Community Registered NurseNHS

Job summary

Up to 22 hrs per week

As an NHS provider, we are at the forefront of out of hours community nursing. We invite you to discuss our career opportunities. Please call Glynis Jenkins on 01752 435567

Our core hours are 17:00 - 08:30, 7 days a week, 365 days a year.

The role requires positivity & excellent communication, leadership & caseload management abilities. A need to demonstrate integrity & initiative, sound clinical knowledge with evidenced based practice & the ability to support the team, approaching your work in a co-ordinated way

We work integrated with primary care, adult social care, therapists, urgent & intermediate care services alongside our specialist services informing our ageing well MDTs which facilitates shaping our future to deliver great quality care for housebound individuals.

We strive to improve health outcomes & patient experience. This role supports people in their own home and care homes with our Care Home Service. Through expert advice & clinical support & treatment, promoting the optimum quality of life. Whilst providing an effective & efficient service delivery, utilising health promotion, wound, medication sub cutaneous, intra muscular and intravenous , end of life care and continence management.

Please note that this role may not be eligible for sponsorship under the Skilled Worker route, please refer to the Direct Gov website for more information with regards to eligibility

Main duties of the job

Community Registered Nurse within Urgent Care Nursing Service. Your role is vital in terms of coordinating peoples care through holistic evidence-based best practice in accordance with National and Organisational approved polices/procedures.

You will be an autonomous practitioner and role model. Responsible for assessing, triaging, planning, implementation and evaluation of care, support the Community Sister/Charge Nurse in their absence.

Manage sensitive issues and overcome obstacles in communication.

Required to undertake a robust induction, a mentor will be allocated to support your learning and development.

We offer training with required competencies for you to build on your knowledge, experience, and skills. You will be expected to undertake continued learning with accessibility to accredited courses.

Required to be competent, diagnose and investigate. Have sound knowledge and judgement providing evidence-based wound management and pressure ulcer prevention. Continence management, palliative, and end of life care.

Ability to frequently travel independently across Plymouth, South Hams and West Devon in a timely manner between Livewell Southwest sites and community locations including areas not served by public transport.

This job advertisement may close earlier than the specified deadline if a high number of applications are submitted.

LW staff are expected to be able and willing to work across a 7-day service.

Job description

To be responsible for assessing, triaging, planning, implementing, evaluating care which may be complex, sensitive and unpredictable with the support of senior nurse / nurse specialist/caseload holder To support the team and delivery of care, application of clinical judgement in day-to-day changes in patients' needs and circumstances external to the individual, determining when to seek advice from senior clinical or management staff. This includes response to immediate crisis. To undertake and to develop all nursing skills and competencies, updating as required for their role to enhance the skill mix of the nursing team ensuring that the ever-changing health needs of patients are met. To maintain accurate records, which are confidential, contemporaneous, legible, and all care given to be documented. These records may be paper or IT based system and must be maintained as specified in the LWSW Policies, the relevant professional body guidelines and Government directives. To provide clinical supervision to other staff and students. Promoting and supporting people in their care and treatment to help them manage their own health and wellbeing, maximising independence and facilitating health promotion. Depending on role you will be required to work within a defined geographical area undertaking specific clinical nursing duties to patients in a variety of settings such as their own homes, care homes.

To work within the scope of the NMC professional code of practice. Moving across the organisation should the need arise, for example, in a pandemic situation. To work within Livewell Southwest policies Promoting and supporting people in their care and treatment to help them manage their own health and wellbeing, maximising independence and facilitating health promotion. To undertake and to develop all nursing skills and competencies, updating as required for the role to enhance the skill mix of the nursing team, ensuring that the ever-changing health needs of the patients are met Share knowledge and skills and empower others. Some services you may require additional training to deliver intravenous medication or additional specialist nursing skills for your role. To work collaboratively and maintain key working relationships with managers and service / practice leads. Provide holistic evidence based / best practice care to patients in accordance with national and organisational approved policies / procedures and individual care plans. To act as a clinical advisor on health promotions within their areas of expertise and act as a Link Nurse. To undertake all required training to develop competencies required for the role.

To be responsible in the absence of the senior clinical Nurse Manager to manage own workload and delegate nursing care to appropriately skilled staff and ensure that these are supported. To assume responsibility as delegated by a senior member of staff. To act as a role model for all staff and students demonstrating specialist clinical skills and high standards of practice and professional conduct. To share knowledge and information to promote a cohesive team. To take responsibility for your own personal and professional development, maintain competence, knowledge and skills commensurate with the role. To assess, teach, support, and supervise colleagues including Pre-registration students and medical students. To participate in team activities to develop and consolidate a cohesive and supportive team ensuring openness within the team. To facilitate and participate in the development of team members, competencies, clinical supervision and staff performance as directed by the Service Lead. To participate in the recruitment and selection of new staff. To participate in coordinator/duty rota as required.

To exercise a duty of care in relation to the use of the organisations equipment and resources in a cost-effective manner. To use Livewell Southwest resources responsibly. To work in collaboration with the budget holder, you may be required to be an authorised signatory for ordering stores, equipment, and stationery. To ensure that all loans of equipment are monitored and maintained in good working order as per operational policy. To monitor stock levels and ensure the supply levels are sufficient to meet the demands of the service.

To maintain accurate records, which are confidential, contemporaneous, legible, and all care given to be documented. These records may be paper or IT based system and must be maintained as specified in the LWSW Policies, the relevant professional body guidelines and Government directives. To oversee the standard of patients records by audit or peer review and have a regular open discussion with team members. To complete on time and submit all necessary forms, documentation, including IT data and forward as required by the manager/organisation. To support in the triage process accepting appropriate referrals directly from other disciplines, patients, carers and members of the public and/or refer to other agencies where appropriate. To be responsible for organising own time management on a daily basis in line with caseload demands balancing patient needs with the administrative aspect of the role. To be involved in all aspects of clinical governance including audits and research. To preserve confidentiality and be aware of GDPR, Access to Health Records and consent to treatment. Responsibility for people who use our services Be responsible for contributing to the holistic assessment, planning delivery and evaluation of care to patients within their own homes. Implement, monitor and maintain high standards of care delivery at all times. To act as a patient advocate as required ensuring individual needs, preferences and choices are delivered by the service. Support CHC assessment and case management as part of the MDT for people at home where the community nurse is identified as the most appropriate community team member. To be involved in all steps of a patient's journey from referral to discharge. To undertake health promotion as requested to all age groups and contribute to planned health promotion activities e.g. NSFs, smoking cessation and long-term conditions. To act as a resource in providing advice and support for patients, relatives, carers, and other agencies. To have a flexible approach to the working day in order to meet the needs of the patient/service. To support the monitoring of patient satisfaction and promote appropriate service developments. To signpost to appropriate services, statutory and voluntary bodies. To have good communication skills which enable you to effectively communicate with patients, their relatives and carers about sensitive and accurate information about their condition. To support the prevention of hospital admissions. To undertake comprehensive risk assessments of all situations associated with the care of patients in order to ensure nurses and the carers safety. This might include the assessment and provision of equipment ensuring it is used safely. To provide holistic evidence based / best practice care to patients in accordance with National and LWSW approved policies/procedures and individual care plans. Responsibility for implementation of policy and/or service developments To be aware of and abide by Livewell Southwest approved policies, patient group directives, standards and quality assurance initiatives. To support development and review of policies, protocols, clinical guidelines, documentation systems and education materials to direct own and others practice in line with best practice, professional forums, ensuring the clinical practice reflects national and local drivers. To Preserve confidentiality and be aware of the GDPR, Data Protection Act, Access to Health Records and Consent for Treatment. To report and record all incidents and near misses relating to health, safety, security, fire, physical violence, aggression, and verbal abuse. To monitor and maintain the health, safety and security of self, others in the team and patients. To integrate theory into practice by bringing new knowledge a from training into the practice environment. Evaluate the impact of these training programmes, for patients and carers, to ensure that they provide the necessary knowledge and skills to gain independence, safely manage changing circumstances and plan for unavoidable progression of conditions.

To act as a change agent, Organisation wide, initiating, facilitating, and supporting change initiatives, across professional boundaries.

To work within the scope of the NMC professional code of practice. Ability to use a computer, being responsible for timely recording of patient activities for IT, data collection, dealing with e-mail queries, stock and equipment ordering. To have an up-to-date personal development plan and professional portfolio. To participate in an annual appraisal of their work in line with the Knowledge and Skills Framework (KSF) where the job description will be reviewed and objectives set. In line with the annual development plan the postholder will be expected to undertake any training or development required to fulfill their role. To monitor own performance against agreed objectives through personal development plans, NMC regulations and maintain professional expertise by arranging and attending meetings, study days and in service training to support their own role and that of others. To complete specific clinical competencies relevant to role and ensure these are updated. Problem-solve and liaise as soon as possible with the Clinical Nurse / Caseload Holder issues that may arise. Continually re-prioritising workload due to the unpredictability and demands for urgent visits.

About us

Livewell Southwest is an independent, award-winning social enterprise delivering integrated health and social care services across Plymouth, South Hams, and West Devon, with specialist services in parts of Devon and Cornwall. Our teams work in community hospitals, GP practices, sports centres, and health hubs.

As an organisation with a strong social conscience we are guided by our values, kindness, respect, inclusivity, ambition, responsibility, and collaboration. We focus on transforming services to ensure sustainability, while empowering staff and those we serve.

We involve the people we care for, along with their families and carers, in shaping the care they receive, striving to deliver the right care at the right time and place. Centering our work on individual needs helps people lead healthy, independent lives.

We prioritise employees' development, offering protected CPD time, training pathways, leadership programs, and funding for qualifications like the Care Certificate and Nurse Training Scholarships. Our induction and preceptorship programs ensure a smooth transition into our organisation.

Livewell Southwest values diversity and encourages applications from all sections of the community, including those with armed forces experience, lived experience of mental health, neuro-diverse conditions and learning disabilities. If you need assistance or reasonable adjustments during the application process, contact the Recruiting Manager listed in the job advert.