Detailed job description and main responsibilities

To work within the agreed framework for Community Nursing Services To assess, provide and review holistic nursing care, advice and
information to patients and carers within the home environment or appropriate care setting in a safe and professional manner using
evidence-based knowledge.

Undertake initial assessments on receipt of specific referrals to the caseload, acknowledging the needs of clients and their carers.

Assess, plan and implement and evaluate a plan of care to meet the patient’s physical, social, emotional and environmental needs,
encompassing a rehabilitative/ self-care approach where necessary and as per community nursing contract.

To provide skilled nursing care and ability to undertake clinical tasks including wound care, venepuncture, and catheter care.

To be able to recognise, interpret and analyse clinical data related to the individual clients needs including client observations.

Demonstrate, teach, and supervise the nursing care that can be safely delegated to the patient/carer giving support as necessary,
including specialist technological devices, and equipment provided by Virtual Wards.

Promote clinical excellence and evidence-based approach to care by complying with the agreed Trust policies and procedures and
maintaining clinical competencies in line with competency framework.

Work to the End of Life (EOL) Strategy including adherence to all EOL tools, acting as a clinical expert in EOL care provision

Take an active role in health education of the individual and community promoting self-care and providing both planned and
opportunistic care based upon evidenced based information.

Accurately record all patient contacts on Emis web and Trust documentation as per MCHFT policy ensuring patient and professional
confidentiality is always maintained in accordance with NMC guidelines

Manage and assess patients discharge potential and need from the caseload.

Ensure that equipment and aids, necessary for effective care, meet the needs of individual patients and are adequately maintained.

Demonstrate and explain safe use of equipment for patient and/or carer where required.

Participate in the delivery of care involving complex needs and supporting carers and relatives in distressing circumstances.

Refer people to other practitioners when needs and risks are beyond one’s own scope of practice or require longer term support.

Prioritising and managing own caseload & client group

Assume the responsibility for the clinical case load in the absence of the Team Leader/Senior Lead delegating work appropriately within
the competency framework

To participate in the measurement and monitoring of quality standards as appropriate.

To maintain accurate personal and professional records adhering to MCHFT and Nursing and Midwifery Council policy and guidelines.

To ensure the most efficient and cost-effective utilisation of all resources (human, physical and financial).

To report accidents/incidents of patients or self which occur whilst on duty and to complete on the Incident reporting system
immediately. To participate in any investigations as necessary.

To contribute to and co-operate in the co-ordination of off duty and holiday leave with colleagues, ensuring service cover is maintained.
Working effectively to support other team members in all aspects of the service.

To maintain all aspects of MCHFT Integrated Governance Strategy and requirement including active participation in appraisal and
clinical supervision in accordance with Trust policy.

Act always in a manner which illustrates respect for privacy dignity and confidentiality