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Palliative Care Clinical Nurse Specialist
4 months ago
Job summary
To identify, assess,offer differential diagnosis, treat and manage patientswithpalliative and end of life care needswhile demonstrating a complex levelof judgment,discretion and decision making. The post-holder will monitor and improve standards of care through goal setting, use of advanced care planning and other bestpractice tools andensuring measurable outcomes. He/she will make appropriate use ofthelatest evidence to supervise practice,audit clinical care, teach and support professional colleagues and act asa role model demonstrating professional clinical leadership, while bringing a proactive influence to multidisciplinary team meetings. The post holder will beexpected to champion innovative practice within the field of palliative and end of life care.
The post holder will utilise advanced skillswhich will include physical examinations skills and non-medical prescribing and apply this extendedknowledge and skills in the principles and practice of palliative careto support patients with the most complex needs. Working as an independentpractitioner in partnership with the medical team, the post holder is accountable and responsiblefortheir own actions oromissions in line withthe Nursing and MidwiferyCouncils Codeandlatest guidance on advanced nursing practice.
Unfortunatelyat present we are unable to support Applications from job seekers who requirecurrent Skilled worker sponsorship to work in the UK
Main duties of the job
The CNS role is a member of the wider hospice team and is required to:
Operate in linewith the hospice values and principles.
Practice withinthe NMC Code and HPC code of practice and adheres to all relevant professional,legal and regulatory guidelines.
Develop rolewithin the Scope of Professional Practice and guidance on advanced practice.
Assumeresponsibility for own professional development and update and maintain ownclinical skills as required for the role, working in partnership with Head ofDepartment, Medical Director and wider organisation.
Provide avisible clinical profile, having both an advisory and clinical input intopatient care.
Providespecialist advice and support to patients and carers.
Acts as a rolemodel professionally and behaviorally.
Workwith the multi-professional team and clinical/non clinical services team topromote learning.
Work inpartnership with all allied Health professionals, to support and enhancepatient care.
About us
East Lancashire Hospice is a registered charity, founded in 1984. We support and care for patients with a life limiting illness, their families and others close to them. We provide this in a number of ways; at the hospice and in peoples own homes across our community.
We have an excellent, collaborative working environment with a generous holiday allowance of 27 days + Bank Holidays with the option to buy an additional 4 weeks leave. There is a private employee / employer contributory pension scheme and you will have access to learning and development opportunities, ongoing training, and funded access to a private health scheme. There is also onsite parking and an onsite Cafe with reduced staff prices.
We support an inclusive and holistic working environment and aim to empower our people to bring their authentic self to work. We are committed to this and so encourage applications from all individuals with the required skills for the role inclusive ofage, disability, sex, gender reassignment, sexual orientation, pregnancy and maternity, race,colour, caste, nationality, ethnic or national origin, religion or belief, socio-economic background, trade union membership status,marriage, and civil partnerships. ELH is committed to equality of opportunity for all staff and volunteers.
Unfortunatelyat present we are unable to support Applications from job seekers who requirecurrent Skilled worker sponsorship to work in the UK
Job description
Job responsibilities
KEYPERFORMANCE AREAS
In order to meet the objectives the post holder will haveresponsibilities in four main areas of work:
1. Clinical
2. Managerial
3. Teaching
4. Research.
CLINICAL
Provide clinical excellence andleadership in palliative care, acting as a role model and resource for otherstaff
Assess, diagnose, plan andimplement programs of evidence based care and treatment for patients with thesupport of the medical team.
Admit, refer and dischargepatients in accordance with hospice policy and procedures.
Provide specialist advice andsupport to patients and carers.
Provide a visible clinicalprofile, having both an advisory and clinical input into patient care thusproviding support to the multi-disciplinary team and facilitating the clinicaldevelopment of registered nurses, health care assistants, other members of themulti-professional team and students on placement.
As an independent and supplementaryprescriber, follow all Non-Medical Prescribing Policy and Procedures.
Encourage and participate inpractice development utilising research and evidence based findings.
Promote a multi-professionalapproach to care facilitating effective communication and co-operation withinand beyond hospice departments.
Review the outcomes of treatment andcare in conjunction with other members of the multi-disciplinary team.
Ensure safe custody andadministration of drugs in accordance with good practice, hospice policies andprocedures, Nursing and Midwifery Council and regulatory and legalrequirements.
Maintainlinks with other NMP Palliative Care Specialists in order to share or learnfrom examples of good practice.
Develop/maintainskills to critically evaluate relevant research findings to influence current and future practice.
MANAGERIAL / LEADERSHIP
Support the operational day to dayrunning of the team including for example the scheduled huddle and referralscreening meetings
Facilitate and participate incase-load management and oversight, liaising with the hospice medical staff/communityconsultant and ensuring auditing of case load
Attend, and participate in,appropriate management meetings and other relevant committees as required.
Demonstrate vision to develop theservices.
Seek opportunities to lead andsupport quality initiatives, auditing practice and reviewing quality.
Work within the guidelines laiddown by the Nursing and Midwifery Councils Code of Professional Conduct.
Maintain current registration andrevalidation with the Nursing and Midwifery Council.
Lead and monitor new service developmentsin keeping with organisational strategy and priorities.
Access clinical supervision andstudy for own practice in keeping with individual and service development plans
Manageown time and work effectively to meet the objectives, skills and competenciesrequired for the role.
Developas a proactive member as part of the senior clinical team in ensuring thetotality of hospice skills are used to best effect to ensure appropriate and timelyresponses for patients.
TEACHING
Create/promote a learningenvironment by maximising teaching/learning opportunities for all nursing/carestaff.
Participate in education programswithin and outside the hospice as required.
Participatein formal and informal reviews of palliative care.
To beaware of ones own continuous professional development needs and maintain anannual personal development plan.
Developknowledge and skills to act as a resource and advisor in relation to PalliativeCare Management for Community Trust colleagues, GPs and hospital Trust, carehome staff.
RESEARCH
Assist staff in developing theirskills in the understanding and use of research to inform practice.
Ensure all clinical decisions areevidence based and to assist staff in bridging the theory/practice gap.
Developfurther knowledge and understanding of audit and research processes anddemonstrate this by application to the delivery of high quality, clinicallyeffective care in practice.
Leadon audits and evaluation of work that may be required to develop and improvepalliative/end of life care with particular emphasis on prescribing, medicinesmanagement and symptom control.
Person Specification
Qualifications
Essential
Q1 RN1: Adult Nurse, Level 1 on the Nursing and Midwifery Councils Register Q2 Relevant degree (or working towards) Q3 Teaching/mentorship qualification/experience Q4 Independent and supplementary non-medical prescribing Q5 Principles of Physical Assessment and Diagnosis or equivalent
Desirable
Q6 Clinical practice development related to the role
Skills
Essential
S1 Demonstrable advanced clinical nursing skills in palliative care S2 Demonstrable ability to make clinical decisions and to develop others in this area S3 Demonstrable people management skills including: S4 Motivation of staff and team building S5 Decision making S6 Clinical leadership S7 Staff development S8 Conflict and problem solving S9 Expanding skills and knowledge of others S10 Initiating and managing change S11 Team player S12 Understanding of current issues and initiatives relating to palliative care S13 IT skills/use of electronic clinical records systems S14 Cannulation and venipuncture / able to develop or refresh
Experience
Essential
E1 Substantial post registration experience E2 Significant specialist palliative care experience E6 Experience as Clinical Nurse Specialist / equivalent experience senior level ward / community experience
Desirable
E3 Management / leadership role E4 Demonstrable change management E5 Budgetary awareness / control E7 Clinical Audit - practice reviews