Job Description

Do you have a passion and special interest for patients who require specialized care and treatment of intravenous lines/therapy/drains?



Are you a skilled nurse with excellent interpersonal and clinical skills to work within a team specialising in intravenous therapy?



If you answered yes, we've got the perfect role for you!



We are looking for a senior nurse to work with patients as part of the medication team. The right person will provide excellent clinical skills and have a special interest in central access devices, IV therapy and

drain management as well as the management of complex patient needs. As a team our aim is to provide a seamless and quality service to patient's requiring different types of intravenous therapy both in the community and clinic setting.



If this is you we look forward to welcoming you to our team.



To work within the medication clinic team and neighbourhood nursing team and deliver all aspects of medication clinic services and intravenous therapy. To supervise practice, audit clinical care, teach and support colleagues and provide professional leadership. To work as a clinically independent and autonomous practitioner, and manage a defined patient caseload. To work as an autonomous practitioner throughout the community and in medication clinic to provide a high-quality professional service driven by clinical excellence to all patients who require intravenous antibiotics, injectable medication, indwelling drain and catheter management. To maintain delivering seamless quality services of the medication clinic through a 7-day week inclusive of bank holidays. To plan and facilitate training programmes for all aspects of intravenous therapy in the community. To strive for quality and improvement towards the provision of a positive patient experience which can include innovative care pathways such as Virtual wards and OPAT.

So what else?



This is your chance to join a progressive and innovative service in a social enterprise that is patient and staff focused - you'll even have the opportunity to become an MCH shareholder.



We encourage staff to get involved in exploring new ways of working and service development.



We'll provide well established, in-service training, one to one supervision, and appraisals with regular support.



You'll be able to develop your skills in a friendly and supportive team.



Would you like to work flexibly? In the NHS, we are reminded every day of how important work life balance is. As a flexible working friendly organisation, we want to be sure that you can work in a way that is best for us, for our patients and for you. Speak to us about how we might be able to accommodate a flexible working arrangement.



The small print



Informal visits can be arranged on request.



We will offer you the choice of two pension schemes; the NHS Pension scheme and the scottish widows group pension scheme.



MCH encourages all staff to be double COVID vaccinated to protect themselves, their colleagues, their family and their patients.



1. Communication and relationship skills

Internal

Head of service

Clinical lead

Clinical nurse managers

Advanced Community Practitioners

Team leaders

Community nursing staff

Other services/professionals

MedOCC



External

Patients and their family/carers

GP's and practice teams

Social services

Voluntary agencies including care navigators

Housing services

Other primary healthcare organisations

Acute hospital trusts

Community pharmacists

Care home providers and staff

Continuing care



Ensure effective communication within the community nursing team, the patient and other

professional main stream services and to act as the patient advocate.

Communicate complex patient information, verbally and in writing to various professionals.

Provide advice, motivation and education to patient's family and carers in respect of their

medical/health condition, where there may be barriers to understanding, being empathetic and

providing reassurance.



2. Knowledge, training and experience

Registered 1st Level Nurse

ENB 998/preparation of mentors

District nurse qualification or educated to degree level in the community pathway desirable

Evidence of further learning

Nurse prescribing qualification or the willingness to undertake qualification

Extensive intravenous therapy experience in the administration of IV medications through a

variety of devices

Competent in Cannulation and Venepuncture

Proven experience in acute care desirable

Anaphylaxis experience and competence

Evidence of appropriate core community nursing clinical competence and ongoing professional

development. Additional knowledge to include venous anatomy and physiology.

Up to date knowledge of local and national nursing, health, social care drivers and policies.

Understanding of the community setting and functioning of community services.

Act as a resource for the community nursing service.

Teach Community Nurses best practice for IV therapy and essential steps audits.

Responsible for annual updates and signing staff competencies



3. Analytical and judgement skills

Assess patients/community health needs, develop, implement and evaluate health care

programmes to ensure effective high quality, evidence based health care, health promotion and

protection. This will be done in agreement with the patient. This will take account of patients

with complex and intensive needs e.g. care of the dying, Safeguarding Vulnerable Adults, case

conferences and transfer of care planning.



4. Planning and organisational skills

Actively manage a defined community caseload within Medway Community Healthcare

according to set criteria, standards and organisational policies.

Prioritise and allocate workload

Assist with the organisation of the IV training programme including annual updates and staff

competencies



5. Physical skills

Undertake a range of clinical skills including intravenous therapy, vascular access devices,

cannulation, syringe drivers, phlebotomy, wound/ leg ulcer management and catheter care.

Basic keyboard skills are required



6. Responsibility for patient / client care

Assess patients/community sometimes complex health needs. To develop, implement and

evaluate health care programmes to ensure provision of effective high quality, evidence based

health care including health promotion

To liaise with other services to provide a seamless patient experience and quality outcome

To assess patients for specialist equipment and provide the appropriate teaching to patients,

relatives, carers and colleagues to ensure correct and safe use.

Actively promote equality and value diversity



7. Responsibility for policy and service development implementation

Maintain a professional manner and act as a role model, adhering to the NMC code of

professional conduct and organisational policies and protocols. Comment on policies and

procedures.

Actively participate in clinical audit and clinical governance activities including risk assessments,

complaint investigation.

Participate in data collection, activity reporting and outcome measuring for community nursing.

Identify and progress practice development to improve patient care standards and outcomes.

Actively progress integrated/interprofessional patient care.

Contribute to the achievement of organisation and community nursing service objectives.



8. Responsibilities for financial and physical resources

Authorised signatory for Teams expenses, study leave and timesheets.

Responsible for the safe use of expensive equipment e.g. syringe drivers, infusion pumps,

specialist venous equipment

Promote compliance to the organisations procedures for supply of consumables including IV

supplies and dressings



9. Responsibilities for human resources (HR)

Manage a defined caseload in accordance with agreed criteria.

Assist with managing the Community Nursing Team, i.e. Community Staff Nurses, associate

practitioners and Healthcare Assistants. To include recruitment, staff appraisal, supervision of

practice, training and education, induction and rotas.

Management responsibility for ensuring continuing quality of patient care by evidence based

practice.

Provide teaching and education to students, colleagues, patients, relatives and carers. Provide

clinical cover for other team leaders in their absence.

Participate in own appraisal and clinical supervision as supervisee and/or supervisor.

Support new members of the community nursing team and students.



10. Responsibilities for information resources

Ensure records are kept up to date and safeguard patient confidentiality by being aware of

professional, legal and ethical responsibilities.

Record and submit accurate, timely data and information to inform caseload management and

service development.



11. Responsibilities for research and development (R&D)

Actively participate in clinical audit and clinical governance activities to maintain quality of

service and support service developments including risk assessments and complaints

investigation.



12. Freedom to act

Work as an autonomous practitioner within the community nursing team, with overall

management responsibility of a defined caseload.

Assist with the management of the community nursing team



13. Physical effort (refer to effort factor questionnaire)

14. Mental effort (refer to effort factor questionnaire)

15. Emotional effort (refer to effort factor questionnaire)

16. Working conditions (refer to effort factor questionnaire)