Senior Community Nurse

Bridgewater Community Healthcare NHS Foundation TrustAre you a registered nurse who is looking toprogress in their career within the area of district nursing? Do you have recent experience of working within a district nursing service? If so, we have an exciting opportunityavailable for the right candidate to join our district nursing service inWarrington. We are currently looking for registered nurses with provenexperience of working within a district nursing service for the role of seniorcommunity staff nurse. This includespalliative care, wound care, catheter care. If you feel you have the skills andexperience to be able to manage a cohort of higher acuity/complex patient asdirected by the team leader (caseload holder) we would welcome yourapplication. Applicants will need to demonstrate excellent communicationskills, and a sound ability to prioritise, time manage their own patient visitlist, complete complex holistic assessments, lead on developing plans of careand supporting/mentoring junior staff members within in the service. Allflexible working requests will be considered.Main duties of the jobThe post holder willwork as a senior member of the District Nursing Team collaborating with theTeam Leader (caseload holder) and support the provision of clinical leadershipwithin the team. A key feature of the role is to support the proactive managementof patients with complex or higher acuity conditions on the District NursingCaseload. This will include collaborating with other members of themulti-disciplinary team involved in the patients care to establish aperson-centred approach to management of health/social care needs, that alsopromotes self-management. They will require the use of extended clinical skillsand expert knowledge to assess the physical and psycho social needs of adefined patient group, instigating therapeutic treatments based on bestavailable evidence in order to improve health outcomes. In doing so, they willassess, plan, deliver and evaluate patient centred programmes of care ensuringthat they practice within their sphere of competence and knowledge. The postholder will work to professional and NMC codes, standards and guidance at alltimes ensuring that their practice is based on the most up to dateevidence-based theory and practical knowledge. They will be responsible fordeveloping new and innovative clinical practices responding to emergingknowledge and techniques and working with the District Nurse Coordinator, TeamLeader and other, services, where appropriate to make improvements.About usFlexible 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 ourNHS services in your local community.They help us deliver our mission to improve local health andpromote wellbeing in the communities we serve.After all, values are about people and they werecreated in partnership with our staff to reflect what they felt was importantto themHere at Bridgewater our shared values flow through the organisation.P- Person-centred-We are passionate about individual needs andpromote 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 relationshipsbased on trust, openness, honesty and respect.P- Professional-We support our people, so everyone has the rightskills and training to deliver outstanding patient care.L- Locally Lead -We are always learning about our communities andshow great pride in being a local provider of health and care.E- Efficient -We use our resources wisely to providesustainable and value for money healthcare for our patients.Job responsibilities1. ClinicalDemonstrates adetailed theoretical and practical knowledge of common aetiologies,pathologies, conditions, and presentations involving a criticalunderstanding of theories and principles.Be proficient in coreskills required to deliver care within a district nursing service such astissue viability, palliative/end of life care, diabetes management.Demonstrateinnovative and specialist skills required for assessment and interpretationof complex patient conditions and determining the appropriate course ofaction.Select methods andtools to holistically assess, plan, implement and evaluate in a complexpatient condition.Analyse and actappropriately in complex situation and escalate wherever applicable e.g., toDistrict Nurse Coordinator, Team leader, Safeguarding Lead, GP.Make judgements oncomplex facts requiring interpretation and comparing treatment/managementoptions ensuring clinical reasoning is reflected accurately in case records.Prioritises their ownworkload and support the Team Leader with allocation and workload managementof the wider team, within agreed objectives deciding when to refer to othersas appropriate.Approach eachindividual with care, compassion and sensitivity ensuring that these valuesare reflected in all areas of practice including the management of anycomplaints and compliments.Deputise for the TeamLeader at internal and external meetings when required.Support the TeamLeader in developing effective lines of communication that ensures that theteam are aware of the Trusts strategic direction and local business planobjectives and performance targets.Ensures that aprofessional service and image is maintained at all times, thereby acting asa role model to all staff promoting a positive image of community nursing.Provides a leadershipstyle which is underpinned by strongly held values around equality,diversity, and openness; effectively builds and maintains relationships withthe wider team, management teams and other key individuals across theorganisation.Provide aneducational role for patients, carers, and new team members.Demonstrates theability to delegate, organise and prioritise workload to ensure the safedelivery of care to an identified cohort of patients including the managementof referrals and discharges using locally agreed support mechanisms e.g., oncall manager and making judgements in complex situations.Demonstrates clinicalleadership, initiative, and creativity in identifying and supporting projectsinspiring others to be positive in their contribution to continuousimprovement.Demonstratesresilience when responding to challenge, change and complex or difficultsituations.Ensures that allobjectives, for self and those directly supervised by the post holder, areclearly defined within the wider Directorate framework and in line withTrusts objectives, using the appraisal process as a vehicle for this.Takes responsibilityfor their own and others health and safety in the working environment.To support the TeamLeader in the management of higher acuity patients and leading on theassessment , care planning and ongoing management of an identified cohort ofpatients.Collaborate withprimary care, secondary care, social services and other colleagues to planand implement treatment as required.3. Learning and DevelopmentUndertakes anytraining required to develop and maintain their proficiency in response tochanges in service delivery or new and emerging techniques and demonstratecompetence within professional body requirements.Reflects on andevaluates own practice and identifies areas of development by settingappropriate objectives via appraisal and clinical supervision.Conducts researchprojects, or other research and development activity, appropriate to clinicalarea.Undertakessupervision and is responsible for teaching and training both inside andoutside work area.Supporting the Teamleaders with the learning and development of others including students andpreceptees providing supervision and mentorship to junior staff.Support the TeamLeader in reporting and investigating complaints and incidents.Partnership and Team WorkingActivelydevelops and maintains effective clinical and corporate working relationshipsboth within and outside the Trust.Explores thepotential for collaborative working and takes opportunities to initiate andsustain such relationships to improve and develop service delivery.Actively contributesto the multi-disciplinary team supporting the patient including communicationwith external care providers, voluntary support services and other agencies;acting as a credible source of information for other agencies/professionalsinvolved in the care as required.Innovation and QualityImplements, monitors,and maintains agreed standards of care, reporting to the Team Leader/DistrictNurse Coordinator when standards are not met.Implements policiesrelevant to service area and supports the Team Leader to ensure team membersare aware of policy requirements.Identifies areas forimprovement within own team and proactively addresses these with the supportof the Team Leader/District Nurse Coordinator within the overallorganisational governance frameworks and corporate objectives reflecting thechanging needs of the population, local and national initiatives.Actively works to continually improve the quality of ownservice area within the overall organisational governance frameworks andcorporate objectives e.g., through audit or suggesting changes to practice.Contributes to and undertakes clinical audit.Works with District Nurse Coordinators, Team Leaders, andother key colleagues to identify, manage and minimise risks within theoverall organisational risk management frameworks. This includesunderstanding and applying knowledge of clinical role in safeguarding and an activeinvolvement in incident management processes.Acts as an advocate for patients and theirfamilies/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 clinicalcare delivered and gaining support from the appropriate corporate teams asrequired.Actively ensures completion of required data in a timelymanner to meet the Quality Framework requirements, outcome measures and bestpractice standards in order to deliver an effective, high-quality service.Person SpecificationQualificationsRegistered NurseEvidence of proficiency in core skills required for delivery of care within a district nursing service such as, tissue viability, palliative care, diabetes management.Mentorship qualification / skills and/or experience or committed to undertaking appropriate mentorship programme.Evidence of continual professional developmentMentorship qualification or equivalentNon-medical prescribingClinical examinationClinical SkillsTissue ViabilityPalliative CareDiabetes managementFrailtyExperienceExperience in the clinical field or a closely related clinical area as part of a wider multidisciplinary team.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.Working in primary care-based teams.Experience of acting in an advocate/champion role.SponsorshipDo you have the right to stay and work in the UK without sponsorship (share-codes will be checked if applicable), please state this on your application form.Skills & AttributesSpecialist 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.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.Additional CriteriaKnowledge and UnderstandingDetailed 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.Attitude and BehaviourDisplays care, compassion, sensitivity, and responsiveness to other peoples feelings and needs.Able to work as part of a team, co-operating to work together and in conjunction with others and willing to help and assist wherever possible and appropriate appreciating the value of diversity in the workplace.Able to develop, establish and maintain positive relationships with others both internal and external to the organisation and with patients and their careers.Able to work under pressure, dealing with peaks and troughs in workload managing unpredictable service demands.Positive and flexible attitude to dealing with change explore new ways of doing things and approaches.Able to respond to the changing needs of the patient in a proficient and timely manner.Demonstrates values consistent with those of the Trust.Ability and willingness to adopt a flexible approach to work on the occasions it may be required.Ability to travel independently.Application of clinical governance and quality measures in practice.RelationsIf you are related to a director or have a relationship with a director or employee of an appointing organisation, please state the relationship in your application form.Disclosure and Barring Service CheckThis post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.Bridgewater Community Healthcare NHS Foundation TrustPlease quote job reference C9835-WA24-028
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