Job description

Job responsibilities

Job Purpose

• To contribute to the delivery of the Living Well Service, operating Monday to Friday, 9.00am4.00pm, with extended hours until 6.00pm on Wednesdays, including Community Satellite Hubs.
• Support the development and delivery of services that respond to the needs of people seeking support from Rowans Hospice prior to the final stages of life.
• Provide opportunities to inform, support, care for and enable people, their families and friends who are affected by a life-shortening or incurable illness, or who are approaching the end of their natural lifespan.
• Promote an environment that provides companionship, support and meaningful engagement for patients and carers.
• Support the health and wellbeing of the local community and, where appropriate, enable individuals to engage in future planning and decision-making, supporting them to remain in control of their lives for as long as possible.
• Ensure patients and carers are appropriately assessed and triaged, with individual programmes of care, support and therapies arranged according to their identified needs.
• Assess the needs of patients and carers using appropriate assessment tools, including IPOS and CSNAT, and identify and facilitate referrals to relevant professionals and therapy services both within and outside the hospice.
• Liaise effectively with members of the clinical team, Hospice Companions Coordinator, Volunteer Services Manager, Primary Care and Social Care professionals to facilitate continuity of care within the community.
• Liaise with relevant inpatient and outpatient hospital departments to support the coordination and continuity of patient care.
• In conjunction with the LWS Manager, contribute to the development and expansion of Living Well Services, including increasing access to therapy sessions and providing flexible opportunities throughout the week.
• Promote a therapeutic environment by utilising the skills and expertise of therapists and artists working within the service and actively contributing to relevant projects and activities, including mindfulness.
• Provide appropriate advice regarding symptom control and care management to Living Well Service patients and, where appropriate and within the scope of the role, to other healthcare professionals.
• Report relevant information regarding patients' conditions, care or treatment to the LWS Manager, Deputy LWS Manager, Hospice Doctor or Palliative Care Hub, as appropriate.
• Report any matters affecting the effective and smooth running of the centre or Community Satellite Hubs to the LWS Manager, Deputy LWS Manager or Director of Clinical Services, as appropriate.
• Report complaints and safeguarding concerns raised by patients, relatives or individuals acting on their behalf to the appropriate manager and support the investigation of complaints where required, working within the boundaries and responsibilities of the role.
• Maintain strict confidentiality regarding patients and carers and ensure information is only shared appropriately with professionals where this is necessary to support the individual's care, wellbeing or protection.
• Demonstrate a consistently high standard of courtesy, dignity and consideration towards patients, carers, relatives and visitors.
• Promote and maintain a high quality of care by adhering to relevant standards, policies, procedures and best practice.

Person Specification

Experience

Essential

• Experience of working in specialist and/or palliative care
• Experience of working within a community setting
• Excellent communication and interpersonal skills
• A compassionate and person-centred approach to supporting patients, families and carers
• The ability to work effectively as part of a multidisciplinary team

Qualifications

Essential

• RGN / Registered Nurse qualification
• Current registration with the relevant professional regulatory body
• A relevant post-qualifying qualification

Disclosure and Barring Service Check

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.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Rowans Hospice Charity

Address

Purbrook Heath Road

Pubrook

Waterlooville

Hampshire

PO7 5RU

United Kingdom

Employer's website

https://www.rowanshospice.co.uk/ (Opens in a new tab)

Job description

Job responsibilities

Key Areas of Responsibility / Key Accountabilities

• To triage/accept patients and carry out assessments of patients, develop programmes of care. Ensure that programmes are implemented throughout the 24-hour period within the patients home. Community setting demands continued risk mitigation by assessment
• To maintain continuing personal contact with patients and their relatives and contribute with the evaluation of programmes of care. Whilst prioritising & allocating care according to patient care service demands
• To carry out specific treatments and clinical procedures. To base clinical practice on current research-based evidence. Evaluating & implementing symptom management as appropriate
• To assess the needs of patients and carers requiring intervention from other professionals/therapies within and outside the hospice and refer appropriately seeking support from senior staff as appropriate
• Ongoing assessment of symptom control /care management
• To verify when a death has occurred, notifying relatives and carers as appropriate following the procedures carried out within the community
• To care for the deceased patient by administering last offices as appropriate and ensuring the safe and timely removal of the body from the home working within the procedures in place within the community
• To report to the Hospice at Home Team Lead/Co-ordinator / Senior Hospice Nurse/ Hospice Doctor/ GP or D/N any relevant information on the condition of specific patients, their care or treatment
• Out of hours to report to the on-call Hospice Doctor/OOH/DN any relevant information on the condition of specific patients, their care or treatment
• Out of hours report to the on call Clinical Nurse Manager as appropriate any immediate concerns related to the operations of the hospice at home service
• To report any feedback, concerns and complaints from patients, their relatives, or others acting on their behalf and assist in the investigation as appropriate
• To administer drugs, and assist with their ordering and storage, in accordance with the NMC Standards for the Administration of Medicines. To recognise and report any errors or omissions in the administration of medications
• To adhere to the NMC Code of Professional Conduct
• To report to the Hospice at Home Team Lead/Co-ordinator/ Clinical Lead any matter affecting the smooth running of the hospice at home service
• To ensure knowledge about patients is maintained in the strictest confidence, and is not divulged, except to professionals where it would materially assist with the programme of care or protection of the individual (See Staff Handbook Confidentiality / Data Protection Act)
• In conjunction with H@H Team Leader report any complaints/safeguarding concerns from patients, their relatives, or others acting on their behalf to the H@H Team Leader/Clinical Director and assist with investigation of complaints as necessary knowing your boundaries and expectations within the process
• To demonstrate a consistent level of courtesy and consideration to patients, their relatives and visitors respecting that you are working within the patients own home
• To promote a high quality of nursing by adhering to set standards
• To contribute to the ordering and storage of clinical stores required for hospice at home
• To ensure that all nursing records are completed and updated at each shift change over shift in line with the policies within the community
• Complete assessment of bereavement vulnerability and liaise where necessary with Psychology/Bereavement Team
• To ensure that clinical stores utilised from the Inpatient Unit for community patients are used efficiently and economically
• To ensure that Infection Control standards are maintained at all times, participating in audits and monitoring as required
• To contribute to the development of HCSWs and student nurses by ensuring delivery of effective induction programmes and continuing development through appraisal and education
• To attend lectures, formal meetings etc. to maintain professional update, adhere to aspects related to the Health and Safety at work act and promote the effective running of the service and participate in research.

Person Specification

Experience

Essential

• Experience of supervising junior staff
• Proven leadership/management experience
• Excellent basic nursing care skills
• Excellent communication and interpersonal skills
• Able to demonstrate a good insight into palliative care principles and philosophy
• Able to demonstrate an understanding of palliative care symptom knowledge including and not exhaustive of; pain, nausea and vomiting, terminal agitation, bowel obstruction
• Able to demonstrate an understating of pharmacological and non-pharmacological interventions to support symptom management
• Ability to facilitate individualised evidence-based care
• Leadership insight and potential with the evidence of effective team co-ordination skills
• Ability to prioritise workload and be flexible to changing demands
• Ability to share knowledge with others to develop and influence practice
• Able to maintain active and contemporaneous records
• Well-developed coping strategies
• Personal grief resolved sufficiently to cope and perform within palliative care setting.

Desirable

• Communication qualification/experience
• uDNACPR training
• Physical Assessment and History Taking
• Experience of using SystmOne database
• Regular safe moving/handling of patients and equipment, including beds, mattresses, chairs and as necessary as regular bending and stretching involved.

Qualifications

Essential

• RGN or RN Adult Branch
• On NMC Register parts 1 or 12
• ENB 931/285/237/998 or equivalent/or relevant area of study
• Two years experience within a Palliative Care setting
• Driving License/Car Owner

Disclosure and Barring Service Check

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.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Rowans Hospice Charity

Address

Purbrook Heath Road

Pubrook

Waterlooville

Hampshire

PO7 5RU

United Kingdom

Employer's website

https://www.rowanshospice.co.uk/ (Opens in a new tab)