity and human rights are respected for all patients and carers. Undertake comprehensive risk assessments of all situations associated with the care ofpatients in order to ensure nurses and the carers safety Assessments might include the provision of equipment ensuring it is used safely Be responsible for overseeing, monitoring of equipment and ensuring maintenance &repair. To report and records all incidents and near misses relating to health, safety, security, fire,physical violence, aggression and verbal abuse. Maintain accurate records, which are confidential, up to date , legible and that all caregiven has to be documented. These records may be paper or IT based system and must bemaintained as specified in the Trust Policies, NMC guidelines and Government directives. Thepost holder will be expected to oversee the standard of patients records by audit or peer review and have a regular open discussion with team members. The post holder is required to comply with all infection control policies and guidance,attend relevant updates and report issues of concern to their immediate line manager if no action orexplanation received, then it is the individuals responsibility to escalate to Director of Operationsor Chief executive office To monitor & maintain the health, safety and security of self and others Be responsible for organising own time management on a daily basis in line withcaseload demands balancing patient needs with the non clinical aspect of the role Work within challenging and unpredictable environments e.g. patients homes, whichmay have constraints that require adaptability Act as a clinical advisor on health care issues within their area of expertise. Undertake health promotion whenever possible to all age groups and also contribute toplanned health promotion activities. Nurse Prescriber and takes responsibility for prescribing in line with Non-medical Prescribing policy and within the Devon Formulary. Identify community health needs and participate in new projects, research and audit. Act as a role model for other staff and students demonstrating high standards of practice and professional conduct. Be involved with the development, implementation and monitoring of standards. Develop links with other professional and voluntary bodies to ensure maximumeffectiveness of the service and patient care. Work alongside the Community Matron for Long Term conditions if appropriate in monitoring complex health needs of the patients and reduce hospital admissions Ensure that work which is often unpredictable is prioritised and suitably delegated to othermembers of the multi-disciplinary team. Implement, participate and facilitate Clinical Supervision as per organizational Policy. Participate in an annual appraisal of their work in line with the Knowledge and SkillsFramework (KSF) where the job description will be reviewed and objectives set. In line with theannual development plan the post holder will be expected to undertake any training ordevelopment required to fulfil their role. Be conversant and adhere to the vulnerable adult and child protection procedures &Organizational polices. Support the District Nursing Manager regarding equity of workload throughout the largerTeam & deputise in his/her absence.

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