THE ROWANS HOSPICE



ROWANS HOSPICE

JOB DESCRIPTION

|Job Title: |Sister |

|Department: |Hospice at Home |

|Accountable to: |Clinical Lead |

|Reporting to: |Team Leader |

|Job Purpose: |The post holder will be recognised as a middle manager taking on duties and responsibilities related to the day to day |

| |management of Rowans Hospice at Home Service. |

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| |The post holder is responsible for the assessment of care needs and the development, implementation and evaluation of |

| |programmes of care for those referred to the hospice at home service. |

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| |The post holder is also expected to carry out all relevant forms of care without direct supervision and to supervise other |

| |qualified and unqualified staff within the hospice at home team. |

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| |The post holder in conjunction with the Team Leader will ensure the patients referred to the hospice at home service have |

| |continuity of nurse cover as appropriate over the 24-hour period within the home. |

|Position in Organisation |

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|Contact with others |

|Internal: Patients, carers and relatives. |

|All Hospice staff and volunteers |

|External: Patients, carers and relatives, NHS Trusts, Primary Health Care Teams, other Hospices and Charitable organisations, Nursing Homes, Social Services, |

|Emergency Services, Funeral Directors, Coroner. |

|Main areas of responsibility |

|Key Accountabilities |Tasks |

|Clinical |To assess the care needs of patients to ensure that programmes of care are developed and implemented by members of the |

| |hospice at home team. |

| |To maintain continuing personal contact with patients and evaluate the effectiveness of programmes of care. |

| |To carry out and / or supervise the carrying out of specific treatments and clinical procedures. To base clinical |

| |practice on current research based evidence |

| |To assess the needs of patients and carers requiring intervention from other professionals/therapies within or outside |

| |the hospice referring and liaising as appropriate. |

| |To provide advice on symptom control/care management to other health care professionals as appropriate. |

| |When appropriate to verify when a death has occurred, notifying relatives and carers as appropriate following the |

| |procedures carried out within the community. |

| |When appropriate to care for the deceased patient by administering last offices as appropriate and ensuring the safe |

| |and timely removal of the body from the home working with in the procedures in place within the community. |

| |To comply with Hospice nursing policies, standards, guidelines and procedures. |

| |To assist the Clinical Lead/Director of Clinical Services/Director of Quality in compiling standards to promote a high |

| |quality of patient care. |

| |To administer drugs, and assist with their ordering and storage, in accordance with the NMC Standards for the |

| |Administration of Medicines. To recognise and report any errors or omissions in the administration of medications. |

| |To report to the Team Leader/Clinical Lead /Doctors/GP/DN any relevant information on the condition of specific |

| |patients, their care or treatment. |

| |Out of hours to report to the on call Hospice Doctor/OOH/DN any relevant information on the condition of specific |

| |patients, their care or treatment. |

| |Out of hours report to the senior on call Nurse Manager as appropriate any immediate concerns related to the smooth |

| |running of the hospice at home service. |

| |In conjunction with H@H Team Lead/ Clinical lead/Director of Clinical Services/Director of Quality to report any |

| |complaints/safe guarding concerns from patients, their relatives, or others acting on their behalf and assist with |

| |investigation of complaints as necessary – knowing your boundaries and expectations within the process. |

| |To adhere to the NMC Code of Professional Conduct. |

| |To ensure knowledge about patients is maintained in the strictest confidence, and is not divulged except to |

| |professional where it would materially assist with the programme of care or protection of the individual. (See Staff |

| |Handbook Confidentiality and Data Protection Act). |

| |Able to discuss and complete the lilac Trust wide uDNACPR form as a registered nurse with accreditation following |

| |completion of the approved competency framework and undergone the practical course. |

|Communication |Disseminate all relevant information received by Team Leader/Clinical Lead to team members. |

| |To communicate effectively with patients, carers and the bereaved to establish and maintain trusting relationships. |

| |To ensure communication between members of the hospice at home team is effective so the care needs to patients are |

| |easily transferred to the person or persons assuming continuity of care at shift changeovers. |

| |Maintain effective liaison with Clinical Nurse Specialists, Medical team, inpatient team, GP’s and D/N’s |

| |Work closely with Clinical Nurse Specialists team to ensure that there is excellent communication between the teams |

| |with regard to support and care of patients in the community. |

| |Liaise with all members of the multidisciplinary team who contribute towards hospice at home services. |

| |Develop and maintains effective relationships with members of the Primary Health Care Team and all other agencies |

| |involved in delivering care in the community. |

| |To offer a high level of emotional support to patients and/or carers particularly during the breaking of bad news and |

| |around time of death. |

| |To contribute to bereavement care offered to families by facilitating bereavement interviews and assessing risk factors|

| |for bereavement, referring to the bereavement service as necessary. |

| |To sensitively handle out of hours enquires from patients and carers. |

| |To develop and maintain effective working relationships with other members of the Nursing Team, and all other Hospice |

| |employees, including volunteers. |

| |To promote the aims and ideals of the Hospice service to the general public. |

|Record Keeping documentation |To ensure that all nursing records are completed and updated at each shift change over in line with the policies within|

| |the community. |

| |To monitor the content and quality of record keeping. |

| |To contribute to the written assessment of patients and referral of patients; to supply relevant services with |

| |necessary information. |

| |To complete a written assessment of bereavement vulnerability. |

|Specific Interventions |Completion of drug competency. |

|Financial | 1. To ensure that clinical stores held on the unit and taken into the community are used efficiently and |

| |economically. |

|Management |To deputise in the absence of the Team Leader. |

| |To provide on call for OOH working. |

| |To manage the process of receiving and responding to referrals to hospice at home service, prioritising the workload of|

| |the team and managing and allocating staff as appropriate |

| |To report to the Team Leader/Clinical Lead/ Director of Clinical Services/Chief Executive any matter affecting the |

| |smooth running of the unit or the hospice at home service. |

| |To support and supervise members of the hospice at home nursing team and volunteers. |

| |To support change within the service, supporting decisions by Managers. |

| |In the absence of the Team Leader chair regular monthly meetings for members of the hospice at home team, distributing |

| |minutes and taking all relevant information to Clinical Lead |

| |In the absence of the Team Leader support staff by facilitating a reflective session within team meetings. |

| |Assist Team Leader with the recruitment of staff to include short-listing, interview selection, induction of staff and |

| |probationary review for their team members. |

| |In conjunction with Team Leader, carry out annual appraisals for all nursing staff within the hospice at home team |

| |Promote clinical supervision, critical incident review and risk management reviews in line with Clinical Governance |

| |recommendations. |

| |In conjunction with Team Leader, to ensure staffing levels are maintained at the optimal level, writing staffing rotas,|

| |booking bank nurses, altering shifts and booking bank nurses to cover sickness/study leave. |

| |To allocate staff, taking into account skill mix, to ensure continuity of care for the patients and their carers within|

| |the home. |

| |To promote a harmonious working environment, dealing with discord between staff members as able, reporting all |

| |incidents to Team Leader/ Director of Clinical Services/Chief Executive. |

| |To respect that care is being carried out in a person’s home. |

| |To demonstrate a consistent level of courtesy and consideration to patients, their relatives and visitors and ensure |

| |that this is also observed by staff supervised by the post holder. |

| |To attend meetings as directed. |

| |To comply with all non clinical Hospice policies and procedures and all information detailed in the staff handbook. |

| |To participate in the collection of data for approved survey, research management, planning projects and auditing. |

| |Contributes to reporting of progress towards meeting relevant strategic and operational goals |

|Health & Safety |Contribute towards ensuring that exposure to risk is minimised through safe practice and awareness of health and |

| |safety and infection control |

| |To ensure that equipment is kept clean and in good working order, checked routinely and that any defect or malfunction |

| |is reported to the Team Leader/ Director of Clinical Services/ Director of Quality . |

| |To act at all times to promote the safety and wellbeing of patients. |

| |To ensure the safe storage and use of hazardous substances according to COSHH regulations. |

| |To be aware of the security of the hospice building out of office hours, and to be aware of security within the |

| |patients home |

| |To ensure that any observed actual or potential Health & Safety hazards/concerns or issues are immediately reported to |

| |Team Leader/ Director of Clinical Services/ Director of Quality |

| |To ensure that the procedure for the care of patients effects is observed, as detailed in the Staff Handbook and as per|

| |community procedures |

| |Work within the hospice lone worker policy. |

|Education |To inform, advise and teach patients, carers and staff on aspects of the patients’ condition and care required. |

| |To develop and maintain own knowledge and skills in palliative care. |

| |To maintain and extend management knowledge and skills. |

| |To actively contribute and teach both formal and informal, unit based clinical education as appropriate. |

| |To contribute to the development of HCSWs, student nurses and junior staff nurses by ensuring delivery of effective |

| |induction programmes and continuing development through appraisal and education. |

| |To attend and participate in clinical supervision. |

| |To attend lectures, formal meetings etc. to maintain professional update, adhere to aspects related to the Health and |

| |Safety at work act and promote the effective running of the service. |

| |To attend fire lecturers, manual handling training sessions, CPR lecturers and participate in fire drills as directed. |

| |To participate in induction programmes for new staff. |

| |To be familiar with current research and developments within palliative care settings. |

| |To undertake training and development as required for Hospice and personal development using clinical supervision, |

| |performance review and PREP as a basis for identifying training needs |

| |To assist the Team Leader// Director of Clinical Service/Director of Quality in identifying the training and |

| |development needs of individuals within the hospice at home team and to participate in relevant programmes. |

|Freedom to Act |

|Freedom to make decisions within the boundaries of their job description. |

|Responsible for knowing own limitations and when to seek advice/help |

|The level of responsibility is variable according to senior resources available. |

|Direction and guidance is always available from more senior managers. |

|Physical effort |

|Occasional requirement to exert moderate effort for several short periods. |

|Regular safe moving/handling of patients and equipment, including beds, mattresses, chairs and as necessary. Regular bending and stretching involved. |

|Mental effort |

| Mentally tiring due to prolonged episodes of listening and support for patients/carers and staff. |

|Working conditions / environment |

|Working within patient homes |

|Routinely exposed to patients bodily fluids and occasionally exposed to patients with infections. |

|Regular exposure to hazardous substance - medical gases. Rare exposure to oral cytotoxic medication |

|Recognised protective clothing including aprons and gloves to be worn as required. |

|Daily contact with distressed patients, carers and relatives requiring a high level of emotional support. |

|Constant involvement with the dying process and death. |

|Occasional exposure to distressing scenes and verbal abuse from patients or relatives. |

|Qualifications, skills and knowledge required |

|Qualifications and/or Experience |

|RGN or RN Adult Branch. |

|On NMC Register parts 1 or 12 |

|Five years’ experience, some within a Palliative Care setting – that equates to Degree Level [AFC] |

|Experience of supervising junior staff |

|Proven leadership/management experience |

|Driving License/Car Owner |

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|Desirable |

|Teaching qualification/experience |

|Leadership /Communication qualification/experience |

|Community Experience |

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|Skills |

|Excellent basic nursing care skills |

|Excellent communication and interpersonal skills |

|Ability to facilitate individualized evidence based care |

|Leadership insight and potential with the evidence of effective team co-ordination skills |

|Ability to prioritise work load and be flexible to changing demands |

|Ability to share knowledge with others to develop and influence practice |

|Able to maintain active and contemporaneous records |

|Well-developed coping strategies |

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|Personal grief resolved sufficiently to cope and perform within palliative care setting |

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|Knowledge |

|Able to demonstrate a good insight into palliative care principles and philosophy |

|Sound pain and symptom control knowledge |

OTHER DUTIES

To undertake any other duty within your ability and within reason, as may be required from time to time, at the direction of your line manager.

ASSISTANCE

The Hospice has the advantage of being supported by a number of volunteers. If a volunteer is assigned to assist you at any time, you will still retain responsibility for the requirements of this job in terms of accuracy, efficiency and standards of completion. You will also ensure good communication and be mindful of your responsibility towards that volunteer in terms of Health and Safety.

CONFIDENTIALITY

You should be aware of the confidential nature of the Hospice environment and/or your role. Any matters of a confidential nature, relating to patients, carers, relatives, staff or volunteers must not be divulged to any unauthorised person.

SAFEGUARDING CHILDREN AND VULNERABLE ADULTS

Post holders have a general responsibility for safeguarding children and vulnerable adults in the course of their daily duties and for ensuring that they are aware of the specific duties relating to their role. All staff and volunteers have a responsibility to report any circumstances where they feel vulnerable adults or children are being subjected to abuse to a senior clinician or the ‘Safeguarding Lead’.

GENERAL DATA PROTECTION REGULATION 2018 (GDPR)

You should make yourself aware of the requirements of the General Data Protection Regulation 2018 (GDPR) and follow local codes of practice to ensure appropriate action is taken to safeguard confidential information. Further information can be obtained from our Privacy Statement.

HEALTH AND SAFETY

You are required to take reasonable care for your own health and safety and that of others who may be affected by your acts or omissions and you should ensure that statutory regulations, policies, codes of practice and safety and good house-keeping rules are adhered to, attending safety and fire lectures as required.

JOB DESCRIPTION

This Job Description is not intended to be restrictive and should be taken as the current representation of the nature of the duties involved in your job and needs to be flexible to cope with the changing needs of the job and the Hospice.

AGREEMENT

Employee Name ______________________________________

Signature ______________________________________

Date ______________________________________

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Clinical lead

Sisters and teams

Day-care/Heath Centre teams

Team Leader Hospice at Home

Sisters

Staff nurses

HCSW’s

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