We are looking to recruit a Registered Nurse to work 2 nights per week (22.00hrs 07.00hrs) including weekends and Bank Holidays.
Being diagnosed with a life limiting illness is a daunting experience and being cared for in your own home is a positive choice for many people. It is a privilege to be part of that patient journey.
If you are passionate about palliative care and want to be part of a supportive team that makes a real difference within the community, then this could be the perfect opportunity for you.
Main duties of the job
We provide nursing care to patients who require symptom management and end of life care at home.
The post holder will have an important part to play in providing holistic care and meeting the specific needs of these patients, their families and those important to them without direct supervision.
This will include:
* Assessment of needs and symptoms and implementation of individualised care.
* Giving appropriate information to their families and involve them in developing the plan of care and its ongoing evaluation.
* Administering prescribed medication, as required.
* Ensuring accurate records are maintained.
* Ensuring co-ordinated team approach by use of effective communication within the team and other community services involved.
* Giving sensitive information and support to those closest to the patient.
About us
Tynedale Hospice at Home is a forward-thinking, inclusive registered charity providing palliative and end of life care in patients' homes, in the communities of Ponteland and West Northumberland.
Unlike many hospices, Tynedale Hospice at Home's palliative nursing care is provided in the home where the patient and their families can be surrounded by familiar comforts and can be cared for in a place of their choosing.
Job responsibilities
You will be part of the multi-disciplinary team providing supportive and palliative care to end of life patients.
Although you have access to advice, you are expected to work unsupervised. However, you have advice and support when required: clinical and peer supervision are provided.
In addition, you will be expected to supervise the work of Hospice Support Workers when required.
The values of Tynedale Hospice at Home are underpinned by the 6 C's of nursing and we are proud of our CQC rating in delivering the requirements of Key Lines of Enquiry. We aim for Excellence in Care and our charitable status enables us to respond quickly and effectively to national and local pressures. Your views and expertise will be welcomed in our inclusive organisation.
Clinical
* Assessing, planning, implementing and evaluating care provision within your scope of practice.
* Monitor and evaluate end of life care plans to measure progress and ensure the effectiveness of any interventions.
* Maintaining concise and accurate records of care delivery within care plans and Caring for the Dying Patient documentation.
* Maintain a duty of care to patients, carers and colleagues through the exercise of personal and professional accountability.
Communication/Documentation
* Work with patients, their families and friends in a sensitive and flexible manner, demonstrating an awareness of the impact of death, dying and bereavement and recognising that patient priorities and ability to communicate may vary over time. Manage unpredictable and/or volatile situations effectively.
* Facilitate communication with clients for whom English is not the first language and those who have communication/language difficulties.
* Understand the range of assessment tools and ways of gathering information and contribute to patient activity data.
* Assess pain and other symptoms using assessment tools, pain history, appropriate physical examination and relevant investigations.
* Undertake/contribute to multi-disciplinary holistic assessment and information sharing.
* Demonstrate an awareness and understanding of the legal status and implications of the Advance Care Planning process in accordance with the provisions of the Mental Capacity Act.
* Show an understanding of Informed Consent and demonstrate the ability to give sufficient information in an appropriate manner.
* Work sensitively with families and carers to support them as the patient decides upon their preferences and wishes during the Advance Care Planning process.
Leadership, Supervision and Appraisal
* Work without direct supervision to deliver care to patients, seeking advice from specialist nurse or members of the Primary Health Care Team when appropriate.
* Work in partnership with Community Nursing teams, Specialist Palliative Care team, GPs and other health professionals who refer into our services.
* Take responsibility for personal learning and continuing professional development and contributing to the learning of others.
* Promote evidence-based practice through continued professional development and the sharing of best practice within the team and with others.
* Appraise and supervise interventions performed by other members of the nursing team in accordance with Hospice policies.
* Attend supervision sessions and appraisal as required by the Hospice.
* Promote health and safety, undertaking risk assessments as necessary.
Clinical Governance and Quality Standards
* Assist in the development of clinical governance and quality frameworks through patient-focused benchmarking, clinical audit and critical incident reviews demonstrating learning from multiple sources.
* Implement and adhere to hospice policies.
* In the context of Palliative and End of Life Care have an understanding and knowledge of:
a) Your own professional role/boundaries
b) Legal and ethical issues
c) Professional codes of conduct
d) The impact of your own beliefs on practice
e) Approaches to risk assessment
f) Approaches to and theories of change, loss and bereavement
g) Social models of care and person-centred approaches
h) Relevant NICE Guidance related to Palliative care and End of Life Care
Person Specification
Skills, Knowledge and Aptitude
* Communicates in a professional way (written and verbal)
* Commitment to Quality Care provision
* Demonstrate resilience when dealing with challenging situations.
* Confidence in challenging perceived wisdom and contributes to ongoing service development.
Other factors
* Ability to meet the transport requirements of the role.
* Enhanced DBS Disclosure.
Experience
* Evidence of post-registration experience.
* Experience of working without direct supervision in a health care environment.
* Awareness of Palliative Care and End of Life Care Issues.
* Experience of working in the community.
* Experience of delivering care at end of life.
* Experience of teaching or mentorship in clinical practice.
Qualifications
* State Registration on Part 1 of the NMC register.
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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