Job responsibilities
Clinical
Responsibilities
Work in
accordance with the NMC code of professional conduct and within Nursing
Associates sphere of responsibilities, following the code at all times.
Be
responsible for delivering high quality, patient centred, safe, compassionate
and effective care for a group of patients under the supervision and
partnership of a Registered Nurse with an emphasis on empathy, respect and
trust.
To be
responsible for own caseload, planning , prioritising and reprioritising
daily.
Monitor
the condition and health needs of patients within their care on a continual
basis in partnership with patients, families, carers and members of the MDT
team, ensuring appropriate escalation to a Registered Nurse when required.
Ensure the
privacy, dignity and safety of patients is maintained at all times.
Support
patients to improve and maintain their mental, physical and behavioural
health and wellbeing.
Complete
nursing risk assessments using recognise risk assessment tools.
Complete
holistic nursing admissions, reviews and discharges with support from the
Registered Nurse.
Assist in
the implementation of appropriate action to meet and improve the specific
physical, emotional, psychological, social, behavioural, cultural and
spiritual needs of patients, their relatives and carers.
Contribute
to the planning of care delivery in partnership with the Registered Nurse.
Contribute
to ongoing assessment recognising when it is necessary to refer to others for
reassessment and action.
Demonstrate the ability
to recognise changing priorities seeking advice and guidance from the
Registered Nurse or other registered care professionals as appropriate.
To
contribute to the caseload review on a regular basis
To
participate in weekly MDT discussion about patients progress.
Oversee
the care delivered by Health Care Assistants, Wellbeing Co-Ordinators,
Trainee Nursing Associates and Nursing Students to the designated patients
allocated to them.
To
contribute when needed to the delivery of group sessions
Demonstrate
good understanding of principles of consent and ensure valid consent is
obtained prior to undertaking nursing and care procedures.
Safely
undertake the following routine procedures to meet patients nursing needs to
included but exclusive to the following:
recording
and interpreting vital signs, interpreting blood glucose levels, ECG,
pressure area care, wound care, skin integrity, falls prevention, urinary
catheterisation, nutritional support, enteral feeding, bowel and bladder
care, syringe drivers, relaxation therapies.
When required, to assist in personal care for
patients attending the Wellbeing Centre, including toileting, stoma and
urostomy care.
Maintain
accurate, contemporaneous patient records, in line with hospice policy and
NMC code.
Any
other appropriate duties which may be requested by the Wellbeing Centre
Clinical Lead.
Medicines
Management
Adhere to
Teesside Hospice Medicines Management and Controlled Drugs policies
Recognise
the effects of medicines, allergies, drug sensitivity, side effects,
contraindications and adverse effects.
Undertake
safe and effective administration and optimisation of medication, in
accordance with hospice policy and NMC standards of proficiency for Nursing
Associates.
Administer
medication via oral, topical and inhalation routes.
Administer
injections using subcutaneous and intramuscular routes.
Administer
and monitor medications using enteral equipment
Monitor
the condition and health needs of the patient, following administration of
medication.
Communication
Communicate
effectively with colleagues, providing clear verbal, digital or written
information and instructions when sharing information, delegating or handing
over responsibility for care.
Recognise
and report any situations, behaviours or errors that could result in poor
care outcomes.
Identify
risks to safety or experience and take appropriate action, putting the best
interests, needs and preferences of people first.
Promote
the contribution of nursing within the multi-disciplinary team.
To
be able to communicate effectively with all other professionals/agencies
involved in the service delivery of palliative care.
To
encourage, support and motivate patients to participate in sessions/groups.
To
attend staff meetings and participate in other meetings as appropriate.
To
encourage and promote the philosophy of Teesside Hospice and present a good
public image, to co-operate with all staff in maintaining good relationships
with outside agencies in order to uphold the charitys image and to win
increased support for its work
Educational
and Personal Responsibilities
Comply with mandatory
competencies in line with hospice requirements.
Engage in a preceptorship
period that includes achieving the Nursing Associate Medicines Management
Competency Framework.
Maintain own continuing
professional development, in accordance with NMC CPD requirements and
contribute to formulation of own objectives and personal development plan.
Maintain
professional registration, and ensuring all the requirements for revalidation
are met.
Support, supervise teach
(where appropriate) and act as a role model to Trainee Nursing Associates,
student nurses, health care assistants and new staff members promoting
reflection and providing constructive feedback.
Adopt a reflective
approach to own practice with a view to continually improve.
Undertake further
training as required, prior to carrying out any additional duties identified
as relevant to the role, to comply with hospice policies and procedures.
Engage and remain up to
date with electronic record keeping, and electronic medication administration
records.
To be responsible for
maintaining a personal awareness of professional developments in nursing and
particularly in palliative care.
Use
evidence to underpin practice and the development of
specialist palliative care.
To be
actively involved in the collection of data regarding clinical audit,
trails/studies and endorsing positive outcomes into clinical practice.
To
be aware of the adult and child protection procedures and policy within
Teesside Hospice, to attend all safeguarding training and to always adhere to
the Local Safeguarding Procedures.
To
undertake risk assessment to ensure that staff, families and visitors are
safe with support from the Registered Nurse.
Ensure
the proper use of Hospice resources such as single use items, stationary,
printing ensuring minimal waste and cost.
Exercise
personal duty of care in the safe use and storage of equipment.
To
be able to carry out effective complaint, accident and incident reporting.
Act as a
resource to other areas within the Hospice when required.
To
play an active part in the Clinical Governance framework within the hospice.
To
be aware of the Infection Prevention and Control policies and work in
accordance with IPC procedures at all times.
To
adhere to Teesside Hospice policies, procedures, guidelines, and standards at
all times and to promote these to others.
To
be aware of, and responsive to, the changing nature of the Hospice and adopt
a flexible and pro-active approach to work.
To undertake
administration changes in accordance with hospice policy.
