JOB DETAILS Job Title: Clinical Nurse Specialist Palliative Care Pay Band: Band 5 (NHS Agenda for Change pay scale) Hours of Work: Monday Friday 37.5 Hours Base: Tŷ Hosbis, Whitchurch Hospital Grounds Duration: Permanent ORGANISATIONAL ARRANGEMENTS Accountable to: 1. Clinically to Consultant in Palliative Medicine 2. Managerially to Consultant in Palliative Medicine and Lead Clinical Nurse Specialist JOB PURPOSE The post of Palliative Nurse will be community based and will provide as part of a team, specialist, intermediate and generalist palliative care specific to the needs of patients, their carers and families. KEY FUNCTIONS OF THE ROLE To work as a member of a specialist palliative care team and with members of the primary health care team in the community. To work closely with and to develop professional relationships with health care professionals and other palliative care teams within hospitals, the community and hospices. To play an active role in the promotion of holistic day-care in the Tŷ Hosbis centre. To demonstrate excellent clinical skills. ______________________________________________________________ 1. Clinical Practice Provide assessment of physical and psychological needs of patient, their families and carers. Advise and liaise with the primary health care team and secondary care team on treatment and care as appropriate Maintain effective communication with the team within City Hospice, primary health care teams, hospital teams, hospices and other statutory and voluntary organisations Adhere to NMC Code of Practice 2. Education/Training Maintain an effective partnership with members of the primary health care team within the community, encouraging development of clinical skills to improve patient care Participate in formal and informal training/teaching programmes for students, other health care professionals and volunteers Participate in continuing personal education and other activities to promote own professional development First Level Registration Five years Post Registration 3. Self Management o Support the caseload of a Band 6 CNS o Maintain accurate records, assist in the submission of statistical returns and reports as required Identify priorities and manage time accordingly. Assist in implementing change effectively in response to clinical/organisational demand Be aware of, and comply with all policies and procedures within the Charity Receive appraisals to identify and agree development and training needs and areas of potential improvement in appropriate/adequate service provision. 4. Clinical Governance Be responsible for identifying potential untoward incidents and act upon appropriately supported by effective documentation Participate in the development of, revision and monitoring of clinical policies and guidelines Ensure own professional and clinical supervision needs are identified and negotiated with the CNS Team Lead To participate in clinical supervision in order to sustain and develop professional practice 5. Research Audit Identify priorities and manage time accordingly Assist in implementing change effectively in response to clinical/organisational demands 6. Health & Safety To take the required care of your own Health & Safety and that of any other person affected by your acts or omissions in a professional context To take the required steps to safeguard the welfare, health & safety of all staff, volunteers, patients and visitors according to CH policy. 7. City Hospice Development Actively promote CH and its activities to patients, their families and carers and others Contribute to fundraising efforts. 8. Freedom to Act Professional accountability to Lead Clinical Nurse Specialist and Consultant in Palliative Medicine Work within the guidance of City Hospice policies and procedures To work within the National Guidelines of NICE and relevant national government policies. 9. Physical Effort Applies relevant manual handling skills/techniques. 10. Mental Effort Ability to concentrate and complete tasks despite frequent interruptions. Ability to respond to constant unpredictable events and interruptions, e.g. patients fluctuating conditions. 11. Emotional Effort Ability to deal with distressing or emotional circumstances Imparting bad news Helping patients and their families to understand the reality of the situation Ability to deal with distressed and angry relatives Use of reflection 12.Working Conditions Working in the community throughout Cardiff and the Vale of Glamorgan Office based work using VDU daily at base in Ty Hosbis