Associate Clinical Nurse Specialist
| Posting date: | 12 April 2024 |
|---|---|
| Salary: | £37,130.00 to £38,060.00 per year |
| Additional salary information: | £37130.00 - £38060.00 a year |
| Hours: | Full time |
| Closing date: | 02 May 2024 |
| Location: | Blackpool, FY2 0BG |
| Company: | NHS Jobs |
| Job type: | Permanent |
| Job reference: | B0270-24-0018 |
Summary
OVERALL PURPOSE: To develop skills and competencies to provide specialist palliative care knowledge, expertise and support to patients, carers, their GPs and all other health care professionals to maximise the patients quality of life. JOB PURPOSE: The intention is that the post holder has an opportunity to develop their skills in palliative care and increase their clinical competencies and skills, moving from intermediate to advanced clinical practitioner in this defined area. The post holder will have a key role in providing support to patients in their own homes who have palliative and end of life care needs, raising clinical standards and promoting a learning environment for other health care providers. You will be responsible for planning, assessing, implementing and evaluating care in partnership with the District nurse teams and out of hours providers. The post holder will take responsibility for the management of the designated case load in the absence of the CNS.. MAIN DUTIES OF POST Assess patients requiring palliative care in the community and contribute to their total nursing care and management of symptoms by providing support and specialist advice to both the patient and carers. Participate in the development and delivery of management plans in conjunction with the primary health care team. Reviewing and undertaking assessments as required for the management of complex symptoms. To liaise with the health care professionals working in the neighbourhoods and other members of the Trinity Clinical Nurse Specialist Team To liaise and work closely with the Trinity Clinical Nurse Specialist Team Leader and Specialist Palliative Care Nursing staff in the community to ensure that the community service remains efficient and effective. Set and maintain high standards of patient care in Palliative Nursing, Demonstrate enhanced communication skills, when dealing with patients and families. Undertake discussion regarding advanced care planning. Take referrals direct from General Practitioners, Hospital Consultants and Clinical Nurse Specialists. Support the Clinical Nurse specialist to maintain a designated case load, ensuring effective use of resources and regular review of patients, prioritising workload and managing resource allocation when required. Feedback to designated caseload holders Advise and support the Primary Health Care Team regarding End of Life care Advise and liaise with third sector and voluntary organisations regarding patients requiring Specialist Palliative Care. Contribute to the assessment and prioritisation of patients for admission to the Hospice. Advise and liaise with General Practitioners regarding pain and complex symptom management, care needs, admission to Hospice or referral for appropriate care. Develop enhanced skills to understand family dynamics and give specialist emotional and psychological interventions to the patient and carers as needed. Liaise with Hospice Chaplains and the Clergy in order to provide spiritual support when needed. Continue to support relatives during bereavement, as appropriate. Identify problems and refer them for appropriate care to the Linden Centre. Keep accurate and up to date nursing records of each patient, reporting and discussing any problems which may occur with Trinity Clinical Nurse Specialist mentor, Manager and Hospice Consultant as appropriate. Be involved in audit of patient care and participate in research programmes to promote high standards of Specialist Palliative Care. Attend staff meetings in the community and Trinity, communicating information as appropriate (GSF, MDT, Complex neighbourhood discussions, extensive care). Maintain confidentiality in all matters, presenting a professional attitude at all times. Supervise the work of healthcare assistants and ensure hospice policies are followed. Be prepared to cope with incidents or emergency situations as they arise and report to senior nurse on duty. Cover a 24 hour nursing rota for enhanced professional development in the total care of patients requiring specialist palliative care. GENERAL RESPONSIBILITIES To undertake all mandatory training as required by Trinity Hospice and Palliative Care Services. Maintaining the strict confidentiality of all information acquired especially with regard to patients and staff. To participate in the appraisal and personal development reviews annually Improve knowledge and utilise competencies to influence self-development. To be a co-operative and supportive member of the Trinity staff team, ensuring that all members are aware of any issues in the post holders workload, which may affect other members of the Trinity team and identify to the Line Manager. To take responsibility for being up to date with current policies and procedures and to adhere to these. Cooperating fully in the introduction of any new technology and new methods as appropriate. To promote at all times the Hospice philosophy and uphold the Trinity core values. Any other duties that may be reasonably requested. CLINICAL Support the management of an identified caseload of patients with advancing disease who require Specialist Palliative Care in the community setting and communicate with the case load holder regarding the progress of such. Develop expert clinical skills to manage patients with complex Specialist palliative care needs Develop advanced com skills to enable patients and carers to make informed choices regarding their care and management. Act as patient advocate in often emotionally charged situations involving other health care professionals, family and carers. Maintain accurate records of all patient, carer and healthcare professional contacts so the activity of the Trinity Clinical Nurse Specialist Community Palliative Care Team can be audited and evaluated. Record all contacts in our IT system as required to fulfil the minimum data set requirements Assess and refer appropriately to other Hospice services with the consent of the patient. To administer drugs and assist with their ordering in accordance with NMC standards for the Administration of medicines. To verify when a death has occurred, notify families and carers as appropriate. Be responsible for co-ordinating flexible care provision to enable patients to stay at home (72 hour care package) Undertake V300 non-medical prescribing course and actively prescribe within competencies (Following completion of symptom management portfolio and discussion with NMP lead) EDUCATION Support the education of families in helping them to give care and support to the patient. Participate alongside clinical mentor in Education Programmes organised at the Education and Learning Centre for Palliative Care Studies based at Trinity and in the Community Neighbourhoods. Participate in educational events with the general public on the role of Palliative Care Services in the community as required Work actively towards degree using opportunity to extend clinical and professional knowledge. Complete Symptom management portfolio. Develop computer skills to maintain records and collate statistics. PERSONAL To seek Clinical Supervision from clinical mentor and community Consultant as appropriate for complex clinical scenarios. Use opportunities to extend clinical and professional knowledge. Take responsibility for own professional development, identifying training and development needs to line manager. Participate in 1-1s Ensure personal safety in accordance with the Lone worker policy Monitor relevant research developments and disseminate the findings to patients, relatives and colleagues in the extended Health Care Team as appropriate to promote effective patient care. To join with other staff in the promotion of the overall Palliative Care Service as appropriate. Comply with Nursing and Midwifery Council Regulations. For professional registration and practice. To undertake and support appropriate research activity and ensure awareness of and act in accordance with Health and Safety at work. Promote the family of services at Trinity