Hospice Community B6 Clinical Nurse Specialist

JOB SUMMARY To provide specialist palliative nursing care to patients and their families within a service that works every day and at all hours, by phone, by visits and advising and teaching others. CLINICAL RESPONSIBILITIES To work within a team providing specialist palliative care to patients, within a community setting, the Hospice, and community unit and care homes. Supporting carers and other providers delivering care, through the advice line, training and education. To undertake in-depth holistic assessments of patients with palliative care needs, regardless of their diagnosis, and plan care to meet patient outcomes. To provide information, advice, psychological and spiritual care to patients, their families and carers, liaising and referring on as necessary to appropriate healthcare professionals in the Hospice, hospital and community To visit patients and families when a specialist consultation is needed or seeing patients in the Hospice Community Unit when able to travel. To provide telephonic support to patients, families and other professionals provided day and night. To attend and participate in multi-disciplinary palliative care meetings around patient care management, and present patients at the community MDT and to the caseload reviewer. Provide a rapid response service for patients needing urgent specialist care. Providing care as needed such as drugs, position changes and interventions, if appropriate to improve the comfort of the patient, or advising others to do so To represent the Hospice and patients at meetings, as required To maintain and promote effective and efficient working and communication with all involved in the patient, to ensure appropriate sharing of information To provide support and expertise to other professionals, as required, acting as a role model and a resource providing expert knowledge and support. To comply with relevant drug policies, including Non-Medical Prescribing and legislation concerning drugs and administration To attend Gold Standard Framework (GSF) Meetings. To have an understanding of safeguarding principles and be able to apply these within everyday practice and intervention/within your role. MANAGEMENT RESPONSIBILITIES To work with the Head of Nursing and Team Leaders, to plan and implement change and development within the Community Team where this would increase effectiveness and efficiency of practice. To support the CHCA service and CHCAs To work as part of a team to ensure the priorities of the service are met especially in times of absences and high demand. To adapt to the pressures of changing demands, day to day Ensure that the service is covered if sickness occurs with supervision from a Band 7 or Head of Nursing. To manage patient caseloads, ensuring good communication, planning and reviews. To participate in education and training To maintain patient statistics, and comprehensive patient records. Making sure that other nurses are able to carry on with the caseload easily in your absent, when needed To participate in the development of clinical standards, research and clinical audit, working within the Clinical Governance Framework of the Hospice and in palliative care in general. To record all equipment loaned out, ensuring records are kept up to date and that equipment is returned. To work autonomously making decisions, but seeking advice from colleagues or/and senior clinical team, as needed. PERSONNEL RESPONSIBILITIES To participate in professional staff placements and lay persons to the community service. To participate in education and training e.g. syringe drivers To recognise indications of staff stress and to facilitate staff support. EDUCATIONAL RESPONSIBILITIES To work with the Head of Nursing and Director of Care, identifying own educational needs. To update own specialist skills and knowledge in cancer and palliative care, through continuous professional development To demonstrate a research-based approach to nursing and work in conjunction with the multi-professional team towards applying this to practice. To participate in internal and external education programmes as required. To give feedback from attended education programmes/study days to the multi-professional Team. To participate in supervision sessions/peer support, as required. PERSONAL DEVELOPMENT To devise a personal development plan with the Team Leader or Head of Nursing in line with the Hospice objectives and personal needs. To maintain and increase personal, clinical and managerial skills. ORGANISATIONAL RESPONSIBILITIES To work at all times within the policies and guidelines of the Hospice, participate in the ongoing review and update of the policies and guidelines within the community team and act within NMC guidelines at all times. To ensure effective use of resources. To play an active part in the development and maintenance of good relationships with all who have business with the Hospice. To respect at all times the confidentiality of information covering patients, staff and volunteers. To promote the Hospice philosophy of care towards patients, relatives and visitors. To uphold the Hospice and individual team values at all times Because of the special nature of the Hospice and its work, you may on occasion be asked to undertake other duties to help maintain our high standard of care. THIS JOB DESCRIPTION IS NOT NECESSARILY EXHAUSTIVE AND MAY BE SUBJECT TO REVIEW BY THE HEAD OF NURSING IN CONJUNCTION WITH THE POST HOLDER.

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