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City of Westminster

    Community Nurse, Westminster - Medacs Healthcare

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    Description

    To provide skilled nursing care to patients working under the supervision of the District Nurse Team Leader.

    The post holder will undertake community nursing duties involving delivery of nursing services and holistic assessments of patient's health needs using a person-centred approach. This includes providing quality and seamless nursing care to housebound patients and being proactive in co-ordinating their care needs as appropriate, avoiding unnecessary admission to hospital or long-term care institutions. In addition, the post holder will be involved in facilitating self- care for patients with long term conditions, health promotion and innovative activities and projects that enhance patient service delivery.

    The post holder will be responsible for:

    • Clinical
    • Communication
    • Managerial
    • Quality and Performance
    • Educational
    • Professional

    Main Duties and Responsibilities

    • Clinical
    • To give skilled nursing care, based on principles of best practice and clinical evidence. This includes Chronic disease management, end of life care, continence promotion and wound management. Specific skills include phlebotomy, administration of medication via syringe drivers and intravenous therapy, PEG management, urinary catheterisation, and tracheostomy suctioning.
    • Act as a Named Nurse with the support and supervision of the DN Team Lead. To take continued responsibility for the holistic health needs assessment including care planning, evaluation and appropriate implementation of health care and ensuring continuity of care following referral from acute care, rehabilitation units, GPs, and other agencies.
    • Undertake comprehensive assessment of the physical, psychological, and social care needs of patients using the Single Assessment Process and including the needs of carers. To provide individualised and person-centred care plans that provide monitoring and promotion of self-care to prevent unnecessary hospital admissions.
    • Act as the patient's advocate and to facilitate the patient's own choices about nursing care, promoting independence and self-care, as appropriate.
    • To identify and record new problems and other relevant information reporting back to the DN Team Lead as appropriate.
    • Maintain accurate, comprehensive, and contemporaneous records in accordance with Trust and NMC guidelines.
    • Liaise with, and where appropriate initiate referrals, to ensure adequate care and support to patients and carers.
    • To provide information and support to patients, relatives and other carers that promotes and optimises positive health.
    • Undertake health promotion and disease prevention activities such as flu immunisation, advice on stopping smoking, falls prevention, dietary advice, and foot health.
    • To have knowledge of and be able to effectively use local services and resources to promote patient care. For example, specialist services.
    • To ensure the safe handling of body fluids and contaminated sharps.
    • Be alert to the needs of vulnerable adults including risk assessment and taking appropriate action when required.
    • To develop and utilise specialist nursing skills such as leg ulcer assessment and management, syringe driver set up, intravenous drug administration, continence assessment, and palliative care.
    • Support patients and their careers with managing their medicines and undertaking medicines management reviews as directed.
    • To provide care to people with long term conditions undertaking reviews in accordance with the individual patient care plan and with support of more experienced colleagues as required.
    • Undertake nutritional assessments and advice and support patients with their nutritional needs. For example, PEG feeds.

    For further information please contact kelli thomas on or


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