Registered Nurse Band 6 - In-Patient UnitNHS

Job summary

Tapping House is a leading provider of palliative care services in Norfolk. We are an independent charity delivering innovative and specialist rehabilitative therapy, palliative and end of life care and bereavement services.

We are looking for an experienced registered nurse who is seeking to work in a supportive palliative and end of life care environment that is passionate about delivering person-centred care. The successful candidate will work as part of a team that is responsible for delivering the highest standard of palliative care to patients and their families on the hospice Inpatient Unit. If you are looking for a role where you will have the time, support and opportunity to truly make a difference to patients and families during some of lifes most important moments, then we would love to hear from you.

For more information please read the Job Description for this role.

Please note that we are unable to offer visa sponsorship for this role. Applicants must have the existing right to work in the UK without sponsorship.

Main duties of the job

As a core member of the care team and a member of the wider multidisciplinary team, the post holder is involved in assessing and developing appropriate plans of intervention and support for patients and their families, providing advice and signposting to other services as required as well as ensuring effective, timely communication. The post holder will provide leadership and support to colleagues to ensure patient flow and support decision making in patient care.

Care provision shall reflect evidence based practice, in line with legal requirements, statutory rules and Hospice policies relating to practice, and the NMC Code of Conduct.

Job description

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.

About us

In addition to the competitive salary we offer the following -

• Annual Leave 25 days (increasing to 27 after 5 years and 31 after 9 years FTE) and public holidays
• Development opportunities
• Access to Blue Light discount card
• Access to complementary Therapy
• Free parking
• Onsite cafe

We have an amazing multi disciplinary team who all work together ensuring that the patient is central to everything we do.

Our Vision is -

Every person affected by a life limiting condition will be offered choice and access to excellent rest of life care and bereavement support.

Our Values are:

• COMPASSION
• ACCESSIBILITY
• RESPECT
• EXCELLENCE
• SPARK

The Hospice stands in beautiful well maintained grounds. Our building is modern and light with each bedroom having a garden view.