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NHS

Care Home/Housebound Frailty Nurse

NHS, Frankfort, Kentucky, United States

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To provide andmaintain a high standard of nursing care for patients, as well as providingnursing assistance to other members of the primary healthcare team. The duties will include all tasks normally undertakenby an experienced Band 6 or 7 (depending on experience) Nurse and anyadditional roles agreed between the nurse and the doctors as appropriate,having regard to current training.

Main duties of the job Job responsibilities:

Professional

Facilitating change by providing holistic assessment and lifestyle advice on diet, smoking, alcohol intake and exercise

Assessing and holistic assessment for Long-term condition and contributing to an MDT approach for patient care

Assessing problems presented opportunistically by patients, dealing with minor illness.

Able to document Consultations according to NMC guidelines

Ensures awareness of statutory and local clinical protection procedures, including systems of referral. Ability to recognise signs and symptoms of child/adult abuse.

Perform venepuncture according to local guidelines

Provide a holistic approach to wound management and implement wound care in line with current evidence based guidelines

Suture removal

Take ECGs

Able to recognize and manage anaphylaxis according to current UK guidelines

Able to perform Cardio-pulmonary resuscitation according to current UK guidelines

Ability to obtain and document informed consent (either verbal or written)

Ability to carry out discussions and implement personalised care plans

Ability to discuss and implement DNACPR as necessary

Ensure infection control guidelines are maintained

Ability to monitor and manage maintenance of stock and equipment to include refrigeration, sterilizer and emergency equipment

Confidentially of information gained at work must be preserved at all times

About us Carlisle Healthcare is a largeNHS general practice partnership formed in 2016 following the merger of threeestablished practices in the city. We operate over three sites and have aregistered population of approximately 40,500 people.

We are also a single practicePrimary Care Network. We have welcomed and embraced the opportunities thisgives us to innovate and redesign the delivery of comprehensive primary care.

We are a large team including:

18 GPs

12 ANPs

Home visiting team (including ANPs, Nurses, Paramedics, Occupational Therapists, Frailty Co-ordinators)

Social Prescribing Link Worker

First Contact Physiotherapists

Primary Care Mental Health Workers

28 Practice nurses and HCAs

Senior management and administrative support teams

We also work in collaboration with a number of clinicians who work remotely to augment clinical capacity

We are a busy and innovativepractice. We aim to deliver the best service for patients whilst recognisingthe finite resources that we have to hand. We also value the importance ofsupporting our administrative and clinical staff and colleagues with their ownwell-being aspiring to achieve a high level of professional satisfactionwithin our teams.

We are a GP training practice andalso have learners in a number of disciplines and at different stages(including medical students, nursing students, advanced clinical practitionersand apprentices).

Job responsibilities Job responsibilities:

Professional

Facilitating change by providing holistic assessment and lifestyle advice on diet, smoking, alcohol intake and exercise

Assessing and holistic assessment for Long-term condition and contributing to an MDT approach for patient care

Assessing problems presented opportunistically by patients, dealing with minor illness.

Able to document Consultations according to NMC guidelines

Ensures awareness of statutory and local clinical protection procedures, including systems of referral. Ability to recognise signs and symptoms of child/adult abuse.

Perform venepuncture according to local guidelines

Provide a holistic approach to wound management and implement wound care in line with current evidence based guidelines

Suture removal

Take ECGs

Able to recognize and manage anaphylaxis according to current UK guidelines

Able to perform Cardio-pulmonary resuscitation according to current UK guidelines

Ability to obtain and document informed consent (either verbal or written)

Ability to carry out discussions and implement personalised care plans

Ability to discuss and implement DNACPR as necessary

Ensure infection control guidelines are maintained

Ability to monitor and manage maintenance of stock and equipment to include refrigeration, sterilizer and emergency equipment

Confidentially of information gained at work must be preserved at all times

Providing assessment, screening and treatment services and health education advice

Organise and co-ordinate the provision of nursing services for the practice, to include the delegation of duties to other staff as appropriate

Provide nursing treatments to patients in participation with general practitioners or independently, meeting agreed protocols

Provide general and specific health screenings to practice patients (within agreed protocols) with referral to general practitioners as necessary

Advise patients on general health care and minor ailments with referral to GPs as necessary

Supplies and equipment treatment room and other areas

In participation with the Housebound Team Lead, ensure the maintenance of equipment and stock levels relating to patient care

Pathological specimens and investigatory procedures

Following appropriate training, undertake the collection, storage and despatch of pathological specimens including blood samples, swabs, smears etc. and ensure the cleanliness of any equipment so used. Perform any investigatory procedures requested by the GPs.

Administrative and professional responsibilities

Participate in the administrative and professional responsibilities of the practice team

Ensure accurate notes of all consultations and treatments are recorded in the patients notes on the clinical computer system as appropriate

Ensure accurate completion of all necessary documentation associated with patient health care and registration with the practice

Ensure collection and maintenance of statistical information required for regular and ad hoc reports

Attend and participate in practice meetings as required

Assist in the formulation of practice philosophy, strategy and policy and develop appropriate protocols

Person Specification Qualifications

Requisite Degree

Current NMC Registration

Assessment, intervention and evaluation skills to the relevant clinical area

Knowledge of acute and recovery approaches to treatment

Supervisory approaches and skills

Current knowledge of interventions/practice/models and evidenced based practice

Government policies and legislation and their effects on practice.

Excellent and effective communication skills

Facilitating a range of groups

User involvement and advocacy

Person centred approaches.

Effective time management.

Empathic, open, honest and non-judgmental manner.

To keep accurate records in the clinical notes and to complete regular returns as required

Able to actively involve service users in service delivery.

A demonstrable commitment to professional development.

V300 non-medical prescriber

An understanding, acceptance and adherence to the need for strict confidentiality

Ability to use own judgement, resourcefulness and common sense.

Ability to work without direct supervision and determine own workload priorities

Ability to work as part of an integrated multi-skilled team

Pleasant and articulate

Able to work under pressure

Able to work in a changing environment

Able to use own initiative

Experience

Ability to motivate and support staff, providing effective leadership

Assimilate and utilise complex information.

Good record keeping and report writing.

Evidence of skills development.

Ability to motivate and engage Patients who struggle to motive themselves.

Knowledge of risk assessments

Ability to assess, plan and evaluate treatment

Ability to prioritise own time and caseload

To use IT to create documents / reports

To evaluate the quality of own work

To lead and contribute in the monitoring and evaluation of the service using appropriate audit tools

To utilise available research in their own practice

Monitor and review own practice against current research, standards and benchmarks and where necessary modify and improve practice to ensure the highest possible standards are maintained

Disclosure and Barring Service Check This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

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