Are you a senior nurse ready for your next career step or challenge? We are looking for an enthusiastic and dynamic Advanced Nurse Practitioner to join our dedicated multi-disciplinary team in our state-of-the-art newly redeveloped Inpatient Unit. This would suit someone who is motivated, compassionate, flexible, and who has an interest in palliative care.
There will be opportunities to participate in education and audit, as well as deliver excellent care to patients and their loved ones accessing hospice services.
Your role will be to work with the medical team and palliative care consultants to deliver specialist palliative care to patients in our Inpatient Unit and wellbeing centre, in a holistic manner, considering social, emotional, and spiritual health as well as physical symptoms. Our aim is to provide individualised care, seeing the patient behind the diagnosis, so they can achieve their best possible quality of life.
In return Nightingale House offers:
* A positive and friendly working environment in our state-of-the-art newly redeveloped inpatient unit.
* The opportunity to make a real difference.
* Excellent training and development opportunities for those that want them.
* Generous holiday allowance that increases with length of service.
* Employee Assistance Programme.
* Staff lunch menu.
* Retail Discount Scheme.
Main duties of the job
Working as an independent practitioner and non-medical prescriber the ANP is accountable and responsible for their own actions or omissions in line with the Nursing and Midwifery Council's Code and current guidance on advanced nursing practice. You will always work within the scope of professional practice and guidance on advanced practice, adhering to all relevant professional, legal, and regulatory guidelines.
You will assume responsibility for your own professional development and updates and maintain your own clinical skills as appropriate with support and guidance from the medical director and director of clinical and patient services as required for the role. You will work within the boundaries of the role as it develops within Nightingale House and as agreed by the Medical Director and Director of Clinical and Patient Services in conjunction with the Chief Executive Officer.
There are opportunities for career development and progression to a nurse consultant depending on interest and experience.
About us
Nightingale House Hospice is an Independent Hospice providing care and support for patients and families living with a life-limiting illness. We provide care across a wide area, stretching from Wrexham, Flintshire and East Denbighshire to Barmouth and the border towns including Oswestry and Whitchurch. Our ambitious plans mean we need to raise over £4 million each year: something we do with the huge support from our local community.
Nightingale House is an equal opportunities employer. This post is subject to an Enhanced Disclosure and Barring Services check which will be taken into consideration when confirming any offer of employment.
Nightingale House Hospice is committed to providing equal opportunities in employment. Registered Charity No: 1035600
Job responsibilities
Main responsibilities:
* Work autonomously to admit patients to the inpatient unit and care for them during their admission for end of life care, symptom management, or respite.
* Along with the rest of the medical team, nursing team, and consultants, provide care for inpatients, outpatients, and patients attending wellbeing or rehab appointments if needed, including initial assessment, daily reviews, planning, and management.
* To identify and address the physical, psychological, spiritual, and social needs of patients and the emotional, spiritual, and psychological needs of their families and friends.
* As an independent prescriber, prescribe medicines for patients in accordance with local policies, national standards, and formularies relating to independent prescribing.
* Work closely with and support the nursing team and wider MDT, maintaining positive working relationships and close teamwork.
* Communicate compassionately with patients and their families regarding their condition, treatment, prognosis, and advanced care planning.
* Participate in on-call rota (1:4 or 1:8 weekends), being on-site Saturday morning and available to attend from 9-5 Saturday and Sunday (1 day off in lieu provided following the on-call weekend).
* Participate in clinical meetings as part of the MDT.
* Maintain clinical records and complete administrative tasks arising from medical work discharge summaries, GP letters following outpatient appointments, referral letters etc.
* Identify and report issues and incidents that may affect the quality of palliative care services. Work with the team to ensure the delivery of a safe and effective service.
* Liaise closely with external partners such as GPs, SPCT, district nurses, specialist clinical nurses, and secondary care.
* Develop and maintain high professional standards within the service and promote multidisciplinary team working.
* To promote and participate in teaching and educational activity, teaching nurses, medical students, GP registrars, colleagues, patients, and families.
* To participate in clinical governance activities e.g. quality improvement activities and ensure implementation of best practice guidelines.
* Promote the ethos of audit in the organisation and identify, support, and participate in clinical audits and evaluation of work to improve care and service delivery.
* Ensure that effective governance arrangements are implemented and maintained.
* To maintain personal development through personal development reviews, monthly 1:1 meetings, clinical supervision, training, and appropriate courses, which the hospice will support.
* Provide supervision and mentoring to non-medical prescribers and trainee ANPs.
* There will be opportunities to develop a special interest or lead on programmes depending on skills and interests.
* Lead the development of ideas and specialist practice within the scope of the role. Innovate through exploring ideas with others and take action, thus contributing to different ways of working.
* Develop services in conjunction with the service leads, medical and clinical directors, and wider team that will improve services for users and contribute to the advancement of palliative care at local, regional, and national levels.
* Participate in maintaining the profile of Nightingale House Hospice through the presentation of quality improvement initiatives at local, regional, and national conferences as appropriate.
* Work with the senior nursing team to complete personal development reviews of the nursing team and provide support and mentoring.
Key working relationships
* Medical director
* Director of clinical and patient services
* Palliative care consultants
* Hospice doctors (speciality doctors and GPs)
* Patient flow team
* Ward manager and deputy ward managers
* Wellbeing team
* Family support team
* Physiotherapists
* Occupational therapist
* Chaplain
* Complementary therapist
* Ward Clerk/ clinical administrators
General Requirements
This post is subject to the Terms and Conditions of employment of the Hospice as specified in the staff handbook.
Competence: You are responsible for limiting your actions to those that you feel competent to undertake. If you have any doubts about your competence during the course of your duties, you should immediately speak to your line manager / supervisor.
It is a standard element of the role and responsibility of all staff of the Hospice that they fulfil a proactive role towards the management of risk in all of their actions. This entails the risk assessment of all situations, the taking of appropriate actions, and reporting of all incidents, near misses, and hazards. It is a requirement that you adhere to Nightingale House Hospice Policies, Procedures, Protocols, and guidelines at all times.
Health and Safety Requirements of the Hospice: All employees of the Hospice have a statutory duty of care for their own personal safety and that of others who may be affected by their acts or omissions. Employees are required to co-operate with management to enable the Hospice to meet its own legal duties including attendance at mandatory training updates and also to report any hazardous situations or defective equipment.
Data Protection and Confidentiality: The post holder must treat all information, whether corporate, staff, or patient information, in a discreet, secure, and confidential manner in accordance with the provisions of the current data protection legislation and organisational policy. Any breach of such confidentiality is considered a serious disciplinary offence, which is liable to dismissal and/or prosecution under statutory legislation and the hospice's disciplinary policy. This duty of confidence continues after the post holder leaves the organisation.
Records Management: As an employee of the hospice, the post holder is legally responsible for all records that they gather, create or use as part of their work within the organisation (including patient health, staff health or injury, financial, personal and administrative), whether paper-based or on computer. The post holder should consult the IG Lead if they have any doubt as to the correct management of records with which they work.
Flexibility Statement: The content of this Job Description represents an outline of the post only and is therefore not a final list of duties and responsibilities. The Job Description is therefore intended to be flexible and is subject to review and amendment in the light of changing circumstances, following consultation with the post holder.
The post is subject to an enhanced disclosure check with the Disclosure and Barring Services (DBS).
Person Specification
Experience
* Clinical leadership in a multi-professional service
* Reasonable palliative experience in relevant and related specialties
* Partnership working across sectors
* Evidence of delivering formal and informal teaching sessions
* Previous experience of working at an advanced practice level
* Participation in research and audit including appraisal of evidence
* Budget management
* Previously worked within a specialist palliative care setting
Qualifications
* Current NMC registration
* Advanced clinical skills qualification
* Non-medical prescribing qualification and experience
* Masters level Advanced Clinical Practice course
* Leadership/ management course relevant to healthcare environment
Skills Knowledge and Behaviour
* Motivational skills for self and others
* Excellent and advanced communication skills, both multi-professional and multi-agency
* Comprehensive physical assessment, history taking and clinical decision making skills
* IT literacy with experience of a range of software, databases and spreadsheets
* Knowledge of drugs used within a specialist palliative care setting
* Understanding of speciality specific advanced practice development at national and local levels
* Understanding of legal, ethical and professional issues of advanced practice
* Able to liaise and network effectively
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.
£43,549 to £47,707 a year. Additional payment for weekend on call 1:4 weekends.
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