A band 5 registered general nurse joins the district nursing team of Central and North West London NHS Foundation Trust on a full-time basis. The work is home visits for complex needs: wound care, catheterisation, IV medicines, diabetes, palliative symptom control and drain care, largely working autonomously. Weekend working is required, usually one in three, across an 08:00 to 18:00 service. Community experience is not essential, but understanding of autonomous community working must be shown.
What the job involves
- Deliver complex nursing care to patients in their own homes across the district nursing service
- Work autonomously in the community, directing and coordinating programmes of care
- Manage diabetes, including blood sugar monitoring and insulin administration
- Provide tissue viability and wound care, including leg ulcers, compression therapy, doppler assessments, VAC dressings, pressure and surgical wounds
- Carry out bladder and bowel care, including male, female and suprapubic catheterisation and continence assessments
- Administer IV medicines and care for PICC and midlines
- Provide palliative care, including symptom control, anticipatory medicines and syringe drivers
- Care for drains, including rocket drains, nephrostomies and chest drains
- Undertake case management and care coordination
- Work across professional boundaries, negotiating patient management and promoting self-care
- Act as role model, educator, supervisor and mentor, delegating activities to appropriate staff
- Write clinical records and service reports that are well written and timely
Qualifications
- Evidence of working within multidisciplinary teams
Registration & licences
- NMC registration as an RGN
Experience
- Post-graduate experience working with people with long-term conditions
- Extensive post-graduate experience assessing complex needs
- Experience of case management and care coordination
- Experience of working across professional boundaries
- Clinical leadership experience
- Clinical experience of caring for people with cognitive impairment
Skills & knowledge
- Understanding of the Mental Capacity Act 2005 and DoLS
- Understanding of safeguarding adults and children
- Understanding of clinical governance and maintaining high standards of care
- Extended and advanced clinical knowledge
- Understanding of the wider NHS and social care contexts
- Ability to direct and coordinate care, working autonomously and collaboratively
Checks & eligibility
- Car driving licence or competent cycling to travel between multiple sites
Other
- Organisation, leadership and problem-solving, with IT literacy and clear written communication
Nice to have
- Evidence of relevant continuous professional development
- Understanding of current health service issues
- Understanding of primary care
- Experience of audit and evaluation to improve healthcare
- Motivational interviewing skills
What’s offered
- Automatic enrolment on the bank, offering extra paid shifts at a competitive rate
- Relocation package where applicable
- Preceptorship programme with regular supervision
- In-house training programme
- Support from a newly recruited clinical nurse facilitator
- Access to specialist diabetes, tissue viability, bladder and bowel, and palliative care teams