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    Children's Community Nursing - London, United Kingdom - Lewisham and Greenwich NHS Trust

    Lewisham and Greenwich NHS Trust
    Lewisham and Greenwich NHS Trust London, United Kingdom

    2 weeks ago

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    Description
    Senior Children's Community Nurse - Rapid Assessment
    Do you have sound clinical knowledge and experience of managing acutely ill children and young people? Do you have a passion to provide excellent evidence based nursing care to support children and young people and their families?

    This diverse and rewarding role would suite an experienced paediatric nurse from an acute background looking to move into a community setting whilst maintaining and utilising their acute clinical skills.

    We are a rapidly developing service looking to expand our ambulatory pathways and develop our autonomous nurse practitioner role.

    Our hospital at home service provides hospital level care for children in the community with acute illnesses preventing hospital admissions and enabling early discharge.

    Our service is delivered by an experienced and skilled team of paediatric nurses in partnership with acute care providers supporting children and young people and their families to be able to manage their illness in their home setting.

    To work as an autonomous practitioner with responsibility for facilitating early discharge, reduce length of stay and prevent hospital admissions
    To provide high quality, specialist nursing care to children in their own homes
    To provide continuing responsibility for the assessment, development, implementation and evaluation of nursing care for patients.

    To work collaboratively with other local health care professionals/providers to maintain high quality care and promote practice that is family centred.

    To continue to develop and maintain close links between Community and Hospital based services.

    To be responsible for providing support to junior members and students, by developing their skills and providing mentorship through their practice placements.

    Our people are our greatest asset.

    Engaged employees perform at their best and our Equality, Diversity & Inclusion (EDI) initiatives contribute to cultivate a culture of engagement.

    We have four staff networks, a corporate EDI Team and a suite of programmes and events which aim to insert the 5 aspirations:

    Improving representation at senior levels of staff with disabilities, from black, Asian, and ethnic minorities background, identify as LGBTQ+ and women, through improved recruitment and leadership development
    Improving the experience of staff with disability
    Improving the EDI literacy and confidence of trust staff through training and development

    To initiate appropriate work, accepting referrals and be able to work autonomously with the child and family in the community setting.

    To regularly attend and liaise with acute hospital colleagues to enable timely and safe discharge from hospital and appropriate follow-up in the community setting eg care of children with viral wheeze needing nebulisers and observation at home, fluid challenges for children with diarrhoea and vomiting
    To collect and analyse daily reports from Paediatric Accident and Emergency (A& E)and follow up any children who need further support in the home setting
    To establish contacts with GPs who regularly send children to A& E and promote the service offered in the community
    Recognise and monitor acute exacerbations of illness and initiate appropriate nursing interventions.
    To provide a holistic, autonomous and clinical nursing service using evidence based practice.

    To carry out initial assessments/home visits and plan, implement and evaluate nursing care for all patients for whom he/she has continuing responsibility.

    Act in partnership with the child and family when assessing a childs needs and planning. To provide advice contributing to the well-being of the patient and participate in health promotion.

    (To ensure medical needs and instructions are carried out in accordance with nursing and midwifery council guidelines and ensure accurate record keeping (RIO system used for client records).

    To create reports for specific formal meetings such as child protection case conferences. To carry out specialist procedures in the community settings eg administration of intravenous antibiotics care of central venous access devices and changing of naso-gastric tubes

    To use clinical knowledge and expertise in deciding appropriate administration of drugs, route to be administered and dose of the drug, within a set of defined parameters prescribed by medical colleagues e.g.

    inhalers

    To teach, support and guide patients and those with parental responsibility in relative nursing procedures and to help them carry out effective nursing care.

    To be familiar with practices regarding the management of hazardous/biological substances and follow trust policies regarding their disposal.
    ~ Facilitate a high quality, cost effective service through undertaking research, surveys, audits in connection with own work.

    To assist the lead nurse and team leaders with updating or writing new care plans, policies, guidelines and competencies.

    Set, monitor and review standards of care on a regular basis and initiate corrective action plans.
    ~ Financial

    ~ To demonstrate accountability in the use and management of all resources including financial.

    ~ To participate in working parties in order to propose changes to policy, procedure and guidelines within child health.
    To co-ordinate activities with other professionals and agencies eg Team Around the Child meetings

    To assess care needs and liaise with other professionals in order to assist them to develop a package of care and to provide clinical/professional advice relating to this.

    To attend Childrens Inpatient Ward and A& E on a daily basis to ensure all appropriate referrals are made and to provide seamless care from hospital to the community setting.

    To negotiate communications with families and carers around complex issues regarding management of care in the community, including bereavement support and managing difficult situations.

    To be responsible for ensuring that medical supplies are ordered from an agreed list in order that the team remain within budget.

    To assess patients needs and initiate all requests for nursing aids or equipment. To be responsible for the training of their correct use.

    There is a requirement for the post-holder to be flexible with their working hours and cover over a weekend or Public Holiday.

    ~ Take an active role in risk assessment, supporting implementation of strategies to minimise risk. To participate in teaching Nurse Learners and all other students as appropriate who visit.
    To frequently market and update service with acute colleagues, attending and teaching at doctor/nurse training sessions on a regular basis

    To provide a high standard of professional conduct and nursing care at all times in accordance with the NMC.

    Qualifications and Training
    RSCN/RN Child diploma level or equivalent
    Evidence of continuing professional development
    Significant experience within the field of Children's nursing

    Community Specialist Practitioner

    Units of study and Practice within a Community Children's Nursing Team or working towards a degree with relevant community related modules.

    Broad experience of nursing sick children in the hospital/community setting
    Demonstrate a sound knowledge of paediatrics in the community
    Demonstrate a good knowledge of recent developments in paediatric care
    Good understanding of Safeguarding issues and policy framework
    Kaleidoscope Children's Centre
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