Staff Nurse (Hospice at Home Team)
Posted 2 hours 36 minutes ago by NHS
£22,966 per annum (with palliative care qualification)
£20,786 per annum (without palliative care qualification)
Preceptorship salary: £19,244 per annum
Job responsibilitiesProvide a high standard of holistic, skilled, patient-centred, palliative care to all patients.
Support and supervise the work of health care assistants, apprentices, students and volunteers.
To support and contribute to an environment of continuous quality improvement and learning.
To act as shift lead when required.
Ensure uniformity of the quality of nursing care across the service.
Provide competent clinical care in areas such as tracheostomy, percutaneous endoscopic gastrostomy (PEG), venepuncture, cannulation, catheterisation, administration of subcutaneous and intravenous therapies and verification of death, where competence has been proven and verified.
Lead the admission process ensuring all relevant patient records are completed within the agreed timeframes and according to statutory requirements.
Along with other staff, identify and assess physical, psychosocial and spiritual needs of patients and their families/carers.
Lead the planning, delivery and evaluation of evidence-based nursing care for patients and their families in collaboration with other members of the multi-disciplinary team.
Lead the discharge planning, including the completion of continuing care checklist and fast track documentation, to ensure patient transfers are timely and coordinated.
Oversee and support the bereavement process.
Ensure that all clinical policies, procedures and guidelines are adhered to.
Ensure medicines are managed in accordance with all internal policies, procedures and standard operating procedures and the Misuse of Drugs Act 1971.
Ensure that patient documentation is completed accurately and fully in line with NMC guidance on documentation.
Be aware of and adhere to Hospice policies and procedures and act at all times with the NMC standards, Code of Conduct and guidelines.
Manage and maintain a safe clinical environment utilising allocated resources safely and effectively.
Lead and co-ordinate shifts as required.
Provide support and direction to volunteers.
Undertake appraisal, one-to-one and competency assessments of health care assistants and apprentices.
Participate in and support the development of organisational and departmental objectives.
Commit to attendance at team meetings, contributing positively and constructively.
Contribute to the daily handover and admission meetings giving clear concise reports of patient progress.
Foster good working relationships with all Hospice departments and members of the multi-disciplinary team.
Communicate effectively with patients and families ensuring they contribute and consent to treatment and care plans.
Communicate information to distressed and/or bereaved people in a sensitive manner.
Manage situations where people are distressed or angry in an effective, safe manner.
Be able to communicate effectively with people exhibiting challenging behaviours, ensuring they are respected but expectations are made as clear as possible.
Have excellent telephone communication skills, taking calls from patients, carers and professionals managing their concerns effectively and sensitively.
Manage complaints in a sensitive manner ensuring that the Hospice policy and procedure is adhered to.
Advocate for service users ensuring their views are known to the team, including supporting advance care planning discussions and documentation.
Ensure that NMC requirements for nurse revalidation are fulfilled and revalidation takes place within the required timeframe.
Complete a post graduate accredited palliative/end of life care training module.
Develop and maintain relevant knowledge and skills and be responsible for own continuing professional development.
Attend mandatory training and any other essential training relevant to the job role.
Provide mentor support to new staff, apprentices, students and volunteers.
Identify and participate in the development of teaching and educational programmes.
Participate in one-to-one supervision with own line manager.
Be aware of organisational strategic direction and future issues pertaining to the provision of specialist palliative and supportive care, and contribute to and participate in organisational service development.
Contribute to the identification of practices that could improve service delivery outcomes and participate in the development of appropriate action plans through audit, research, evaluation, education/training.
Participate in the implementation and review of subsequent action plans.
Take an active role in unit meetings, highlighting areas requiring quality improvement.
Use and maintain resources efficiently and effectively and encourage others to do so.
Identify risks as they arise and carry out risk assessments, taking immediate remedial action as required and updating risk assessments regularly.
Adhere to the adverse event and serious incident reporting policy and take appropriate action.
Be familiar with and support implementation of safeguarding policies, the Mental Capacity Act and Deprivation of Liberty Safeguards.
Promote an environment that supports infection prevention and control policies and procedures, ensuring staff practice accordingly.
Use equipment safely and in accordance with instructions and departmental procedures, reporting faults as necessary.
In the absence of or in consultation with senior nursing staff, ensure that the off day rota meets the requirements of safe staffing risk assessment for the department.
Ensure that Hospice policies, procedures and standards are adhered to at all times with particular regard to confidentiality, information governance, health and safety, prevention and control infection and medicines management.
Ensure the effective utilisation of the Hospice's computer based patient record system, promoting the use of information technology for recording patient information, communication and information sharing; implementing procedural change as necessary.
Ensure that the department is compliant with the requirements of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 and contribute to the Care Quality Commission inspection process.
Contribute to effective outcome monitoring of service delivery in line with the above regulation.
Person Specification Qualifications- First Level Registered Nurse Qualification (NMC registered)
- Documentary evidence of continuing professional development
- Willingness to work towards a degree level module in end life/palliative care
- Knowledge of current best practice in nursing care.
- ENB 931 or equivalent
- ENB 285
- Work flexibly according to the needs of the service
- Understanding and sensitivity to the needs of patients with a life limiting illness/their families and carers
- Liaison with other agencies and professionals
- Good communication, record keeping and organisational skills
- Ability to move and handle people and equipment
- Vaccination appropriate to the job role
- Experience of working with adult patients.
- Understanding of professional nursing issues.
- Ability to relate nursing experience to a palliative care setting.
- Experience of working in a palliative care setting
- Evidence of an ability to work independently and as part of a team
- Ability to relate positively to colleagues and members of the MDT
- Demonstrate an understanding of confidentiality and information governance
- Positive attitude to change and flexible working practices
- To have an understanding of, and an ability to promote and implement equal opportunities
- Commitment to client-centred, non discriminatory practice
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.