Band 5 Clinician (Nights) - Hospice at Home

Job responsibilities

The Hospice at Home Registered Nurse works independently in patients homes as part of the wider Hospice and community teams. They provide high-quality, evidence-based nursing care to patients in the last four weeks of life and support to their families/friends at the most challenging time. They are responsible for - the assessment, planning and delivery of care underpinned by evidenced based practice. working actively towards achieving the clinical competencies needed to meet the needs of patients under our care. Actively leading, guiding, and supervise junior staff, students and volunteers

Care and Quality To assess, plan, implement and evaluate individualised patient care in collaboration with the patient and their carers and the multi-disciplinary team. Ensure that patient privacy and dignity is maintained at all times, with special regard to issues of confidentiality. To deliver all care in a caring and compassionate manner, treating patients and colleagues with dignity and respect. To administer medications as prescribed and monitor and report on their effect. Support all patients and their families, respecting their beliefs and personal circumstances. Work within SPH Mental Capacity Act and Deprivation of Liberty Safeguards Policy to ensure you safeguard the interests of all patients. Carry out verification of expected death following St Peters Hospice guidelines. Support bereaved families after the patients death, informing them of the after-death processes that need to occur. Work within own scope of practice, taking professional accountability for clinical competence. To contribute to practice improvement and clinical audit, implementing any recommended changes, so ensuring evidence based, quality specialist palliative care is being delivered to patients, carers and their families. To contribute to maintaining Health and Safety standards and Risk Assessment within Hospice at Home. Use resources economically and efficiently. Prioritises own workload and manages own time to ensure priorities are met and quality is not compromised. To report accidents, incidents, and complaints as per policy, participating in investigations as required. Able to deal with challenging situations by own actions, knows escalation procedures and familiar with information resource. Communication To communicate with patients and families in a sensitive, supportive and caring manner, taking account of individual personal beliefs and understanding. To communicate professionally and in a timely way with all internal and external health care professionals to ensure the patient and family receive coordinated care of a high quality. To ensure all documentation is completed accurately, legibly and in a timely manner accordance with hospice policy, NMC standards and Information Governance requirements To help patients/ relatives overcome barriers to understanding when English is not their first language, or they have other language barriers. Adapts communication to take account of others culture, background and preferred way of communicating. Provides feedback to others on their communication where appropriate. Maintains the highest standards of integrity when communicating with patients and the wider public. Teamwork To work as an open and honest member of the multidisciplinary team to ensure a co-ordinated and defined management plan/plan of care for each patient. To develop effective and supportive working relationships with other members of the Hospice multi- disciplinary team. Contribute to the morale of the team, acknowledging it can be a highly emotive work environment. Motivate and encourage others. To attend and contribute to debriefing sessions, reflective case reviews and contribute to the ongoing development of the service as required To actively contribute to multi-disciplinary meetings and team meetings Discuss with the team the likely impact of changing policies, strategies, and procedures on practice. Also, about changes the team can make and how to make them effective. Evaluates own and others work when needed. Supports colleagues in understanding and making changes to their work. Constructively identifies where new ways of working, policies or strategies are having a negative impact on the service given to users or the public. Challenges bias, prejudice, and intolerance if appropriate or brings it to the attention of a manager. Personal and professional development of self and others To actively participate in and contribute to the individual performance review and development process. Identifies development needs for others emerging work demands and future career aspiration. To keep up to date with all mandatory and statutory training and apply learning to practice. To take responsibility for own individual professional development by keeping up to date with current advances in nursing practice and research, particularly in the field of palliative care. Assist in the orientation, and mentorship of new staff and student nurses. Be an excellent role model. Work towards NMC revalidation and support that of colleagues. Demonstrate a commitment to developing research/audit skills and contribute to the research/audit plans of others. To regularly attend and participate in Clinical Supervision. Additional Responsibilities (for Personal Development Planning when fully competent in core role) Develop and lead an area of special interest and share expertise and practice development with MDT colleagues. Demonstrate competency in a broad range of clinical competencies To participate in the training and mentoring, of student nurses and external placements To monitor practice and competence for Health Care Assistants by regularly working with them as part of a shift

Skills

Essential

• - Excellent communication skills, verbal and written
• particularly in complex situations with patients and families
• - Time management/basic problem solving skills
• - Competent IT skills
• - Good organisational skills
• - Recognise when something is wrong/unsafe and having the
• courage to rectify the problem or escalate to a senior
• member of the team
• - Keeping the environment safe clean and tidy
• - Taking responsibility for own actions/responding to errors
• and engaging in any investigative process
• - Emotional robustness to cope with the psychological
• demands of the role.

Personal Attributes

Essential

• - Resilient, due to frequent exposure to difficult/complex
• situations such as dealing with dying patients and their
• families/carers.
• - Ability to work an internal rotation shift pattern to cover a
• 24/7 service.
• - Flexibility/punctuality.
• - Works well in a team, being open and honest.
• - Being positive, approachable and engaging with the common
• goals and strategy of the hospice.
• - Sharing of good ideas and best practice to encourage and
• promote excellent standards of care, staff morale and a
• positive environment
• - An understanding and empathy for the work of the Hospice
• - High level of motivation
• - Ability to stay calm at a time of crisis
• - Appreciates diversity, non-judgemental in approach.
• - Willing to work within the Hospice values, policies and
• procedures.
• - Committed to continued professional development and
• sharing of good ideas of best practice.
• - Access to vehicle for work purposes (with business use
• insurance)

Qualifications

Essential

• - Current NMC RN Registration
• - Evidence of further study and continuous professional
• development
• - Willingness to further develop palliative care knowledge
• - Valid UK driving licence

Desirable

• - Module in palliative care
• - Advanced communication skills training
• - Mentoring training

Experience

Essential

• - Minimum one year post registration
• - Sound knowledge of current developments in palliative care
• - Desire to work in palliative/EOL Care
• - Sound knowledge of the guidelines set out in the NMC code
• of professional conduct and current nursing issues.
• - Knowledge of Health and Safety

Desirable

• - Recent acute hospital, community, palliative care or oncology
• experience
• - Long term condition nursing experience
• - Knowledge of the role of audit in relation to clinical
• governance.
• - Knowledge of risk assessment

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).