This Clinical Nurse Specialist or Clinical Paramedic Specialist post sits in the Hospice Outreach Service at Hospice in the Weald, supporting people with life limiting illness. The post-holder takes the first contact for new community referrals and incoming calls, giving palliative advice by phone and carrying out clinic and home assessments on a seven-day rota. Patients are seen at home, in care homes and nursing homes, with conditions such as heart failure, respiratory disease and cancer. Entry needs nurse or paramedic registration and three years' post-registration experience.
What the job involves
- Act as the first point of contact for new community referrals and all incoming calls to the service
- Give palliative advice and support to patients and families at home, in care homes and nursing homes
- Work on a seven-day rota providing telephone support, clinic assessments and home-based assessments
- Assess patients' needs, agree goals with patient and family, and work towards achieving them
- Give appropriate medicines when immediate need is found on community visits and advise other professionals on safe administration
- Advise and educate the primary health care team and other professionals on palliative care
- Recognise and manage palliative care emergencies
- Support, advise and coach carers, exploring family resources so patients can be cared for in their preferred place
- Take and record clinical histories, examinations, investigation results and management plans, and present cases at weekly MDT meetings
- Support Gold Standard Framework meetings with GPs and in care homes and nursing homes
- Mentor colleagues, support volunteers and provide end of life care training to care homes
- Contribute to quality initiatives, clinical governance and the development of policies and guidelines
Qualifications
- Evidence of ongoing professional development
Registration & licences
- NMC registration as a Registered Nurse (Level 1)
- HCPC registration as a Registered Paramedic
Experience
- Three years' post-registration experience
- Proven track record of contemporaneous clinical practice
- Community or in-patient palliative care experience at Band 6 or 7, or equivalent in related areas such as paramedic, general medicine, neurology, emergency medicine, frailty, respiratory care, cardiology or oncology
Skills & knowledge
- High level of computer literacy, including mobile technology
- Ability to motivate and inspire others in a fast-paced environment and delegate tasks appropriately
- Ability to build rapport with a wide range of people, acting with credibility, tact and diplomacy
- Forward-thinking, proactive decision making, risk assessment and prioritisation of workload within a team
Other
- Passion for individualised care and compassion
- Dedication to making a difference to people's lives
- High levels of enterprise, innovation and dedication
- Calm disposition and positive outlook
- Proactive team player who adapts to a changing environment
- Willingness to travel to varying work locations
Nice to have
- Experience of palliative and end of life care and bereavement support in a community setting
- Experience preparing and delivering education programmes to other healthcare professionals
What’s offered
- Development programme to train into a Clinical Nurse Specialist or Clinical Paramedic Specialist role
- Support to complete the ACNS/ACPS framework within two years
- Clinical supervision and reflective practice
- Hospice mandatory training and wider training and development opportunities