About this role
Job summary
We are looking for a Registered Nurse to join our incredible team on an permanent basis. Based in the beautiful village of Bartestree, approximately 5 miles east of Hereford city, St Michael's Hospice has been providing the highest quality care, to the local community for over 40 years. At St Michaels we are not just offering a job, but the chance to make a real difference in peoples lives. You will work within our multi-disciplinary team providing physical, psycho-social and spiritual care to patients and their families. You will be able to organise your own time effectively, adapt to changing demands and conditions, remain calm under pressure, and communicate in a clear and engaging manner. We offer support with revalidation and ongoing CPD through both in-house and external education. Range of flexible and part-time working patterns. This post is conditional to an enhanced Disclosure and Barring Service (DBS) Check.
Main duties of the job
As a Registered Nurse in the Community you will use your nursing skills and knowledge, complemented by the education, support and mentoring we will provide, to ensure all patients end-of-life care needs are addressed. You will work with multiple agencies, advising, explaining and acting as a patient advocate in conversations with GPs, paramedics and other healthcare providers. This multi-disciplinary collaboration, alongside excellent communications and teamwork within the charity, means your patients will have continuity of care and be able to focus on quality time with their family.
***We are looking for someone to join us Full Time, 37.5 hours per week, working a mixture of earlies and lates (0730-1730 & 1130-2130)***
About us
St Michael's Hospice is nestled in the stunning Herefordshire countryside, in a state-of-the-art facility. We offer a competitive salary and benefits package, a transferrable NHS pension or you can enrol onto our own Hospice pension. We offer Life Assurance, a superb working environment and facility, generous study leave allowance, discounts with local suppliers, individualised training needs analysis, advanced communication skills training, employee counselling service, free tea & coffee, a friendly & welcoming work environment and 30 days annual leave (pro rata if applicable), plus bank holidays. We are one of the top 100 best not for profit organisations to work for and have been caring to make a difference, to patients living with a terminal illness and their families, across Herefordshire and beyond for over 40 years.
Job description Job responsibilities
Job Title: Registered Nurse - Community Services
Spinal Point Range: 13,15,18
(Plus, unsocial hours payments see below)
Hours: 37.5 hours per week; on a shift basis
Department: Community Services
Location: St Michaels Hospice, Bartestree
Reports to: Sister
Job Purpose: To assess, plan and deliver a high quality palliative and end of life care to patients and families within their home or care home.
Responsibility Areas:
Care Provision
Contribute to the comprehensive holistic assessment, planning implementation and evaluation of the needs of patients on each shift.
Deliver generalist nursing care interventions that is responsive to the individual patients requirements.
Identify and report any concerns or changes in patients condition and or familys wellbeing to wider community teams as appropriate.
Contribute to the patient centred assessment and care planning ensuring timely review and update utilising the OACC suite of outcome measures.
To carry out assurance visits with the Senior Community HCAs to assess the accuracy of work and completion of documentation.
To work within NMC guidelines specifically recognising the delegated authority for devolving care to senior community HCA workforce.
Identify pre and post bereavement needs and potential issues referring on to supportive care team.
To provide expert telephone advice and support to professionals, patients and families.
Ensure that patients/carers needs are identified and refer to supportive care if needs are greater.
To supervise and upskill the Senior HCAs when undertaking a joint visits; sharing expertise knowledge and skills.
To act as a link nurse in selected specialism e.g. diabetes.
To follow all agreed hospice and community NHS clinical procedures ensuring alignment with NMC/statutory regulations related to Medicine management.
To follow all agreed policies for manual handling, infection control, health and safety, ensuring a safe environment for patients, visitors and staff visiting and within the service.
Planning
Manage on a shift basis, patients on the Hospice at Home caseload patients, ensuring care is reviewed and delivered in a timely manner.
Provide clinical oversight for the Senior Community Health Care Assistant (HCA) activities on a shift basis, ensuring appropriate use of staff resource.
Participate in the initial assessment post Continuing Health Care Fast Track (CHCFT) approval prior to Senior Community HCA, care commencement.
Undertake risk assessments, document these and implement risk reducing measures escalating to senior colleagues as appropriate.
Contribute to the case management of patients on to monitor caseload, anticipating problems and risks before crises arise; ensuring appropriate GP and community team involvement.
Communication
Communicate changes to patients to the senior community nurse so information can be updated and cascaded to appropriate professionals.
To be able to communicate highly sensitive information, ensuring patients and their families/carers are adequately supported.
Promote collaborative working and effective communication between all members of the multidisciplinary team.
Encourage patients/relatives/carers to feedback and express what is important to them to identify their needs, ensure that this information is recorded and informs the care plan.
Ensure the nursing voice is represented in ethical decision making.
Recognise own limitations when offering emotional support.
Respond to complaints in line with Hospice policy, escalating as appropriate.
Promote awareness of child and adult protection issues policy and guidelines.
Professional Leadership
Act as a role model in all aspects of clinical and non-clinical nursing practice.
To provide formal and informal clinical supervision, support and mentorship to the Senior Community HCAs.
To deliver informal and formal training sessions for staff and others.
Deputise in the absence of the senior nursing colleagues.
Quality, Improvement, Audit and Research.
To contribute to audits and evaluation of work in order to develop and improve palliative/end of life care for patients and their carers.
To embrace quality improvement initiatives and to deliver evidence-based service development projects.
Participates in reflective reviews of palliative care.
Ensure clinical incidents /near misses are recorded
Is aware of the local policies of partner organisations with regards to care practices and referral pathways.
Education
Attend mandatory training and in service training opportunities.
Maintain a professional portfolio and reflective diary.
Health and Safety
Act at all times to promote the safety and wellbeing of patients, visitors and volunteers.
Ensure clinical incidents /near misses are reported in a timely manner and take action to minimise risk.
Ensure the environment is free from hazards.
Be aware of own limitations and when to seek advice and help.
Contribute and adhere to the Infection control practices applicable to a community setting.
Adhere to the safe storage of medicines and hazardous substances policy applicable to community setting.
Person Specification
1) Specialist Knowledge and Experience
Essential
Live Registered Nurse
Experience and broad knowledge of general nursing care
Knowledge of national and local health initiatives
Keyboard basic IT functions
Must be in possession of a full UK driving licence, be over 21 and have held a full licence for 12 months
Desirable
Experience and knowledge of specialist palliative care
Specialist palliative care qualification
A relevant degree or equivalent experience
Teaching and mentorship qualification
Experience of nursing patients within the community setting
2) Skills and Behaviours
Planning and organising: Organises own time effectively and creates own work schedules. Prioritises and prepares in advance. Sets realistic time-scales.
Interpersonal sensitivity: Sensitive handling of difficult information and situations. Respects and works well with others. Demonstrates active listening.
Communication: Speaks clearly, fluently and in an engaging manner to both individuals and groups. Writes in a clear and concise manner, using appropriate style and language for the reader.
Personal motivation: Shows enthusiasm and commits to work hard.
Problem solving: Analyses issues and breaks them down into their component parts. Makes systematic and rational judgements based on relevant information.
Flexibility: Successfully adapts to changing demands and conditions.
Resilience: Challenges culture, practice or attitude. Maintains effective work behaviour in the face of set-backs or pressure. Remains calm, stable and in control of themselves.
3) Special Conditions
This post is conditional to an enhanced Disclosure and Barring Service (DBS) Check.
Requirement to work shifts including rotation/unsocial hours, weekends and Bank holidays
Unsocial hours payments:
Saturdays Payment at basic salary + 33.33%
Sundays Payment at basic salary + 66.66%
Bank Holidays Payment at basic salary + 66.66%
Nights Payment at basic salary + 33.33%
Requirement to work flexibly in order to cover shifts according to the needs of the service.
Able to meet the moving and handling requirements of the job with any aids or adaptions that may be required
Our Values
What matters to you is whats important to us
To ensure we deliver upon this every day, we empower people to work collaboratively to reach thebest possible decisions, realise them in thebest possible wayand at thebest possible time.
We value:
Knowledge, judgment, and kindness in reaching thebest possible decisions
Courage, integrity, and passion in realising those decisions in thebest possible way
Honesty, empathy, and determination in doing so at thebest possible time.
Living our values influencesthe way we behave. The way we behave informsthe way we do things. The way we do things isthe St Michaels way.
Equal Opportunities Statement
At St Michaels Hospice we are committed to an equal opportunities approach in everything we do. This means that we seek to ensure anyone connected with St Michaels, from patients and families through to donors, supporters, volunteers and staff are treated fairly, appropriately and with dignity and respect.
Person Specification
Experience Essential
Experience and broad knowledge of general nursing care
Desirable
Experience and knowledge of specialist palliative care Experience of nursing patients within the community setting
Qualifications Essential
Must be in possession of a full UK driving licence, be over 21 and have held a full licence for 12 months Valid NMC pin
Desirable
Specialist palliative care qualification A relevant degree or equivalent experience Teaching and mentorship qualification
Disclosure and Barring Service Check This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).
Employer details Employer name St Michael’s Hospice
Address St Michael's Hospice
Hereford
HR1 4HA
United Kingdom
Employer's website https://www.st-michaels-hospice.org.uk/ (Opens in a new tab)