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CLINICAL AND OPERATIONAL RESPONSIBILITES

Undertake responsibility for a delegated caseload under the supervision of the District Nursing Sister and in the absence of the District Nursing Sister, carrying out initial assessment of care needs and the provision and evaluation of individual patient programmes of care including prescribing equipment and the discharge of patients from the caseload.

Assume delegated responsibility for holistic assessment and the planning, implementation, monitoring and evaluation of programmes of care/ care packages, contributing to complex assessment/ care packages.

To provide high quality palliative care to patients and their families, as required.

Maintain clinical competency in a range of extended skills as required to meet the needs of patients on the caseload.

Work with other health care colleagues, voluntary and statutory organisations to ensure that the holistic needs of patients are met wherever possible.

Where the post holder is a non-medical prescriber, practice responsibly and maintains competence to effectively prescribe from the relevant Prescribing Formulary.

To carry out clinical risk assessments within sphere of competence as required.

Work as an effective team member to actively contribute to public health initiatives including health needs assessment and projects to meet needs identified.

To promote health education and healthy lifestyles within the community, including use of motivational interviewing and negotiation skills where appropriate.

To demonstrate to patients and unpaid carers in their homes the safe use of equipment prescribed by the District Nursing team.

To act as an advocate to facilitate the views and choices expressed by patients and their carers.

To refer people to other practitioners when needs and risks are beyond one’s own scope of practice or require longer term support

 COMMUNICATION 

Maintain effective communication both within and outside of the clinical team to ensure that patient needs are met by the most appropriate agency

To communicate with patients and carers to maximise their involvement and understanding of their condition, care and treatment.

Provide effective skilled communication of sensitive issues, counselling and reassurance to maximise patient and carer well being.

Maintain competence in IT skills and make best use of IT systems to enhance patient care.

Maintain contemporaneous clinical records in line with trust Clinical Records Policy.6. Identifying potential opportunities to influence the development of knowledge, ideas and practice and prioritising those that have the most potential for success.

RESPONSIBILITY FOR PATIENT CARE

Assesses, plans, implements and evaluates an appropriate plan of care for patients, reporting to the District Nurse caseload holder.  

RESPONSIBILITIES FOR EDUCATION AND TRAINING

Undertake mandatory training in line with trust policy and attend updates and study days as appropriate to the post.

Provide mentorship to pre-registration student nurses within the team on an on-going basis, ensuring that their learning needs are being met.

Foster and encourage a learning environment conducive to student education and continuing professional development of the team.

To participate in the trust staff KSF review process ensuring objectives are met and a personal development plan is maintained and evaluated.

To be responsible for his or her continuing professional development and meet PREP requirements maintaining a professional portfolio and demonstrating evidence of reflective practice.

RESEARCH AND AUDIT

Support and participate in research as appropriate, ensuring that the research governance principles are met. 
Ensure that practice is evidence based by initiating literature searching and critical appraisal as appropriate. Support changes in clinical practice in line with best practice.
Develop own research awareness skills and support the development of appropriate skills with other team members.
Participate in clinical audit and essence of care / clinical benchmarking as required.

CLINICAL LEADERSHIP AND GOVERNANCE

Support the team to ensure that practice is evidence based and in line with local and national Clinical Guidelines and Policy

Support the monitoring of quality and practice standards within the team. Identify and report any issues relating to poor clinical standards / clinical risk to the district nursing sister.

To be aware of and adhere to policies and procedures relating to safeguarding children and vulnerable adults.

Ensure that the service is delivered in line with trust policies in relation to health and safety and infection control.

To have in depth knowledge of NMC standards and guidance, understand 
implications for and be able to apply to practice