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Norfolk Community Health and Care NHS Trust is seeking an Registered Nurse Band 6 for the In-Patient Unit. The post involves assessing, planning, implementing and evaluating patient care in alignment with the hospice philosophy, with emphasis on evidence-based and personalised support.
You will lead multi-disciplinary teams and contribute to teaching and professional development within the unit. The role requires strong clinical judgement, patient dignity, and involvement of families where
MAIN DUTIES Clinical: the postholder will Assess, plan, implement and evaluate care for patients in a way that reflects the Hospice philosophy. Make judgements involving complex facts or situations, which require the analysis, interpretation and comparison of a range of options. Use skills for assessing and interpreting the clinical needs of patients/clients e.g. clinical assessment of conditions. Place quality at the centre of care by providing evidence-based, individualised, and personalised support through holistic needs assessment, risk assessments, care planning, and evaluation of all care interventions. Follow agreed care and support plans and actively integrates theory and practice into daily work. Provide hands-on nursing care to all patients respecting their wishes and maintaining their dignity. Ensure the cultural and spiritual needs of patients are recognised and accommodated within resources available. Ensure that, as far as possible, family and / or carers are included in guiding the care provided, and are enabled to deliver care to their loved one where it is safe, and they wish to do so. Support pre-admission reviews and monitoring of referrals received. Manage discharge planning where appropriate Promote a multi-disciplinary approach to care by ensuring effective communication is maintained between all staff, volunteers, patients and their families and attend weekly MDTs where appropriate Be proactively involved with incident and risk reviews, cascading learning from events. Promote the Hospice Record Keeping Policy ensuring all care plans and patient documentation are completed appropriately Mentor and support new staff Act as a professional role model Participate in ward rounds when appropriate Ensure safe management of controlled drugs ensuring robust record keeping and adequate supplies. Be responsible for maintaining a safe environment for patients and their families within the Hospice. Be a link professional or champion with agreed responsibilities for the organisation e.g. Infection Control, Continence, Tissue Viability, providing regular feedback through meetings / notice board presentations. Contribute to teaching programmes. Effectively support patients/relatives/visitors who are distressed or anxious, and work with MDT colleagues to develop appropriate plans of care. Work independently within organisational and professional guidelines, deciding when it is necessary to escalate to a senior clinician. Communication Communicates effectively and with dignity and respect with all patients, relatives and others, taking into account potential barriers to understanding. Communicates effectively with colleagues, providing clear verbal, digital or written information and instructions when sharing information, delegating or handing over responsibility for care. Recognises and report any situations, behaviours or errors that could result in poor care outcomes. Contributes to a culture where all staff feel safe to raise their concerns and where speaking up about any concerns is a normal part of the routine. Helps create an environment which reflects the Hospices philosophy, values and its specialist palliative care approach. Promotes effective communication between members of the multi-disciplinary team and users of the service. Promotes positive communications and relationships with the public. Managerial Co-ordinates the care for a given shift when designated as the nurse in charge Acts as the designated fire officer for IPU and the wider Hospice environment in the absence of senior staff e.g. over-night. In conjunction with other team members monitors levels of stock and medication and proactively ensures that stock is ordered. Ensures, by close liaison with nurse in charge, that staffing for all subsequent shifts within the working week have sufficient staff at the appropriate skill mix. Highlights any staff sickness or gaps in duty rosters to nurse in charge, ensuring the People and Culture Team aware of any staff absences. Carries out return to work absence meetings and appraisals of 2-3 Palliative Nursing Assistants as delegated by the IPU manager. Educational Acts as a mentor for, trainees and a preceptor for junior staff. Contributes to the Hospice education programme, and foster an environment of continual learning and development. Ensures patients and families educational and information needs are met. Maintains own educational and professional portfolio in line with own professional requirements; and to work towards Professional Competency Standards of a Band 6 Hospice Practitioner. Develops knowledge in pain and symptom control and maintain personal, professional and clinical skills. Participates in clinical audit programmes or research projects where appropriate Attends restorative clinical supervision at least twice a year. Professional Ensure continued, effective professional registration and revalidation. Be aware of the NMC Code of Conduct and be accountable for own practice. To deal with initial complaints and conflict if approached directly by a patient/relative/visitor as required, in a polite, calm manner and report to the nurse in charge. Complete the palliative care competencies for the hospice within a designated time frame.
Norfolk Community Health and Care NHS Trust