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Detailed job description and main responsibilities

1. Communication and relationship skills
Internal
Head of serviceÌý
Clinical lead
Clinical nurse managers
Advanced Community Practitioners
Team leadersÌý
Community nursing staffÌý
Other services/professionals
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External
Patients and their family/carers
GP’s and practice teamsÌý
Social servicesÌý
Voluntary agencies including care navigators
Housing servicesÌý
Other primary healthcare organisationsÌý
Acute hospital trusts
Community pharmacistsÌý
Care home providers and staff
Continuing care

Ensure effective communication within the community nursing team, the patient and otherÌý
professional main stream services and to act as the patient advocate.
Communicate complex patient information, verbally and in writing to various professionals.
Provide advice, motivation and education to patient’s family and carers in respect of theirÌý
medical/health condition, where there may be barriers to understanding, being empathetic andÌý
providing reassurance.

2. Knowledge, training and experience
Registered 1st Level NurseÌý
ENB 998/preparation of mentors
District nurse qualification or educated to degree level in the community pathway desirable
Evidence of further learning
Nurse prescribing qualification or the willingness to undertake qualification
Extensive intravenous therapy experience in the administration of IV medications through aÌý
variety of devices
Competent in Cannulation and Venepuncture
Proven experience in acute care desirable
Anaphylaxis experience and competence
Evidence of appropriate core community nursing clinical competence and ongoing professionalÌý
development. Additional knowledge to include venous anatomy and physiology.
Up to date knowledge of local and national nursing, health, social care drivers and policies.
Understanding of the community setting and functioning of community services.
Act as a resource for the community nursing service.
Teach Community Nurses best practice for IV therapy and essential steps audits.
Responsible for annual updates and signing staff competenciesÌý

3. Analytical and judgement skills
Assess patients/community health needs, develop, implement and evaluate health careÌý
programmes to ensure effective high quality, evidence based health care, health promotion andÌý
protection. This will be done in agreement with the patient. This will take account of patientsÌý
with complex and intensive needs e.g. care of the dying, Safeguarding Vulnerable Adults, caseÌý
conferences and transfer of care planning.

4. Planning and organisational skills
Actively manage a defined community caseload within Medway Community HealthcareÌý
according to set criteria, standards and organisational policies.
Prioritise and allocate workload
Assist with the organisation of the IV training programme including annual updates and staffÌý
competencies

5. Physical skills
Undertake a range of clinical skills including intravenous therapy, vascular access devices,Ìý
cannulation, syringe drivers, phlebotomy, wound/ leg ulcer management and catheter care.
Basic keyboard skills are required

6. Responsibility for patient / client care
Assess patients/community sometimes complex health needs. To develop, implement andÌý
evaluate health care programmes to ensure provision of effective high quality, evidence basedÌý
health care including health promotionÌý
To liaise with other services to provide a seamless patient experience and quality outcome
To assess patients for specialist equipment and provide the appropriate teaching to patients,Ìý
relatives, carers and colleagues to ensure correct and safe use.
Actively promote equality and value diversity

7. Responsibility for policy and service development implementation
Maintain a professional manner and act as a role model, adhering to the NMC code ofÌý
professional conduct and organisational policies and protocols. Comment on policies andÌý
procedures.
Actively participate in clinical audit and clinical governance activities including risk assessments,Ìý
complaint investigation.
Participate in data collection, activity reporting and outcome measuring for community nursing.
Identify and progress practice development to improve patient care standards and outcomes.
Actively progress integrated/interprofessional patient care.
Contribute to the achievement of organisation and community nursing service objectives.

8. Responsibilities for financial and physical resources
Authorised signatory for Teams expenses, study leave and timesheets.
Responsible for the safe use of expensive equipment e.g. syringe drivers, infusion pumps,Ìý
specialist venous equipment
Promote compliance to the organisations procedures for supply of consumables including IVÌý
supplies and dressings

9. Responsibilities for human resources (HR)
Manage a defined caseload in accordance with agreed criteria.
Assist with managing the Community Nursing Team, i.e. Community Staff Nurses, associateÌý
practitioners and Healthcare Assistants. To include recruitment, staff appraisal, supervision ofÌý
practice, training and education, induction and rotas.
Management responsibility for ensuring continuing quality of patient care by evidence basedÌý
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Provide teaching and education to students, colleagues, patients, relatives and carers. ProvideÌý
clinical cover for other team leaders in their absence.Ìý
Participate in own appraisal and clinical supervision as supervisee and/or supervisor.
Support new members of the community nursing team and students.

10. Responsibilities for information resources
Ensure records are kept up to date and safeguard patient confidentiality by being aware ofÌý
professional, legal and ethical responsibilities.
Record and submit accurate, timely data and information to inform caseload management andÌý
service development.

11. Responsibilities for research and development (R&D)
Actively participate in clinical audit and clinical governance activities to maintain quality ofÌý
service and support service developments including risk assessments and complaintsÌý
investigation.

12. Freedom to act
Work as an autonomous practitioner within the community nursing team, with overallÌý
management responsibility of a defined caseload.
Assist with the management of the community nursing teamÌý

13. Physical effort (refer to effort factor questionnaire)
14. Mental effort (refer to effort factor questionnaire)
15. Emotional effort (refer to effort factor questionnaire)
16. Working conditions (refer to effort factor questionnaire)