We are looking to expand our dedicated Bank Hospice at Home team, so if you are able to work flexibly, commit to a minimum of 20 hours availability per month and are passionate about person-centred end-of-life care, we would love to hear from you. The post holder will have a key role in providing support to patients and families in their own homes who have palliative and end-of-life care needs. They will also contribute to planning, assessing, implementing and evaluating patient care in partnership with Primary Health Care Teams and Social Services.
In return, we offer a competitive salary, a generous sick pay scheme, paid for DBS checks, one NMC revalidation fee, payment into NHS pension scheme, funded training and development.
Main duties of the job
Main Responsibilities:
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.
* Assess pain and other symptoms using assessment tools, pain history, appropriate physical examination and relevant investigations.
* Provide nursing expertise to patients and contribute to community MDT patient review meetings.
About us
Hospice Care North Northumberland is a local independent palliative charity serving a population of around 63,000 people. We provide high-quality end-of-life care in patients' homes to the communities of North Northumberland. We also provide emotional and practical care and support to adults and their families, who are living with a life-limiting illness requiring palliative input, through our hospice at home, bereavement support, and dementia support services. Our care is delivered free at the point of need.
Job responsibilities
Job Title: Bank H@H Nurse
Hours: As and when required (Minimum of 20 hours per month availability to be given)
Terms & Conditions: In accordance with the Hospice pay terms and conditions
Responsible to: Clinical Coordinator
Accountable to: Head of Care
Main Base: Alnwick or Berwick, work within North Northumberland
Overall Aim
The post holder will have a key role in providing support to patients and families who have palliative and end-of-life care needs, raising clinical standards and promoting a learning environment for other health and social care providers. The post holder will be responsible for planning, assessing, implementing and evaluating care in partnership with an integrated care system.
Main Duties and Responsibilities
Main Responsibilities:
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.
* Assess pain and other symptoms using assessment tools, pain history, appropriate physical examination and relevant investigations.
* Provide nursing expertise to patients and contribute to community MDT patient review meetings.
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.
* 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 and district nursing teams, Macmillan nurses, 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:
o Your own professional role/boundaries
o Legal and ethical issues
o Professional codes of conduct
o The impact of your own beliefs on practice
o Approaches to risk assessment
o Approaches to and theories of change, loss and bereavement
o Social models of care and person-centred approaches
o Relevant NICE Guidance related to Palliative care and End of Life Care.
This role description is intended as a basic guide to the responsibilities of the post and is not exhaustive and may be subject to review in consultation with the post holder.
Person Specification
Other Factors
* Ability to meet the transport requirements of the role.
* Enhanced DBS Disclosure.
Qualifications
* State Registration on Part 1 of the NMC register.
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.
Skills, Knowledge & Aptitude
* Communicates in a professional way (written and verbal).
* Commitment to:
o Quality Care provision.
* Demonstrate resilience when dealing with challenging situations.
* Confidence in challenging perceived wisdom and contributes to ongoing service development.
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.
£17.12 an hour plus enhanced payments for weekend.
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