PCN Nursing Associate

Primary Responsibilities

The following are the core responsibilities of the Nursing Associate. There may be on occasion, a requirement to carry out other tasks; this will be dependent upon factors such as workload and staffing levels, please see Job description for full responsibilities:

Frailty & holistic patient care

Support the Frailty Lead in providing holistic, person-centred care to patients living with frailty and multiple long-term conditions. Undertake delegated assessments and contribute to holistic assessments of patients physical, psychological and social needs. Identify changes in a patient's condition and escalated concerns promptly to the Frailty Lead or appropriate clinician. Work closely with both our Pharmacy and Personalised Care teams, ensuring a holistic approach to care

Clinical Care Monitoring vital signs and clinical observations.

• Blood pressure, pulse, respiratory rate, oxygen saturations and temperature.
• Blood glucose monitoring.
• Urinalysis and other point-of-care testing where appropriate.
• Wound assessment and management within competence.
• Catheter care and other delegated nursing procedures.
• Supporting medicines-related care within role boundaries and local policy.
• Supporting continence care.

Working with the Frailty Lead Identify patients requiring proactive review and monitoring. Undertake planned home visits and follow-up reviews. Monitor patients following hospital discharge or periods of acute illness. Support the management of patients identified as high risk of deterioration.

Preventing hospital admissions & supporting admission avoidance

Identifying early signs of deterioration. Supporting timely clinical intervention and escalation. Promoting self-management and preventative health measures. Supporting patients and carers to understand when and how to seek help. Signposting patients to other services. Facilitating appropriate community-based interventions where clinically safe.

Care homes

Supporting routine and proactive clinical reviews. Monitoring residents with frailty and long-term conditions. Recognising deterioration and escalating appropriately. Supporting care home staff with clinical observations and care planning. Contributing to personalised care plans.

Health promotion and prevention

• Falls prevention.
• Nutrition and hydration.
• Continence care.
• Physical activity and mobility.
• Vaccination and screening awareness.
• Smoking cessation and healthy lifestyle advice where appropriate.
• Supporting patients to manage long-term conditions.

Communication and multidisciplinary working

Establish effective therapeutic relationships with patients, relatives and carers. Communicate sensitively with patients who may have cognitive impairment, dementia, hearing impairment or other communication needs. Liaise effectively with professionals across health and social care.

Documentation and information governance

Maintain accurate, contemporaneous and comprehensive clinical records. Record all assessments, interventions, observations and outcomes in accordance with PCN and practice policies. Use relevant clinical systems effectively.

Professional responsibilities

Work within the Nursing Associate scope of practice and professional standards. Maintain registration with the Nursing and Midwifery Council (NMC). Maintain competence through continuing professional development. Participate in supervision, appraisal and clinical review. Recognise personal limitations and seek appropriate support and advice. Work within Meridian PCN policies, procedures and clinical governance arrangements. Participate in audit, quality improvement and service development. Contribute to a culture of learning, safety and continuous improvement.

Cambridgeshire and Peterborough NHS Foundation Trust

Cambridgeshire and Peterborough NHS Foundation Trust

Cambridgeshire and Peterborough NHS Foundation Trust