The post holder will work within a small care team to deliver community-based palliative nursing care. The post holder will work with families caring for children and young people with life-threatening and life-limiting illnesses.
The post holder will provide skilled holistic nursing care to children and young people who have complex medical needs within the family home or other environments where respite is requested, including hospital-based care. The post holder will provide emotional support and advice to the children, young people, and parent carers on the caseload and will be responsible for the planning, implementation, and evaluation of individualized care during each respite visit in the absence of the parents or carers. The post holder will also work with the end-of-life team leader to plan and deliver end-of-life care to children on the Jessie May caseload. The post holder may have to be available to work on-call overnight and weekends on a rota basis in collaboration with other services across BNSSG.
The post holder will hold a caseload and complete a majority of their visits in North Somerset but must be mobile across the whole geographical area that Jessie May covers.
Main duties of the job
Working as part of the Jessie May care team, your main duties will be:
* To deliver a high standard of individualized holistic care and support to children and young people with life-limiting conditions and their families, promoting empowerment, advocacy, and partnership.
* To supervise the child or young person in the absence of their parents or carers.
* Communicate effectively with all of the Jessie May Care Team.
* Promote evidence-based practices, which are of benefit to the care of the children on the Jessie May caseload, in accordance with clinical governance guidelines.
* Undertake all appropriate aspects of nursing care required within the home base setting, development and delivery of additional clinical skills having gained the appropriate training while maintaining competency.
* Be able to manage own workload during a respite visit and office-based duties.
* Have knowledge of and work within UHBW policy and Jessie May Guidelines.
* Facilitate effective communication with Jessie May colleagues and other partner agencies.
* Work with their line manager to improve services and improve the quality of care to children and young people on the Jessie May caseload.
* Ensure that Health and Safety requirements are met and all accidents and incidents are reported to the line manager.
(Cont'd under detailed job description and main responsibilities)
Job description
Job responsibilities
(Main duties of the job cont.)
* Ensure that correct procedures are followed in accordance with UHBW policy and Jessie May Guidelines.
* Work with the end-of-life team leader and care team to plan and deliver end-of-life care to children on the Jessie May caseload.
* Provide support and supervision to students and other staff as appropriate.
* Participate in the implementation of government directives.
* Follow emergency procedures following guidelines for the child or young person receiving care.
* Administer medication prescribed by a qualified medical practitioner.
* Assist with any nursing needs that a child or young person requires in line with their individualized care plan encouraging the child or young person to be as independent as possible within their capability.
* Listen to the requests of the child or young person you are caring for and the parent/carer and whenever possible provide care consistent with their wishes.
* Listen to the child or young person and the parent/carer and offer emotional support using empathetic communication as appropriate.
* Keep written records of all care given and observations made in accordance with UHBW policy and Jessie May guidelines.
* Identify the need for additional emotional support for the child or young person and the parent/carer, and communicate this in an appropriate manner to the care team and externally as required.
* Recognize the need for specialized bereavement support, especially around the Wishes documents and funeral planning. Maintain communication with the care team and Bereavement lead to ensure the family receives all appropriate support as needed.
* Participate in service evaluation.
Person Specification
Qualifications and Training
Essential
* RSCN/RN (Child) or equivalent.
* Current NMC registration.
Desirable
* Work towards relevant university accredited post-basic study programmes or modules eg teaching and assessing course/palliative care module.
Skills and Abilities
Essential
* Able to use advanced communication skills to communicate compassionately and sensitively, including experience of supporting difficult conversations.
* Able to advocate and empower vulnerable young children and their families.
* Ability to take the lead, initiate and ensure appropriate action in response to the deteriorating patient, including effective assessment and clinical skills.
* Flexible and adaptable to challenging and complex changing environments.
* Able to organize and prioritize workload using effective time management skills.
* Car driver and able to work remotely including computer skills.
* Able to manage and make clinical decisions for allocated and shared caseload.
* Able to maintain confidentiality and work within GDPR guidelines.
* Be a role model for Jessie May and UHBW including supervising and assessing students.
Knowledge and Experience
Essential
* Knowledge of the importance of family-centered care and the challenges faced by families on a palliative care pathway.
* Relevant post-registration experience, including palliative and/or end-of-life care.
* Shows evidence of team working and ability to communicate effectively with the multidisciplinary team.
* Recognizes own limits and seeks appropriate support including drawing on evidence-based practice and accessing individualized training as needed.
* Knowledge of safeguarding and shows appropriate, timely action to minimize risk in line with local policies and procedures.
Desirable
* Experience of lone working in the community with children, young people, and their families.
* Experience and interest in working with children with severe, complex, or special needs.
Public Sector Language Competency
Essential
* Be able to speak fluent English to an appropriate standard.
Employer details
Employer name
University Hospitals Bristol and Weston NHS Foundation Trust (UHBW)
Address
Jessie May
35 Old School house, Kingswood estate, Brittania Road
Kingswood
BS15 8DB
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