The Palliative Care service is proud to be delivering specialist palliative care and advice to the population of Oxfordshire and South Northants, supported by Sobell House Hospice and Katharine House Hospice charities.
The Community Palliative Care Team provides a 7-day service and extended hours working will be required.
We are looking for candidates who display excellent communication skills and strong leadership qualities and who are able to work as autonomous practitioners.
Specialist Palliative Care experience and an understanding of community services is essential. History taking and assessment skills are essential, and undertaking non-medical prescribing will be a requirement in the role if not already achieved.
Main duties of the job
The community palliative care team is a dynamic multi-disciplinary team who provide specialist palliative care services to Oxfordshire and South Northants. This includes home visiting, outpatient clinics, and a telephone advice line. A full driving license is essential, as is the ability to work anywhere within Oxfordshire and South Northants.
The Community Palliative Care Team provides end of life, symptom management, and communication skills training and teaching to all levels of staff. A strong aspiration for learning and teaching is therefore essential.
As a specialist nurse within the team, the post holder will be expected to demonstrate patient-focused expert clinical assessment and judgement. The post holder will also be expected to show autonomous and multi-disciplinary team working, including supporting other members of the team with development.
Job responsibilities
Senior Specialist Nurses will be able to:
* Use their expert knowledge and clinical judgement to decide whether to refer patients for investigations and discuss potential diagnoses with members of the wider MDT.
* Decide on and carry out treatment, which may include advice on the prescribing and de-prescribing of medicines, or referring patients to an appropriate specialist.
* Where appropriately qualified and registered with the NMC, prescribe for the initiation and titration of medication for symptom relief.
* Assess individuals, families, and populations holistically using a range of different methods, including physical assessment and advanced history taking skills and other specialist health needs assessments.
* Ensure the provision of continuity of care.
* Assess and evaluate, with patients and/or carers, the effectiveness of the treatment and care provided and make changes as needed.
* Work autonomously within a wider healthcare team and as a lone practitioner.
* Work across professional, organisational and system boundaries and proactively develop and sustain new partnerships and networks to influence and improve health outcomes and healthcare delivery systems.
KEY RESULT AREAS:
Clinical Practice:
Senior Specialist Nurses will:
* Work at an advanced level of practice within the specialist area of practice, autonomously as well as within a multi-disciplinary team and using self-directed skills.
* Work clinically to optimise health and wellbeing, demonstrating autonomous decision making related to comprehensive history taking and physical assessment of patients.
* Work at an advanced level drawing on a diverse range of specialist knowledge in complex decision making to determine evidence-based therapeutic interventions, which may include advising the wider MDT on the prescribing of medication.
* Plan, prioritise and manage complete episodes of care, working in partnership with others, delegating and referring as appropriate to optimise health outcomes and resource use, providing direct support to patients and clients.
* Act as key worker where this model exists.
* Use professional judgement in managing complex and unpredictable care events.
* Draw upon an appropriate range of multi-agency and inter-professional resources in their practice.
* Appropriately define boundaries in practice.
* Promote a high standard of advanced specialist nursing by initiating and coordinating the assessment, planning, delivery and evaluation of the holistic needs of patients/families through evidence-based practice following agreed policies, protocols and guidelines.
* Practice a high standard of communication including highly sensitive and complex information to develop and sustain partnership working with individuals, groups, communities and agencies. Utilise evidence-based information through a variety of communication media.
* Maintain adequate patient documentation to NMC requirements for all patients seen and advice given in any practice setting and contribute to clinical activity/data collection as required.
Person Specification
Education & Qualifications
Essential
* Graduate with 1st level registration
* Post registration qualification or equivalent experience
* Experience teaching and assessing in clinical practice
Desirable
* Masters level education in Nursing
* Teaching qualification
* Non-medical prescribing
Experience and Knowledge
Essential
* Demonstrable expertise in specialist palliative care nursing
* Ability to discuss and demonstrate evidence-based practice
* Previous management experience
* Knowledge and experience of change management
* Understanding of clinical governance and audit
* Evidence of ability to work across organisational boundaries
* Understanding of national strategy and implications for service
Desirable
* Experience in introducing and managing nurse-led practice
* Experience of research methods and procedure
* Leadership training
Skills and Abilities
Essential
* Ability to motivate self and others
* Ability to achieve effective outcomes from challenging situations
* Good presentation skills
* Computer literacy and experience with EPR
* Advanced communication skills
* Advanced history taking and assessment skills
Personal Qualities
Essential
* Highly professional attitude, Professional role model
* Confident with conflict management
* Car owner with full UK driving licence
* Patient centred philosophy
* Committed to professional development of self and colleagues
* Time management skills
Employer details
Employer name
Oxford University Hospitals NHS Foundation Trust
Address
Sobell House and Katharine House
Old Road
Headington, Oxford
OX39DU
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