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Clinical Nurse Associate
2 months ago
Position Overview
Your Role
We are seeking dedicated clinical professionals eager to advance their personal growth and career trajectory. As part of our commitment to delivering optimal care, we are offering positions for Clinical Nurse Associates (CNA) or Paramedic Associate Specialists (PAS) to join our interdisciplinary team within the Community Outreach Service.
This role presents an exceptional opportunity for experienced registered nurses or paramedics with a keen interest in palliative and end-of-life care. While prior experience in this specialty is advantageous, it is not a prerequisite; we are prepared to support your development in this vital area if you possess a different clinical background.
As a member of our Community Outreach Team, you will serve as the primary contact for new community referrals and incoming service inquiries. You will play a crucial role in delivering palliative support and guidance to patients and their families in their preferred environments, including residential and nursing facilities. Your responsibilities will include participating in a clinician rota to provide telephone support, as well as conducting assessments in clinics and homes.
Key Responsibilities
To excel in this position...
You are a proactive clinician capable of functioning independently while also contributing to a responsive and cohesive team. Your advanced communication abilities and strong presentation skills (both verbal and written) are essential.
The prospect of enhancing your career while delivering exceptional care to patients is what drives you. You will have the opportunity to follow a structured framework over a two-year period, allowing you to train, develop, and evolve into a Clinical Nurse Specialist or Clinical Paramedic Specialist.
Why Join Us?
We offer flexible working arrangements to accommodate your work-life balance, along with the option to transfer your NHS pension. Additional benefits include complimentary parking and a generous holiday allowance, with the option to purchase or sell extra leave. More information about our comprehensive benefits package is available.
If you believe you are a suitable candidate for this role, we would be pleased to hear from you.
About Our Organization
At Hospice in the Weald, our team collaborates with various community teams and specialists to enhance patient experiences and foster team knowledge and development.
We provide care for individuals with life-limiting illnesses, focusing on personalized care that improves quality of life and meets patient-centered goals. Our services cater to individuals with chronic conditions, including heart failure, respiratory diseases, frailty, neurological disorders, and oncological diagnoses.
Job Responsibilities
Reporting Structure
This position reports to the Advanced Clinical Practitioner or the Community Outreach Service Manager.
Scope & Purpose
Hospice in the Weald is dedicated to nurturing and developing its workforce. We recognize the significance of individual growth and aim for our nurses and paramedics to evolve into Clinical Nurse Specialists or Clinical Paramedic Specialists. These roles are challenging and require a diverse skill set, but they are immensely rewarding and will equip you with the necessary competencies to meet community needs and align with our organizational strategies.
Primary Objectives
To collaborate within the interdisciplinary team in the Community Outreach Service, delivering high-quality care to patients with life-limiting conditions in the community.
To provide patients and their caregivers with the expertise of a dedicated palliative care service, encompassing symptom management, social, emotional, and spiritual support.
To offer guidance, assistance, and education to primary healthcare teams and other professionals regarding palliative care matters, ensuring appropriate medication administration during community visits and supporting other healthcare providers as needed.
To contribute to extending our hospice's reach, ensuring we have the right personnel delivering care at the right time.
You will provide clinical guidance and specialized support to other professionals on palliative care issues, playing a vital role in helping patients achieve their preferred care and end-of-life locations.
Key Duties
Expected Outcomes
- Conduct and analyze clinical histories in a clear and logical manner.
- Document accurately, confidentially, and legibly all relevant aspects of patient interactions, including history, examination results, differential diagnoses, and management plans.
- Present cases effectively to the multidisciplinary team, contributing to patient management.
- Assess patient needs, identify their goals, and collaborate with patients and families to achieve them.
- Interpret investigation results and coordinate with colleagues to order them appropriately.
- Develop knowledge of symptom management options and advise the primary healthcare team accordingly.
- Explore the personal resources of families and caregivers to ensure patients receive care in their preferred settings.
- Support and coach caregivers managing deteriorating conditions at home.
- Recognize the emotional impact of caring for dying patients on primary healthcare team members and provide support.
- Demonstrate sensitivity and respect for patients and families from diverse backgrounds.
- Ensure safe patient mobilization and transfer in the community, identifying necessary equipment.
- Recognize and manage palliative care emergencies.
- Facilitate a smooth transition for patients to other care providers.
- Engage in Gold Standard Framework meetings with GPs and in care facilities.
- Attend weekly multidisciplinary team meetings.
Management and Leadership
- Collaborate closely with the Community Outreach Service Manager and team on clinical workload management.
- Stay informed about the organization's strategic and operational plans.
- Maintain a high level of risk awareness regarding self and patient safety.
- Assist in developing policies, procedures, and guidelines to enhance operational efficiency.
- Support and empower volunteers.
Communication and Teamwork
- Develop skills to manage complex communication challenges with patients and families as a lone worker in the community.
- Anticipate communication barriers and implement strategies to enhance team communication skills.
- Explore diverse communication styles and methods to meet long-term needs.
- Cultivate advanced communication skills.
- Maintain accurate documentation and input data into electronic systems, ensuring all information is current.
- Enhance presentation skills, both oral and written.
- Structure interviews using appropriate questioning techniques, avoiding jargon and adapting to the patient's pace.
- Communicate effectively with patients whose first language may not be English, utilizing interpreters as necessary.
- Deliver difficult news in a compassionate manner, providing support for emotional distress.
- Involve patients and caregivers in decision-making, offering informed choices and respecting their perspectives.
- Manage dissatisfied patients and relatives, proactively addressing potential issues.
- Demonstrate negotiation and diplomacy skills while collaborating with external agencies.
- Utilize electronic patient records and organizational IT systems competently.
Education and Training
- Engage in all learning opportunities provided as part of the development program and apply insights to future practice.
- Share and reflect on palliative care skills to facilitate learning among peers.
- Participate in planned educational programs.
- Develop teaching skills and support new staff and clinical placements.
- Utilize relevant audiovisual equipment and experiential learning methods.
- Draw on research and literature to inform palliative care education.
- Access evidence-based literature from various sources and apply findings to patient care.
Training and Development
- Complete the Clinical Nurse Associate/Paramedic Associate Specialist framework within two years and consolidate performance at the CNS/CPS level.
- Actively participate in providing supervision and reflective practice to colleagues, fostering engaging development opportunities.
- Undertake mandatory training and participate in broader training initiatives.
- Serve as a role model and mentor to colleagues, acting as an ambassador for neighboring health and social care providers.
- Collaborate with the multidisciplinary team to provide training on End of Life Care to care homes as needed.
Compliance and Governance
- Assist in developing policies and procedures.
- Participate in discussions regarding research and audit programs.
- Support quality initiatives in the local area.
- Engage in clinical governance initiatives and reviews.
- Participate in clinical supervision and self-reflection to enhance care practices.
- Uphold professionalism by adhering to recognized codes and organizational policies.
- Maintain professional development through the annual review process to continuously update knowledge and competencies.
General Responsibilities
All employees are expected to:
- Contribute positively to internal and external quality measures.
- Participate fully in the annual appraisal process, setting targets and objectives with line managers.
- Comply with all organizational policies and procedures, taking responsibility for actions.
- Adhere to mandatory training requirements.
- Act in accordance with workplace legislation, including Health and Safety, Equality and Diversity, and Data Protection.
- Model organizational values and expected behaviors consistently.
- Engage in employee activities, including team and departmental meetings.
Person Specification
Qualifications
- Registered Nurse (Level 1) or Registered Paramedic (HCPC) with a minimum of three years post-registration experience.
- Evidence of ongoing professional development.
Experience
- Proven track record of contemporary clinical practice.
- Experience in palliative and end-of-life care and bereavement support in a community context (desirable).
- Experience in preparing and delivering educational programs to other healthcare professionals (desirable).
Essential Skills
- Ability to motivate and inspire others in a dynamic and challenging environment.
- Initiative and flexibility in response to change.
- Competence in delegating tasks appropriately.
- Ability to build rapport with diverse individuals, demonstrating credibility, tact, and diplomacy.
- High level of computer literacy, including mobile technology proficiency.
- Capacity to interpret situations from multiple perspectives and identify improvement opportunities.
- Forward-thinking and proactive in decision-making and risk assessment.
- Strong organizational skills to prioritize and manage workload effectively within a team.
Personal Attributes
- Passionate about delivering individualized care.
- Committed to making a positive impact and transforming lives.
- Compassionate and empathetic.
- High levels of innovation, dedication, and enterprise.
- Maintains a calm demeanor and positive outlook.
- Proactive team player.
- Adaptable to changing environments.
- Willingness to travel to various work locations.
- Forward-thinking and visionary.
