We have an exciting opportunity to welcome a Clinical Nurse Specialist or Developmental Clinical Nurse Specialist to join our Community Nurse Specialist team, based in and working throughout Yeovil, focusing on the Mendip area.
You will join us on a full-time, permanent basis and in return, you will receive a competitive salary of £38,304 to £43,609 per annum plus 30% Unsocial Hours Enhancement on Saturday and 60% on Sunday & bank holidays.
Regardless of whether you are a well-established clinical nurse specialist or willing to undertake a developmental clinical nurse specialist plan, we would welcome your application.
Main duties of the job
Working in the community, you will undertake the holistic assessment, planning, and delivery of specialist palliative and supportive care for patients with advanced, progressive life-limiting disease.
Your day-to-day work will involve:
* Independently assessing patient needs, identifying their goals, and working with the patient and their family towards achieving them.
* Making appropriate referrals to the multi-disciplinary team and working collaboratively with a wide range of community-based services.
* Actively seeking and identifying areas where changes to routines and practices will result in improvements.
* Discussing sensitive and emotional information with patients and their families/carers, avoiding jargon, using familiar language, and at the patient's own pace. Involving patients and carers in decision-making, offering them informed choices and respecting their views.
* This role requires working weekends and bank holidays on a rota basis; therefore, flexibility and teamwork are crucial in providing this service.
About us
Be part of a welcoming, community-minded charity. Our mission is to provide excellent specialist palliative care for patients and support to their families. Everyone here contributes and has a part to play towards our goal. If you speak to any of our staff or volunteers, they will tell you how the patient is at the heart of everything they do. So, if you're looking for a role where you can really make a difference, we could be a perfect match.
Job responsibilities
Management and Quality
* Independently assess the patient needs, identify their goals, and work with the patient and family towards achieving them.
* To collect and report accurate information relating to patients' caseload and dependencies.
* To make appropriate referrals to the multi-disciplinary team and work collaboratively with a wide range of community-based services.
* To actively seek and identify areas where changes to routines and practices will result in improvements.
* Observe legal requirements regarding the security and administration of drugs in accordance with the NMC Standards for Medicines Management (2007).
* Prioritise and distribute referrals equitably amongst the team members ensuring patients are seen according to need.
* Effective caseload management within the locality team; this will include reviewing patients for discharge at three months or sooner.
* Record contemporaneous and accurate patient records according to NMC guidance.
* Work within The NMC Code of professional conduct: standards for conduct, performance, and ethics.
* Contribute to the aims and objectives of improving health and wellbeing outcomes, including health promotion, widening access to services, and reducing health inequalities by maintaining awareness of current trends and developments.
* Participate in the planning and undertaking of patient and carer satisfaction surveys contributing to action plans to address the identified outcomes.
* Actively participate in audit programmes and clinical governance initiatives for the organisation.
* Participate in, and where appropriate undertake, research as approved by St Margarets Research and Education Forum.
* Actively contribute to the implementations of hospice strategic and business objectives.
* Contribute to and participate in the review and development of policies, procedures, and strategies in the interest of users, the team, and the organisation.
Practice & Leadership
* Record concisely, accurately, and confidentially the appropriate elements of the history, examination, results of investigations, differential diagnosis, and management plan within the electronic health records. Navigate different IT systems to ensure holistic care for patients and families ie EMIS, Rio, Sider, SMH electronic health records.
* Present cases clearly, consistently, and professionally to the multi-professional team contributing effectively in patient management.
* Provide clinical expertise, and specialist advice and support to assess and analyse highly complex situations, including patients with multiple comorbidities, complex psychological or social issues.
* Demonstrate an in-depth knowledge of the options for achieving control of symptoms and ability to advise the primary healthcare team.
* Plan and manage own caseload and prioritise response to referrals and urgent requests for advice.
* Participate in primary care Gold Standards Framework meeting, Primary care network meetings with GPs and in Care Homes.
* Explore the personal resources of families and carers in order to ensure patients are cared for in the place of their choice.
* Support carers at home in managing a relative whose condition is deteriorating.
* Recognise and manage palliative care emergencies.
* Demonstrate safe mobilisation and movement of patients in the community and how to obtain appropriate equipment.
* Initiate advance care planning discussions and documentation, visible on different IT systems.
Person Specification
* Recognises own limitations.
* Ability to work flexibly and respond to changing or conflicting priorities.
* Effectively manages multiple tasks and priorities.
* Ability to meet deadlines.
Education and Qualifications
* Registered Nurse 1 RN1.
* Degree level or equivalent study in related subject, such as acute oncology, palliative care, chronic conditions management (or willing to work towards).
* Post registration qualification or experience in palliative care/oncology or related subject.
* Recognised teaching qualification or prepared to work towards.
* A willingness to undertake further study at Masters level regardless of point of entry.
* Commitment to continuing education and professional development at an advanced level.
* Advanced Communication skills including negotiation and diplomacy skills.
* Physical assessment and clinical reasoning (PACR).
* Managing Qualification.
Working with others
* Calm and objective.
* Is assertive not aggressive.
* Treats confidential information sensitively and in line with policy.
* Positive role model to the team and service.
* Excellent interpersonal skills and the ability to relate to a diverse range of people.
Outcome and Results
* Ability to work autonomously with minimum supervision, managing time, work commitments, and priorities.
* Recognises and understands own roles and responsibilities.
* Able to prioritise and manage caseload effectively.
* Shares and communicates information clearly and in a timely way.
Leading in your area
* Relevant post-registration experience in cancer, palliative care, or relevant specialty.
* In-depth specialist experience in care of patients with complex needs.
* Recent leadership and management experience.
* Experience of multi-professional working.
* Experience of mentorship and teaching.
* Computer literate, able to use word documents, database, and e-mail communication.
* Experience of community nursing.
* Understanding and commitment to audit and research.
* Excellent presentation and report writing skills.
* Knowledge of End of Life Care tools and their application in practice.
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.
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