Senior Staff Nurse Hospice at Home Job Waterlooville England UK,Nursing

Key Areas of Responsibility / Key Accountabilities

To triage/accept patients and carry out assessments of patients, develop programmes of care.
Ensure that programmes are implemented throughout the 24-hour period within the patients home.
Community setting demands continued risk mitigation by assessment.
To maintain continuing personal contact with patients and their relatives and contribute with the evaluation of programmes of care.
Whilst prioritising & allocating care according to patient care service demands.
To carry out specific treatments and clinical procedures.
To base clinical practice on current research-based evidence.
Evaluating & implementing symptom management as appropriate.
To assess the needs of patients and carers requiring intervention from other professionals/therapies within and outside the hospice and refer appropriately seeking support from senior staff as appropriate.
Ongoing assessment of symptom control /care management.
To verify when a death has occurred, notifying relatives and carers as appropriate following the procedures carried out within the community.
To care for the deceased patient by administering last offices as appropriate and ensuring the safe and timely removal of the body from the home working within the procedures in place within the community.
To report to the Hospice at Home Team Lead/Co-ordinator / Senior Hospice Nurse/ Hospice Doctor/ GP or D/N any relevant information on the condition of specific patients, their care or treatment.
Out of hours to report to the on-call Hospice Doctor/OOH/DN any relevant information on the condition of specific patients, their care or treatment.
Out of hours report to the on call Clinical Nurse Manager as appropriate any immediate concerns related to the operations of the hospice at home service.
To report any feedback, concerns and complaints from patients, their relatives, or others acting on their behalf and assist in the investigation as appropriate.
To administer drugs, and assist with their ordering and storage, in accordance with the NMC Standards for the Administration of Medicines.
To recognise and report any errors or omissions in the administration of medications.
To adhere to the NMC Code of Professional Conduct.
To report to the Hospice at Home Team Lead/Co-ordinator/ Clinical Lead any matter affecting the smooth running of the hospice at home service.
To ensure knowledge about patients is maintained in the strictest confidence, and is not divulged, except to professionals where it would materially assist with the programme of care or protection of the individual (See Staff Handbook Confidentiality / Data Protection Act).
In conjunction with H@H Team Leader report any complaints/safeguarding concerns from patients, their relatives, or others acting on their behalf to the H@H Team Leader/Clinical Director and assist with investigation of complaints as necessary knowing your boundaries and expectations within the process.
To demonstrate a consistent level of courtesy and consideration to patients, their relatives and visitors respecting that you are working within the patients own home.
To promote a high quality of nursing by adhering to set standards.
To contribute to the ordering and storage of clinical stores required for hospice at home.
To ensure that all nursing records are completed and updated at each shift change over shift in line with the policies within the community.
Complete assessment of bereavement vulnerability and liaise where necessary with Psychology/Bereavement Team.
To ensure that clinical stores utilised from the Inpatient Unit for community patients are used efficiently and economically.
To ensure that Infection Control standards are maintained at all times, participating in audits and monitoring as required.
To contribute to the development of HCSWs and student nurses by ensuring delivery of effective induction programmes and continuing development through appraisal and education.
To attend lectures, formal meetings etc. to maintain professional update, adhere to aspects related to the Health and Safety at work act and promote the effective running of the service and participate in research.

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