About this role
Job summary
An exciting opportunity has arisen for an enthusiastic registered nurse to join the Housebound Continence team within Nottingham CityCare Partnerships Adult Bladder and Bowel Specialist Service. Based at Sherwood Rise Health Centre, the teams role is to provide specialist continence assessment and intervention to housebound patients within the Nottingham City area.
The successful candidate will complete holistic continence assessments in patients own homes, translate outcomes into individualised management and treatment plans, implement care required and evaluate effectiveness. You will be working alongside an Assistant Practitioner, other Nurses within the Housebound Continence team, and with access to specialist advice and support from Clinical Nurse Specialists within the wider service.
You must have a driving licence and access to your own transport.
The core hours of the service are 08.30 16.30hrs Monday to Friday. There is no weekend or Bank Holiday working.
Main duties of the job
To complete holistic continence assessments and re-assessments, translate outcomes into individualised management and treatment plans (including onward referral if necessary), implement care required and evaluate the effectiveness for adult patients within a community setting.
To provide continence advice to patients, carers, and those who work with patients with continence problems. This advice may be provided through direct clinical practice, teaching, and involvement in research and development as part of an integrated team.
To maintain contemporaneous records as an autonomous practitioner
About us
We are a provider of NHS Community Health Services, CityCare exists to support the health and wellbeing of all local people, working alongside other health and care partners to achieve this. We are a value driven, people business with a passion for excellence. Our vision and social purpose is to make a difference everyday to the health & wellbeing of our communities and our values of kindness, respect, trust and honesty lie at the heart of everything we do, guiding how we work together with partners and each other to consistently deliver high quality compassionate care. As a social enterprise we aim to add social value by investing in the future of our local communities and helping to make a difference in peoples lives.
CityCare value the benefits of a diverse and inclusive workforce. We encourage applications from candidates who identify as disabled, LGBT+ or from a Black, Asian or Minority Ethnic (BAME) background, as they are currently under-represented within our organisation.
We are proud to be a forces-friendly organisation and are dedicated to supporting Veterans, Service Leavers, Reservists, and military spouses/partners. We value the unique skills and contributions you bring.
CityCare is an equal opportunities employer. We are positive about employing people with disabilities. If you require your application in a different format please contact People Services on [email protected] . CityCare is committed to the protection of vulnerable adults and children.
Job description Job responsibilities
CLINICAL
To complete holistic continence assessments and re-assessments, translate outcomes into individualised management and treatment plans including onward referral if necessary, implement care required and evaluate the effectiveness for adult patients within a community setting.To provide continence advice to patients, carers, and those who work with patients with continence problems. This advice may be provided through direct clinical practice, teaching, and involvement in research and development as part of an integrated team.To maintain contemporaneous records as an autonomous practitioner. To supervise student Nurses on placement with the service, as and when required.Responsible for nursing assessment and treatment for a defined clinical caseload of patients with continence issues, working in conjunction with and under supervision of Bladder and Bowel Specialist Nurses.To participate in continence treatment programmes with the team.To contribute to the supervision and training of Assistant Practitioners, and to support senior colleagues with delivering student placements.Able to fulfil physical demands of role, including manual handling applications.Will be required to travel city-wide for patient visits, meetings and training.The role has no specific budgetary responsibility, however there will be a requirement to demonstrate cost-consciousness within the role.
To be professionally and legally responsible and accountable for all aspects of your work, including the management of patients in your care. This may include onward referrals depending on symptoms and clinical history. To ensure a high standard of clinical care for the patients under your continence management, and support staff to do likewise. To determine by assessment and liaison with other relevant agencies the advice, education and treatment requirements of each patient and or carer. To undertake the comprehensive assessment of patients using investigative and analytical skills through standardised and non-standardised assessments. To formulate individualised management and treatment plans, using clinical reasoning and using a wide range of treatment skills and options to devise a programme of care and carry out treatment interventions. To accept clinical responsibility for a designated caseload of patients and to organise this effectively regarding clinical priorities and use of time. To provide advice, teaching and training to other members of the health care team regarding continence promotion and management. To have the ability to gain valid informed consent and to identify through assessment patients who lack capacity and work within a legal framework with patients who lack the capacity to consent to treatment. To work as a lone practitioner with supervision from band 6 or Band 7 Nurses. To provide spontaneous and planned advice, teaching and instruction to patients, carers and other professionals to promote understanding of continence treatment and management, and to ensure a consistent approach to patient care
MANAGERIAL AND LEADERSHIP
Effectively undertake line management responsibilities and provide support to Assistant Practitioners as appropriate. Act as professional role model aligned with organisational values and behaviours and implementing a compassionate and coaching style of leadership.
EDUCATION AND DEVELOPMENT
To ensure knowledge, skills and competencies are kept up to date and complete all relevant competencies within recognised time frames as detailed in the competency guidelines. To be involved in formal appraisal systems, supervision, and be active in identifying aims and objectives for personal development in line with departmental policy. Also, to keep an active up to date CPD portfolio.
PROFESSIONAL
To participate in the development of good practice in continence care within Nottingham CityCare Partnership under the guidance of the Adult Bladder and Bowel Specialist Nurses and the Clinical Service Manager. To support and encourage reflective practice in continence care, promoting a culture of continuous improvement.
To demonstrate a commitment to seeking out and delivering evidence-based practice. To be responsible for own Continuing Professional Development under the supervision of the Adult Bladder and Bowel Specialist Nurses - keeping abreast of new trends and developments, incorporating them into your work as necessary. Attend relevant conferences and internal or external training courses. To maintain a high level of nursing standards and work to the Nursing and Midwifery Code of Professional Conduct. To actively participate in the services training strategy, including in-service training, organisational, and multi-agency training. To participate by attendance and presentation at staff meetings, tutorials and training sessions. To support the development, implementation and evaluation of established continence link nurse or worker schemes. To demonstrate a sound understanding of Clinical Governance and Risk Management and apply to the work situation. To assist with development and participation in audit projects, evidence-based practice projects and outcome measures, either individually or with other senior nurses. To make recommendations for change. To participate in the staff Appraisal Scheme and Personal Development plans. CLINICAL QUALITY AND GOVERNANCE
To maintain a safe working environment and be aware of the necessity to comply with health and safety regulations. Support and engage with processes relating to staff and patient safety to align with the Patient Safety Incident Response Framework -PSIRF Support and engage with processes relating to staff and patient experience as appropriate Support and engage with processes relating to clinical audit and data collection as appropriate To always have regard for the confidential nature of the work by adhering to confidentiality legislation and not to disclose information to unauthorised parties. To actively promote equality and diversity within service delivery, and peoples individual rights. The post holder will comply with current legislation, the organisations policies, procedures and core values.
ORGANISATIONAL
To support the Adult Bladder and Bowel Specialist Nurses in implementing objectives to assist in the on-going development of the Service. To participate in service evaluation and advise the Adult Bladder and Bowel Specialist Nurses on the service needs of the patient population. To liaise effectively with other professionals and agencies to enhance continence care within Nottingham CityCare Partnership. To manage the day-to-day delivery of the service to own caseload within the Adult Bladder and Bowel Service. Also organising own diary and time management, arranging assessments and appointments for own caseload. To always ensure the health & safety of staff and patients in accordance with Health & Safety legislation and organisational policy and procedures. To adhere to all other organisational Policies and Procedures. To attend team meetings and meetings with other agencies as required.
To use information technology and participate in identified data collection and statistics and to maintain clear, concise and timely records in line with the service policy. To undertake any other duties which may be required, to meet the needs of the service. COMMUNICATIONS AND RELATIONSHIPS
Internal
To communicate effectively within a multidisciplinary team, show a comprehensive understanding of the roles of other team members and effectively facilitate team working within this service.
External
To communicate effectively with patients/carers to agree treatment goals and maximise rehabilitation potential and to ensure understanding of the condition.
Communication skills of negotiation, motivation, explanation and gaining informed consent will be used with a variety/ considerable number of patients. Barriers to effective communication may be regularly evident, e.g. loss of hearing, dementia, pain and fear. Some patients may lack the capacity to consent to treatment.
Person Specification
Experience Essential
Experience of working in the community setting. Evidenced experience of working with diverse or disadvantaged groups, with a clear understanding of health inequalities Evidence of participating in health promotion activities with clear examples. A clear understanding of safeguarding principles and evidence of effectively working with vulnerable adults. Practical experience of clinical supervision
Desirable
Experience of effectively applying continence care Evidence of participating in service development, quality improvement and audit, giving examples to support Experience of delivering direct classroom teaching
Qualifications Essential
Nurse with 1st level Registration Clear evidence of continued professional development
Desirable
Specific continence qualification or short courses
Knowledge and Skills Essential
A keen interest in promotion of continence and acting as an effective patient advocate. Able to work effectively in a team, supporting others and professionally challenging colleagues views and attitudes when necessary. Able assess a situation, set priorities and problem solve quickly and effectively.
Desirable
Advanced computer skills Catheter competencies for male, female, and suprapubic catheters
Additional Criteria Essential
Ability to be flexible over hours worked within contracted hours to meet the needs of the service. Full driving licence and the ability to travel between locations.
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.
UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).
Employer details Employer name Nottingham CityCare Partnership CIC
Address Sherwood Rise Health Centre
Nottingham Road
NOTTINGHAM
NG7 7AD
United Kingdom
Employer's website https://www.nottinghamcitycare.nhs.uk/ (Opens in a new tab)