Job description

Job responsibilities

22.5 hours

Advanced Clinical Practice.

To triage referrals in a timely manner prioritising and organising admissions to the inpatient unit for those patients who require specialist symptom management, end of life care or respite.

To practice autonomously and undertake clinical assessments, to review patient-centred, goal-orientated plans of care agreeing treatment plans with patients/relatives in line with local protocols and guidelines.

Document plans of care appropriately and communicate effectively with other members of the clinical team.

Work collaboratively within the hospice multidisciplinary team and where appropriate with other professionals and external agencies to ensure holistic, patient-centred, clinically safe, evidence based and cost effective care is provided to patients referred to the hospice for symptom management, end of life care or respite.

Maintain and extend own professional competence seeking advice from own team and local specialist palliative care teams when necessary.

Promote the smooth and safe discharge of patients by working collaboratively with community teams to ensure continuity of care

Utilise advanced communication skills to communicate sensitively with patients and their families particularly when supporting advance care planning, relaying sensitive information and breaking bad news.

Promote health, well-being, independence and rehabilitation strategies where appropriate.

Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures.

Promote values based care.

Management and Leadership

Participate in and contribute to clinical team meetings.

Contribute to policy development.

Support nursing and clinical developments within clinical services.

Attend relevant external meetings including Specialist Palliative Care (SPC) MDT and promote hospice services.

Identify gaps in service and work with the clinical team to initiate evidence-based change

Recognise and act as an advocate for patients, carers actively encouraging their feedback to ensure that hospice services continue to be responsive to their needs.

Act as a role model for all staff demonstrating high standards of practice, professional conduct and promoting the positive image of the hospice.

Promote the role of the ANP within palliative care.

Support the Hospice Senior Management Team to ensure St Kentigern Hospice are developing services in line with their strategic plan, SLA and national drivers.

Support the Matron in delivering the strategic plan for clinical services.

Support the management of the inpatient unit and clinical services in the absence of Ward Sister / Deputy Ward Sister.

Education

Support a learning culture within the hospice.

Contribute to the hospice education programme

Provide information to patients and their families

Share developing knowledge and expertise to support the inpatient team and wider MDT to provide optimal care to patients and their families.

Maintain up-to-date skills and knowledge in line with the ANP role

Actively participate in the PADR process

Ensure own compliance with and assist in ensuring other staff members comply with the requirements of mandatory training and continuing professional development

Actively participate in the PADR process

Research

Contribute to the clinical governance process, including adverse incident reporting/investigation and the management of complaints, as appropriate.

Take an active role in clinical governance, quality assurance, audit and evaluation including to ensure that key performance indicators are met.

Actively promote and implement evidence based practice/quality standards and participate in audit and developing outcome measures

Collaborate with other team members in relevant research and audit activities related to the area of practice.

Professional/ Governance

Adhere to the Nursing and Midwifery Council (NMC) The Code for Nurses and Midwives and to be conversant with Professional Standards of Practice and Behaviour that must be upheld. Ensure revalidation in line with NMC regulations.

Maintain responsibility for professional registration and practice through continuing personal development. Ensure revalidation in line with NMC regulations.

Maintain appropriate competencies.

Maintain personal standards of conduct and behaviour consistent with Hospice values and regulations set within the relevant professional bodies.

Demonstrate clinical and professional development and evidence this in a personal portfolio.

Be aware of the policies, procedures and philosophies of the Hospice, understanding health and safety requirements and ensure that all duties and responsibilities are carried out within these guidelines.

Raise quality issues and report related risks within the Hospice to address incidents.

Support equality and value diversity.

To be aware of responsibilities regarding duty of candour and reporting poor practice.

General Requirements:

This post is subject to the Terms and Conditions of employment of the Hospice as specified in the staff handbook

Competence You are responsible for limiting your actions to those that you feel competent to undertake. If you have any doubts about your competence during the course of your duties you should immediately speak to your line manager / supervisor.

Risk Management

It is a standard element of the role and responsibility of all staff of the Hospice that they fulfil a proactive role towards the management of risk in all of their actions. This entails the risk assessment of all situations, the taking of appropriate actions and reporting of all incidents, near misses and hazards. It is a requirement that you adhere to St Kentigern Hospice Policies, Procedures, Protocols and guidelines at all times.

Health and Safety Requirements of the Hospice

All employees of the Hospice have a statutory duty of care for their own personal safety and that of others who may be affected by their acts or omissions. Employees are required to co-operate with management to enable the Hospice to meet its own legal duties including attendance at mandatory training updates and also to report any hazardous situations or defective equipment.

Data Protection and Confidentiality

The post holder must treat all information, whether corporate, staff or patient information, in a discreet, secure and confidential manner in accordance with the provisions of the current data protection legislation and organisational policy. Any breach of such confidentiality is considered a serious disciplinary offence, which is liable to dismissal and / or prosecution under statutory legislation and the hospices disciplinary policy. This duty of confidence continues after the post holder leaves the organisation.

Records Management

As an employee of the hospice, the post holder is legally responsible for all records that they gather, create or use as part of their work within the organisation (including patient health, staff health or injury, financial, personal and administrative), whether paper based or on computer. The post holder should consult the Lead if they have any doubt as to the correct management of records with which they work.

Flexibility Statement

The content of this Job Description represents an outline of the post only and is therefore not a final list of duties and responsibilities. The Job Description is, therefore, intended to be flexible and is subject to review and amendment in the light of changing circumstances, following consultation with the post holder.

The post is subject to an enhanced disclosure check with the Disclosure and Barring Services (DBS).

Person Specification

Experience

Essential

• Appropriate experience following qualification

Desirable

• Experience in palliative care

Skills and Knowledge

Essential

• Good communication skills
• General clinical skills / procedures appropriate to experience
• Ability to write clear conscise notes / present clinical histories
• Experience / knowledge of palliative care to appropriate level
• Awareness of interface between secondary and primary care
• Enthusiastic, flexible, team player, keen on teaching and research
• Good communicator with good interpersonal skills
• Adaptable to changing needs of service

Desirable

• Keen to develop teaching skills
• Computer skills
• Communication skills course or qualifications
• Working towards formal postgraduate qualification
• Some experience in audit / research
• Experience in community services and working in primary care
• Keen to teach and train clinical staff members
• Ability to speak Welsh

Qualifications

Essential

• MSC Advanced Nursing Practice
• Full registration with NMC
• Non-medical prescriber

Desirable

• Postgraduate experience in Palliative Care
• Working towards formal qualification in Palliative Care

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

St Kentigern Hospice

Address

Upper Denbigh Road

St Asaph

Denbighshire

LL17 0RS

United Kingdom

Employer's website

http://www.stkentigernhospice.org.uk/ (Opens in a new tab)

Job description

Job responsibilities

STAFF NURSE IN-PATIENT UNIT

HOSPICE BAND 5

£33,515 - £38,362

37.5 hours PERMANENT

KEY RESPONSIBILITIES:

1. To continually develop clinical expertise and act as a positive role model promoting a high standard of care to fulfil the St Kentigern philosophy of care.

1. To deliver evidence based care to patients and their carers in line with their physical, psychosocial and spiritual needs

1. To promote and maintain continuity of high standards of nursing care.

1. To be responsible following induction period for the assessment of care needs, the planning, delivery and evaluation of care and to offer support to other staff in the clinical area

1. To work at all times in line with the NMC code of conduct and duty of candour requirements

KEY RELATIONSHIPS:

• Matron
• Nursing team

• Ward sister
• Advanced Nurse Practitioners
• Medical team
• Family Support Team
• Day Therapies / Well Being Hwb Team
• Specialist Palliative Care Team community and acute
• Hospice Allied Health Professionals
• All hospice departments
• Primary and Community care teams

CLINICAL:

1. Work as a member of the multi-disciplinary team to provide holistic person centred care, integrating nursing care with psychosocial and spiritual needs.
2. Assist with initial and on-going assessment of patient and family needs.
3. As a registered nurse plan, initiate, supervise and participate in patient and family care, discussing issues with other senior team members as appropriate.
4. Evaluate and up-date nursing care plans in response to the changing problems/needs of patients and families.
5. Monitor nursing practice, encouraging development of colleagues through discussion of current and proposed care plans.
6. At all times maintain appropriate and adequate records of your work.
7. Maintain effective communication with patient and families throughout their contact with the hospice; providing when necessary: -

Telephone support and advice

Access to nursing/medical staff for conditional information or future planning.

Information and access to allied professionals.

Bereavement support and access to follow-up support.

1. In discussion with the Matron and Ward Sister identify an area of special clinical interest in which to develop additional knowledge and skills to act as a link nurse for the rest of the team.
2. As necessary or required develop awareness and experience working within our other services across the hospice, i.e. family support and day services, to extend knowledge and skills in this specialist setting
3. Participate and gain confidence and experience leading patient case reviews and team meetings
4. Actively participate in all aspects of the patient experience of hospice care from initial assessment and admission through to discharge planning and placement.
5. Work at all times within the policies and guidelines appropriate to your role.

MANAGEMENT:

1. Take responsibility for the management of the in-patient unit team when requires in the absence of more senior grade staff.
2. Liaise with multi-professional agencies within the hospice, community, primary care, and hospital to provide continuity of patient care.
3. Be responsible for maintaining high standards of nursing care, when in charge of the team and unit, and help to create and maintain positive relationships between all groups involved in the welfare/care of patients.
4. Responsible for the co-ordinating of all activities when in charge of the team supported by the Ward Sister and Matron.
5. Ensure the promotion of safety, well-being and the interests of the patients, staff and visitors to the in-patient area as directed in the hospice guidelines, policies and procedures.
6. At all times follow the Code of Professional conduct and to ensure that all staff within their sphere of responsibility also follow professional requirements.

CLINICAL GOVERNANCE

The post holder will cooperate with other team members to maintain compliance with relevant elements of the clinical governance framework.

Risk management

Service User participation Views on Care

Staff and Staff Management

Continuing Professional Development

Information Governance and Management

Clinical Effectiveness and Audit

AUDIT AND RESEARCH

1. Be aware of and disseminate to colleagues current best practice knowledge as appropriate to role.
2. Work in partnership with the senior nursing staff to develop appropriate tools to monitor effectiveness of services/area of special interest in care provision at St Kentigern Hospice
3. Participate or if appropriate lead in the completion of service audits in an appropriate and timely manner and feedback to colleagues, making recommendations regarding implications (if any)

EDUCATION AND DEVELOPMENT

1. Identify own learning objectives and attend relevant study/shadowing opportunities following discussion with line manager/nurse management team
2. Maintain records of supported study and provide evaluation of study attended, (for inclusion in personal file).
3. Adhere to NMC revalidation requirements at all times.
4. Participate in feedback (verbal and written) to colleagues throughout the hospice regarding study days attended and potential service improvement opportunities
5. Actively participate in personal development review (PDR) and objective setting at initial 6 month review meeting and subsequent PDR meetings with line manager/senior nurse
6. Develop and maintain up to date knowledge of relevant hospice policies and the impact they have on individual practitioners including:

Fire policy

Moving and Handling policy

Health and Safety policy

Confidentiality policy

Complaints policy

GENERAL REQUIREMENTS:

This post is subject to the Terms and Conditions of employment of the Hospice as specified in the staff handbook.

Health Practitioner

As an individual working within a health care environment, you are expected to maintain high standards of care and practice as required in professional guidelines and relevant codes of conduct.

Competence

You are responsible for limiting your actions to those that you feel competent to undertake. If you have any doubts about your competence during the course of your duties you should immediately speak to your line manager..

Risk Management

It is a standard element of the role and responsibility of all staff of the Hospice that they fulfil a proactive role towards the management of risk in all of their actions. This entails the risk assessment of all situations, the taking of appropriate actions and reporting of all incidents, near misses and hazards. It is a requirement that you adhere to St Kentigern Hospice Policies, Procedures, Protocols and guidelines at all times.

Health and Safety Requirements of the Hospice

All employees of the Hospice have a statutory duty of care for their own personal safety and that of others who may be affected by their acts or omissions. Employees are required to co-operate with management to enable the Hospice to meet its own legal duties and to report any hazardous situations or defective equipment.

Data Protection and Confidentiality

The post holder must treat all information, whether corporate, staff or patient information, in a discreet, secure and confidential manner in accordance with the provisions of the current data protection legislation and organisational policy. Any breach of such confidentiality is considered a serious disciplinary offence, which is liable to dismissal and / or prosecution under statutory legislation and the hospices disciplinary policy. This duty of confidence continues after the post holder leaves the organisation.

Records Management

As an employee of the hospice, the post holder is legally responsible for all records that they gather, create or use as part of their work within the organisation (including patient health, staff health or injury, financial, personal and administrative), whether paper based or on computer. The post holder should consult the IG Lead if they have any doubt as to the correct management of records with which they work.

Professional Reputation

All employees are expected to behave at all times in a manner which upholds and promotes the professional reputation of the hospice

This job description is an outline of the role and function, it is not intended to describe all specific tasks.

The post is subject to an enhanced disclosure check with the Disclosure and Barring Service (DBS)

Person Specification

Personal Attributes

Essential

• Passion for Palliative Care.
• Patient and understanding.
• Flexible approach to work.
• Enthusiastic team player
• Ability to liaise and network effectively
• Commitment to equal opportunities
• Ability to think laterally, problem solve and work flexibly.
• Non-judgemental
• Ability to manage time, self and workload

Desirable

• Welsh Speaker

Skills, knowledge and abilities

Essential

• Excellent communication skills.
• Ability to motivate and lead others.
• Multi disciplinary communication skills.
• Creative and innovative.
• Ability to work as part of the team.
• Motivational skills.
• Effective IT skills.
• Critical evaluation skills

Desirable

• Awareness and understanding of the systems of palliative care delivery in Wales

Qualifications

Essential

• Registered Nurse

Desirable

• Palliative Care Qualification
• Mentorship

Experience

Essential

• 18 months - 2 years working at Band 5
• Record of achievement in developing clinical practice
• Effective role model

Desirable

• Experience of working in specialist palliative care setting
• Research Experience
• Experience of informal teaching

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

St Kentigern Hospice

Address

Upper Denbigh Road

St Asaph

Denbighshire

LL17 0RS

United Kingdom

Employer's website

http://www.stkentigernhospice.org.uk/ (Opens in a new tab)

Job description

Job responsibilities

ST KENTIGERN HOSPICE

HEALTH CARE SUPPORT WORKER - MATERNITY COVER

37.5 HOURS PER WEEK

Responsible to: Ward Sister

Accountable to: Matron

ROLE

To help and assist other members of the multidisciplinary team in creating an atmosphere in which patients and their families are supported and receive the best care possible.

AIMS

1. To respect, empower and work in partnership with others, ensuring the delivery of high quality care.

2. Work independently within your role, planning care alongside registered Nurses.

3. Assist registered nurses in carrying out care.

4. Prioritise care appropriately, observe and report accurately on patients general conditions, ensuring that all information is communicated by taking part in discussion and recording relevant information.

5. Mentor and be a role model to new members of the team.

6. To be part of the team, share the planning, implementation and evaluation of the care of patients, and support for families.

7. To maintain a high standard of nursing care, and participate in making improvements to working practice.

8. To help ensure a safe working environment, be aware of the Safety at Work Policy and work within its guidelines. Carry out risk assessments as required.

9. Help promote good working relationships within the team, offering peer support and encouraging supportive practice.

Reviewed 04/06/2020 JMcG

CLINICAL DUTIES

1. Work within the hospice team to promote holistic care of patients and families.

2. Help assess the individual needs of the patient and the family.

3. Be responsible and accountable for own performance and standard of care given.

4. Communicate relevant information to the rest of the team concerning patient and family, respecting confidentiality.

5. Participate in discussion on patient care during ward report and at multidisciplinary team meetings.

6. Be involved in the support of bereaved relatives when appropriate.

7. To work flexibly if required across day therapies and the inpatient unit.

PERSONAL DEVELOPMENT

1. Be aware of clinical developments within your and attend relevant study opportunities.

2. Written appraisal by staff nurse or Ward Sister (minimum once yearly).

3. Use opportunities to consolidate learned skills.

4. Identify specific needs to widen knowledge and experience as appropriate

5. Develop competencies relevant to your role as identified in annual appraisal.

GENERAL

This job description outlines the main elements of the role and is subject to regular review and possible alteration.

St Kentigern Hospice's inpatient unit that provides palliative care to patients with all life limiting illnesses and a day therapies unit that offers enabling support to patients.

Person Specification

Qualifications

Essential

• NVQ level 2 in Health and Social Care

Desirable

• Qualified to NVQ level 3

Experience

Essential

• Experience of working in a health care setting

Desirable

• Experience of working in a hospice OR in any other palliative care setting

Personal Qualities

Essential

• Good interpersonal and communication skills
• Warm and compassionate
• Team player
• Non-judgemental

Desirable

• Ability to speak Welsh

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

St Kentigern Hospice

Address

Upper Denbigh Road

St Asaph

Denbighshire

LL17 0RS

United Kingdom

Employer's website

http://www.stkentigernhospice.org.uk/ (Opens in a new tab)