Senior Specialist Nurse - Community Palliative Care Team (CPCT)
Oxford University Hospitals NHS Foundation Trust
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 that provides 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 care, 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
* Graduate with 1st level registration
* Experience teaching and assessing in clinical practice
* Masters level education in Nursing
* Teaching qualification
* Non-medical prescribing
Experience and Knowledge
* Demonstrable expertise in specialist palliative care nursing
* Ability to discuss and demonstrate evidence-based practice
* 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
* Experience in introducing and managing nurse-led practice
* Experience of research methods and procedure
* Leadership training
Skills and Abilities
* Ability to motivate self and others
* Ability to achieve effective outcomes from challenging situations
* Computer literacy and experience with EPR
* Advanced communication skills
* Advanced history taking and assessment skills
Personal Qualities
* 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
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.
Oxford University Hospitals NHS Foundation Trust
£46,148 to £52,809 a year per annum pro rata
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