Hospice at Home Palliative Care RGN (Band 6)

Are you looking for a new challenge in a highly rewarding role?

Ever feel like you do not have the time to truly give the care

that your patients deserve? Do you want the opportunity to enhance and develop

your autonomous clinical assessment skills? Look no further than us at St

Michaels Hospice at Home Team.

The Hospice at Home team cover shifts over a 7-day working week,

24 hours a day (working either an 11.5 hour day or night shift). You will also

be expected to be able to attend additional training throughout the rotation

including mandatory training and local bespoke training.

We provide good educational & development opportunities,

clinical supervision and regular 1:1 support with your line manager to review

development needs.

Opportunities to rotate between the

inpatient unit and hospice at home services to further develop your knowledge

and skills in palliative care and end of life and enhance awareness of the

patient and family experience of end-of-life care, can be available as part of

career development and progression

St.

Michaels Hospice is committed to safeguarding and promoting the welfare of

vulnerable adults, children and young people. All staff are expected to share

this commitment. Successful candidates will be required to undergo relevant

background checks, including a DBS check and provide satisfactory reference

before starting the role.

Candidates

must have the right to work in the UK. We are unable to offer visa sponsorship

for this role.

The Hospice at Home Team provide both

a planned and reactive service to those deemed to be in their final weeks of

life requiring specialist palliative care advice and support.

The Hospice at Home Nursing team specialise

in providing palliative care and support to patients at the End of Life. The H@H

specialists nurses provide clinical assessments, advice on symptom management

at end of life and provide clinical interventions to enable the patient to

remain at home.

The team are supported by the

wider multi-professional team within St. Michaels Hospice.

The service is supplementary to,

and works alongside, other health care services within North Hampshire.

You will be responsible for the

assessment of the persons care needs. You will develop, implement and evaluate

care plans in conjunction with patients, relatives and other professionals

ensuring individual physical and psychological needs are met.

The Hospice at Home Team provide

a 24/7 service cover, with the nursing team working either day or night shifts

to provide specialist support to allow people to remain at home.

Proactively

assess, plan, implement and evaluate patients based on an agreed plan of care,

that supports quality and timely care, in line with their needs

Create

and maintain good relationships internally with the wider community palliative

care team as well as other community health and social care providers.

reactive work to the need of the workload coming in per day and night, and

prioritise appropriately

Mentor,

support and supervise the work of junior colleagues, unqualified staff,

students, and volunteers

Actively enable the education and

development of professionals involved in the care of palliative service users.

To develop a high level of

clinical expertise in the field of palliative and end of life care

Develop the knowledge of initial

assessment, history taking, physical examination and psychosocial functioning

of patients in a holistic manner.

Develop skills to review and

interpret all information available utilising a systematic process of complex

diagnostic reasoning to make a working and differential diagnosis while under

direct supervision.

Develop and record a treatment

plan consistent with the outcome of assessment and most probable diagnosis and

taking into account patient wishes and preferences.

Recognise when patients are

approaching the last short weeks / days of life and adjust care accordingly to

meet their needs and priorities.

Provide nursing skilled clinical

interventions within the home/community setting

Proficient in verification of

death process

To be able to support and provide

care for patients and their families at the time of death taking into account

any spiritual or cultural needs.

Support of clinical colleagues

and team members following a patients death or distressing situation.

Support equality and diversity.

Be able to plan and manage own

workload / caseload in a flexible manner ensuring that service provision meets

the needs of patients.

To be willing to undertake

advanced practice accredited courses at masters level.

Participate in discussion during

multi-professional meetings.

Provide clear and concise

handovers to colleagues to improve coherent care across the service

Review, evaluate and update

nursing care, ensuring accurate documentation and reporting in accordance with

NMC guidelines and SMH policy

Apply empathetic communication

and approach discussions in a sensitive and dignified manner.

To liaise and develop effective

relationships with external health care professionals and other agencies

ensuring patient continuity across all care settings.

Attend and participate in team

meetings and clinical supervision.

Manage allocated resources

effectively. Ensure competency in the

use and function of equipment report malfunctions.

Manage time in an efficient and

appropriate manner, showing the ability to triage, delegate and plan work

accordingly.

To report any feedback, concerns

or complaints from patients, their relatives, or other advocate, to the Team

Lead as appropriate.

To ensure team cohesion and

spirit is maintained, through ongoing supportive relationships and

consideration of colleagues at all times.

Take opportunity to empower and

lead junior colleagues to enhance their knowledge and build confidence.

To adhere to the lone working

policy in the community.

Management of students

Show competence in supporting

student nurses in Practice Assessor roles.

Contribute and participate in

professional teaching sessions both internally and externally.

Maintain own clinical ability by

ensuring level of knowledge is based on current evidence-based research.

To maintain up-to-date clinical

experience and knowledge and be able to provide evidence of this for nursing

revalidation.

Through SMH annual appraisal,

encourage professional growth and identify areas for personal and professional

development

To strengthen and develop

clinical skills across all care settings in conjunction with line manager.

Take keen interest in service

enhancement and improvement, taking ownness for improving the services.

To

implement findings of evidence-based practice

Participate

in research and audit within the SMH environment as appropriate to the service

area.

To have

a basic awareness of current research and developments within palliative care

settings.

St. Michaels Hospice is a registered charity providing specialist

palliative and end of life care services since 1992, for the people of North

Hampshire. We are dedicated to providing care to people throughout North

Hampshire who are affected by life limiting illness to attain the highest

possible quality of life by providing a choice of specialist care and support.

As a charity, we depend on the kindness and support of our local

community to continue offering our services free of charge. This care is made

possible by supporters donating, taking part in fundraising events and

activities, playing our lottery, shopping in our retail outlets, leaving gifts

in their Wills or giving freely of their time to volunteer.

We offer a competitive salary with attractive benefits, including,

free onsite parking, life assurance, 27 days annual leave, with service

increments, plus bank holidays, and an extensive health and wellbeing plan and contributory

pension.

Skills, Knowledge, Abilities

Qualifications

Experience

Desirable: - Community experience

Attitude, aptitudes, personal characteristics

Other requirements

Essential: - Full UK driving license; - Access to transport to travel within the community setting across the SMH catchment area.; - Business use on vehicle insurance