Registered Nurse (Hospice at Home

Job Title:

Registered Nurse
-Hospice at Home Spinal Point Range: 13,15,18 (Plus, unsocial hours payments see below)

Hours:

18 hours per week; on a shift basis Department:
Community Services

Location:

St Michaels Hospice, Bartestree

Reports to:

Sister

Job Purpose:

To assess, plan and deliver a high quality palliative and end of life care to patients and families within their home or care home.

Care Provision Contribute to the comprehensive holistic assessment, planning implementation and evaluation of the needs of patients on each shift. Deliver generalist nursing care interventions that is responsive to the individual patients requirements. Identify and report any concerns or changes in patients condition and or familys wellbeing to wider community teams as appropriate. Contribute to the patient centred assessment and care planning ensuring timely review and update utilising the OACC suite of outcome measures.

To carry out assurance visits with the Senior Community HCAs to assess the accuracy of work and completion of documentation. To work within NMC guidelines specifically recognising the delegated authority for devolving care to senior community HCA workforce. Identify pre and post bereavement needs and potential issues referring on to supportive care team. To provide expert telephone advice and support to professionals, patients and families.

Ensure that patients/carers needs are identified and refer to supportive care if needs are greater. To supervise and upskill the Senior HCAs when undertaking a joint visits; sharing expertise knowledge and skills. To act as a link nurse in selected specialism e.g. diabetes. To follow all agreed hospice and community NHS clinical procedures ensuring alignment with NMC/statutory regulations related to Medicine management.

To follow all agreed policies for manual handling, infection control, health and safety, ensuring a safe environment for patients, visitors and staff visiting and within the service. Planning Manage on a shift basis, patients on the Hospice at Home caseload patients, ensuring care is reviewed and delivered in a timely manner. Provide clinical oversight for the Senior Community Health Care Assistant (HCA) activities on a shift basis, ensuring appropriate use of staff resource.

Participate in the initial assessment post Continuing Health Care Fast Track (CHCFT) approval prior to Senior Community HCA, care commencement. Undertake risk assessments, document these and implement risk reducing measures escalating to senior colleagues as appropriate. Contribute to the case management of patients on to monitor caseload, anticipating problems and risks before crises arise; ensuring appropriate GP and community team involvement.

Communicate changes to patients to the senior community nurse so information can be updated and cascaded to appropriate professionals. To be able to communicate highly sensitive information, ensuring patients and their families/carers are adequately supported. Promote collaborative working and effective communication between all members of the multidisciplinary team. Encourage patients/relatives/carers to feedback and express what is important to them to identify their needs, ensure that this information is recorded and informs the care plan.

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.

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 the Senior Community HCAs. To deliver informal and formal training sessions for staff and others. Deputise in the absence of the senior nursing colleagues.

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. Participates in reflective reviews of palliative care. Ensure clinical incidents /near misses are recorded Is aware of the local policies of partner organisations with regards to care practices and referral pathways.

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 clinical incidents /near misses are reported in a timely manner and take action to minimise risk. Ensure the environment is free from hazards. Be aware of own limitations and when to seek advice and help.

Contribute and adhere to the Infection control practices applicable to a community setting. Adhere to the safe storage of…