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Job Description Details Job Title: Directorate: Department: Grade/Band: Working Hours Location: Accountable to: Responsible to: Hospice at Home: Registered Nurse Patient Care Hospice at Home Band 6 (Comparative) Variable dependant on contract- over 7 days St Peters Hospice (SPH) and the community it supports. Occasional shifts in the Inpatient Unit Clinical Access Services Manager (Clinical Lead) Hospice at Home Team Manager Services: To work directly in the patient’s home; either by shift work or roving visits. Occasional coordination responsibilities (as required), working with partners from other organisations. Job Summary/Main Purpose – Under the leadership of the team manager 1. To assess and care for patients who wish to receive end of life care in their homes. 2. To support Health Care Assistants (HCA) lone working staff with more complex patient care. 3. To work a variety of shift patterns and length of shift dependent on patient and staff requirement. 4. To develop effective working relationships with all internal and external allied Health Care Professionals; providing care and advice in relation to end of life and palliative care in the home. 5. Work collaboratively with the Hospice at Home Manager in liaison with the Community Nurse Specialist (CNS) team in working hours, and with the advice line/ doctor on call out of hours. 6. To provide holistic assessments to patients, their families and carers and to plan for a package of care via Hospice at Home (HAH), by liaising with the co-ordinator. 7. Clearly document all care given and plan of care. 8. Coordinate the service when necessary and organising the Hospice at Home services to meet the needs of the patient 9. To provide leadership, mentoring and support to HCAs and Band 5 staff 10. To support lone working staff and be part of the on call for Hospice at Home Key Working Relationships Director of Patient Care Clinical Access Services Manager Hospice at Home Team Manager Hospice at Home registered nurse (band 5) Hospice at Home Administrator Access Team All Nursing, Medical and Allied Health Care Professionals within SPH, and externally (Bristol Care Coordination, PCHs, Marie Curie, CHC and other care agencies) Fundraising, Marketing and Education Teams, SPH Volunteers and volunteer resources. Principal Duties and Responsibilities Leadership and Management. 1 To develop effective working relationships with external allied health care professionals, other domiciliary care providers and external partners to ensure the patient and family receive well coordinated care of a high quality. 2 To develop effective working relationships with other members of the Hospice multi- disciplinary team. 3 When required - to plan and coordinate the Hospice at Home Service with the support of the Hospice at Home Manager; developing rota’s of care for families in need and in collaboration with other service providers. 4 To participate in the team out of hours rota in conjunction with other St Peters Community Team members. 5 To regularly attend and participate in team and organisational meetings to improve communication, representation and service provision/development. 6 To be included in decisions regarding development or review of organisational policies, standards and procedures. 7 Under the guidance of the HAH Team Manager, take part in the recruitment of new staff by contributing to the shortlisting, interviewing and selection, using agreed methods and based on objective assessments against agreed selection criteria. 8 To contribute to data collection that feeds contractual obligations, standards and KPI’s. 9 Able to communicate effectively with other professionals including GP’s and District Nurses to ensure that high quality palliative care is available to patients 10 To provide leadership, mentoring and support to health care assistants and band 5 staff Clinical 1. To assess, plan, implement, document and evaluate palliative care/end of life care provision for patients who want to be cared for in their own homes. 2. To provide high quality direct nursing care. 3. To verify the expected death of a patient 4. To support the HCAs in the patient’s home to ensure they are providing a high level of nursing care. 5. To liaise with district nurses and general practitioners to ensure the correct equipment, support and medication is provided for the patient to meet their end of life needs whilst avoiding an out of hours crisis. 6. To work 3 planned shifts a year on the In Patient Unit to maintain/ refresh clinical skills and knowledge. 7. To provide immediate bereavement support for families and carers following the death of the patient and referring to the PSS team as appropriate. 8. Support the Primary Health Care Teams at times of high workload e.g. assist with specific medications and review need 9. To act as a conduit of communication with the CNS team. 10. To participate in effective multi-disciplinary working in the community 11. To adhere to the NMC Code for Professional Standards 12. To mentor Band 3 and 5 staff, including induction. 13. To liaise with staff on the IPU to support discharged back to the patients home 14. To be physically able to support the manual handling and physical care needs of patients in their home environment Quality 1. To respond to all referrals effectively and within agreed standards, in conjunction with care providers and St Peters Hospice Access Team. 2. To contribute to established Quality Assurance Programmes including clinical audit, implementing recommended changes from feedback and audit so ensuring evidence based, quality specialist palliative care is being delivered to patients, carers and their families. 3. To work within SPH policy and procedures and ensure Hospice at Home standards are met and adhered to. 4. To ensure all statutory and mandatory training is undertaken and adhered to. 5. To participate and contribute to personal Individual Performance Review, and deliver the same for the band 3 HCA staff and Band 5 RN staff 6. To identify areas of clinical risk and with the line manager- develop plans to eliminate or reduce to a safe level. 7. To support the Hospice at Home Manager with departmental risk and COSHH assessments 8. To attend clinical supervision as provided for under hospice policy Professional Development 1. Contribute to the training and learning needs of the HCA and professional placements as required by SPH. 2. To be a mentor/ assessor for the Health Care Assistants and support the education department in the QCF programme 3. To maintain clinical competencies via internal and external training and development 4. To participate and contribute to personal Individual Performance Review 5. To take responsibility for your own NMC Revalidation process and support band 5 staff in meeting their requirements. General – The post holder will To provide cover for the Hospice at Home Team Manager as required and appropriate. Have access to confidential data on patients and services within St Peters Hospice. Failure to maintain confidentiality will lead to disciplinary action, which could ultimately lead to dismissal. Be required to participate in the assessment of risk and thereby contribute towards clinical and corporate governance agenda as appropriate. Be expected to produce work of a high standard and to promote quality at all times. Uphold all the St Peters Hospice policies and uphold the commitment to Equal Opportunities for all present and potential members of staff and patients. Ensure that all employees, within the HAH team, understand, support and apply the Equal Opportunities policy through their working practice; this requires all individuals to be treated with respect, dignity, courtesy, fairness and consideration. Be expected to keep updated on all matters relating to Hospice procedure and policy. Familiarise themselves with matters relating to health and safety management as they affect them personally and/or the Hospice, reporting any potential risks to life or property immediately in accordance with the Hospice’s Health and Safety policy and procedures. They must use all equipment provided to undertake their role safely. Refrain from smoking in any area of the Hospice premises not designated a smoking area, to include a patient’s home. Conform to the professional standards set by their relevant professional body. Including ensuring registration is current and continuous professional development is practised. Uphold the philosophy of the Hospice; this is based on an interdisciplinary approach and employees and volunteers are required to participate in this concept. Supplementary Information Health & Safety Under the provisions of the Health & Safety at Work Act 1974, it is the duty of every employee i) to take reasonable care of themselves and others at work ii) To co-operate with the hospice as far as is necessary to enable them to carry out their legal duty. iii) Not to intentionally or recklessly interfere with anything provided including personal protective equipment for health and safety or welfare at work. Scope of Job Description This job description reflects the immediate requirements and objectives of the post. It is not an exhaustive list of the duties but gives a general indication of work undertaken which may vary in detail in the light of changing demands and priorities. Substantive changes will be carried out in consultation with the post holder. This is an outline Job description and may be subject to change, according to the needs of the service, in consultation with the post holder Signed (employer) Date Signed (employee) Date Person Specification Job Title Registered Nurse HAH Directorate Directorate of Patient Care Location Band 6 Hours Factor Essential Desirable Measured by Application Qualifications Experience to date Registered Nurse Level 1 Degree / EOL qualification Evidence of CPD Facilitated Learning and Assessment in Practice qualifications Minimum 3 yrs. Post Reg. Experience at Band 5 Recent Specialist Palliative Care Experience and knowledge of pain and symptom control. Leadership Recent acute hospital, Application and community or oncology Interview experience. Knowledge Communication skills St .Peter’s Hospice at Home TBA Teaching Research Production of statistics Knowledge of the role of audit in relation to Practice Improvement. IT skills- Word, Outlook, Excel, Patient Electronic Records Clinical assessment Knowledge of Health Knowledge of Health and and Safety and Risk Safety Policies Assessment. Knowledge of specialist palliative care and end of life Community working and service Clinical Governance Evidence of continued CPD Application and Interview Communication Excellent Communication Module Skills- verbal and non verbal Able to communicate sensitively with staff, patients and families in order to quickly build effective relationships. Able to communicate own assessments of patients’ specialist care needs effectively and assertively with other professionals including GP’s and District Nurses in order to influence the best palliative care to patients Application and Interview Personal Attributes Current driving licence and access to a vehicle for work purposes. High level of motivation. Ability to stay calm at a time of crisis. Appreciates diversity, non judgemental in approach. Enjoys working with a team. Self motivated and able to work as part of both small and large teams A role model who can influence, motivate and encourage others An individual who demonstrates a flexible and creative style towards both service and personal management Demonstrates the ability to make sound decisions on behalf of the service in the absence of the team Manager director and work autonomously as required. Ability to undertake research and/or interpret research in an area of specialist care Willingness to introduce change for the benefit of patient care Good sense of humour;