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Children's Community Nursing

Children's Community Nursing. Secondary care nursing provision in Somerset. Andre Clinchant, Lead Nurse, Taunton & Somerset NHS trust. Overview. Providing support for children with complex health needs. Supporting parents to become expert carers.

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Children's Community Nursing

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  1. Children's Community Nursing Secondary care nursing provision in Somerset. Andre Clinchant, Lead Nurse, Taunton & Somerset NHS trust

  2. Overview • Providing support for children with complex health needs. • Supporting parents to become expert carers. • Supporting schools to deal with ever increasing complex health needs in their environment. • Reducing the need for hospitalisation. • Promote as normal a life as possible.

  3. What is complex health. • Overt nursing need. • Rare or unusual nursing needs beyond that which primary care offers. • Life threatening/life limiting condition. • Under regular care of a paediatrician. • Specialised health conditions (cancer, CF, diabetes)

  4. Provision • 3 teams across Somerset. • Taunton, Yeovil and Bath hospitals. • Specialist teams & nurses including COMPASS and CHCT, diabetics, oncology. • Outreach into homes, schools, residential settings, respite care settings. NOTE. Mostly we only take referrals from consultants, not GPs, schools, health visitors etc.

  5. What we don’t do. • Emergency care. • Immunisations. • Basic nursing care on otherwise healthy children. • Regular hands on nursing such as gastrostomy feeds, insulin injections, blood glucose tests. • Mobility issues/ adaptations. • Mental health issues. • Lead in creating health care plans but…

  6. So what do we do? • Support schools in drafting care plans. • Training SENCOS, LSAs etc. • Specialised nursing procedures (bloods, chemotherapy) • Attend Annual reviews. • Sign posting. • Some emergency procedures (gastro tube changes)

  7. Support school

  8. Summary • 9-5 service. • Non emergency. • Specialist nursing care. • Not hands on. • Work in partnership with other agencies. • Useful problem solver. • Friend, not your enemy!

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