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Staff Nurse/ Hospice Paramedic

2 months ago


Tunbridge Wells, Kent, United Kingdom Hospice in the Weald Full time
About the Role

We are seeking an experienced and compassionate Staff Nurse/ Hospice Paramedic to join our team at Hospice in the Weald. As a key member of our multidisciplinary team, you will play a vital role in delivering high-quality end of life care to patients and their families.

Key Responsibilities
  • Deliver compassionate, personalized, and holistic care to patients and their families
  • Assess, plan, implement, and evaluate pathways of care for patients in a way that reflects the Hospice philosophy
  • Responsible for reviewing, delivering, and updating care plans and documentation and escalating all concerns to the appropriate individual
  • Recognize, respond to, and manage palliative care emergencies appropriately
  • Administer medication, including injectables as applicable to the patients' needs
  • Set up and manage syringe drivers
  • Ensure the safe storage, management, and use of controlled drugs and clinical sundries
  • Support new workforce members through orientation and perform medication framework assessments
  • Provide support for referrals required for counseling and bereavement support for those who are important to the patient
  • Work within the multidisciplinary team to maintain a high level of risk awareness about self and patient safety
Management and Leadership
  • Lead and act as a mentor for new staff, students, nursing associates, healthcare practitioners, and nursing assistants
  • Provide training to enable staff to act as practice supervisors or practice assessors for student nurses
  • Support and empower volunteers to make real the Hospice values in all they do and to advance the mission, aims, and objectives of the organization
Communications and Teamwork
  • Identify and discuss where escalation of patients' needs to a senior member of staff is necessary and make all necessary arrangements
  • Be a proactive team player, supporting colleagues through reflection, advice, and guidance and take part in clinical supervision
  • Be proactive in developing collaborative relationships with other care providers, continuing health care, and NHS trusts
Working with Due Diligence
  • Completion of accurate patient notes and record keeping in support of the clinical and medical staff
  • To recognize when to work autonomously and when to seek advice and guidance
  • To work within the NMC regulations, guidelines, and within the Code of Professional Conduct
  • To be responsible for own personal health and safety and that of the wider HITW
Working Across Services
  • Registered staff have the opportunity to work across the services provided by Hospice in the Weald
  • Work in collaboration with the clinical lead to provide excellent end of life care for those patients within Cottage Hospice
  • Be the registered person in charge of the shift and take on overall responsibility, including overseeing the day-to-day running of the shift
  • Provide the care needed by patients at Cottage Hospice without family caregivers in collaboration with the rest of the team
  • Empower and enable family caregivers and volunteers to provide high-quality care to their loved ones both at the Cottage Hospice and when they return home
Hospice Outreach Service
  • Agree individualized patient-centered care plans to deliver a high standard of evidence-based palliative care working in partnership with external healthcare workers where necessary
  • Liaise appropriately, making referrals when required to the multidisciplinary team within the Hospice in supporting patients and those important to them in difficult circumstances
  • Work within the multidisciplinary team to maintain a high level of risk awareness with regard to self and patient safety
  • Assessment of patients with a non-complex disease in Hospice Appointments as directed by line management
  • Undertake bereavement telephone calls
In-Patient Ward
  • Be the registered person in charge of the shift responsible for overseeing the day-to-day running of the shift, patient admissions, day procedures, fire evacuation, staff supervision, and verification of death
  • Liaise with Hospice Outreach Service, medical, and nursing staff as required to ensure an 80% occupancy level
  • Deliver care in a homely environment, ensuring that patients and those important to them are aware of all facilities and services available
  • Deliver care of patients having procedures as inpatients or as day procedures, including administration of blood, bisphosphonates, and the management of drains
  • Deliver aftercare following interventions in pain clinic and interventional radiology
  • Administer intravenous infusions and antibiotics
  • Care for central venous access devices
  • To liaise with other care providers to receive and provide handover and updates
  • To maintain a level of skill and competence related to medicines and to administer medication in accordance with the prescription
  • To maintain accurate records of the medication regime on the electronic prescribing system
  • Whilst Shift Lead, effectively delegate appropriate tasks to members of the team thereby ensuring the smooth running of the In-Patient ward
  • Lead in discharge planning, ensuring that early plans are made
  • Present patients and contribute to weekly ward multidisciplinary team meeting
  • Deliver After Death Meetings
  • Offer telephone advice to Hospice Outreach Service patients and those important to them out of hours
Training and Development
  • Undertake mandatory training as required by Hospice in the Weald and participate in additional required training and development activities
  • Take an active role in identifying gaps in knowledge and skills and how to address these
  • Take responsibility for setting own goals and achieving them
General
  • Maintain professionalism through adherence to recognized codes (NMC, GMC, HPC, HCPC) and work within the boundaries of Hospice in the Weald policies
  • Maintain professional development through the Hospice Annual Review process. Continuously updating and improving knowledge and competencies
  • Adhere to all health and safety and fire regulations to ensure that the Hospice upholds a safe environment for all staff, patients, and visitors by identifying potential risks and take action as required
  • Engage in the use of information and communication technology (ICT) in the area you are working and achieve the required level of competence
  • Any other duties which may be reasonably requested
  • Recognize the growing need for 24/7 working patterns and flexibility
  • Always strive for excellence