Band 6 Senior Registered Nurse - Community

Job description

Job responsibilities

Clinical Practice

The post holder will be professionally accountable for the maintenance of standards and professional practice as set by Hospice Policies/Procedures, the NMC code of Professional Standards and relevant professional guidelines such as NICE guidance and Palliative Adult Network Guidelines (PANG 2016), Palliative Care Formulary (2020)

To give skilled nursing care, based on principles of best practice and clinical evidence. This includes: End of life care, chronic disease management, and symptom control management.

Undertakes comprehensive assessment of the physical, psychological and social care needs of patients including the needs of the patients loved ones and carers.

Puts quality and safety at the heart of practice by delivering evidence based individualised and personalised care through holistic needs assessment, care planning and evaluation all care interventions.

Utilise advanced communication skills to facilitate end of life care conversations and advance care planning including contributing to the ReSPECT documentation.

To develop and utilise specialist nursing skills in palliative care and symptom management.

To provide individualised and person-centred care plans that provide monitoring and promotion of self-care to prevent unnecessary hospital admissions or promote discharge home.

Act as the patients advocate and to facilitate the patients own choices with regard to nursing care, promoting informed patient preferences.

To provide care to people with long term conditions undertaking reviews in accordance with the individual patient care plan and with support of more experienced colleagues as required.

To identify and record new problems and other relevant information clearly escalating as appropriate.

To ensure the safe handling of body fluids and contaminated sharps in accordance to the Hospice policy.

Support patients and their carers with managing their medicines and undertaking medicines management reviews as directed. When appropriate, teaching and supporting carers to give sub cutaneous medications.

Ensure and oversee that the appropriate risk assessments such as falls and pressure injury prevention are undertaken

Maintain accurate, comprehensive and timely records in accordance with St Wilfrids Hospice and NMC guidelines.

Undertake tasks such as setting up and maintaining syringe drivers, intravenous therapies, providing sub cutaneous medication, continence management and wound care

Where appropriate initiate referrals or taskings, to ensure adequate care and support to patients and their loved ones.

Provide information and support to patients and their loved ones at end of life, including help with the practical, emotional and financial impacts of supporting someone who is dying.

To advise patients and their loved ones and support them in times of stressful and emotional events that can be emotionally demanding to the nurse.

To effectively communicate complex and sensitive patient information to colleagues within the primary healthcare team and to multi-disciplinary team members involved with patient care. Maintaining equity of service provision by having an awareness of potential barriers to communication and an understanding of how to overcome these barriers to ensure that effective communication occurs.

Ensure effective communication with the wider healthcare services by competing CHC applications and being regularly involved in planning discharges and caseload reviews.

Undertake additional administration duties such as Controlled Drug destruction and the ordering of NRS equipment

To have knowledge of and be able to effectively use local services and resources to enable the appropriate signposting to other appropriate services to promote and enhance patient care.

Leadership/ Service Development

Be alert to the needs adults at risk including risk assessment and taking appropriate action when required. Escalating any safeguarding concerns.

Participate in the supervision and co-ordination of the work of nursing staff on a shift by shift basis.

Ensure the application of equal opportunities in practice considering the individual needs of patients, their loved ones and colleagues.

Communicate effectively through IT systems.

Work in collaboration with the Multidisciplinary Team and actively participates in multi-professional meetings as well as team, locality and other relevant meetings, acting as patient advocate and representing nursing views.

Be a member of working parties and groups considering aspects of the service and professional practice as required.

Acts as a role model for excellent communication skills and nursing expertise.

Training and Education

Participate and attend all mandatory training sessions in accordance with Hospice policy

Maintain own clinical expertise and responsible for own Continuous Personal Development ensuring meets with the NMC standards of revalidation.

To participate in an annual performance and development review with their line manager so that an agreed training programme can be developed.

Promote an informative educational environment by coaching staff within their induction program and the continuing education of newly qualified staff /new Hospice staff / and student nurses.

Participate in formal or informal teaching sessions to cascade information to other registered nurses and Health Care Assistants.

To facilitate a learning environment for students and act as mentor, practice assessor and promote Best Practice

Audit and Research

To participate in service development activities, such as audits and surveys to identify areas for improvement.

Supports and contributes to the development of policy and clinical guidelines within their area.

To access and implement as necessary all St Wilfrids Hospice policies/protocols and guidelines.

To undertake a link/champion role within own area of expertise such as infection control, manual handling, falls management or medicines management.

Person Specification

Qualifications

Essential

• Current RN Level 1 registered with the NMC
• Relevant degree/ diploma or equivalent qualification.

Desirable

• Post-basic qualification in cancer/palliative care or relevant subject or working towards
• Evidence of continued professional development
• NMC approved Practice Assessor qualification
• Relevant post registration experience, at Band 5 or above, in cancer, palliative care or associate speciality such as care of the elderly

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

St Wilfrid's Hospice

Address

St. Wilfrids Hospice

Walton Lane

Bosham

Chichester

West Sussex

PO18 8QB

Employer's website

https://stwh.co.uk/ (Opens in a new tab)