North London Hospice

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North London Hospice

NORTH LONDON HOSPICE

JOB DESCRIPTION

JOB TITLE: Registered Nurse

Palliative Care Support Service (PCSS)

GRADE: Band 6

HOURS: Bank: Min 2 – Max 9-hour shifts as required

RESPONSIBLE TO: Triage Development Manager

ACCOUNTABLE TO: Associate Director - Clinical Services

JOB SUMMARY:

The post holder will be a member of the North London Hospice (NLH) Palliative Care Support Service (PCSS). The post holder will be responsible for implementing and maintaining high standards of nursing care for individual patients in their own home, providing skilled nursing care, treatment, advice and support to patients and their carers.

To fulfill this role, the post holder will be working alongside the wider statutory services community team and will be expected to work shift duties including night shifts.

All nurses must act in accordance with the Nursing and Midwifery Council Code of Conduct.

KEY RESPONSIBILITIES:

 To participate in the planning, assessment, implementation and evaluation of nursing care, supplementing the care provided by the District Nursing Team to enable the patient to continue to be cared for at home.

 To use evidence-based practice to develop and maintain a high quality of patient care.  To provide advice, support and respite care for the carers and family according to their needs and the level of intervention required during the shift.  To communicate and liaise with medical and nursing colleagues, providing accurate reports of any changes in the condition of the patient.

 To maintain clear, accurate and concise records in the District Nurses notes and verbal handover to PCSS Coordinator.

 To participate in audit documentation as requested.

 To administer medication according to the care plan and be aware of the current drugs and therapies used in the treatment of pain and other symptoms.

 To set realistic goals for each of the identified needs and problem following liaison with professional and carers.

 To critically evaluate nursing care which has been given and liaise with the district nurse if the care plan requires altering.

 To act as the patient’s advocate in communicating information between the patient and members of the multi-professional team.

 To demonstrate insight into the many cultural aspects of life and death, and the implications for nursing care.

 To demonstrate knowledge of the grieving process and recognise normal and abnormal grief reactions.

 To assist in the orientation of new members of staff to the PCSS service.

 Participate in formal and informal educational programmes.

 To adhere to NLH policies, procedures and protocols.

 To adhere and to the NMC Code of Professional Conduct and be conversant with the Scope of Professional Practice.

 To attend the induction programme, team meetings and training sessions as requested by PCSS Coordinator.  To keep up to date with current developments in nursing and palliative care.  To make the PCSS Coordinator aware of availability as requested.

All information concerning patients and staff must be held in the strictest confidence and may not be divulged to any unauthorised person at any time, unless to do so is in the best interest of the individual. In this instance the post holder should be appropriately advised by the PCSS Coordinator. A breach of confidentiality will result in disciplinary action being taken in accordance with the Hospice's disciplinary procedure and may lead to dismissal.

This job description is not exhaustive. It merely acts as a guide and may be amended to meet the changing requirements of the service at any time after discussion with the post holder.

KNOWLEDGE AND SKILLS FRAMEWORK - DIMENSIONS MATRIX TITLE OF POST: Registered Nurse - band 6 (bank)

Highlight KSF level KSF DIMENTIONS KSF level for post for PDR attained

1 2 3 4 1 2 3 4 CORE DIMENSIONS (relates to all posts)

Communication X

Personal People Development X

Health, Safety and Security X

Service Improvement X

Quality X

Equality and Diversity X

SPECIFIC DIMENSIONS

HWB2: Assessment and care planning to X meet health and wellbeing needs HWB4: Enablement to address health X and wellbeing needs HWB5 Provision of care to meet health X and wellbeing needs

Service & project Management X

VALUES AND BEHAVIOURAL DIMENSIONS

Patient Focussed

Team Approach

Values Partnerships Takes Responsibility

Adaptive and Creative

Financial Realism

Open & Appropriate Communication PERSON SPECIFICATION

REGISTERED NURSE PALLIATIVE CARE SUPPORT SERVICE Criteria Essential Desirable

Qualifications  NMC Registration  Oncology/Palliative Care Level 1 Certificate

Skills/abilities  Ability to work in a complex environment and demonstrate coping mechanisms  Ability to respond to changes in patients condition  Ability to work within a team  Good communication skills  Ability to prioritise a patient’s care needs  Ability to work in an unsupervised setting  Uses own initiative

Knowledge Current general nursing care.  Awareness of palliative care issues

Experience  Recent experience of  Experience of working in nursing patients with a palliative care palliative care needs environment, e.g. and/or oncology hospice. needs. Experience of working  Experience in caring within the community for patients at the end of life

Other  Ability to travel to  Full driving license and requirements varying work access to a car. locations during unsocial hours.  A flexible approach to working patterns  Willingness to undertake work during the day or at night

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