Senior Staff Nurse/ Community Response Paramedic
We have excitingopportunities within our Hospice at Home team for Senior Staff Nurses orCommunity Response Paramedics. You will need to be an experienced RegisteredNurse or Registered Paramedic with experience of palliative care or otherrelevant experience. This is a busy but rewarding role working in a supportiveteam with a strong team spirit, the ideal candidate will be capable ofautonomous decision making in the community, possessing good communicationskills, excellent care values putting the patient first responding to urgentcalls for symptom management whilst collaborating with other hospice services,carers, and community partners.
These exciting opportunitiesoffering a more flexible approach to working, to fit around your lifestyle andprovide that all-important work-life balance. We offer shift enhancements asfollows:
Work on a Saturday - Time and one third 1.33
Work on a Sunday or Bank Holiday - Time and twothirds 1.66
Work after 8pm-8am - Time and one third 1.33
Main duties of the job
Care with Agility:
To work as partof our specialist, highly skilled and dedicated Hospice at Home Team makingsure our patients feel more comfortable and at ease in familiarsurroundings.
To act as aresource to patients in East Berkshire and South Bucks who are on the End ofLife Register by offering assessment, complex symptom control, emotionalsupport, advanced care planning, advice, and treatment.
To act as aresource to fellow professional colleagues across the locality of EastBerkshire.
To functionautonomously in providing excellent end of life care advice
Advise andcollaborate with professional colleagues on management of physiologicaland/or psychological symptoms
Use specialistskills and high level decision making, including the evaluation ofresearch and evidence, in the assessment and management of complexsymptoms in patients homes
About us
Thames Hospice is anindependent adult hospice with a beautiful 28 bed hospice at Bray Lake inMaidenhead with views of the lake and state of the art facilities.
We arealways looking for excellent people to bring their skills, values drivenbehaviours and commitment to ambition to deliver quality of life, to the endof life, for everyone to join our charity.
As oneteam we raise money, support each other whether in clinical teams, or corporateservices to ensure everything runs efficiently and smoothly and delivers thebest outcome for our patients and their families. Being part of a great team in a complexorganisation is demanding, but also really rewarding. If you want to be part of our Hospice at Hometeam then wed love to work with you.
Culture:
We lookfor people who really care about their work and have huge amounts of compassionto give. If you want to work as part ofa culture which develops your skills and values, and builds your confidence tobe the best version of yourself, then this is the right place for you. We work hard to look after our people, ourpatients, our families and our reputation.
Allpatients are Thames Hospice patients and therefore we always support thepatient and their family irrespective of our individual role. We represent the wider charity and clinicalmodel at all times.
Ourorganisational values are:
C - Care
A - Ambition
R - Respect
Job responsibilities
Youll find more for less solutions and lead a costconscious culture, ensuring sustainability for the future
Using initiative to ensure time is utilised well,consideration to carbon footprint and demonstrating creativity to keep thislow.
Youll be detailed conscious and a forward planner who hasexcellent IT and planning skills to ensure the smooth operation of the teamwithin budget
Supportive Culture:
Participate in external educational activities in collaborationwith the Thames Hospice Education Department
Provide educational mentorship and facilitation to new teammembers and students
Extending reach:
To ensure all communication with people from a variety ofbackgrounds with diverse needs is accurate, timely and aligned to our values
To role model the right behaviours and ways of working tounderstand ethnic, cultural, spiritual, religious and any other differencesbetween people to ensure our people, patients and families feel included andsupported
Person Specification
Experience
* Use advanced communication skills to negotiate, influence and challenge practice in all settings
* Assess and plan effective end of life care interventions, communicating these planned interventions clearly and concisely both in verbal and written format to other Health Care Professionals
* Monitor and evaluate the outcome of planned care
* Work collaboratively with Living Well Services to ensure all patients have access to RN/Paramedic assessment and to and other Hospice Services. Use high level communication skills to elicit concerns, establish and maintain a trusting and therapeutic relationship with patients and their family/carers facilitating the sharing of sensitive and emotive information relating to prognosis and disease, death and dying
* Promote effective communication, coordination of care and appropriate referrals to other services
* Respond to urgent calls for symptom management to prevent unnecessary hospital admissions
* Ability to carry out practical skills which can include, but not isolated to, catheter care, physical assessment, medication administration and phlebotomy
* Attend Community MDTs to facilitate learning and ensure best practice
* Participate in a 7-day a week service across the locality
* Ensure that the team meet contractual and organisational KPIs
* Participate in audit/s of the service, to identify if improvements and/or changes have enabled an improved patient and care experience
* Report accidents, incidents and complaints in area of responsibility as per procedure, participating in investigations as required
* Ensure staff understand and work to the processes for lone working, role boundaries and patient confidentiality
* To undertake any other reasonable duties in accordance with job role
Team working and communication
* Experienced in maintaining effective relationships with colleagues
* Ability to quickly build a rapport and establish professional relationships with others, based on trust
* and understanding
* Experience of mentoring Registered Nurses and Student Nurses
* Ability and skills to performance manage staff
* Experience of communicating effectively with all members of the multidisciplinary team, both verbally and in writing
* Experience of communicating effectively with patients, carers and families, both face to face and onthe telephone
Personal drive, commitment and resilience & IT Skills
* Enthusiastic and able to use your own initiative
* Committed to delivering quality of life, to the end of life, for everyone, ensuring the patient is central to all decisions regarding the provision of their care
* Able to operate whilst being calm under pressure, open minded and organised
* Skilled to use our IT systems for efficiency and simplicity
* Able to maintain effective relationships with colleagues and quickly build a rapport to establish professional relationships with others, based on trust and understanding.
* Experience in identifying and managing conflict
* Able to work logically and accurately with attention to detail
* Ability to plan and prioritise a varied workload
* Experience of communicating effectively with all members of the multidisciplinary team, both verbally and in writing
* Able to communicate effectively with patients, carers and families, both face to face and on the telephone
* Experience of using multiprofessional records to fully and accurately document patient care and interactions
Special conditions
* Appointment is subject to an Enhanced Disclosure and Barring Service check including Barred Lists.
* Post holder to be (or willing to be) immunised for, Hepatitis B, MMR, Tuberculosis and Chickenpox.
* Able to drive and have access to own car, covered for business use.
* The post holder must maintain their professional registration.
Qualifications
* Registered Nurse on NMC register or Registered Paramedic with HCPC
* Evidence of broad nursing experience including palliative care or paramedic practitioner or relevant experience
* Minimum of 12 months post preceptorship experience in a community setting, supporting patients in their own home or evidence of autonomous decision making in the community
* Knowledge and understanding of current developments in palliative care
* Demonstrable skills in written and spoken English to enable effective communication about nursing topics with patients and colleagues.
* Ability to put the needs of patients first and look after their interests
* Willingness and ability to demonstrate commitment to Thames Hospice values.
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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