Swydd-ddisgrifiad a phrif gyfrifoldebau manwl

The post holder will ensure that patients, services users, families and carers have a positive safe and high quality experience when accessing and receiving care, treatment, advice and support from Procare employees and will ensure learning is shared and embedded in situations where things did not go as well as they should have.

Patients are the most important people in the health service and are at the centre of primary and community health care services. As patients and carers are the ‘experts’ in how they feel and what it is like to live with or care for someone with an illness or condition, all Procare employees are guided by real experience of our services to guide
 
quality and service improvements. Underpinning this philosophy is a Values Framework using the mnemonic ‘PATIENT’ with the expectation that all Procare employees demonstrate behaviours both during the recruitment and selection process and every day at work against each area in the Values Framework
Procare ‘PATIENT’ Values Framework:
Person centred care with a client centred focus
 Achieves clinical excellence, and inspires others
Teamwork, working together in an integrated environment because everybody matters
Integrity, in all that we do
Experiences, are used for quality improvement and continuous learning
New ideas, for clinically and cost-effective care
Takes care of self, our own personal wellbeing is paramount

Maintains strong working relationships and communicates effectively with GPs, practice nurses, Social Services, Mental Health, acute / community hospital colleagues, Borough Council staff and the local voluntary sector - particularly for patients receiving shared care to ensure an effective flow of patient information to ensure high quality care
Attends all Gold Standard Framework and MDT meetings
Ensures regular meetings are in place with GP and Practice Nurse colleagues
Undertakes and documents holistic nursing assessments of patients, including those with multiple pathology and complex health and social needs with a plan of care agreed with the patient
Utilises a range of effective communication skills, tools and techniques that meet the needs of the patients and carers and can effectively overcome any barriers to communication and understanding
Acts as a patients advocate to adapt nursing care and treatment delivered according to the needs, wishes and preferences of the patient – this may involve taking appropriate action on potential complex and / or conflicting perspectives of choice of care options between staff, patients, carers and other disciplines or agencies
Maintains accurate and legible patient records in line with professional and organisational requirements – this includes contemporary paper records and electronic patient record system, EMIS
Ensures contemporary and accurate record keeping within the locality and service whilst adhering to confidentiality and information governance
 Utilises technology to support communication channels whilst adhering to confidentiality and information governance
Supports the development and implementation of technology and new ways of working within teams
Communicates effectively with others involved in patient care including weekends/out of hours, using mobile phone and emails to enable a timely response to patient’s needs

Responsible for the holistic assessment, care planning and care delivery of a defined caseload of patients with multiple pathology and complex health and social needs, using evidence-based practise to assess, plan, implement, and evaluate interventions, with the patient at the centre
Accountable for making autonomous clinical decisions in planning and prioritising patient care for the Community Nurse caseload including referrals to other agencies and the admission / discharge from the service
Required to undertake physical examination of the circulatory systems, undertaking Doppler assessments, venepuncture, catheterisation, rectal examination etc., and to use concentration when undertaking calculations e.g. for administration of medication / supervising administration of medication
Responsible for the effective triaging of referrals and allocation of work across a locality within the Community Coordination Centre
Prioritises daily work in line with clinical / patient need and escalates where there are issues with undertaking daily visits
Undertake all aspects of medicines management related activities in accordance with the company’s
medicines policies to ensure the safe, legal and appropriate use of medicines
Responsible for the monitoring of medication regimes, assessing effects and advising patients on the safe storage and disposal of drugs
Responsible for recognising the needs of the service, identifying risk, and making rapid autonomous decisions, escalating to the Clinical Lead as required
Monitors the quality of care provision and identify and promote areas for service development
Monitors the safety of equipment /environment and ensure that all areas of clinical risk are identified and reported in accordance with legislation and policy
Responsible for the correct use of aids and equipment supplied for patients and carers and for the security, care and maintenance of equipment ensuring standards of infection control and safety are maintained – including equipment loaned to patients