Job summary Based in the beautiful village of Bartestree, approximately 5 miles east of Hereford city, St Michaels Hospice has been providing the highest quality care, to the local community for 40 years. At St Michaels we are not just offering a job, but the chance to make a real difference in peoples lives. You will work within our multi-disciplinary team providing physical, psycho-social and spiritual care to patients and their families. We offer support with revalidation and ongoing CPD through both in-house and external education. Main duties of the job You will be able to organise your own time effectively, adapt to changing demands and conditions, remain calm under pressure, and communicate in a clear and engaging manner. About us As well as joining an enthusiastic friendly and committed team, our location is hard to beat nestled in the stunning Herefordshire countryside, in a state-of-the-art facility with free on-site parking, discounted delicious meals snacks and drinks. We offer a competitive salary and benefits package including a transferable NHS or Hospice pension, discounts with local suppliers, generous study leave and support for ongoing personal development. Apply now, and help St Michaels Hospice continue caring to make a difference to patients living with a terminal illness and their families across Herefordshire and beyond. If you would like have an informal discussion or arrange a shadow shift on the In Patient Unit please contact recruitmentsmhospicehereford.org This post is conditional to an enhanced Disclosure and Barring Service (DBS) Check. Working in the In Patient Unit you will have the option of applying for one of the following set shifts permanently or going on a Rota which will include a mixture of all: Long days: 7.30am 8:00pm Nights: 7:30pm- 8:00am Earlies:7:30am 3:00pm Twilights: 4:00pm 10:00pm Date posted 31 December 2024 Pay scheme Other Salary £29,513 to £34,776 a year Plus, unsocial hours payments Contract Permanent Working pattern Full-time, Part-time, Flexible working Reference number B0210-5592 Job locations Bartestree Hereford HR1 4HA Job description Job responsibilities Care Provision As part of a multi-disciplinary team within a 20 bedded Hospice delivering In-Patient, Out Patient and Day Services, to consistently demonstrate excellent application of the nursing process, using clinical judgement to plan, implement and evaluate holistic care for patients with complex palliative needs. To ensure nursing practice is evidence based. Administer medications adhering to NMC and hospice policies. Verify death, complete last offices and orchestrate the removal of deceased patient from the hospice. Provide specialist advice on symptom management to GPs or other professionals, patients and families within sphere of competence. To act as a link nurse in selected specialism e.g. diabetes. To understand the breadth of Hospice services and those offered by external agencies and refer patients and families to these. Ensure and maintain confidentiality at all time in line with NMC Code of Conduct and Hospice policy. Promote a rehabilitative palliative care approach enabling people to live fully until they die Planning Delegate activities for Heath Care Assistants and Senior Health Care Assistants for specific patients on a shift by shift basis. Manage and prioritise own workload according to patient and family need; in the absence of senior nursing colleagues co-ordinate and manage workload across the team. Undertake risk assessments, document these and implement risk reducing measures escalating to senior colleagues as appropriate. Is proactive in ensuring hospice skills, expertise and professional resources e.g. multidisciplinary team discussions and review meetings, are used to best effect to ensure the appropriate and timely response to patients. To participate in the admission and bed allocation process in the absence of senior nursing colleagues. To plan timely patient discharge from admission. Communication Communicate and liaise with relatives and carers regarding patient status, understanding the sensitivities and complexities of each situation. Provide accurate written and verbal holistic reports in line with the Hospice and Nursing and Midwifery Council (NMC) guidance to colleagues during handover on patient condition, including any concerns or changes. Encourage patients/relatives/carers to express what is important to them, to identify their needs, to ensure that this information is recorded and informs the care plan. Promote collaborative working and effective communication between all members of the multidisciplinary team. Ensure the nursing voice is represented in ethical decision making. Recognise own limitations when offering emotional support. Respond to complaints in line with Hospice policy, escalating as appropriate. Promote awareness of child and adult protection issues policy and guidelines. Professional Leadership Act as a role model in all aspects of clinical and non-clinical nursing practice. To provide formal and informal clinical supervision, support and mentorship. To deliver informal and formal training sessions for staff and others. Provide volunteers with information required to enable them to give appropriate care to patients and their visitors. Deputise in the absence of the senior nursing colleagues. Quality, Improvement, Audit and Research. To contribute to audits and evaluation of work in order to develop and improve palliative/end of life care for patients and their carers. To embrace quality improvement initiatives and to deliver evidence-based service development projects. Facilitates and participates in reflective reviews of palliative care. Ensure clinical incidents /near misses are recorded and managed in a timely manner and take action to minimise risk. Education Attend mandatory training and in service training opportunities. Maintain a professional portfolio and reflective diary. Health and Safety Act at all times to promote the safety and wellbeing of patients, visitors and volunteers. Ensure the environment is free from hazards and all nursing equipment is clean, in good working order, safely and appropriately used and stored. Responsible for the timely disposal and documentation of clinical waste and Laundry. Safe storage and use of hazardous substances according to COSHH regulations. Checking building, ensuring that environment is clean and tidy. Be aware of own limitations and when to seek advice and help. Adhere to the Infection control practices on the Inpatient unit. Adhere to the safe storage of medicines and hazardous substances policy and processes. Job description Job responsibilities Care Provision As part of a multi-disciplinary team within a 20 bedded Hospice delivering In-Patient, Out Patient and Day Services, to consistently demonstrate excellent application of the nursing process, using clinical judgement to plan, implement and evaluate holistic care for patients with complex palliative needs. To ensure nursing practice is evidence based. Administer medications adhering to NMC and hospice policies. Verify death, complete last offices and orchestrate the removal of deceased patient from the hospice. Provide specialist advice on symptom management to GPs or other professionals, patients and families within sphere of competence. To act as a link nurse in selected specialism e.g. diabetes. To understand the breadth of Hospice services and those offered by external agencies and refer patients and families to these. Ensure and maintain confidentiality at all time in line with NMC Code of Conduct and Hospice policy. Promote a rehabilitative palliative care approach enabling people to live fully until they die Planning Delegate activities for Heath Care Assistants and Senior Health Care Assistants for specific patients on a shift by shift basis. Manage and prioritise own workload according to patient and family need; in the absence of senior nursing colleagues co-ordinate and manage workload across the team. Undertake risk assessments, document these and implement risk reducing measures escalating to senior colleagues as appropriate. Is proactive in ensuring hospice skills, expertise and professional resources e.g. multidisciplinary team discussions and review meetings, are used to best effect to ensure the appropriate and timely response to patients. To participate in the admission and bed allocation process in the absence of senior nursing colleagues. To plan timely patient discharge from admission. Communication Communicate and liaise with relatives and carers regarding patient status, understanding the sensitivities and complexities of each situation. Provide accurate written and verbal holistic reports in line with the Hospice and Nursing and Midwifery Council (NMC) guidance to colleagues during handover on patient condition, including any concerns or changes. Encourage patients/relatives/carers to express what is important to them, to identify their needs, to ensure that this information is recorded and informs the care plan. Promote collaborative working and effective communication between all members of the multidisciplinary team. Ensure the nursing voice is represented in ethical decision making. Recognise own limitations when offering emotional support. Respond to complaints in line with Hospice policy, escalating as appropriate. Promote awareness of child and adult protection issues policy and guidelines. Professional Leadership Act as a role model in all aspects of clinical and non-clinical nursing practice. To provide formal and informal clinical supervision, support and mentorship. To deliver informal and formal training sessions for staff and others. Provide volunteers with information required to enable them to give appropriate care to patients and their visitors. Deputise in the absence of the senior nursing colleagues. Quality, Improvement, Audit and Research. To contribute to audits and evaluation of work in order to develop and improve palliative/end of life care for patients and their carers. To embrace quality improvement initiatives and to deliver evidence-based service development projects. Facilitates and participates in reflective reviews of palliative care. Ensure clinical incidents /near misses are recorded and managed in a timely manner and take action to minimise risk. Education Attend mandatory training and in service training opportunities. Maintain a professional portfolio and reflective diary. Health and Safety Act at all times to promote the safety and wellbeing of patients, visitors and volunteers. Ensure the environment is free from hazards and all nursing equipment is clean, in good working order, safely and appropriately used and stored. Responsible for the timely disposal and documentation of clinical waste and Laundry. Safe storage and use of hazardous substances according to COSHH regulations. Checking building, ensuring that environment is clean and tidy. Be aware of own limitations and when to seek advice and help. Adhere to the Infection control practices on the Inpatient unit. Adhere to the safe storage of medicines and hazardous substances policy and processes. Person Specification Specialist Knowledge and Experience Essential Registered Nurse Experience and broad knowledge of general nursing care Knowledge of national and local health initiatives Keyboard basic IT functions Desirable Experience and knowledge of specialist palliative care Specialist palliative care qualification A relevant degree or equivalent experience Teaching and mentorship qualification Person Specification Specialist Knowledge and Experience Essential Registered Nurse Experience and broad knowledge of general nursing care Knowledge of national and local health initiatives Keyboard basic IT functions Desirable Experience and knowledge of specialist palliative care Specialist palliative care qualification A relevant degree or equivalent experience Teaching and mentorship qualification UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Additional information UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Employer details Employer name St Michael’s Hospice Address Bartestree Hereford HR1 4HA Employer's website https://www.st-michaels-hospice.org.uk/ (Opens in a new tab)