Rapid Response Clinical Nurse Specialist (Development Role)
We are looking for an experienced and versatile nurse to work primarily within our Hospice at Home Service as well as to support all clinical areas on a day-to-day basis.
You will work closely with our Enhanced Support Service and ensure timely pathways for patients supporting discharge from hospital.
You will be able to respond to referrals where an urgent visit is required to support patients and families in crisis. In this way, more of our patients will be able to achieve their preferred place of care/death.
Our Hospice at Home service brings the skills and expertise of our highly trained and dedicated specialist team directly into our patients' homes. This allows patients, their families, and carers access to the vital support they need at home when time matters most.
Main duties of the job
The post holder works autonomously within defined protocols to facilitate and provide high-quality specialist nursing care to patients with palliative care needs for Princess Alice Hospice. The post holder will act as a specialist resource for other health and social care professionals on issues relating to specialist palliative care, the community and respond to their identified requirements. The post holder will support all clinical areas on a day-to-day basis acting as a liaison between Triage, Enhanced Support Service, and the wider Hospice at Home team. The post holder will respond to urgent requests for support from patients and families in crisis in order to avoid inappropriate admissions to hospital.
About us
Princess Alice Hospice is one of the top ten adult hospices in the UK, providing specialist palliative care and support to a community of more than a million people living in Surrey, south west London, and Middlesex.
Job responsibilities
Clinical:
In collaboration with other members of the palliative care multi-professional team, assess the needs of patients, families, and other carers and provide specific advice and support as appropriate.
Meet with other members of the MPT to ensure that a comprehensive service is offered to all patients.
Collaborate with other health care professionals in the community in order to promote planned, coordinated care. Support the community team manager, Nurse Consultant, and other colleagues by working flexibly, being able to cover a caseload during annual leave and sickness, in order to ensure consistent care is able to be delivered.
Ensure patients are supported using a multi-professional approach and are referred in a timely manner according to multi-professional guidelines for best practice. Maintain accurate records, ensuring that all entries on Crosscare and related documentation are entered frequently to agreed standards.
Liaise with other agencies to facilitate systems for transfer of information as necessary. Working within the defined Rapid Response protocol and in collaboration with Triage and the CNSs, support the Rapid Response/Urgent care element of the Hospice at Home Service, visiting patients and families in crisis in order to prevent inappropriate admissions to Hospital.
Participate in the on-call Rota which covers Princess Alice Hospice catchment area.
Function as a professional role model for specialist palliative care, providing strong and effective clinical leadership. Undertake complex and sensitive holistic care assessments using physical assessment skills to plan, implement, and evaluate care, utilizing care planning and excellent communication skills. Improve access to medication through the support and implementation of Nurse Independent Prescribing.
- Prescribe within scope of practice/area of competency.
- Follow locally approved clinical guidelines and NICE and be within an agreed formulary if applicable.
- Provide cost-effective prescribing activity.
- Regularly review prescribing activity and implement change as necessary.
- Have prescribing activity audited annually.
- Work within the framework of the Hospice Non-Medical Prescribing Policy.
Management:
Support the locality leads and Associate Director in delivering the strategic direction of the Hospice and the clinical business plan. Submit statistics and activity reports as required. Influence palliative care nursing practice and policy through working in partnership and networking with colleagues. Ensure the effective use of resources required to meet service objectives. Promote harmonious relationships within the inter-professional team. Act as an ambassador for Princess Alice Hospice at all times, including representing the Hospice in fundraising and PR activities as requested. Receive and disseminate information through attendance at team meetings, the monthly H@H team meeting, and appropriate meetings with other hospices and palliative care teams.
Educational:
Continue personal professional development to ensure clinical effectiveness of self and to have a positive commitment to ensure that all appraisal objectives are met. Feedback all materials and information obtained at study days and other forms of study. Receive regular clinical supervision to ensure the maintenance of professional growth. Participate in the development and delivery of formal educational programmes for professionals in Princess Alice Hospice, the community, and other educational establishments. Act as role model and mentor, providing informal education and support to colleagues in their provision of palliative care. Identify the specific training and educational needs of patients and carers and facilitate meeting these needs.
Audit & Research:
Provide leadership and support to others in the development of research-based practice. Develop mechanisms for auditing care and in conjunction with senior medical and nursing staff, participate in the development of multi-professional audit. Participate in and support collaborative clinical research in palliative care. Critique current research into best practice and promote and manage change within the community palliative care team and other relevant organisations and agencies. Ensure that the views and needs of both lay and professional users of the service influence its ongoing development by feeding back as appropriate.
Other responsibilities:
To undertake any other such duties or general tasks and hours of work as may reasonably be required and to work in other locations within the hospice organisation. Lead by example, exemplifying the Hospice values and behaviours: Integrity, Compassion, Accountability, Respect, Excellence.
Person Specification
Qualifications
* Current NMC Registration
* Palliative Care Diploma or equivalent
* Teaching qualification
* Relevant degree/diploma/module at masters level or in the process of undertaking same
* Community qualification
* Palliative Care Degree
* Physical assessment skills
* Non-medical prescriber (V300)
Particular Skills and Aptitude
* Evidence of highly developed communication skills both written and verbal
* Good interpersonal skills
* Able to work effectively in an emotionally demanding environment
* Leadership capabilities
* Clinical assessment and evaluation
* Organisational skills
* Ability to influence change
Personal Qualities and other requirements
* Evidence of continuing professional development
* Knowledge of current healthcare and nursing policy and provision
* Understanding of specialist palliative care provision
* Awareness of and commitment to the mission and values of the Hospice
Experience
* Palliative care or oncology experience.
* Interest in research/audit
* Community experience
* Experience in mentoring students
* Clinical supervision experience
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.
#J-18808-Ljbffr