Job Description. Directorate: Community JD Last updated 24 th April 2014 Location: Colchester Hours: Full and Part Time

Transcription

1 Job Description Job Title: Registered Nurse, Job Evaluation Ref 14/2013 Hospice at Home Directorate: Community JD Last updated 24 th April 2014 Location: Colchester Hours: Full and Part Time Responsible to: Accountable to: Clinical Nurse Manager, Hospice at Home Director of Patient and Family Services Qualifications: Registered Nurse level 1 Degree in relevant subject Diploma of credit in palliative care Significant post registration experience at Band 5 equivalent or above. Job Summary: 1. The Registered Nurse will have responsibilities as a keyworker for patients and families requiring palliative care in the community, to include assessments and reassessments over a 365 day basis. 2. The role will involve being a clinical resource to Assistant Nurses in the community as well as to Administrators within SinglePoint. 3. Registered nurses rostered to the SinglePoint service will provide rapid response to patients in the last year of life within a 2 hour time frame. 4. The role involves deputising for the SinglePoint Clinical Nurse Managers when required. The Registered Nurse will work closely with community colleagues, hospice and hospital staff in order to ensure that patients requiring end of life care receive an integrated service in a timely manner. 5. The role will include working overnight, taking calls from patients and professionals and doing home visits as necessary throughout North East Essex.

2 Key Responsibilities; 1. As a qualified nurse, providing high standards of holistic, individualised care and support to patients and families, through a process of assessment, planning, implementation and evaluation. 2. To act as a keyworker to patients in the community, contributing to the provision of the 24 hour SinglePoint service. 3. To provide a rapid response to patients with palliative care needs within the last 3 months of life within a 2 hour response time 4. To be responsive to changing patient needs and flexibly visit according to suggested triaged response time 5. To work shifts including overnight, triaging calls to the centre and visiting patients as necessary, often as a lone worker. 6. Take responsibility for accurate assessments of patients and families ensuring the care they prescribe is carried out by Assistant Nurses and other providers. 7. Ensuring patient records are accurately written, in line with NMC and hospice regulations. 8. To work with the Clinical Nurse Managers to plan and implement change and development within the Hospice where this would increase effectiveness and efficiency of practice, deputising for them as required. 9. To provide telephone support to patients, families and other professionals 10. To provide supervision and work alongside SinglePoint Assistant Nurses and provide guidance and expert advice. 11. To maintain and promote effective and efficient working and communication with other community professionals, hospital professionals, voluntary, private and statutory agencies and other hospices. 12. Participate in the audit process and encourage colleagues to embrace the opportunities gained from audit. 13. Assist in the identification and meeting of educational needs of Assistant Nurses. 14. To ensure end of life procedures are carried out sensitively and appropriately. 15. To verify death following training and when it is appropriate to do so in line with Hospice policy

3 16. Demonstrate awareness of emotional needs of patients and families and the sensitivity and communication skills to meet these needs. 17. Demonstrate effective communication with patients key workers in order to ensure continuity of care for patients across all sectors. 18. To maintain professional awareness of current developments in nursing and palliative care and evidence based practice in order to remain an effective practitioner. 19. Follow Hospice policy at all times. 20. Participate in Clinical Supervision both as a recipient and a provider 21. Comply with NMC guidelines 22. Be aware of own emotional needs, relating to the palliative care environment, and how to meet them. 23. To act as an advocate safeguarding the patients and family s rights and interests, abilities and aptitudes, encouraging empowerment and informed choice. 24. Liaise with professionals from other agencies for the benefit of the patient and their family. 25. To communicate sensitively and effectively both verbally and in writing with patients, families and colleagues including volunteers. In some cases there may be barriers to understanding or highly sensitive communication required. The post holder is legally required to have regard to the Mental Capacity Act 2005 Code of Practice. This is an outline job description and may be subject to change, according to the needs of the service, in consultation with the post holder. Signed (employer) Date Signed (employee) Date

4 PERSON SPECIFICATION Category Essential Desirable Qualifications Registered Nurse level 1 Degree in relevant subject Diploma of credit in palliative care 1 st Degree Palliative Care Clinical Supervision qualification Teaching qualification Experience Skills, ability & Knowledge Significant post registration experience at Band 5 equivalent or above in any setting, working with palliative care patients Knowledge of symptom management. Sound community knowledge to ensure patients and families receive the appropriate support Proven knowledge and understanding of issues affecting vulnerable people and child protection Proven ability to recognise and respond to potential distress in individuals. Working knowledge of End of Life care tools i.e. Advanced Communication Skills Training Nurse prescribing Experience of working in the community Experience of working with people with mental health needs Experience of working with people with sensory and learning disabilities Understanding of the interface between community and acute settings

5 Communication skills Personal Attributes GSF; LCP & PPOC Full Driving Licence (and access to a vehicle) Sensitive communication skills Skills in : Attentive listening Empathy Exploration Non-judgemental Summarising Diplomacy Proven ability to deal with situations of conflict. Proven written and oral communication skills. Basic IT skills Understanding of the effects of life limiting illnesses. Ability to work autonomously and as part of a team Ability to use own initiative Flexible approach to work and shift system. Role model who can influence, motivate and encourage others Positive, self-motivated and committed to achieving results and solving problems Skills in communicating with people with specific communication needs including learning disabilities and sensory disabilities Participate in an open and honest communication culture within the team. Innovative and creative