Senior Registered Nurse (Night Support- Community)

Job responsibilities

Post: Senior Registered Nurse, Hospice Care at Home with Night Support

Accountable to: Hospice Care at Home Team Lead

Job Purpose:

The postholder will maintain the highest standards of nursing care with patients, their families and carers This is primarily a community facing role and will involve working overnight and day shifts to provide holistic assessment, identification of patient needs, care planning and care provision jointly with other multidisciplinary team members, i.e.colleagues at Phyllis Tuckwell Hospice and with our community partners. The service is complementary to, and dovetails with, the community nursing services in Guildford and Waverley, North East Hampshire and Farnham and Surrey Heath so that people who use our service receive co-ordinated and person centred care.

The role requires a commitment to enabling choice and providing respectful and dignified support for people as they approach the end of life and to their families and carers. The postholder will contribute to a safe, effective and efficient culture

by participating in risk assessment, risk management, audit and quality improvement initiatives and by working in accordance with PTH policies and procedures. They will facilitate the support and professional development of colleagues, health care assistants and students.

The RN Night Support role encompasses providing back up and support for the IPU overnight, should there be unscheduled absence of the RN during the night.

Responsibilities

1.0 Clinical

1.1 To provide clinical guidance and support to staff

1.2 To ensure statutory obligations are met and staff follow those relevant to the clinical area.

1.3 To ensure quality standards are maintained and constantly re-evaluated in order to provide the highest standards of holistic care.

1.4 To co-ordinate and maintain 24-hour provision of assessment, planning, implementation and evaluation of nursing care in conjunction with the District Nurse assessment in the community setting.

1.5 To work as part of the multi-disciplinary team, providing holistic care to the patients, their families and carers.

1.6 To ensure patient records are properly maintained in accordance with NMC guidelines and PTH policy.

1.7 To be able to demonstrate an understanding of issues relating to the ethical aspects of palliative care and their application in the workplace.

1.8 To report accidents, incidents and complaints to the team lead/ line manager same day.

1.9 To understand and adhere to the PTH and Community medicines management policy in relation to the correct handling, usage, and administration of all drugs.

2.0 Professional

2.1 To understand and work within the National Care Standards Act 2000, the PTH business plan and philosophy.

2.2 To provide appropriate information and support to patients, carers and families.

2.3 To liaise and develop effective relationships with external health care professionals and other agencies, ensuring continuity across all care settings.

2.4 To be accountable for own professional practice within the NMC Code of Conduct.

3.0 Managerial

3.1 To ensure a safe working environment is maintained, in accordance with the PTH Care Fire and Health and Safety policies, reporting any potential hazards to the line manager.

3.2 To report any feedback, concerns and complaints same day from patients, their relatives or other advocates to the team lead/line manager as appropriate.

3.3 To ensure that the team has the appropriate skill mix and nursing resources are used wisely.

3.4 To ensure team cohesion and spirit is maintained through ongoing supportive relationships and consideration of colleagues at all times

3.5 To support the coordinator as required, ensuring ongoing continuity and communication of care

3.6 In the community, to adhere to and understand the lone working policy.

3.7 Work with service leads and coordinators to develop risk assessments, appropriately managing risk in a responsive way.

3.8 To provide line management support as identified by Team lead for colleagues.

4.0 Training and Development

a) Team

4.1 To develop an area of clinical expertise and disseminate to fellow team members as a specialist resource.

4.2 To support the professional development and safe practice of others.

4.3 To support, mentor and supervise other team members, HCAs and students.

B) Personal

4.4 To maintain up-to-date clinical experience and knowledge and be able to provide evidence of this in a format that is suitable for revalidation.

4.5 To act as a practice assessor and mentor to students who need to develop skills and acquire experience in the field of palliative care.

4.6 Through the use of the PTH annual appraisal, to encourage professional growth and identify areas for development.

4.7 To strengthen and develop clinical skills across all care settings in conjunction with line manager.

5.0 Research

5.1 To participate in research and work with the service leads and take the lead on some audit activities within the PTH environment, encouraging staff participation.

5.2 To implement findings of evidence-based practice.

6.0 Safeguarding, Equality, Diversity and Inclusion

6.1 Role holders are required to understand their responsibilities in the safeguarding context, ensuring that Phyllis Tuckwell reduces the risk of harm or abuse of adults and children at risk.

You are required to:

adhere to Phyllis Tuckwells Safeguarding Policy (held on the NEST), which supports the local authoritys multi agency safeguarding policy, the law (Care Act 2014) and Mental Capacity Act 2005 (including Deprivation of Liberty Safeguards).

inform the appropriate PT professional where there is concern that an adult or child may be at risk of harm, abuse, or neglect.

Phyllis Tuckwell is committed to an Equal Opportunities approach, valuing, and respecting everyone as individuals, with diverse opinions, cultures, lifestyles, and circumstances.

This job description is underpinned by Phyllis Tuckwells philosophy, culture, and core values, which actively embrace diversity and inclusion and promotes total team spirit.

This job description is current and subject to yearly review in consultation with the jobholder. It is liable to reflect and anticipate necessary changes to support the PT strategy.

Quality

Essential

• Commitment to providing high quality, individualised holistic care to patients and their relatives/ carers.
• Awareness of the Care Quality Commission Standards and hospice philosophy
• Demonstrates ability to support quality improvement initiatives.
• Experience of audit and patient safety clinical practice.

Qualifications

Essential

• Minimum 3 years post registration
• Mentorship qualification / Practice Assessor
• 2 years oncology/ palliative care experience

Experience

Essential

• Evidence of current knowledge political scenario/ current issues
• Demonstrates understanding of primary health and hospice care.
• Understanding of palliative care demonstrated by having undertaken relevant training and willingness to undertake further relevant training e.g. Essentials in Palliative Care
• Relevant community experience
• Well-developed skills in supporting the psychological needs of patients and families with willingness to undertake further training in this area.
• Can demonstrate leadership experience, decision making and case co-ordination.

Risk Management

Essential

• Understanding of the importance of policies and procedures
• Understanding of health and safety, information and clinical governance.

Relationships and Communication

Essential

• Ability to teach/ give presentations.
• Good communication and interpersonal skills
• Sense of humour
• Demonstrate interest, enthusiasm & determination.
• Be flexible, energetic and determined.
• Ability to cope with stressful situations.
• Self-awareness and coping strategies
• Demonstrated ability to share knowledge and develop own and others competencies.
• Awareness of skills required to supervise others.
• Ability to write in a clear and legible form.

Team Working

Essential

• Have an understanding of and experience of multidisciplinary team working.
• Ability to liaise effectively with other disciplines.
• Ability to show interpersonal sensitivity to others.
• Understanding of community
• Team work.
• Ability to supervise and organise work.

Education and Training

Essential

• Mentoring/ Assessing qualification
• Evidence of continuing professional development and ongoing commitment

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).