Job responsibilities
PRINCIPLE DUTIES
AND RESPONSIBILITIES
Clinical Responsibilities
Demonstrate
appropriate practice and specialist advice in the assessment, planning,
implementation and evaluation of patient care.
Clinical decision-making adjusting doses of oral chemotherapy in line with local and national
guidelines. Have a sound knowledge of oncology medications. Assess and
recognise emergencies. To interpret information and
take appropriate action and lead others to do the same.
To independently deliver nurse led
clinics when required.
To see
children and families from the CYP oncology case load, providing direct care, education
and support for patients and their families.
Process telephone
encounters with families and/or young person in a timely manner.
Be part of initial diagnosis
of children with oncology disorders with the medical team, counselling families
before diagnosis, carrying out blood tests and communicating results.
Receive and raisereferrals of the CYP,
working with the families and/or young person to support and educate with
compassion.
To communicate sensitive and distressing information to parents and families. Assess and advise patients and
relatives in crisis situations and ensure that their needs are met by the whole
team.
To work with
each family using
interpersonal skills to build a trusting relationship thus promoting
concordance, recognising the dynamics of change for each family.
To act as an
expert resource for children and young people and their families, giving
advice, education about diagnosis and treatment and support that is
appropriately planned to meet each individual's needs empowering them to manage
their treatment regimes. This must be a dynamic process recognising the growth and
development of the child and the changing themes of oncology disease.
To prioritise
care that can be offered to families taking a flexible approach.
To be aware of
professional boundaries between nurse and family.
To make
appropriate referral and delegation of care to community childrens nurse. To assess, plan, implement
and evaluate programmes of care for the CYP liaising with schools as needed.
Work with CYP
oncology teams where appropriate and work
in partnership with Birmingham Womens
& Childrens Hospital..
Using expert
judgement and analytical, problem-solving skills in the
surveillance and recognition of changes in patients condition.
To be aware of
child protection issues and take appropriate action should there be concerns
involving case conferences and planning meetings.
To have an
active understanding of the physiology of oncology disorders.
To have an understanding of test results, and to be able to ensure that appropriate results can be explained to
the family.
Plan, organise
and monitor the management of care for children and young people with oncology disorders
who are inpatients ensuring effective discharge planning.
To be
responsible for effective communication between tertiary, secondary, primary
care and the family.
Plan, organise
and monitor a seamless transition of care for adolescent patients with CYP
oncology disorders and their families to the adult team or GP ensuring full preparation for the young person.
To ensure
accuracy of documentation and maintain an efficient and accurate record
system with relevant information in agreement.
To ensure safe
storage of measurements or quality of life information and retrieve data such
as trend plotting of these results.
Access and utilise patient information through
the PAS and ESR.
Communication
Maintain effective communication network with all
multi-professionals, facilitating a multidisciplinary approach.
To work effectively within the multidisciplinary oncology team including attending in-patients, ward rounds,
to participate in weekly clinical meetings and out-patient clinics.
To act as advocate for the CYP.
Act as an expert resource for medical staff both within
the trust and outside.
To liaise with the TCT or adult oncology team to ensure
open exchange in the developments in the oncology service.
To work with oncology service at Birmingham Women and
Childrens Hospital to contribute to service development, change management and
the development of policies and guidelines.
Leadership and Management
In conjunction with the other multidisciplinary
colleagues, contribute monthly/quarterly reports of case mix, workload and
education activity which will be presented at Directorate meetings.
Take
an integral part in regional and national oncology related working groups.
To participate in the presentation
and publication of relevant research and best practice initiatives.
To be actively involved with conferences & meetings,
developing presenting skills in the regional and national setting. To represent
the Trust nationally.
To network with other CYP Clinical Nurse Specialists throughout the UK, joining appropriate
organisations in order to collaborate, share and benchmark practices and
initiatives
To
obtain, evaluate and disseminate information to facilitate best practice for the CYP and their families.
Regular meetings with group and Lead
CYP Oncology Nurse Specialist to ensure co-ordination of care, continuity and
planning changing in frequency from weekly to monthly according to current
service needs.Maintain confidentiality of patient/family and staff information. Be discerning when
confidential information should be shared.
To
undertake all expanded role procedures according to agreed protocols within the
scope of Professional Practice and identify areas for further advancement.
Develop and maintain own clinical skills and knowledge of the oncology speciality
that is evidenced based aiming to achieve a 'best practice' principle, keeping
up to date with new advances in treatment and new developments in the world of children
and young people oncology research.
Manage time off and delegate care of
patients appropriately.
Professional
Responsibilities
Maintain
own professional knowledge development and competence.
Assess
own educational needs and keep up to date with clinical and
nursing developments in line with requirements of NMC.
Be
aware of the Code of Professional Conduct and be professionally accountable for own actions.
Work autonomously, when required, having
accountability for decisions made (in accordance with the NMC Code of
Professional Conduct).
To manage own caseload managing own time on a weekly and
monthly basis.
Education and
Training
Ensure staff are fully trained on
the range of equipment, consumable products associated with the care and
treatment of patients.
Undertakes active teaching and assessing
in the education and training of clinical and non-clinical staff to support the
education strategy.
Support staff undertaking SACT (Systemic Anti-Cancer
Treatment) competences.
Act as a role model and clinical expert when liaising
with the local primary healthcare teams, teachers and other relevant community
health professionals in order to promote a better and on-going understanding of
each child / young persons condition and associated symptoms and treatment
regimes to promote effective continuity of care.
Act as a resource and mentor for other members of the
paediatric specialist nurse team.
To mentor post registration and pre-registration
students as requested.
Acting as role model and clinic expert undertake active
teaching and assessing in the education and training of clinical and
non-clinical staff to support the education strategy.
Clinical
Governance
Support effective
governance by disseminating good practice and promoting clinical audits.
Participate in Clinical
Governance and Risk Management including participating in the development and
implementation of audit and guidelines.
Any policy development to be
informed by Childrens Act and national service framework for children and
young people.
Participate with the investigation of complaints and incidents in
line with Trust policy and procedure.
Maintain high standards of
nursing care within own practice and monitor the standard care.
Service
Development
Ensure constant provision of effective, high
quality nursing care.
Contribute
in developing the quality and availability of children and young peoples related information for families and community
health care professionals.
Support and work with the children and young peoples
multidisciplinary team in the introduction of clinical changes.
To be actively involved in the development of oncology protocols
and procedures e.g. care pathway, in conjunction with other members of the oncology
multidisciplinary team.
Assist in introducing and applying research findings
along with members of the CYP Oncology team to enhance the care of children and
young people with Oncology disorders.
Take a role in identifying and recommending relevant
areas for research within childrens and young peoples nursing which will
benefit patient care.
Participate
and be actively involved in multidisciplinary research studies of relevance to
the care of patients with oncology , playing a lead role in liaising between
the patient and the research team.
