Senior Community Nurse - District Nursing

at  Bridgewater Community Healthcare NHS Foundation Trust

1. Clinical Demonstrates a detailed theoretical and practical knowledge of common aetiologies, pathologies, conditions, and presentations involving a critical understanding of theories and principles. Be proficient in core skills required to deliver care within a district nursing service such as tissue viability, palliative/end of life care, diabetes management. Demonstrate innovative and specialist skills required for assessment and interpretation of complex patient conditions and determining the appropriate course of action.
   Select methods and tools to holistically assess, plan, implement and evaluate in a complex patient condition. Analyse and act appropriately in complex situation and escalate wherever applicable e.g., to District Nurse Coordinator, Team leader, Safeguarding Lead, GP. Make judgements on complex facts requiring interpretation and comparing treatment/management options ensuring clinical reasoning is reflected accurately in case records. Prioritises their own workload and support the Team Leader with allocation and workload management of the wider team, within agreed objectives deciding when to refer to others as appropriate.
   Approach each individual with care, compassion and sensitivity ensuring that these values are reflected in all areas of practice including the management of any complaints and compliments. 2. Leadership Deputise for the Team Leader at internal and external meetings when required. Support the Team Leader in developing effective lines of communication that ensures that the team are aware of the Trusts strategic direction and local business plan objectives and performance targets.
   Ensures that a professional service and image is maintained at all times, thereby acting as a role model to all staff promoting a positive image of community nursing. Provides a leadership style which is underpinned by strongly held values around equality, diversity, and openness; effectively builds and maintains relationships with the wider team, management teams and other key individuals across the organisation. Provide an educational role for patients, carers, and new team members. Demonstrates the ability to delegate, organise and prioritise workload to ensure the safe delivery of care to an identified cohort of patients including the management of referrals and discharges using locally agreed support mechanisms e.g., on call manager and making judgements in complex situations.
   Demonstrates clinical leadership, initiative, and creativity in identifying and supporting projects inspiring others to be positive in their contribution to continuous improvement. Demonstrates resilience when responding to challenge, change and complex or difficult situations. Ensures that all objectives, for self and those directly supervised by the post holder, are clearly defined within the wider Directorate framework and in line with Trusts objectives, using the appraisal process as a vehicle for this. 2.1.
   Takes responsibility for their own and others health and safety in the working environment. To support the Team Leader in the management of higher acuity patients and leading on the assessment care planning and ongoing management of an identified cohort of patients. Collaborate with primary care, secondary care and social services and other colleagues to plan and implement treatment as required. 3.
   Learning and Development Undertakes any training required to develop and maintain their proficiency in response to changes in service delivery or new and emerging techniques and demonstrate competence within professional body requirements. Reflects on and evaluates own practice and identifies areas of development by setting appropriate objectives via appraisal and clinical supervision. Conducts research projects, or other research and development activity, appropriate to clinical area. Undertakes supervision and is responsible for teaching and training both inside and outside work area.
   Supporting the Team leaders with the learning and development of others including students and preceptees providing supervision and mentorship to junior staff. Support the Team Leader in reporting and investigating complaints and incidents. Partnership and Team Working Actively develops and maintains effective clinical and corporate working relationships both within and outside the Trust. Explores the potential for collaborative working and takes opportunities to initiate and sustain such relationships to improve and develop service delivery.
   Actively contributes to the multi-disciplinary team supporting the patient including communication with external care providers, voluntary support services and other agencies; acting as a credible source of information for other agencies/professionals involved in the care as required. Innovation and Quality Implements, monitors, and maintains agreed standards of care, reporting to the Team Leader/District Nurse Coordinator when standards are not met. Implements policies relevant to service area and supports the Team Leader to ensure team members are aware of policy requirements. Identifies areas for improvement within own team and proactively addresses these with the support of the Team Leader/District Nurse Coordinator within the overall organisational governance frameworks and corporate objectives reflecting the changing needs of the population, local and national initiatives.
   Actively works to continually improve the quality of own service area within the overall organisational governance frameworks and corporate objectives e.g., through audit or suggesting changes to practice. Contributes to and undertakes clinical audit. Works with District Nurse Coordinators, Team Leaders, and other key colleagues to identify, manage and minimise risks within the overall organisational risk management frameworks. This includes understanding and applying knowledge of clinical role in safeguarding and an active involvement in incident management processes.
   Acts as an advocate for patients and their families/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 clinical care delivered and gaining support from the appropriate corporate teams as required. Actively ensures completion of required data in a timely manner to meet the Quality Framework requirements, outcome measures and best practice standards in order to deliver an effective, high-quality service

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