Stroke Staff Nurse
To participate in the patients multi-disciplinary rehabilitation goals which may include aspects of personal care, ensuring a functional approach to rehabilitation. To provide clinical interventions to meet the holistic needs of patients to include issues relating to personal care and wound management, medicines management and catheter/ enteral care To make appropriate clinical decisions following assessment, using evidence based practice and outcome measures to provide the most effective treatment to patients, their families and carers within clearly defined inter-disciplinary care plans.
To seek advice and support as appropriate. To work within defined specialist, department and national protocols/policies for stroke care such as the NICE clinical guidelines and National Stroke Strategy, and to work within the professional code of conduct as outlined by the NMC.To be professionally and legally accountable for all aspects of own work and to ensure that work is within professional standards and clinical guidelines. To adapt practice to meet individual patient and families circumstances, including due regard for specific clinical conditions related to communication, cognitive, emotional and physical impairments resulting from a stroke.
To monitor the patients general medical condition and respond appropriately. To ensure that patients, families and carers are involved in the planning and prioritisation of their stroke rehabilitation care plans. To work collaboratively with other services that may be involved in the care of the patients for instance, social services, and the volunteer sector.
To monitor the patients general medical condition and respond appropriately. To attend and contribute to relevant multidisciplinary meetings and client reviews as appropriate. To demonstrate clinical effectiveness by use of evidence based practice and outcome measures relevant to stroke, in particular in regards to nursing intervention.
To provide supervision, advice and support to others regarding management and care of the individual nursing needs of patients (e.g. maintaining skin integrity and continence issues) in particular rehabilitation assistants. To conduct multi-disciplinary initial contact assessments as a member of the ward team/stroke early supported discharge team with a senior colleague.
To provide emotional support to patients and families including those with complex needs, with support from clinical psychologist and senior colleagues. To participate in the planning and discharging of patients receiving nursing interventions when agreed objectives have been reached or treatment is no longer appropriate.
This will involve discharge planning as part of the inter-disciplinary team, and will require planned referral onto other appropriate agencies/services. To be able to work over a seven day period, covering 24hrs a day in an Inpatient setting.