An exciting opportunity has arisen for a Senior Nurse to join The Rosemary Foundation Hospice at Home charity as our clinical lead.
We are a Nurse Led service providing palliative care over a 24 hour period and responding to SOS calls. You will be responsible for leading Registered Nurses and Health Care Assistants to provide high quality, safe and responsive nursing care that is evidenced based.
You will be an integral member of the Senior Leadership Team and you will support the Registered Manager in ensuring the delivery of excellence in palliative care nursing.
As a charity we have autonomy in how we manage our services, we are not time restricted in care delivery, enabling us to spend the time patients and their families need at the end of their lives and supporting them to die in their preferred place of care.
We are a cohesive and supportive team, as a charity the clinical team is involved in fund raising activities, where we engage with families and the public, have lots of fun and create positive memories for all. We receive high levels of positive feedback from families and the community at these events.
Are you someone who is innovative in their thinking, and can 'think outside' the box.
Do you enjoy developing staff to reach their maximum potential and wish to continue with your own personal development in a supportive environment.
Are you passionate about delivering exceptional palliative care, are highly motivated and a team player.
Then we would love to hear from you.
Main duties of the job
To lead the day to day coordination of the clinical service and team
To lead the team to manage complex patient care needs with compassion and efficiency
The post holder will have a strong clinical presence in assessing and evaluating individual patients needs and identifying appropriate interventions for patients and their families
To ensure staff are appropriately trained, using a variety of mediums to deliver training and develop staff
The post holder will be skilled in collaborative working with a variety of Health Care Professionals, we often have a 'shared care' approach with our key partners, so ability to work collaboratively is important
To ensure appropriate Governance and Quality Assurance processes are in place
To support our volunteers, ensuring volunteers have easy and direct access to clinical support whilst undertaking their visits to patients homes
Excellent communication and interpersonal skills alongside a dynamic and motivated attitude are key requirements for this role
About us
The Rosemary Foundation is a Charity which enables us to be autonomous in how we deliver care and service in a flexible and responsive way, focusing on the needs of the patient and their family
We have a clinical team of 25 staff consisting of Nurses and HCAs and provide care over a 24 hour period
We are a cohesive, highly supportive team, flexible in our working patterns including using bank staff as required
We are an Equal Opportunities Employer who values and respects our employers knowledge, skills and experience
We encourage and welcome applicants from all sectors of the community
We have a pension scheme
We offer on going training and development based on individual need
We offer regular clinical supervision, available as a group or on an individual basis
There is access to counselling if required
We provide on call payment
Job responsibilities
THE ROSEMARY FOUNDATION
Role Summary - Clinical Lead
Job Title
Hospice at HomeClinical Lead
Location
The Rosemary Foundation (TRF)
Reporting to
Registered Manager/RN
Job Purpose
The post holder is a key member of the Senior Leadership Team- Registered Manager, Finance Manager, Operational & Fundraising Manager & Clinical Lead and is responsible for providing clinical expertise, leadership and development to Nurses and HCAs, to ensure delivery of excellence in palliative care services to patients and their families in the community.
Key Accountabilities, Responsibilities &Tasks
Role Specifics
To Lead and Manage the Hospice at Home Clinical Team
Take part in the TRF On Call Rota.
To support and direct assessment of the care needs of patients and their families referred to TRF.
To carry out and / or supervise the carrying out of specific treatments and clinical procedures. To base clinical practice on current evidence-based practice.
To oversee the management of effective triage and assessment of new referrals within the Team.
Provide leadership to the clinical team engaging with key partners and the wider Specialist Palliative Care MDT Frameworks.
Participate and attend Governance and End of Life meetings in support of strong effective relationships with stakeholders.
Work effectively with Multi-Disciplinary Teams across care boundaries supporting patients choice to be at home in a safe environment.
To be responsible for the clinical team, ensuring effective retention and recruitment of staff and support sickness and well-being management.
To maintain continuing personal contact with patients and evaluate the effectiveness of care delivered.
To assess the needs of patients and carers requiring intervention from other professionals and liaising as appropriate.
To provide advice on symptom control/care management to other health care professionals, domiciliary agencies ,and care homes as appropriate.
To support the clinical team to undertake appropriate verification when a death has occurred, notifying relatives and carers as appropriate following TRF policy.
Provide high quality timely care for the deceased patient by administering last offices as appropriate and ensuring the safe and timely removal of the body from the home working within the procedures in place within the community.
To review, promote and comply with TRF Policies, Procedures & Guidelines PPG To ensure PPGs are regularly reviewed and clearly demonstrate up to date evidenced based practices
To understand the obligation to comply with external stakeholder policies.
To be responsible for the safety and positive experience of student nurses and others undertaking placements in TRF
To assist the Registered Manager in compiling standards to promote a high quality of patient care.
To administer drugs and assist with their ordering and storage in the home environment, in accordance with the NMC Standards for the Administration of Medicines. To recognise and report any errors or omissions in the administration of medications.
To work to develop quality improvement initiatives with the Senior Leadership Team
In conjunction with the Registered manager to support all volunteers and ensure appropriate governance systems are in place
Support data collection and provide clinical data reports for the Board of Trustees
Oversee the day-to-day management of Systmone, ensuring staff are competent and confident in documenting patient care and interventions
Recognise, Respond and Report any safeguarding concerns and escalate accordingly.
In conjunction with the Registered Manager report and manage any complaints or safeguarding concerns from patients, their relatives, or others acting on their behalf and assist with investigation of complaints as necessary
To support the Fundraising& Operational manager and support the clinical team to contribute Fundraising Events
To contribute to the Health & Safety Committee
To adhere to the NMC Code of Professional Conduct.
To ensure knowledge about patients is maintained in the strictest confidence and is not divulged except to professionals where it would materially assist with the persons care or protection.
Qualifications, Skills, Experience, Knowledge & Approach
RGN or RN Adult Branch
On NMC Register parts 1 or 12
Educated to degree level
Evidence of relevant area of study/qualification in Palliative Care
Five years' experience in Palliative and/or Community Care
Evidence of service development and implementation
Driving License/Car Owner
Knowledge andexperienceofSystmone
Community nursing qualification
Teaching experience
Skills
Excellent basic nursing care skills
Excellent communication and interpersonal skills
Ability to facilitate individualized evidence-based care
Leadership insight and evidence of effective team co-ordination skills
Ability to prioritise workload and be flexible to changing demands
Ability to share knowledge with others to develop and influence practice
Able to maintain active and contemporaneous records
Well-developed coping strategies
Knowledge
Able to demonstrate a good insight into palliative care principles and philosophy
Sound pain and symptom control knowledge
Communication
To communicate effectively with patients, carers and the bereaved to establish and maintain trusting relationships.
To ensure communication between members of the hospice at home team is effective so the care needs to patients are easily transferred to the person or persons assuming continuity of care at shift changeovers.
Maintain effective liaison with the Community Matrons & Nursing Teams/GPs, Macmillian Palliative Care Team, The Rowans Hospice and Emergency End of Life Rapid Response Team, Hospital Palliative care team, and the Ambulance Service
Develop and maintains effective relationships with members of the Primary Health Care Team and all other agencies involved in delivering care in the community.
To offer a high level of emotional support to patients and/or carers particularly during the breaking of bad news and around time of death.
To contribute to bereavement care offered to families by facilitating bereavement support visits and assessing risk factors for bereavement, referring to TRF bereavement and counselling service, as necessary.
To sensitively handle out of hours enquires from patients and carers.
To develop and maintain effective working relationships with the Senior Leadership Team, Trustees, Fundraising Team, Administrative staff ,and volunteers.
To promote the aims and ideals of The Rosemary Foundation to the public.
Internal & External Contacts
Internal: Patients, carers, and relatives. All TRF staff, Trustees and volunteers
External: Patients, carers and relatives, NHS Trusts, Primary Health Care Teams, other Hospices and Charitable organisations, Nursing & Care Homes, Social Services, Emergency Services, Funeral Directors, Coroner.
Decision Making
Freedom to make decisions within the boundaries of the job description
Responsible for knowing own limitations and when to seek help or advice
Mental and Physical Consideration, Working Conditions & Environment
Mentally tiring due to prolonged episodes of emotional listening and high levels of support for patients/carers and staff.
Regular safe moving/handling of patients and equipment, including beds, mattresses, chairs and as necessary. Regular bending and stretching involved.
Health & Safety
Contribute towards ensuring that exposure to risk is minimised through safe practice and awareness of health and safety and infection control
To ensure that equipment is kept clean and in good working order, checked routinely and that any defect or malfunction is managed.
To always act to promote the safety and wellbeing of patients.
To ensure the safe storage and use of hazardous substances according to COSHH regulations.
To be aware of the security of TRF building out of office hours, alongside the SLT undertake the key holder role. To be aware of security within the patients home
To ensure that any observed actual or potential Health & Safety hazards/concerns or issues are immediately reported to the Registered Manager/Operational Manager
Work within TRF lone worker policy and ensure staff within the team adhere to the lone worker policy.
General Data Protection Regulations
Under the provision of the General Data Protection Regulation 2018 GDPR, it is the responsibility of every employee and volunteer to ensure that all data, whether electronic or manual, is kept secure at all times. This includes data relating to patients, members of staff and volunteers. Data must not bed is closed to any unauthorised person and must be regarded as strictly confidential at all times. Failure to adhere to this instruction will be regarded as serious misconduct and could lead to dismissal. Further information can be obtained from the Confidentiality and Information Governance including Caldicott and GDPR compliance procedure.
Rehabilitation of Offenders Act 1974
This post is subject to an exception orderunder the provisions ofthe Rehabilitation of Offenders Act 1974.This stipulates that allpreviousconvictions, including those that are spent must be declared.Previousconvictions will not necessarilyprecludean individual from employment withinThe Rosemary Foundation, Hospice at Home,but must be declared in writing at theappropriate stageduring the recruitment process.
Person Specification
Qualifications
* RGN or Adult RN Adult Branch
* On NMC Register parts 1 and 2
* Educated to Degree Level
* Evidence of relevant area of study or qualification in Palliative Care
* Community Nursing qualification
* Teaching qualification
Experience
* Five years experience in Palliative Care or Community Nursing
* Information Technology Skills. particularly Systmone knowledge
* Evidence of Service Development and Implementation
* Driving Licence and Car Owner
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
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