Community Nurse

Clinical Responsibilities • Participating in the undertaking of health needs reviews and health assessments to identify needs and plan care accordingly. • To identify, plan and manage risk of an individuals care needs, relating to physical health, behavioural and or mental health. • To be responsible for assessing, planning and making recommendations for future care in partnership with patient, carer and multi-professional agencies including case conferences for reviewing the packages of care and care co-coordinating as appropriate. • To liaise with Primary and Secondary care agencies to ensure better health outcomes for individuals. • To work within the Mental Capacity Act and evidence best interest decision making. • To maintain effective and appropriate communication networks with members of the multi-disciplinary team, the independent sector homes and all stakeholder agencies and organisations to ensure that the individual care needs can be met. • To contribute to multi-disciplinary team specialist assessments. • Ability to work as an autonomous practitioner, planning, prioritising and organising workload according to the needs of the service. • To provide any relevant information and explanation to clients and carers at a level commensurate with their ability to understand using total communication. • To provide evidence-based advice and guidance to care staff on the management of health needs to patients and signpost to other services. • To act as a supervisor and/or assessor for students demonstrating high standards of practice and professional conduct. • To undertake health promotion/education whenever possible to all adults with LD and also to contribute to planned health promotion activities. • To work with all other agencies with regards to the safeguarding process. Managerial Responsibilities • To be responsible for coordinating reviews as per guidelines • Prioritise caseload to meet competing demands • To be aware of and abide by the LWSW policies, standards and Clinical Governance initiatives. • Present confidentiality and be aware of the Data Protection Act, access to health records and consent for assessment process. • Involvement in continual audit and review of services to determine quality. • Maintain safe record-keeping and confidential practice, in line with LWSW and professional guidance and be aware of the Data Protection Act, access to health records and consent for assessment process. • To ensure electronic record keeping policy is adhered to. Professional Responsibilities • To maintain a high professional standard of conduct at all times in accordance with NMC/ professional bodies code of professional conduct. Maintain an active status on NMC/ professional bodies register. • To maintain own re-validation portfolio. • Assume responsibility for own professional development and personal knowledge. Undertake and contribute to research where appropriate. • Monitor own performance against agreed objectives through the process of appraisal and personal development plans and professional body regulations. • Maintain professional expertise by arranging and attending meetings, study days and mandatory training and service training. • Plan and participate in the supervision and provision of experience for all nurse learners and other personnel as appropriate. • Participate in regular line management, caseload management and clinical supervision. • To deliver appropriate training and subsequent support to other staff, students and outside agencies when required. COMMUNICATIONS AND RELATIONSHIPS • The post holder will be required to work within the MDT function of the CLDT and may need to be part of wider MDT groups relating to client need. • The post holder will liaise between other health, social and educational services in assessing, planning and reviewing client care needs/service provision. • The post holder will also work with other voluntary and secondary care providers. PHYSICAL DEMANDS OF THE JOB • Ability to frequently travel independently and in a timely manner between Livewell Southwest sites and community locations including areas not served by public transport. • Use of keyboard and computer screen for assessments and record keeping daily. Please see attached full Job Description and Person Specification Job description Job responsibilities Clinical Responsibilities • Participating in the undertaking of health needs reviews and health assessments to identify needs and plan care accordingly. • To identify, plan and manage risk of an individuals care needs, relating to physical health, behavioural and or mental health. • To be responsible for assessing, planning and making recommendations for future care in partnership with patient, carer and multi-professional agencies including case conferences for reviewing the packages of care and care co-coordinating as appropriate. • To liaise with Primary and Secondary care agencies to ensure better health outcomes for individuals. • To work within the Mental Capacity Act and evidence best interest decision making. • To maintain effective and appropriate communication networks with members of the multi-disciplinary team, the independent sector homes and all stakeholder agencies and organisations to ensure that the individual care needs can be met. • To contribute to multi-disciplinary team specialist assessments. • Ability to work as an autonomous practitioner, planning, prioritising and organising workload according to the needs of the service. • To provide any relevant information and explanation to clients and carers at a level commensurate with their ability to understand using total communication. • To provide evidence-based advice and guidance to care staff on the management of health needs to patients and signpost to other services. • To act as a supervisor and/or assessor for students demonstrating high standards of practice and professional conduct. • To undertake health promotion/education whenever possible to all adults with LD and also to contribute to planned health promotion activities. • To work with all other agencies with regards to the safeguarding process. Managerial Responsibilities • To be responsible for coordinating reviews as per guidelines • Prioritise caseload to meet competing demands • To be aware of and abide by the LWSW policies, standards and Clinical Governance initiatives. • Present confidentiality and be aware of the Data Protection Act, access to health records and consent for assessment process. • Involvement in continual audit and review of services to determine quality. • Maintain safe record-keeping and confidential practice, in line with LWSW and professional guidance and be aware of the Data Protection Act, access to health records and consent for assessment process. • To ensure electronic record keeping policy is adhered to. Professional Responsibilities • To maintain a high professional standard of conduct at all times in accordance with NMC/ professional bodies code of professional conduct. Maintain an active status on NMC/ professional bodies register. • To maintain own re-validation portfolio. • Assume responsibility for own professional development and personal knowledge. Undertake and contribute to research where appropriate. • Monitor own performance against agreed objectives through the process of appraisal and personal development plans and professional body regulations. • Maintain professional expertise by arranging and attending meetings, study days and mandatory training and service training. • Plan and participate in the supervision and provision of experience for all nurse learners and other personnel as appropriate. • Participate in regular line management, caseload management and clinical supervision. • To deliver appropriate training and subsequent support to other staff, students and outside agencies when required. COMMUNICATIONS AND RELATIONSHIPS • The post holder will be required to work within the MDT function of the CLDT and may need to be part of wider MDT groups relating to client need. • The post holder will liaise between other health, social and educational services in assessing, planning and reviewing client care needs/service provision. • The post holder will also work with other voluntary and secondary care providers. PHYSICAL DEMANDS OF THE JOB • Ability to frequently travel independently and in a timely manner between Livewell Southwest sites and community locations including areas not served by public transport. • Use of keyboard and computer screen for assessments and record keeping daily. Please see attached full Job Description and Person Specification