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Dorset County Hospital NHS Foundation Trust in the community seeks a Frailty Nurse to join the WECS team. The role involves housebound patients and home visits to complete baseline assessments and ongoing care planning.
The nurse will contribute to MDT discussions, support with data collection, and ensure accurate records on SystmOne with bespoke templates. Regular duties include home visits, triage, and ensuring notes are detailed.
Job Purpose / Clinical responsibilities Based on an integrated approach, the Frailty Nurse will join the existing team, working to improve care for patients living with Frailty in the community. Housebound patients, or those who are best assessed in their own homes: An integral member of the WECS team Home visits to identified patients to complete baseline assessments using an agreed proforma on a structured template to include (but not exclusively) continence, skin, nutritional status, care needs and unmet needs. Collection of basic observations ECG and phlebotomy A combination of new visits and follow up visits Make referrals to the wider MDT (including third sector) if and when appropriate Contribute to Multi-disciplinary discussions in order to support the patients care and support Support with comprehensive data collection Contribute towards completion of parts of the Dorset Care Plan Other: Attendance at MDT meetings if requested to do so Comprehensive record keeping on SystmOne, using bespoke templates Ensure work emails are regularly accessed Ensure work mobile is carried at all times and that messages are picked up at regular intervals through the working day Manage workload effectively and ensure that sufficiently detailed contemporaneous notes are kept at all times.
Dorset County Hospital NHS Foundation Trust