Staff Nurse Neighbourhood Rehabilitation Service (Intermediate Care)

JOB SUMMARY: Responsible for delivering skilled nursing care to patients in home and community-based settings. To be responsible for the assessment, co-ordination, implementing and evaluation of care for Neighbourhood Rehabilitation patients, reporting and escalating relevant information to appropriate health and social care professionals. Deliver evidence-based care, which is safe, effective, in a manner which is caring, compassionate and enables individuals to reach an optimum level of functioning, independence, rehabilitation and recovery. Work in an integrated and partnership way with primary, secondary, social care, the independent and voluntary sector, and others to improve the health and care of patients. Undertake and maintain the required statutory, mandatory and core training and preparation to meet the specific clinical needs of the service. Participate in the training of learners / mentoring student nurses on placement and supporting staff inductions where appropriate. To undertake vaccinations for the Neighbourhood Rehabilitation service including peers. KEY RESULT AREAS: Core duties and responsibilities: Responsible for delivering skilled nursing care to patients in the community setting e.g. recording and monitoring a patients clinical observations, wound care management, medicines management including screening and vaccination and immunisations. Participate in the planning and delivery of packages of care, including liaison with other health professionals and statutory and voluntary agencies to deliver skilled nursing care and support any changes. Responsible for the liaison between patients/carers and other agencies which includes arranging and co-ordinating multi-disciplinary team meetings to evaluate patient care and ensure effective use and timely transfers from the service. Demonstrate a range of clinical skills that supports high quality person-centered care for the caseload population working autonomously in a variety of community settings. Record all patient contacts and activities accurately and contemporaneously maintaining accurate records and statistical returns as required by the Trust including entering data onto the Trusts systems within the required timeframes. To be responsible for assessing telephone enquiries from the general public and residential and nursing home staff leading to giving advice or attending the patient to carry out an assessment and/or treatment. To be a skilled communicator establishing and maintaining excellent relationships with Health and Social Care professionals, initiating referrals where appropriate to ensure adequate support for patients and carers. Work in partnership with individuals, formal and informal carers, and other services to promote the concept of self-care and patient-led care where possible, providing appropriate education and support to maximise the individuals independence and understanding of their condition(s) in achieving their health outcomes. Lead and foster a culture of openness and recognition of duty of candour in which each team member is valued, supported, and developed, inspiring a shared purpose to support the delivery of high-quality effective care. Contribute to the development, collation, monitoring, and evaluation of data relating to service improvement and development, quality assurance, quality improvement and governance, reporting incidents and developments related to community nursing ensuring that learning from these, where appropriate, is disseminated to a wider audience to improve patient care. Work within the clinical governance framework to maintain consistent high standards of care, working from an evidence base and current best practice. To be a link nurse for the team in identified areas e.g., continence and infection control. To be aware of and implement health and safety policies which includes completing incident forms and participating in investigation of incidents as appropriate. Contribute to the development of and implementation of policies, procedures, and guidelines relevant to own area of work. Act as a mentor for students and participate in all aspects of and levels of training in order to consolidate theoretical and practical teaching of staff and learners. To participate in Clinical Supervision within the team on a regular basis. COMMUNICATION WITH OTHERS: Establish and maintain effective communication with patients, relatives, and carers in complex and potentially challenging situations. Team members daily, to provide workload cover and professional support. The caseload holder and management team to provide managerial support and advice and to facilitate professional development. Health and social care professionals Staff in the independent sector Statutory and voluntary agencies Trust Values: The Trust is committed to ensuring the highest standards of care and treatment and expects that all staff treat people e.g, service users, their carers, relatives, friends, colleagues, visitors etc, with dignity and respectat all time. The post holder must all time act in accordance with the Trusts Values: Honest, open, transparent Respectful Person first and in the centre Improve and be outstanding Relevant today, ready for tomorrow Families and carers matter Safeguarding: Report any concerns regarding the safety or wellbeing of children, adults service users, members of their families etc, in accordance with Trust Policy. Prevent and respond appropriately to abuse and understand own role in this by undertaking Safeguarding training. Trust policies and commitments to be read in line with the relevant Trust Policy: All staff employed by the Trust must comply with the Trusts policies and procedures, undertake appropriate training required for their role and commit to: ensure they are aware of the Whistleblowing Policy and how they raise concerns; maintain confidentiality, in line with the Trusts Confidentiality Policy and Code of Conduct; understand their personal responsibilities with regards to data quality for any information which they create, use or process in accordance with the General Data Protection Regulation (GDPR), The Data Protection Act 2018 (DPA) and Trust Data Protection policy; comply with the provisions of The Trusts Health and Safety Policy and Protocol. Ensuring their own safety and that of colleagues, service users and visitors. Know the action to be taken in the event of a fire and must undertake fire training annually; receive supervision in line with the Trusts Supervision Policy and an annual Appraisal in line with the Trusts Appraisal Policy, during which mandatory, role specific and personal development needs should be identified and agreed; understand their responsibilities under the Trusts Equal Opportunities in Employment Policy and ensure that they adhere to the provisions of the policy; recognise, respect and support the equality diversity of staff, colleagues, service users, carers and the public. Contribute to a working environment which promotes and responds positively to difference and diversity; ensure they carry out their duty to safeguard and promote the welfare of children and young people under the age of 18 years, as issued under Section 11 of The Children Act 2004, by being familiar with and adhering to Trust safeguarding policies and participatingin relevanttraining; comply with their professional responsibilities to develop their practice and deliver care through a Clinical Governance framework (i.e. CPD, Audit, Supervision); demonstrate, through practice and practical understanding, the importance of the continual development of individual, team and service wide quality improvement; abide by relevant codes of professional practice, with the organisation taking action when codes of conduct are breached; work flexibly to meet the needs of the service/organisation, whilst working within a culture of progressive employment practices and commitment to the Investors in People (IiP) Standards. adhere to the Trusts smoke free policies, which prohibits smoking anywhere on Trust grounds; being socially responsible by complying with measures that support the Trust in reducing or offsetting our environmental impact; Identify and report risks, hazards, incidents, accidents and near misses promptly; In addition to the Trusts own responsibilities under the Health and Social Care Act 2008, Code of Practice on the prevention and control of infections and related guidance, for your safety, ALL staff (and contractors) are responsible for ensuring their work adheres to this Code in the delivery of safe patient care. This job description is an outline of the main duties of the post. The postholder will be required to undertake other duties commensurate with the band as directed. The content of this post will be reviewed in consultation with the postholder when necessary and in line with the service developments. For full details of the role please see the supporting documents attached.

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