Roaming Car Service Nurse

Are you a team player who is passionate about end of life care and supporting people to die at home and doyou want to be part of making special memories that last forever? Then this isthe job for you!

We are looking for an experienced, enthusiastic nurse to join our team, working 3 nights a week out of 7. During the hours of 8pm and8am they will travel to patients across North Derbyshire to provide palliative nursing care.

Purpose

The Roaming Car Service is anight service covering the hours of 8pm to 8am. During those hours the Roaming Car Service Nurse and a Health Care Assistant (HCA) will travel to patients across North Derbyshire, planned and unplanned, to provide palliative nursing care.

Blythe House Hospice adds quality to life by providing the highest levels of care for people in the High Peak, Derbyshire Dales & North Derbyshire who are affected bylife-limiting illnesses including cancer, heart failure, chronic obstructive pulmonary disease (COPD), and neurological conditions such as motor neurone disease. The hospice also supports those who are bereaved.

Key Tasks

To work with, and support,the patient, relatives, and carers; being sensitive to their changing physical,psychosocial and spiritual needs.

To provide skilled nursing care within the care plan of the District Nurse, and in accordance with the medical care prescribed by the GP.

To provide nursing care and support to the families and carers of individual patients in the place theycall home across North Derbyshire.

To communicate and liaise with the patients usual care team including District Nurses, other palliative care support such as the DHU/111 Roaming Service as well as the Hospices Roaming Car Service Manager or deputy, reporting on the condition and needs of the patients and providing and maintaining nursing reports and records, as necessary.

To collect and report any required data to support delivery of the service, documenting directly on to Systm Oneor in reporting systems as appropriate.

To attend team meetings ona regular basis, undertaking clinical supervision, mandatory and on-going training and education as required.

To maintain professional confidentiality in all matters relating to patient care.

To be professionally accountable as described in the NMC Code of professional conduct.

Clinical

To be responsible for the administration of controlled medicines and be aware ofcurrent drugs/therapies used in symptom control.

Demonstrate nursing procedures, where appropriate, to carers or colleagues to assist in promoting and maintaining patient comfort.

To be competent in the use of syringe drivers, other specialist equipment and aids, and utilize these when appropriate.

To be competent in all clinical procedures required for symptom management in end-of-life care, following Blythe House Hospice policies and procedures.

Advise the Hospice at Home team of any equipment and aids required for the provision of efficient nursing care to meet the needs of the patient.

To be familiar with the procedure in the event of an emergency or death of the patient, including that for the verification of death.

To conduct the verification of death, if formally trained/qualified and competent to do soonce it has been confirmed to verify through contacting DHU overnight.

To be aware if a DNACPR/ReSPECT order is signed and in place for each patient and take appropriate action when required. Also, to alert the co-ordination team if a DNACPR/ReSPECT Form is not in place.

To develop, with support where required, a high level of specialist palliative care knowledge which includes key issues relating to the last year of life, such as:

To have the patient and their loved ones at the centre of all decisions.

The shape and function of professional services.

Symptom management.

National frameworks and guidance.

Key ethical issues.

High standard of clinical record writing.

To develop and utilize advanced communication skills with patients, carers and families.

To develop and deploy a specialist understanding of the complexities of patients requiring endof life care and managing those problems.

To be both a flexible and adaptable practitioner who…