Home Health Care Nurse

Job Description

JOB PURPOSE:As part of the multi-disciplinary Home Care team, to participate in the assessment, planning and implementation of individualized nursing interventions in the patients? homes.? To provide physical and psychological support to patients and families and to refer on to other agencies for ongoing support where required.? To provide excellent communication links with patients and families and with other clinicians and services; to provide a patient-centered, holistic service.COMMUNICATIONS & WORKING RELATIONSHIPS: Internal:

• Home Care Manager
• Doctor
• Other nursing colleagues
• Home care allied health professionals
• Non-clinical staff

• Patients and families
• Hospital staff and other clinical staff
• Social workers

• Conduct ongoing assessments as determined by patient?s condition
• Frequently make the initial evaluation visit to the patient and provides those services requiring specialized nursing skill in accordance with the care plan approved by the doctor
• Perform appropriate treatments as ordered by doctor in an accurate and timely manner
• Make repeat visits to patients in their homes, to address and re-evaluate the nursing needs of patient, make or recommend revisions to the patient?s care plan
• Observe signs and symptoms and reports changes in the patient?s condition to the doctor as often as needed
• Form professional relationships with clients and families, and communicate information to them in a way that respects their views, autonomy and culture
• Educate patients and their families about how to prevent illness/ deterioration and how to improve the patient?s health and wellbeing
• Ensure consent for all treatment is obtained and recorded
• Review and assess own clinical interventions so that an action plan can be initiated in a timely manner
• Be an advocate for patients, making manager and appropriate team members aware of any concerns
• Safely travel between patients? homes and other venues on a regular basis adhering to relevant polices and guidelines
• Maintain appropriate standards of confidentiality and Information governance in accordance with policy
• Implement the infection control program designed to provide a safe and comfortable environment and to prevent the transmission of infection

• Participate fully in clinical and managerial supervision
• Communicate effectively with all members of the multi-disciplinary Home Care team and support team-working generally
• Attend team meetings as appropriate and ensure relevant patient information is fed back to the team
• Actively participate in emergency duty, on-call and weekend working systems if and when required
• Make effective use of the IT systems provided by the organization and maintain timely, accurate and comprehensive records
• Maintain a safe working environment by complying with quality and safety procedures, rules, and regulations.
• To comply with all mandatory training requirements

• Keep abreast of new developments, skills and technology to ensure continuing competence in the job
• Review the nursing service for quality improvement and make recommendations for changes as needed to ensure quality of services
• Participate in audits as and when required

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