KATHARINE HOUSE HOSPICE JOB DESCRIPTION. Advanced Nurse Practitioner (Independent Prescriber)

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1 KATHARINE HOUSE HOSPICE JOB DESCRIPTION Advanced Nurse Practitioner (Independent Prescriber) Post Holder: Area of Work: Responsible to: Vacant Day Therapies Director of Nursing Services Mission To offer the best care so that people in our community affected by progressive diseases can live their lives to the full Department Objectives The purpose of Day Therapies is to provide specialist palliative care to adult patients, their carers and friends within the palliative care philosophy framework identified by the World Health Organisation. Overall Aims of the Post 1. To manage the Day Therapy, Well Being and Carers Support Services 2. To manage staff and volunteers within Day Therapy Services 3. To provide clinical and operational leadership within Day Therapies 4. To be responsible for setting, implementing and monitoring standards of patient care in line with the philosophy and principles of palliative care 5. To manage resources within defined budgets 6. To contribute to the delivery of the Katharine House Hospice Mission Statement 7. To ensure the on-going professional development of all nursing and care staff, working closely with the Director of Nursing Services, Medical Director and Clinical Lead Nurse The post holder will normally work Monday to Friday and will need to be flexible in their working hours to meet the needs of the service.

2 Key Working Relationships Director of Nursing Services Clinical Lead Nurse At Home Team Co-ordinator Medical Director Sister In Patient Unit Multi Professional Team Medical Secretary Head of Fundraising General Practitioners District Nurses Community and hospital base Macmillan Nurses Function and Responsibilities Key Tasks and Responsibilities In order to meet the objectives the post holder will have responsibilities in four main areas of work as follows: 1. Clinical 2. Managerial 3. Teaching 4. Research Within these areas specific responsibility will be as follows: 1) Clinical i) Provide clinical excellence and leadership in palliative care, acting as a role model and resource for other staff on the unit ii) Assess, diagnose, plan and implement programmes of evidence based care and treatment for patients. iii) Admit, refer and discharge patients in accordance with hospice policy and procedures. iv) Provide specialist advice and support to patients and carers. v) Provide a visible clinical profile, having both an advisory and clinical input into patient care thus providing support to the multi-disciplinary team and facilitating the clinical development of registered nurses, health care assistants, other members of the multi-professional team and students on placement vi) When registered with Stafford Hospital Pharmacy the post holder will be expected to act as an independent and supplementary prescriber. In undertaking this role the post holder will follow the Katharine House Hospice Independent Nurse Prescribing and Supplementary Prescribing policy and procedures. vii) When registered with Stafford Hospital Pharmacy as an Independent Prescriber the post holder will conduct nurse led admissions in line with hospice policy viii) Encourage practice development utilising research and evidence based findings

3 ix) Promote a multi-professional approach to care by facilitating communication and co-operation between all Katharine House Hospice departments. x) Review the outcomes of treatment and care in conjunction with the other members of the multi-disciplinary team. xi) Ensure that the service reflects the Hospice philosophy in accordance with the Mission Statement, underpinned by the Hospice policies and procedures and statutory legislation xii) Ensure safe custody and administration of drugs in accordance with good practice, Hospice policies and procedures, Nursing and Midwifery Council and regulatory and legal requirements. xiii) Identify local, demographic, cultural and environmental factors that influence the health and quality of life of patients. xiv) Ensure that relevant Hospice policies and protocols are up to date and commensurate with evidence based practice, regulatory and legal requirements. 2) Managerial i) Ensure that efficient and flexible duty rotas for Day Therapy Services are co-ordinated providing a skill mix that ensures safe practice and continuity of care at all times in keeping with established resources and patient dependency. ii) Demonstrate clear, supportive and effective leadership. iii) Ensure all staff are aware of their role and responsibilities iv) Undertake regular performance review and appraisal of staff and implementation of personal development plans v) Monitor study leave and ensure feedback is received from all training undertaken in association with the Director of Nursing Services. vi) Actively support all staff, identifying any concerns and ensuring equity of access to available support systems and advising the Director of Nursing Services if there are problems or issues which may require further intervention or additional resources vii) Deputise for other service leads where necessary. viii) Contribute to ensuring that Katharine House Hospice meets the regulations and outcomes set by the Care Quality Commission ix) Attend, and participate in, appropriate management meetings and other relevant committees as required. x) Co-ordinate the introduction of new members of staff and volunteers to the team, ensuring appropriate induction and mentoring xi) Work closely with the Director of Nursing Services and Chief Executive in the management of all relevant budgets xii) Co-ordinate collection and maintenance of information relating to the services and submit reports to the Director of Nursing Services and committees as required xiii) xiv) xv) xvi) xvii) Participate in the recruitment and selection of staff and volunteers. Investigate, record and report accidents, complaints and other untoward occurrences concerning patients, visitors, staff or volunteers that arise. Monitor the standards of cleanliness and food provision within the services. Demonstrate vision to develop the services Seek opportunities to lead and support quality initiatives

4 xviii) xix) xx) xxi) xxii) xxiii) xxiv) xxv) xxvi) Work within the guidelines laid down by the Nursing and Midwifery Council s Code of Professional Conduct Maintain current registration with the Nursing and Midwifery Council Lead and monitor new service developments Maintain own awareness of, and comply with, policies and procedures relating to Health and Safety, whether statutory or Hospice, and assist in ensuring the compliance of other staff Participate in the Senior Nurse on call rota Participate in the Controlled Drugs Denaturing Authorised Witness rota Promote a positive relationship with all stakeholders within the service and externally Work alongside external organisations and agencies. Contribute to local, regional and national clinical networks and specialty specific groups, working in partnership with other key professionals xxvii) Analyse relevant national policy, advise on impact for service, and work with other key professionals in the implementation of changes and evaluation of processes. xxviii) Access clinical supervision for own practice with agreement from Director of Nursing Services. 3) Teaching i) Create and promote a learning environment by maximising teaching and learning opportunities for all nursing and care staff ii) Promote the development of clinical supervision for all nursing and care staff and to access clinical supervision for own practice iii) In conjunction with the Director of Nursing Services, carry out annual Training Needs Analysis iv) Participate in the development of the education strategy v) Participate in education programmes within and outside the Hospice as required vi) Maintain own personal commitment to the expansion and development of professional skills and knowledge and to foster similar attitudes in other members of staff 4) Research i) Assist staff in developing their skills in the understanding and use of research to inform practice ii) Initiate and participate in research projects, complying with the Hospice s Research Policy and Procedure iii) Ensure all clinical decisions are evidence based and to assist staff in bridging the theory/practice gap iv) Take responsibility for developing audit tools, and audit programmes, to enable quality of care to be monitored

5 Key Competencies and Skills Requirements Qualifications i) RN1: Adult Nurse, Level 1 on the Nursing and Midwifery Council s Register ii) 5 years post registration experience, two of which should have been in a specialist palliative care setting iii) 2 years management experience iv) Courses: Recognised Teaching Mentorship Course Degree in Palliative Care or other relevant subject, if degree is not in palliative care a recognised course in this area Independent and Supplementary Non-Medical Prescribing Principles of Physical Assessment i) Masters level degree or working towards ii) Recognised communication skills course iii) Recognised counselling course iv) Recognised management course Competencies Is able to meet/work towards achieving the competencies as identified in the Katharine House Hospice competency document Induction Requirements Introduction to Katharine House Hospice team Two day Katharine House Hospice Induction course Work one week supernumery in Day Therapy and In Patient Units One day with At Home Team One day with two different district nursing teams Two days with Community Macmillan Team Two days with Hospital Palliative Care Team One day with Nurse Consultant in Palliative Care One day with Community Nurse Specialists at St Giles, Douglas Macmillan and Compton Hospices Job Revision This job description is not exhaustive and is subject to periodic revision in the light of service requirements or the post holder s personal development

6 Confidentiality To ensure confidentiality is maintained on all matters pertaining to patients, staff and organisation in accordance with the Hospice s Confidentiality Policy Infection Prevention and Control In accordance with the Health and Social Care Act 2008, the post holder will actively participate in the prevention and control of infection within the capacity of their role. The Act requires the post holder to attend infection prevention and control training on induction and at regular updates and to take responsibility for the practical application of the training in the course of their work. Infection prevention and control must be included in any personal development plan or appraisal. Smoking The hospice has a no smoking policy. All hospice premises are considered No Smoking Zones This post requires the individual to consent to an enhanced disclosure by the Disclosure and Barring Service

7 PERSON SPECIFICATION ADVANCED NURSE PRACTITIONER Requirements Education and Qualifications RN1: Adult Nurse, Level 1 on the Nursing and Midwifery Council s Register Relevant degree Recognised palliative care course if degree not in palliative care Recognised teaching/mentorship qualification Independent and supplementary non-medical prescribing Principles of Physical Assessment Masters level degree Recognised management qualification Recognised communication skills course Experience 5 years post registration 2 years in specialist palliative care 2 years in management position Demonstrable service development Teaching Demonstrable change management Budgetary awareness/control Budget setting Experience as Clinical Nurse Specialist

8 Skills, Knowledge and Special Aptitudes Demonstrable advanced clinical nursing skills in palliative care Demonstrable ability to make clinical decisions and to develop others in this area Demonstrable people management skills including: Motivation of staff and team building Decision making Clinical leadership Staff development Conflict and problem solving Expanding skills and knowledge of others Initiating and managing change Team player Understanding of current issues and initiatives relating to palliative care IT skills Cannulation skills Personal Qualities Excellent communication skills both written and verbal Effective negotiator Demonstrable leadership qualities The ability to deal with and resolve conflict Flexible attitude Can do approach

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