Staff Nurse/ Hospice Paramedic (Registered)
Would you like to be part of a team that improves the quality of peoples lives at a crucial time, making a direct impact upon them and their families? At Hospice in the Weald, we can offer you just that.
Make a difference every day
We are looking for experienced Registered Nurses and Paramedics to deliver outstanding end of life care at the In-Patient Ward, Hospice in the Weald, Pembury, Kent. If you have a drive for providing the best care and are looking for a role in hospice care, this is for you.
At the Hospice, we focus on empowering staff to deliver excellent end of life care. We give the nursing team the time needed to do this, whilst also making nursing rewarding for those who are passionate about their role but don’t seem to be given the time.
We make sure that our patient-to-staff ratio gives you the time you need with our patients. This, we know, results in the best outcomes for them and those important to them.
The In-Patient Ward is a purpose built, fifteen bed ward. You will become a valued part of a warm, motivated and supported team. You will also be required to work at our Cottage Hospice site at times, if necessary.
Main duties of the job
Why you will succeed in this role
You are enthusiastic and driven by providing the best care, and you want to be in a role that makes a real impact. You are looking for something incredibly rewarding and filled with variety, where no two days are the same.
In this role, you’ll be spending time with patients and those important to them at a time that matters. If you need an extra five minutes or 50 minutes time is there for you, and this appeals to you as a professional.
About us
The Hospice is committed to providing opportunities and support for you to improve in your role, your career progression and professional development matters to us. We also want your work-life balance to be right for you, which is why part time and flexible working is available.
If you make the switch from the NHS, you can transfer your pension, too. We also offer salary enhancements, free parking and generous holiday allowance.
Are you ready to embrace real nursing values and provide care that counts? If so, join our team! If you would like to find out more before applying, we’d love to meet you for an informal visit. Please contact us: Kerry Norman. Head of In-Patient Care 01892820561 or kerry.norman@hospiceintheweald.org.uk
Job responsibilities
Staff Nurse / Hospice Paramedic (Registered Staff)
Based at the Hospice buildings in Pembury, Kent, or Five Ashes, East Sussex, with potential requirement to work at other locations within West Kent and East Sussex.
Scope & Job Purpose
Registered staff may work across any of the Services provided by Hospice in the Weald to:
Deliver high-quality Hospice Palliative Care to patients with a terminal illness including Dementia, Cancer, Organ Failure (end stages) and Neurological conditions who are referred/refer themselves to Hospice in the Weald.
Act as a practical and advisory resource to other professions on hospice palliative care issues, including physical, psychological, social, spiritual support and bereavement care.
Ensure that patients and those important to them are aware of the full range of services available to them to enable people to make informed choices about their care and to make to the most of the precious time they have at the end of life.
Key responsibilities
Deliver compassionate, personalised, and holistic care to our patients and those important to them
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.
Recognise, respond to, and manage palliative care emergencies appropriately.
Review, deliver and update electronic documentation and escalated all concerns as relevant and appropriate.
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.
Lead and act as a mentor for new staff, students, Nursing Associates, Healthcare Practitioners and Nursing Assistants
We will provide training to so that you can act as Practice Supervisor or Practice assessor for student nurses. Helping to grow exceptional registered staff of the future
To promote a culture in the working environment which demonstrates the values of the Hospice.
Support and empower our volunteers to make real the Hospice values in all they do and to advance the mission, aims and objectives of the organisation
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 i.e. Continuing Health Care, NHS Trusts.
Working with due diligence
Completion of accurate patient notes and record keeping in support of the clinical and medical staff.
To recognise 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.
To fully comprehend, understand and be able to articulate and demonstrate the Informed Guide to those patients with family caregivers. Ensure all staff and volunteers can also articulate and demonstrate use of the Informed Guide.
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 one both at the Cottage Hospice and when they return home.
Promote the home from home environment and encourage and promote patients and Family Caregivers making the whole Cottage Hospice space their own.
* Agree individualised patient centred 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 multi-disciplinary 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. To include administration of Blood, Bisphosphonates and the management of drains.
Deliver after care 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 multi-disciplinary 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 (e.g., 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 taking 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.
Recognise the growing need for 24/7 working patterns and flexibility.
Always strive for excellence.
Person Specification
Qualifications
* Registered Nurse (Level 1) or Registered Paramedic (HCPC) with 2 years post registration experience.
* Evidence of ongoing professional development (where appropriate).
Experience
* Experience of working in a multi-professional team (including as a student) and the ability to work under pressure and organise workload effectively.
* Palliative care experience preferred but not essential
Personal attributes
* Passionate about providing holistic, person-centred care;
* Dedicated to making a difference and changing people’s lives;
* Team player;
* Forward thinking.
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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