Jersey Hospice Care is an independent charity which provides palliative care services within the community and through the day care and In-Patient Unit (IPU) facilities at Clarkson House. All services benefit from a well-resourced multi-professional team with skills and expertise in palliative and end of life care. These services are provided at no cost to the patient or their family.
The post-holder will demonstrate and work at advanced practice level applying their extended knowledge and skills to identify, assess, diagnose, treat and manage patients with specialist palliative care needs. They will exercise complex levels of judgment, discretion and decision making in clinical care. The post holder will monitor and improve standards of care through goal setting, use of advanced care planning and other best practice tools and measurable outcomes. They will make appropriate use of the latest evidence to supervise practice, audit clinical care, teach and support professional colleagues and provide skilled professional leadership.
The post holder will bring a proactive influence to multidisciplinary team meetings and be expected to champion innovative practice within the field of hospice and end of life care. They will work closely with the Director of Palliative Care Services and the Consultant in Palliative Medicine to develop the advanced practice role.
Working as an independent practitioner the post holder is accountable and responsible for their own actions or omissions in line with the Nursing and Midwifery Councils Code and latest guidance on advanced nursing practice
Jersey Hospice Care (JHC) delivers a service island wide and there may be occasions where you are required to work across all health boundaries.
Although this is a comprehensive job description, it is not exhaustive; you may be required to undertake other duties assigned by your manager.
- Operate in line with the JHC values and principles
- Practices within the NMC Code and adheres to all relevant professional, legal and regulatory guidelines.
- Develops role within the Scope of Professional Practice and guidance on advanced practice.
- Assumes responsibility for own professional development and update and maintain own clinical skills as required for the role.
- Promotes and foster high standards of education and evidence based practice for all staff involved in patient care.
- Works collaboratively to develop an integrated approach to palliative care education, developing educational programmes that will help to meet the needs identified within the national End of Life Care Strategy and local implementation plans.
- Works within the boundaries of the role function as it continues to develops at Jersey Hospice Care, and as agreed by the Director of Palliative care Services in conjunction with Consultant in Palliative Medicine and Senior Nurse Managers.
- Acts as a role model professionally and behaviourally.
Key Tasks and Responsibilities
- Carry out a high standard of clinical assessment, determining and providing plans of treatment / interventions, advice or support as appropriate and in line with the philosophy and principles of palliative care.
- Manages a caseload of patients within the specialist palliative care setting wherever clinical needs require.
- Maintains clinical records in line with JHC and NMC guidance.
- Uses advanced clinical judgment to plan, implement and evaluate care for patients with complex palliative needs in a variety of settings according to patient need.
- Anticipates problems and risks and takes action before crises arise.
- Qualifies and registers as a Non-Medical Prescriber in keeping with NMC guidance. Also fulfils the requirements of being a Registered Prescribing Practitioner in Jersey demonstrating up to date clinical competence in the field of specialist palliative care in order to be able to prescribe safely in accordance with local polices, national standards and formularies relating to independent prescribing.
- Utilises advanced knowledge of medicines management in conjunction with the medical team and the Specialist Palliative Care Pharmacist in order to prescribe and recommend appropriate treatment within the scope of practice and competency level.
- Participates fully as part of the 24/7 specialist team on call rota as 1st on call (i.e. weekday nights, weekends and bank holidays) and advises and supports the Hospice @ Home night response nurse with decision making to ensure effective co-ordination of care and appropriate and timely responses for patients at all times.
- Provides a source of expertise to all health care practitioners, including undertaking joint assessments as required. • Identifies clinical issues and incidents within the specialty that may affect the quality of palliative care services. Works with the ward manager and consultant to ensure the delivery of a safe effective service. • Reports to and takes day to day direction from the Consultant in Palliative Medicine and ensures he/she is kept fully briefed of all palliative care patient activity.
- Ensures Senior Nurse Managers and nursing and therapy colleagues are aware of clinical activity ensuring the role links appropriately with all other nursing and therapy interventions in the best interests of patients.