Download WESTERN ISLES NHS BOARD JOB DESCRIPTION 1 JOB

WESTERN ISLES NHS BOARD
JOB DESCRIPTION
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JOB IDENTIFICATION
JOB TITLE: Prostate Cancer Nurse Specialist (0.6 WTE)
DEPARTMENT(S): Hospital and Community
JOB HOLDER REFERENCE:
NO OF JOB HOLDERS: 1
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PURPOSE
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To facilitate access to specialist cancer advice and support for patients
with prostate cancer at all stages in their post-diagnostic treatment
journey.
To develop and provide training and education for primary care
practitioners, including GPs, and local hospital services
To enhance the links between primary and secondary care locally, and
with the mainland specialist hospital services thereby synchronising and
smoothing the patient pathway
To increase the understanding of the rights of patients with cancer and
the specific needs of those with prostate cancer.
JOB SUMMARY
It is estimated that there are approximately 20 men diagnosed annually with
prostate cancer. These men, together with cancer survivors, form the core
target for the project. With a high cancer survival rate at 5, 10 and 15 years,
these numbers may reach as many as 200 or more men and their families living
with the disease in the Western Isles.
The focus of this post is on connecting with men, their families and their health
professionals around new diagnoses and treatment, there will also be emphasis
on recurrent cancer, side effects of treatment and managing longer term
complications such as continence, sexual functioning and relationships. The
postholder will provide direct patient contact through face to face and remote
methods (telephone, videoconferencing, Jabber). There will also be the
potential to maintain a locally-delivered chemotherapy service to enable men to
remain on the islands for their chemotherapy and not require them to attend
Inverness or Glasgow for this. The post holder will signpost patients and
families to further resources to support them, e.g. benefits advice.
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The post holder will link to the Cancer Services Steering Group, as the
overarching committee developing and monitoring cancer services across the
islands. (S)he will work alongside the Macmillan nursing team and participate
fully in their meetings, together with appropriate training and development.
Managed by the Macmillan team leader, the post holder will have clear
objectives, a personal development plan and regular review meetings.
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ORGANISATIONAL CHART
Nurse Manager (Macmillan Team leader)
Macmillan nursing team
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Prostate Cancer Nurse
Specialist
MAIN DUTIES AND RESPONSIBILITIES OF THE POST
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to ensure high quality holistic specialist nursing care is provided for
patients with prostate cancer throughout their cancer experience,
including for those who are terminally ill and dying
to develop and sustain support for families affected by a diagnosis of
prostate cancer, including bereavement care
to act as an expert resource for clinical staff across local hospital and
community settings involved in caring for men with prostate cancer
to provide education and training in prostate cancer and wider urological
diseases and cancers to health professionals, caregivers, patients and
families
to lead on educational initiatives for the recognition and initial
management of people with suspected malignant spinal cord
compression and after care following treatment
to lead on the provision of advice, guidance and support to patients and
partners in sexual health, fertility and post-treatment matters such as
erectile dysfunction, continence management and relationship guidance.
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The desired outcomes for the project are as follows:
 Better patient-reported experience of their cancer journey from prediagnosis to discharge, including end of life and bereavement care
 Having an advocate in their corner helping them navigate the
complexities of the NHS systems locally and on the mainland (see
section 2 below)
 Personal concerns, e.g. sexual functioning, addressed and advice given.
 Appropriate referrals for specialist care made
 Better communication between healthcare professionals with input to the
patient's care
 Improved support available for partners of patients with prostate cancer,
regardless of sexuality
 Positive reports on Cancer Patient Experience Quality Performance
Indicators (Healthcare Improvement Scotland, 2013) around
communication and involvement in decision-making.
Measures of success will include:
 a rise in referrals from Primary Care to the project, indicating awareness
and visibility
 clear care pathways identified and agreed for patients, regardless of
place of treatment and stage of disease
 improved patient experience (self-assessed) along the care pathways
 early identification and referral from primary to secondary care resulting
in earlier diagnosis and earlier staging of disease, with better prospects
of greater survival
 higher levels of repatriation to the Western Isles and greater proximity to
the home, for patients requiring therapies that have the potential to be
delivered locally (eg chemotherapy)
 improved service availability and sustainability through cross cover
across the specialist cancer nursing team
 increasing the breadth and range of peer support through the number of
contacts with members of the Hebridean Men's Cancer Support Group
and the membership of this and the related groups in the Uists and
Barra.
KNOWLEDGE, TRAINING AND EXPERIENCE:
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First level Registered Nurse (RN).
At least 5 years post-registration experience.
At least 2 years of urological experience, preferably prostate cancer
linked.
Evidence of continuing professional development to meet NMC
requirements.
Specialist education at diploma/degree/post graduate level.
Extended, independent and supplementary nurse prescribing.
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ANALYTICAL AND JUDGEMENT SKILLS:
 Skills for assessing complex patient and family need i.e. symptom
control, emotional, psychological, physical, spiritual, financial,
psychosocial and informational.
 Skills for interpreting facts and expectations held by the
patient/family, which may disagree with clinical facts or lack
evidence or understanding and to discuss the resulting range of
options.
 Risk assessment for equipment provision, domiciliary oxygen
therapy and storage of drugs in the home.
 Recognising the need for appropriate onward referral.
 Diagnosing for prescribing medication from Nurse Prescribers Formulary
PLANNING AND ORGANISATIONAL SKILLS
 Prioritise and manage patient caseload.
 Plans provision of service for prostate cancer within the Western Isles.
 Assist with planning chemotherapy provision for this patient group within
the Western Isles.
 Liaison between primary and secondary care to ensure effective
discharge planning.
 Development and review of individual patient care plans
 Plans travel between islands for visits to patients.
 Plans and delivers educational programmes on prostate cancer and
health promotion.
 Plans for meetings with colleagues and organises travel or video-link.
 Plans development of the service within the locality in conjunction with
Macmillan Lead Cancer Nurse (Line Manager), NHSWI Cancer Steering
Group and other professionals.
 Involvement in monthly oncology outpatient clinic and implementation of
nurse led clinics.
PHYSICAL SKILLS:
 Moving and handling skills — occasional use.
 Dexterity for phlebotomy and occasional cannulation.
 Occasional care and maintenance of central venous catheters.
 Competent in the use of specialised equipment for patient care.
 Provide instruction and demonstration to other staff, patients,
relatives and carers in the use of specialised equipment.
 Car driving skills.
 IT skills.
RESPONSIBILITY FOR PATIENT /CLIENT CARE
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Responsible for the use of evidence based care and the provision
of information and advice to empower the patient to exercise
informed consent and regain control of their lives.
Regular patient and family contact in all care settings to assess
and monitor patient's condition and provide appropriate
interventions.
Manages own caseload of patients with prostate cancer and family
members.
Assessing, developing, implementing and evaluating specialist
individual patient care plans in line with national recommendations as
set out by Cancer Quality Improvement Indicators and HIS.
Responsible for record keeping in both nursing and medical notes.
Responsible for prescribing decisions as qualified Non-Medical
Prescriber.
Risk assessment for safe storage and use of drugs and oxygen
therapy in the home and infection control.
Responsible for assessing and co-ordinating highly complex care
packages within the patient's home in partnership with social care
colleagues.
Responsible for advocacy and liaison with mainland colleagues to
ensure coordination of patient visits.
Provide specialised nursing input into weekly surgical clinics and
monthly oncology clinic.
COMMUNICATION AND RELATIONSHIP SKILLS
 Effective communication skills to maintain a pivotal communication role
between multidisciplinary teams locally and with mainland specialist
centres.
 Responsible for communicating sensitive information regarding
diagnosis, prognosis and treatment to patients and to families in
understandable language.
 The post requires strong relationship and counselling skills to establish
a rapport, which facilitates patients and family members to discuss
sensitive issues.
 Breaking bad news.
 Responsible for finding an interpreter using the Language Line, for
example a Gaelic speaker, if and as required.
 Attending meetings with colleagues to co-ordinate cancer care
strategy in the Western Isles.
 Write service reports as required.
 Communicate relevant data in verbal, written and electronic format.
RESPONSIBILITY FOR POLICIES/SERVICE DEVELOPMENT
 Develops and implements nursing standards and protocols for
specialised areas of practice.
 Participates with and contributes to NHS Western Isles Cancer
Steering Group in order to implement national clinical standards and
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quality of service requirements within the North of Scotland Cancer
Area Network (NoSCAN).
Specialist advisor to local initiatives to develop prostate disease
services.
RESPONSIBILITY FOR FINANCIAL AND PHYSICAL RESOURCE
 Refer patients to the Macmillan Benefits Advisor for benefits advice
and applications for government benefits
 Order supplies
 Post has no budget
RESPONSIBILITY FOR HUMAN RESOURCES
 Planning and delivery of training to the following: Nursing colleagues;
paid carers; college students; nursing and medical students; doctors
and other health care professionals.
 Guiding and supporting self help groups.
 Informal clinical support for health professionals and carers.
 Empowering community and hospital nurses to effectively care for
prostate cancer patients through forward planning and education.
 Undertake and participate in PDP.
RESPONSIBILITY FOR INFORMATION AND RESOURCES
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Have current information available in multimedia format about prostate
cancer, treatments and different problems that patients encounter.
Knowledgeable of other information and support resources and how to
access these as required.
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Keep patient records in accordance with NMC requirements.
RESPONSIBILITY FOR RESEARCH AND DEVELOPMENT
 Audit clinical effectiveness of service.
 Participate in research and audit projects as agreed. (Occasional).
 Produce service reports as necessary.
FREEDOM TO ACT
 Free to act on own initiative to meet the needs of the service within
the constraints of the NMC Code of Conduct, national standards,
local protocols and Health Board financial constraints.
 Accountable for own clinical practice.
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5 SUPPORTING EVIDENCE
PHYSICIAL DEMANDS OF THE JOB
 Fit to carry out role. This requires extensive travel by car, ferry and plane
throughout the Islands to meet patient needs and both inter-island and to the
mainland to meet professional and educational requirements.
 Provide specialist nursing tasks, e.g urostomy care.
 Transporting equipment to and from patient's homes.
MENTAL EFFORT
 Multiple assessment, implementation and evaluation of patient symptoms
and family situations on a daily basis.
 Effective forward planning and a degree of lateral thinking to devise
solutions to problems.
 Extensive reading of evidence based research and practice developments.
 Monitoring, adjusting and prescribing medication as appropriate, in
situations where complex drug regimes are the norm.
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 Extensive car driving and travel, sometimes during adverse weather
conditions.
EMOTIONAL EFFORT
 In remote and rural communities the emotional aspects of the post are
unique i.e. patients may be friends, neighbours, relatives or colleagues.
 Anxious or distressed patients/relatives or grieving and bereaved
relatives are frequently encountered in social settings.
 Continuously involved in caring for patients with prostate cancer in different
stages, in dealing with stressful situations and delivering or confirming bad
news.
 Must be able to empathise with emotional impact of disease and treatment
on patients and family members.
 Must be able to recognise stress in oneself and others and offer strategies
to keep stress within acceptable levels.
 Sensitive communication with grieving relatives.
 Personal grief following a patient’s death.
WORKING CONDITIONS
 Generally normal working hours and weekends off, although work flexibly
at times to meet the needs of the service.
 Frequent contact with body fluids.
 Carrying out procedures at patient's home in confined and
unpredictable working conditions
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STANDARD ELEMENTS
NHS staff must comply with all approved NHSWI Policies and Procedures.
NHS staff must comply with NHSWI Communication Strategy and Media
Strategy.
Confidentiality
This involves taking the necessary precautions when transmitting information
only disclosing it to those who have the right and need to know it.
All personal health information is held under strict legal and ethical obligations
of confidentiality.
NHS staff must follow guidance (NHS Code of Practice on Protecting Patient
Confidentiality) before disclosing any patient information. All staff must respect
confidentiality of all matters that they may learn relating to their employment,
other members of staff, patients and their families.
Health and Safety:
Assist in maintaining own and others’ health, safety and security.
This involves:
a) Complying with Board health and safety policies, procedures and
participating in mandatory training.
b) Maintaining a safe working environment and reporting any issues of concern
as appropriate.
NHS Western Isles attaches the greatest importance to the health and safety of
its employees. It is the Board policy to do all that is reasonable to prevent
personal injury and hazard to health by protecting staff and others including the
public from foreseeable hazards compatible with the provision of proper
services to patients. The Board expects its entire staff to take reasonable care
of their own health and safety and that of others who may be affected by their
acts or omissions at work. More detailed information is given in departmental
safety policies where appropriate.
Ensure own actions support equality, diversity and rights.
This involves:
a) Acting in ways consistent with the Board’s policies and procedures.
b) Treating those you come into contact with equitably and with respect.
c) Recognising the need for aids or adaptations.
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JOB DESCRIPTION AGREEMENT
I, (Print Name) .............................................................. confirm that the job
description(s) /person specification(s) attached have been discussed with
me and are an accurate and up-to-date account of the duties and
responsibilities and skills/qualifications required to undertake the post.
Job Holder's Signature:
Date
Head of Department Signature:
Date
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NHS
Elleanan
Siar Western
Isles
WESTERN ISLES NHS BOARD
PERSON SPECIFICATION
Job Title: Prostate Cancer UK Nurse Specialist
Department:
Location: Hospital and Community
FACTOR
EXPERIENCE
QUALIFICATIONS,
TRAINING, RESEARCH
PUBLICATIONS
KNOWLEDGE AND
SKILLS
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ESSENTIAL
DESIRABLE
Minimum 5 years post
Experience of oncology
registration of which
nursing
two have been in
urological nursing.
Evidence of continuing
professional development
to meet NMC requirements.
First level Registered nurse
(RN).
Bachelor of Nursing
Degree.
Urological Nursing Course.
Non-medical Prescribing
Course. Chemotherapy
Course.
Good communications
Previous experience in
skills.
venepuncture, IV
Ability to plan and organise cannulation, I.T. Skills
own workload.
Ability to learn quickly
and display
understanding. Education
of patients, family, carers
and colleagues.
Training in Immediate Life
Support.
Training in Moving and
Handling.
Training in Infection
Control. Training in
Health and Safety.
DISPOSITION
OTHER
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Pleasant outgoing
personality.
Good interpersonal skills.
Enthusiastic and able to
effectively flexibly manage
working time.
Able to work autonomously
and within team.
Leadership skills.
Car driver with current, full
licence.
Available vehicle for work.
Flexible approach to work.
Ability to travel as required
using car, ferry and/or
planes.