Nursing Associate

3 weeks ago

Durham, United Kingdom St Cuthbert’s Hospice Full time

To be able to communicate effectively with patients to gain informed consent to treatment. To receive complex and sensitive information regarding medical conditions and lifestyle choices. To provide information relating to treatments empathetically and negotiate actions for treatment. To motivate outpatients/guests to partake with treatment programmes.

To ensure timely and effective communication with staff on all professional matters. To ensure that all written patient information is available, relevant, and appropriate. To maintain contemporaneous, accurate and timely patient records in line with guidelines. To ensure good communication with all members of the MDT so that there is a seamless continuity of care.

To use a range of verbal and non-verbal communication tools to communicate effectively with patients, carers, and other staff to progress treatment programmes. This will include patients who may have difficulties in understanding or communicating. To liaise with community services in relation to patient care, discharge planning, equipment provision. To undertake basic holistic assessment of people living with life limiting conditions, within risk assessment framework/following RN triage, for attendance at living well centre treatment sessions and groups.

To undertake basic holistic assessment of people living with mild to moderate dementia within risk assessment framework/following RN triage, for attendance at living well centre cognitive stimulation therapy (CST) group. To follow structured risk assessment framework for patients prior to undertaking nursing procedures and therapy treatments, considering safety, suitability and with understanding of contraindications and side effects, within scope the role and in consultation with caseload holders. To complete medium risk initial therapy assessments including equipment provision. To undertake basic holistic patient review including social and psychological well-being and progress treatment interventions and adapt interventions, within set protocols, to meet the changing needs of the patient.

To accurately record basic observations and understand its significance including heart rate, respiratory rate, pulse oximetry, blood pressure, blood glucose (BM) and urinalysis depending on requirement of role and recognize and report any concerns to the Senior RN on duty. Assist in preparing patients for medical procedures within the Living Well Centre, such as blood transfusions, and make comfortable, take observations, and arrange drinks and food as needed. Assist the registered nurse in the delivery of medical procedures with the Living Well Centre. When required, to assist in basic personal care for patients attending the day services, including toileting, stoma and urostomy care if required.

To review caseload on a regular basis to understand and raise concerns with caseload holder MDT for further action. To recognise the limitations imposed by disability, impairment, and common medical conditions. To use own initiative in responding to unforeseen clinical situations, working within policy, procedures, and guidance. To recognise concerns relating to crisis and safeguarding and refer on to line manager/ service manager as appropriate.

To be responsible for own caseload without direct supervision, implementing treatments effectively, within clinical priorities, competencies, and guidelines. To manage a quota of outpatients/guests, planning, prioritising, and reprioritising actions daily. To ensure that the working area is tidy and set out appropriately. To undertake stock monitoring and control and the ordering of supplies as needed.

Must be aware of the implications for safe practice and environments, including prompt recording and reporting of incidents and ensuring safe use of equipment, in line with Hospice policy and procedure and manufacturer instructions. To report any issues of professional behaviour or attitudes, quality, or safety in a timely manner. To be flexible to meet patients needs. To ensure all care delivered empowers patients to recover wellbeing.

The post holder will be required to use physical manipulation skills to complete nursing and therapy procedures, e.g.) taking patient observations and manoeuvring equipment. The post holder will be expected to kneel, sit on heels, support patients whilst walking, transfer patients, use hoists and push wheelchairs, in accordance with the Hospices moving and handling policy and procedure. To be physically able to operate IT equipment i.e., keyboard and mouse, devices. Be responsible for implementing treatments with own workload effectively, about clinical priorities, competencies, and guidelines.

Respects individuals privacy, dignity, wishes and beliefs, minimising any discomfort and encouraging full participation in assessment and treatment. To deliver group therapy sessions without direct supervision, e.g.) therapeutic activities. To provide advice, teaching and instruction to patients

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