Community Nurse: Holistic Care & Care Coordination

NHS Jobs; Diss; On-site; GBP 30,000 - 35,000; Full time

Job summary

Norfolk Community Health and Care NHS Trust is seeking a dedicated clinician to assess, plan, implement and evaluate patient care using clinical reasoning and a range of treatment options. After holistic assessment, you will devise individualised care plans, adjust them as needed, and communicate complex information to patients and carers.

You will liaise with GPs, social care and MDTs, use assistive technology where appropriate, attend multidisciplinary meetings, and ensure records in SystmOne

Responsibilities

• Assess, plan, implement and evaluate all aspects of patient care, and develop care plans, using clinical reasoning skills, that may need to be delivered from a range of options.
• Following a holistic assessment, devise an individualised, evidence-based care programme for each patient, modifying it as required.
• Assess patients holistic needs, communicating complex and sensitive information to patients and carers as to their assessment, diagnosis, prognosis and treatment plan.
• Where there are barriers to understanding, such as hearing impairment, mental capacity impairment and other difficulties in comprehension, explanations require adjustments in order to gain understanding, consent and concordance.
• Be required to use tact and persuasive skills in order to gain the patients cooperation in their care management plan.
• Liaise with GPs, Social Services, inpatient teams, other allied health careprofessionals and the voluntary sector to ensure identified needs are met and care co-ordinated appropriately.
• Be aware of assistive technology and utilise where appropriate.
• To participate in multi-disciplinary/multi-agency meetings as appropriate, e.g. Gold Standard Framework.
• Ensure own caseload is planned and prioritised according to service targets and patient need.
• Ensure patient held records are completed for each visit, and that SystmOne inputting is completed on a daily basis.
• Demonstrate dexterity and co-ordination when using specialist equipment and fine tools, advanced sensory skills, manual and mobilising skills.
• Contribute to the requisitioning of supplies and equipment through electronic ordering systems.
• Ensure informed consent is obtained prior to initiating interventions.
• Will be exposed to bodily fluids, infected material, blood products on a daily basis, therefore must utilise universal precautions and adhere to infection control policies.

Job description

Norfolk Community Health and Care NHS Trust is seeking a dedicated clinician to assess, plan, implement and evaluate patient care using clinical reasoning and a range of treatment options. After holistic assessment, you will devise individualised care plans, adjust them as needed, and communicate complex information to patients and carers.

You will liaise with GPs, social care and MDTs, use assistive technology where appropriate, attend multidisciplinary meetings, and ensure records in SystmOne