Home Visiting Nurse

Integrated Care System; Bristol; On-site; GBP 30,000 - 40,000; Full time

Job summary

A healthcare provider in Bristol seeks an experienced Home Visiting Nurse to join their clinical team. The role involves managing care for house-bound patients, specifically focusing on Long Term Conditions. Responsibilities include conducting home visits, coordinating with healthcare professionals, and educating patients about their health. The ideal candidate should be an NMC Registered Nurse with strong interpersonal skills and nursing experience. This position offers a supportive team environment and a range of benefits.

Benefits

Access to in-house Wellbeing team

Cycle to Work scheme

Free fruit and snacks

Social events and activities

Qualifications

• In-depth nursing experience, capable of working independently and without close supervision.
• Experience of managing a range of patient presentations.
• Experience of working in primary care and community settings.

Responsibilities

• Conduct home visits specifically for patients with Long Term Conditions.
• Act as the liaison between the patient and healthcare professionals.
• Educate patients about the management of their chronic conditions.

Skills

Interpersonal skills

Communication skills

Administrative skills

IT literate

Driving ability

Education

NMC Registered Nurse

Job description

We are looking for an experienced Home Visiting Nurse to come and join our highly skilled, friendly clinical team.

Working underthe supervision of the Practices Community Nurse Practitioner (CNP) alongside3 other Community Nurse Practitioners. Strictly in accordance with specific practiceguidelines and protocols, the post holder will assist the practice clinicalteam in the provision and delivery of prescribed programmes of patient caremainly for house bound patients and specifically linked to long term conditionsmonitoring and management.

The postholder, who acting within their professional boundaries, will provide carespecifically but not limited to the practices elderly population and thoseassessed as being at high risk of emergency admissions to hospital. They will work collaboratively with themulti-disciplinary general practice team under the supervision of the PracticesCommunity Nurse Practitioner (CNP) to support the needs of practice patients.

Main duties of the job

Home visits specifically to patients with Long Term Conditions

Act as the co-ordinating person between the patient and the CNP/GP for this cohort.

Act as liaison with secondary care when patients are admitted and on planning discharge

**PLEASE SEE FULL JOB DESCRIPTION ATTACHED**

About us

We have an ethos of team work and support and we offer our team:

Access to our in house Wellbeing team and Mental Health First Aiders, WhatsApp groups to keep you in the 'know' and socialise, a newly refurbished break room with free fresh ground coffee from a state of the art bean to cup coffee machine, fresh fruit, snacks, chilled spring water, herbal teas etc.

Access to the NHS pension.

Cycle to Work scheme.

An amazing outdoor sun terrace where you can relax on breaks when the weather is nice.

2 minute walk to the main shops and numerous cafes in Fishponds.

Themed events such as: Ice cream van in the car park, pancake day celebrations, cake baking, staff parties and once a Taco Van in the car park!

Some of the wellbeing activities staff have participated in were: Mental Health Awareness Week Nature Competition + which team could grow the tallest sunflower where we gave a pack of seeds for everyone.

We offer free fruit and biscuits everyday.

We love working here and we are sure you will too!

**Unfortunately we cannot offer Visa Sponsorship for this role**

**No recruitment agencies please**

Job responsibilities

Duties and responsibilities:

Homevisits specifically to patients with Long Term Conditions

Actas the co-ordinating person between the patient and the CNP/ GP for thiscohort.

Actas liaison with secondary care when patient's are admitted and on planningdischarge.

Actas the appropriate person that patients and carers contact in the practice todiscuss changes in the care plan or deterioration in condition.

Educatepatients and carers about the important indicators of any deterioration intheir chronic conditions so that appropriate action can be planned and takenbefore they reach the point of needing hospital admission. Utilising communityservices whenrequired.

Adhoc attendance at daily clinical meeting and monthly multidisciplinary meeting.

LongTerm Conditions management / annual reviews. When necessary supportingCNPs to refer onto Bristol CommunityHealth district nursing/long term conditions team.

Residentialhome visit e.g. Quarry House, The Elms and Worthies, Frenchay Park

DiabeticFoot Checks

Spirometry(desirable or willing to undertake training)

ECGrecording

Assistingin the assessment and surveillance of patients health and well-being withregard to their LTCs

Undertakingspecific clinical activities for named patients that have been delegated andtaught specifically in relation to that individual.

Helpingto raise awareness of health and well-being and how it can be promoted

Assistingwith the collection and collation of data on needs related to health andwell-being

Casecoordinator specifically linked to the Unplanned Admissions enhanced service.Working with clinicians and primary health care team and other agencies to supportthis service. This will include:

Patients will have been identified usinga risk stratification tool but this will need to be managed as people come ontoor drop off this cohort

Developing and reviewing care plans inaccordance and alongside the Practices Community Nurse Practitioners

Home visits

Working with admin and reception staffto coordinate caseload management effectively.

Act as the co-ordinating person betweenthe patient and the CNP/ GP for this cohort.

Undertaking hospital discharge reviewswithin 3 working days when directed by the CNP

Other may include and not limited to:

Chaperoningduties

Processingand management of laboratory samples requested by GPs/nurses

Sterilising,cleansing and maintenance of surgical equipment

Vaccine/coldchain storage, monitoring and recording

Surgicalequipment and vaccine re-stocking and stock rotation

Preparingand maintaining environments and equipment before, during and after patientcare interventions including assisting GPs during the performance of minoroperations

Confidentiality:

In the course of seeking treatment, patients entrust us with, orallow us to gather, sensitive information in relation to their health and othermatters. They do so in confidence andhave the right to expect that staff will respect their privacy and actappropriately

In the performance of the duties outlined in this job description,the post-holder may have access to confidential information relating topatients and their carers, practice staff and other healthcare workers. They may also have access to informationrelating to the practice as a business organisation. All such informationfrom any source is to be regarded as strictly confidential

Information relating to patients, carers, colleagues, otherhealthcare workers or the business of the practice may only be divulged toauthorised persons in accordance with the practice policies and proceduresrelating to confidentiality and the protection of personal and sensitive data

Health & Safety:

The post-holder will implement and lead on a full range ofpromotion and management their own and others health and safety and infectioncontrol as defined in the practice Health & Safety policy, the practiceHealth & Safety manual, and the practice Infection Control policy andpublished procedures. This will include (but will not be limited to):

Using personal security systems within the workplace accordingto practice guidelines

Awareness of national standards of infection control andcleanliness and regulatory / contractual / professional requirements, and goodpractice guidelines

Responsible for the correct and safe management of the specimensprocess including collection, labelling, handling, use of correct and cleancontainers, storage and transport arrangements

Management and maintenance of Personal Protective Equipment(PPE) for the practice including provision, ordering, availability and ongoingcorrect usage by staff

Responsible for hand hygiene across the practice

Ownership of infection control and clinically based patient careprotocols, and implementation of those protocols across the practice

Active observation of current working practices across thepractice in relation to infection control, cleanliness and related activities,ensuring that procedures are followed and weaknesses / training needs areidentified, escalating issues as appropriate

Identifying the risks involved in work activities andundertaking such activities in a way that manages those risks across clinicaland patient process

Making effective use of training to update knowledge and skills,and initiate and manage the training of others across the full range ofinfection control and patient processes

Monitoring practice facilities and equipment in relation toinfection control, ensuring that provision of hand cleansing facilities, wipesetc are sufficient to ensure a good clinical working environment. Lack offacilities to be escalated as appropriate.

Safe management of sharps procedures including training, use,storage and disposal

Using appropriate infection control procedures, maintaining workareas in a tidy, clean and sterile, and safe way, free from hazards. Initiationof remedial / corrective action where needed or escalation to responsiblemanagement

Actively identifying, reporting, and correction of health andsafety hazards and infection hazards immediately when recognised

Keeping own work areas and general / patient areas generallyclean, sterile, identifying issues and hazards / risks in relation to otherwork areas within the business, and assuming responsibility in the maintenanceof general standards of cleanliness across the business in consultation (whereappropriate) with other sector managers

Undertaking periodic infection control training (minimum twiceannually)

Routine management of own team / team areas, and maintenance ofwork space standards

Waste management including collection, handling, segregation,container management, storage and collection

Spillage control procedures, management and training

Decontamination control procedures, management and training, andequipment maintenance

Maintenance of sterile environments

Equalityand diversity:

The post-holder will support the equality,diversity and rights of patients, carers and colleagues, to include:

Actingin a way that recognizes the importance of peoples rights, interpreting themin a way that is consistent with practice procedures and policies, and currentlegislation

Respectingthe privacy, dignity, needs and beliefs of patients, carers and colleagues

Behavingin a manner which is welcoming to and of the individual, is non-judgmental andrespects their circumstances, feelings priorities and rights.

The post-holderwill participate in any training programme implemented by the practice as partof this employment, such training to include:

Participationin an annual individual performance review, including taking responsibility formaintaining a record of own personal and/or professional development

Takingresponsibility for own development, learning and performance and demonstratingskills and activities to others who are undertaking similar work

Quality:

The post-holderwill strive to maintain quality within the practice, and will:

Alertother team members to issues of quality and risk

Assessown performance and take accountability for own actions, either directly orunder supervision

Contributeto the effectiveness of the team by reflecting on own and team activities andmaking suggestions on ways to improve and enhance the teams performance

Workeffectively with individuals in other agencies to meet patients needs

Effectivelymanage own time, workload and resources

Communication:

The post-holder should recognise the importance ofeffective communication within the team and will strive to:

Communicateeffectively with other team members

Communicateeffectively with patients and carers

Recognisepeoples needs for alternative methods of communication and respond accordingly

Contributionto the Implementation of Services:

The post-holderwill:

Applypractice policies, standards and guidance

Discusswith other members of the team how the policies, standards and guidelines willaffect own work

Participatein audit where appropriate

Person Specification

Knowledge and Skills

• Well honed interpersonal skills.
• Ability to plan and organise.
• Excellent Communication skills at all levels.
• Administrative skills and ability to prioritise.
• IT literate.
• Must be able to drive/driving license.

Experience

• In depth nursing experience, capable of working independently and without close supervision.
• Experience of managing a range of patient presentations.
• Able to act on own initiative
• Experience of working in primary care
• Experience of Long Term Condition management.
• Experience of the management of health promotion initiatives.
• Experience of working within the community.

Qualifications

• NMC Registered Nurse
• Team Member.
• Drive, Energy and determination.
• Empathy.
• Ability to respond well under pressure.
• Self motivation.
• Resilience.
• Sense of humour!

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.