District Nursing Service
- District nursing care is usually reserved for individuals who are housebound – that is they are only able to leave home by ambulance – or there should be some other reason why home visits are appropriate.
- All patients referred for continence promotion will be given a full assessment. Continence is the goal, with continence products used only as a last resort or short-term option.
- Any member of the team may visit patients – this may include staff members from around the area and bank staff.
- All packages of care will include health promotion, supporting the service’s overall aim of encouraging greater independence and well being.
What District Nurses Do
- Complex Assessment of health needs
- Wound assessment care
- Acute and Chronic Disease Management
- Health Promotion
- Palliative and Terminal Care
- Promotion of self care whenever possible
- Administration of treatment using specialised nursing equipment and medication
What District Nurses Don't Do
- Patients who need help with personal hygiene, bathing, meals, housework, day care, respite, getting up, going to bed or toileting should be referred to social service.
- District Nurses cannot carry out ‘check’ visits – all patients should have a recognised nursing need.
- Appointments times are not usually given for non-times treatment as this can lead to confusion, broken promises, rushed practitioners and inequity of care.
- District Nurses should not be used as an emergency service.
- Collecting prescriptions is a job for families, the home help or carers employed by the social services department or private agency – not skilled nurses.
- Voluntary agencies can often help with filling out forms such as benefit applications.
- Filling dosset boxes and administering oral, nasal and ophthalmic medication (such as eye drops) should be done by families, carers or social services.