1 x band 6 Substantive post 37.5hrs/ week.

An exciting opportunity has arisen for a dynamic senior nurse to join our night time community palliative care service, the Pal@home Team.

Pal@home is an innovative rapid-response community based night service offering nursing support to patients with palliative care needs in their own home within the Boroughs of Lambeth and Southwark.

The team will most commonly support patients overnight with uncontrolled symptoms, personal care, telephone advice, patient/carer distress, verifying expected deaths and performing care after death. Pal@home support reduces the need for unnecessary hospital admissions or emergency department attendances, and can play a vital role in expediting rapid discharges home from hospital to a patient's preferred place of care.

Pal@home operates between the hours of 20:00 and 08:00 - 7 days per week work - in collaboration with Specialist Palliative care teams, the Community End of Life Team, Lambeth and Southwark District Nursing Services, SELDOC and LAS and the @Home team.

Closing date: 8th September 2024 midnight

Interview date: 16th September 2024

Main duties of the job

1:Essential criteria

-NMC Registered Adult Nurse, band 5 or above

Desirable criteria -

- Leadership or mentorship qualification

- Post Registration module completion in Palliative Care

- Post registration study day related to palliative or community nursing

- Post Registration module completion in community nursing

-Undertaken a form of Communication / coaching course

2: Experience -Essential criteria

-Previous Experience working with people who have life limiting conditions who are nearing the end of their lives

- Experience of nursing patients with indwelling catheters, enteral nutrition, etc

-Experience of teaching/assessing/ supervising others in a clinical setting

- Supervision and support of junior staff

3: Skills -Essential criteria

- Demonstrates specialist expertise underpinned by theory acquired through CPD

- Up to date knowledge of current clinical and professional issues. Knowledge of evidence based practice

- Ability to assess, plan, implement and evaluate care delivered to patients/clients and give relevant advice/information to patients and relatives

- Ability to manage patient / carer / colleague distress

- Evidence of involvement and leadership in teaching and mentoring learners

- An understanding of audit and research based nursing practice

- Good communication skills and ability to deal with sensitive information.

- Ability to advocate to for patients

About us

Guy's and St Thomas' NHS Foundation Trust -

Guy's and St Thomas' NHS Foundation Trust comprises five of the UK's best known hospitals - Guy's, St Thomas', Evelina London Children's Hospital, Royal Brompton and Harefield - as well as community services in Lambeth and Southwark.

Directorate InformationIntegrated Local Services at Guy's and St Thomas' NHS Foundation Trust provides a range of community and inpatient health services for adults within the communities of Lambeth and Southwark, with someservices also provided in Lewisham. The services provided by the directorate include Neighbourhood Nursing, Specialist Rehabilitation and Reablement (bed and home based), Palliative and End of Life Care, Vulnerable Adults and Prevention Services, GSTT@Home, and site administration services.

Department InformationPal@home is an innovative response community based night service offering nursing support to patients with palliative care needs in their own home within the Boroughs of Lambeth and Southwark. The team supports patients overnight with uncontrolled symptoms, personal care, telephone advice, patient/carer distress, verifying expected deaths and performing care after death. Pal@home support reduces the need for unnecessary hospital admissions or emergency department attendances, and can play a vital role in expediting rapid discharges home from hospital to a patient's preferred place of care. Pal@home operates between the hours of 20:00 and 08:00 7 days per week.

Job description

Job responsibilities

Job Description

1. Job Summary

- To provide assessment, care and implement palliative treatment plans for palliative care at the end of life or in the deteriorating or unstable phase of their illness to support rapid discharge from hospital and preventunnecessary admissions where possible.

- To mentor and support assigned nurses and nursing assistants to deliver high quality, safe and effective care on a day-today basis.

- To participate in rotation of coordination of shifts.

- To work collaboratively with multi-disciplinary Specialist Palliative Care and Community End of Life teams and @Home service to meet the needs of patients referred to the service.

2. Key RelationshipsThese include:Guys and St Thomas Specialist Palliative Care Team, St Christophers Hospice Community Palliative Care Team, District Nurses, Community End of Life Team, Marie Curie, @home Team, Pharmacists, GPs (including SELDOC), Consultants and Hospital Clinical Teams, Practice Development Team(s), Administrative and Clerical Support Staff.

3. Duties and Responsibilities- Support and manage a group of patients in collaboration with the Senior Nurse Practitioner whilst working as part of the multidisciplinary team, delivering individualised and personalised direct patient care overnight.

- To effectively hand over to the relevant teams working in the daytime to allow seamless provision of care

- Demonstrate appropriate practice and specialist advice in the assessment, planning, implementation and evaluation of patient care

- Be responsible for the correct administration of prescribed medication including, management of syringe pumps, enteral nutrition, intravenous therapy etc.

- Be responsible for assessing and recognising palliative care emergencies in the specialty.

- To interpret information and take appropriate action and to lead others to do the same.

- Act as an advocate for patients, to ensure a patient centred approach to the delivery of care and to meet standards within the NHS Plan and other relevant guidelines

- Ensure that patients receive high quality clinical care and a good patient experience, having regardfor their, customs, culture, social circumstances religious beliefs and doctrines.

- To undertake holistic assessment and provide interventions such as pain and symptom control, management of subcutaneous syringe pumps, re-hydration, emergency unblocking catheters/catheterisation, supporting management of urgent nursing related issues, intravenous therapy etc

- Recognise and avoid situations that may be detrimental to the health and wellbeing of individuals and escalate where necessary

- Provide support and guidance to staff in the monitoring planning, delivery and evaluation of individualised care.

- Is wholly accountable for his / her practice in line with the NMC code of professional conduct and takes every reasonable opportunity to sustain and improve his / her knowledge and professionalcompetence.

- To be responsible, for maintaining a safe environment for patients and other staff and identifying and escalating any concerns about safety when working in the patients home.

- Ensure that patient records are stored appropriately.

- Support and enable patients and carers to make informed decisions related to their treatment and management.

- Ensure that staff take precautions to minimise the risk of cross infection in relation to the safe disposal of equipment and body fluids (including blood).

- Assess educational and information needs for patients and families, and devise plans to ensure needs are met.

- To be an effective communicator with patients/carers/families about the scope of the Pal@home Service, other services, disease and treatments.

- Promote high quality clinical care, assist in the development of the service through the use of evidence based practice and clinical standards.

Please see job description for further details.

Person Specification

Professional/ statuatory registration

Essential

• RN1/RN2/RN12 on the NMC register. To hold the appropriate level for area of speciality.

Qualifications

Essential

• BSC/1st degree (health related) or equivalent qualification/training and experience
• Post registration qualification in (appropriate area of speciality)

Desirable

• oLeadership or mentorship qualification
• oPost Registration module completion in Palliative Care
• oPost registration study day related to palliative or community nursing
• oPost Registration module completion in community nursing
• oUndertaken a form of Communication / coaching course

Experience

Essential

• Previous post registration experience within the relevant specialty
• Experienced and competent in the management of patients within the speciality
• Experience of teaching/assessing/ supervising others in a clinical setting
• Supervision and support of junior staff

Skills

Essential

• oDemonstrates specialist expertise underpinned by theory acquired through CPD
• oUp to date knowledge of current clinical and professional issues. Knowledge of evidence based practice
• oAbility to assess, plan, implement and evaluate care delivered to patients/clients and give relevant advice/information to patients and relatives
• oEvidence of involvement and leadership in teaching and mentoring learners
• oAn understanding of audit and research based nursing practice
• oAn understanding of resource management
• oGood communication skills and ability to deal with sensitive information. To include dealing with distressed relatives, care of terminally ill & other challenging situations

Desirable

• oDemonstrate an awareness of clinical governance and risk management and how this effects their role and the department

Employer details

Employer name

Guy's and St Thomas' NHS Foundation Trust

Address

Palliative Care Department

Guys Hospital

London

SE1 9RT

Any attachments will be accessible after you click to apply.

196-NM12006