Advanced Nurse Practitioner

Havens Hospice

Information:

This job is now closed

Job summary

This is a senior nursing position within the multi-disciplinary care team of the inpatient unit and the post holder will:

Act as a highly specialist, advanced and autonomous palliative practitioner, demonstrating a high level of practice and knowledge whilst participating in direct evidenced based patient care.

Collaborate with the medical staff and Multi-Disciplinary Team (MDT) to provide professional and clinical support in the care of patients with specialist palliative care needs.

Utilise advanced clinical assessment skills in order to conduct holistic patient assessment and diagnose and manage complex symptoms and palliative care emergencies, including non-medical prescribing

Main duties of the job

The aim of Havens Hospice care is to meet the physical, social, emotional and spiritual needs of patients with progressive diseases where the prognosis is limited, and the focus of care is quality of life.

About us

At Havens Hospices we care for children, young people and adults with complex or incurable conditions. Our specialist Care Teams can support them and their family living throughout illness, death and bereavement, in the comfort of their own home and through our hospice services, Fair Havens, The J’s and Little Havens.  

In return for your expertise and passion, you will receive a competitive salary package and most of all, by making the most of every day you work at Havens Hospices you’ll be helping us continue ‘Making every day count’ for those who need us most.

Date posted

28 March 2022

Pay scheme

Agenda for change

Band

Band 7

Salary

Depending on experience

Contract

Permanent

Working pattern

Full-time, Flexible working

Reference number

B0402-22-6260

Job locations

226 Priory Crescent

Southend on Sea

Essex

SS2 6PR


Job description

Job responsibilities

Professional Leadership/Management

· To act as a highly specialist, clinical expert in palliative nursing, taking a lead role in advancing the development of clinical practice within the inpatient unit.

· To act as an autonomous, registered practitioner who is legally and professionally accountable for unsupervised actions in accordance with organisation guidelines and protocols and the NMC Code of Professional Practice for Nurse/Midwives and Health Visitors

· To act as a resource for the nursing team within the inpatient unit.

· To act as a professional role model.

· To participate in the development of inpatient palliative care in line with current legislation, national and local palliative guidelines and policy directives.

· To actively develop and audit relevant clinical and organisational standards of care, in order to evaluate the effectiveness of service provision.

· To ensure that service policies, procedures or protocols are developed and monitored for use in the inpatient unit.

· Demonstrate leadership by means of:

- Effecting change within own sphere of practice when and where indicated

- Making recommendations to improve services and act as a specialist resource for other professionals

- Influencing, motivating, supporting and enabling others to participate in the delivery of high quality and effective inpatient palliative care.

Clinical Practice

· Work autonomously and collaboratively with other members of the MDT to ensure the provision of high-quality palliative care.

· Demonstrate and utilise highly developed palliative nursing knowledge and skills in the delivery of patient care.

· Accurately assess patients with undifferentiated and undiagnosed problems, by obtaining a comprehensive clinical history and undertaking a thorough clinical examination.

· Using decision making and problem-solving skills formulate a differential diagnosis.

· As necessary, order, perform and interpret relevant and appropriate screening and diagnostic investigations.

· Following diagnosis, both autonomously and in conjunction with medical and nursing staff, monitor and manage the ongoing clinical and nursing care needs of palliative care patients within the inpatient unit.

· Prioritise complex palliative care issues and intervene appropriately, including the rapid assessment of acutely symptomatic and unstable patients and the initiation of effective care.

· Effectively communicate sensitive information to patients and relatives

· Prescribe medication within the boundaries of professional competence and evaluate therapeutic effectiveness of chosen treatment, reviewing as necessary

· Advise patients regarding drug regimes, side effects and interactions

· Integrate appropriate non-drug-based treatment methods into patient management plans.

· Evaluate results of interventions, revise plans accordingly and consult or refer when needed.

· When appropriate, liaise with other nursing and medical, colleagues, administrative staff and in-patient co-ordinators to optimise smooth transition of patients through the presentation of illness with strongly identified processes to timely and efficient discharge from inpatient care.

· Establish and maintain effective communication between patients, carers, members of the MDT and professionals within the wider palliative community.

· Collect, collate, document, evaluate and report information, maintaining accurate patient records.

· Act at all times within the NMC’s Code of Conduct, working within clinical and professional protocols, boundaries and guidelines.

Clinical Governance

· Support, initiate and promote evidence-based practice, contribute to the development, monitoring and evaluation of clinical guidelines, standards and protocols and adhere to professional regulation.

· Participate in the critical review of complaints, compliments and significant event analysis with a view to the continual improvement of patient care.

· Identify the need and undertake research and clinical audit in order to inform practice and improve the effectiveness of patient care

· Analyse data and disseminate findings through presentation to relevant and interested parties and produce reports and action plans.

· Develop and implement policies, procedures and guidelines related to the nurse practitioner role in conjunction with senior nursing and medical staff.

· Promote patient and public involvement in the development of services to improve patient care.

· Ensure that systems are in place to identify and minimise all risks associated with the delivery of patient care with particular reference to clinical risk management.

Education and training

· Maintain own clinical excellence and competence, identifying learning and development needs through regular self-evaluation, peer review and job evaluation.

· Have a senior medical facilitator to provide mentorship and supervision for an appropriate period whilst developing the ongoing clinical skills required.

· Act as an educational resource for all professional groups within the organisation, delivering teaching within and external to the organisation

· Participate or lead on research and evaluation to enhance and develop professional practice

· Act as a mentor to pre and post registration nursing staff.

· Engage in reflective practice and clinical supervisor, in recognition of the high level of emotional impact of the role.

· Ensure personal appraisal and personal development plans are updated in order to meet revalidation requirements.

Job description

Job responsibilities

Professional Leadership/Management

· To act as a highly specialist, clinical expert in palliative nursing, taking a lead role in advancing the development of clinical practice within the inpatient unit.

· To act as an autonomous, registered practitioner who is legally and professionally accountable for unsupervised actions in accordance with organisation guidelines and protocols and the NMC Code of Professional Practice for Nurse/Midwives and Health Visitors

· To act as a resource for the nursing team within the inpatient unit.

· To act as a professional role model.

· To participate in the development of inpatient palliative care in line with current legislation, national and local palliative guidelines and policy directives.

· To actively develop and audit relevant clinical and organisational standards of care, in order to evaluate the effectiveness of service provision.

· To ensure that service policies, procedures or protocols are developed and monitored for use in the inpatient unit.

· Demonstrate leadership by means of:

- Effecting change within own sphere of practice when and where indicated

- Making recommendations to improve services and act as a specialist resource for other professionals

- Influencing, motivating, supporting and enabling others to participate in the delivery of high quality and effective inpatient palliative care.

Clinical Practice

· Work autonomously and collaboratively with other members of the MDT to ensure the provision of high-quality palliative care.

· Demonstrate and utilise highly developed palliative nursing knowledge and skills in the delivery of patient care.

· Accurately assess patients with undifferentiated and undiagnosed problems, by obtaining a comprehensive clinical history and undertaking a thorough clinical examination.

· Using decision making and problem-solving skills formulate a differential diagnosis.

· As necessary, order, perform and interpret relevant and appropriate screening and diagnostic investigations.

· Following diagnosis, both autonomously and in conjunction with medical and nursing staff, monitor and manage the ongoing clinical and nursing care needs of palliative care patients within the inpatient unit.

· Prioritise complex palliative care issues and intervene appropriately, including the rapid assessment of acutely symptomatic and unstable patients and the initiation of effective care.

· Effectively communicate sensitive information to patients and relatives

· Prescribe medication within the boundaries of professional competence and evaluate therapeutic effectiveness of chosen treatment, reviewing as necessary

· Advise patients regarding drug regimes, side effects and interactions

· Integrate appropriate non-drug-based treatment methods into patient management plans.

· Evaluate results of interventions, revise plans accordingly and consult or refer when needed.

· When appropriate, liaise with other nursing and medical, colleagues, administrative staff and in-patient co-ordinators to optimise smooth transition of patients through the presentation of illness with strongly identified processes to timely and efficient discharge from inpatient care.

· Establish and maintain effective communication between patients, carers, members of the MDT and professionals within the wider palliative community.

· Collect, collate, document, evaluate and report information, maintaining accurate patient records.

· Act at all times within the NMC’s Code of Conduct, working within clinical and professional protocols, boundaries and guidelines.

Clinical Governance

· Support, initiate and promote evidence-based practice, contribute to the development, monitoring and evaluation of clinical guidelines, standards and protocols and adhere to professional regulation.

· Participate in the critical review of complaints, compliments and significant event analysis with a view to the continual improvement of patient care.

· Identify the need and undertake research and clinical audit in order to inform practice and improve the effectiveness of patient care

· Analyse data and disseminate findings through presentation to relevant and interested parties and produce reports and action plans.

· Develop and implement policies, procedures and guidelines related to the nurse practitioner role in conjunction with senior nursing and medical staff.

· Promote patient and public involvement in the development of services to improve patient care.

· Ensure that systems are in place to identify and minimise all risks associated with the delivery of patient care with particular reference to clinical risk management.

Education and training

· Maintain own clinical excellence and competence, identifying learning and development needs through regular self-evaluation, peer review and job evaluation.

· Have a senior medical facilitator to provide mentorship and supervision for an appropriate period whilst developing the ongoing clinical skills required.

· Act as an educational resource for all professional groups within the organisation, delivering teaching within and external to the organisation

· Participate or lead on research and evaluation to enhance and develop professional practice

· Act as a mentor to pre and post registration nursing staff.

· Engage in reflective practice and clinical supervisor, in recognition of the high level of emotional impact of the role.

· Ensure personal appraisal and personal development plans are updated in order to meet revalidation requirements.

Person Specification

Qualifications

Essential

  • Current effective NMC registration
  • 1st Degree (health related) or equivalent
  • Advanced Assessment Skills qualification
  • Mentorship qualification
  • Non-medical prescriber (or willing to undertake)

Desirable

  • 1ST Degree in Palliative Care

Experience

Essential

  • Significant experience working in palliative care
  • Experience of teaching / assessing / supervising others in a clinical setting
  • Leadership and management skills e.g. shift co-ordination
  • Supervision of junior staff
  • Knowledge and awareness of ethical and legal issues relating to palliative care
  • Ability to apply research to practice
  • Demonstrate knowledge of clinical governance and its application, including risk management
  • Up to date knowledge of current clinical and professional issues
  • Ability to assess, plan, implement and evaluate specialist care delivered to patients and give relevant advice/information to patients and relatives
  • Comprehensive pharmacological knowledge
  • Ability to administer prescribed medication including transfusion of blood and blood products

Desirable

  • Minimum of 5 years experience
Person Specification

Qualifications

Essential

  • Current effective NMC registration
  • 1st Degree (health related) or equivalent
  • Advanced Assessment Skills qualification
  • Mentorship qualification
  • Non-medical prescriber (or willing to undertake)

Desirable

  • 1ST Degree in Palliative Care

Experience

Essential

  • Significant experience working in palliative care
  • Experience of teaching / assessing / supervising others in a clinical setting
  • Leadership and management skills e.g. shift co-ordination
  • Supervision of junior staff
  • Knowledge and awareness of ethical and legal issues relating to palliative care
  • Ability to apply research to practice
  • Demonstrate knowledge of clinical governance and its application, including risk management
  • Up to date knowledge of current clinical and professional issues
  • Ability to assess, plan, implement and evaluate specialist care delivered to patients and give relevant advice/information to patients and relatives
  • Comprehensive pharmacological knowledge
  • Ability to administer prescribed medication including transfusion of blood and blood products

Desirable

  • Minimum of 5 years experience

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Additional information

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Havens Hospice

Address

226 Priory Crescent

Southend on Sea

Essex

SS2 6PR


Employer's website

https://www.havenshospices.org.uk/ (Opens in a new tab)


Employer details

Employer name

Havens Hospice

Address

226 Priory Crescent

Southend on Sea

Essex

SS2 6PR


Employer's website

https://www.havenshospices.org.uk/ (Opens in a new tab)


For questions about the job, contact:

Date posted

28 March 2022

Pay scheme

Agenda for change

Band

Band 7

Salary

Depending on experience

Contract

Permanent

Working pattern

Full-time, Flexible working

Reference number

B0402-22-6260

Job locations

226 Priory Crescent

Southend on Sea

Essex

SS2 6PR