The community nursing team is a generic and continuing care (C.A.R.I.N 4 Families) community based nursing service consisting of a community matron, team leader, registered children's community nurses, support workers, training staff and admin staff.
The purpose of the service is to enable children with acute or chronic health needs to receive nursing care within their preferred choice of place (usually the home).
Working closely alongside other agencies we are able to provide holistic, family-centred care, which is respectful of all cultural needs. The service promotes the empowerment of children, young people and their families by providing opportunities that enable them to live ordinary lives.
The service currently includes the following support for children and young people:
- Support for families, children and young people with long-standing nursing needs arising from complex medical conditions
- Agreed nursing procedures for children and young people with acute needs - for example IV therapy at home
- Follow-up of oxygen dependant babies and children
- Assistance and support with enteral feeding
- Palliative care support
- Wound, scalds, burns, abscess, post operative care
- Oncology and haematology care
- Tracheostomy and ventilation support
- Training and support for carers, family members or any organisation involved in the child's care.
This list is not exhaustive and can include any nursing procedure that can safely be undertaken at home.
The generic community nurses cover most areas of Nottinghamshire and some areas in Derbyshire (oncology only).
C.A.R.I.N 4 Families
The C.A.R.I.N 4 Families Team provides continuing care packages to children who have complex health and nursing care needs. Caring for children and young people with complex healthcare needs can sometimes have a tremendous impact on parents, siblings and carers. The role of the team is to provide support for the family while providing a positive experience for the child or young person.
The team is a made up of nurses and family support workers who can provide short and long term care in the home, other community settings and in hospital. Currently the C.A.R.I.N 4 Families service operates 24 hours a day, seven days a week.
The team also provides a training service with the aim to deliver training packages for a range of agencies and carers to enable children with additional nursing needs to access mainstream services or be cared for by a range of services at home. The hours of this service are flexible to meet the needs of families and carers.
End of life care
The team also operates a 24-hour on call system for end of life care. The team runs under a formal roster, with two staff rostered to cover 24-hour care, 365 days a year.
Referrals for the end of life service are accepted from primary and secondary care, including direct access by families and carers supported by an appropriate professional.