Community Palliative Care Nurse

at  Powys Teaching Health Board

DUTIES & RESPONSIBILITIESLeadership and ManagementAdhere to the NMC Professional Standards of Practice and Behaviour for Nurses and Midwives, ensuring that issues of concern are escalated appropriately. Act at all times as a role model, presenting a professional approach andensuring the standards for professionalism are set and displayed within theteam. To provide professional advice to nurses within the team. Responsible and accountable for a delegated identified case load, under the supervision of the Clinical Nurse Specialist, proactively promoting a person centred approach, working with the patient / carer and the MDT team to reduce unplanned hospital admissions and co-ordinate care across all settings of the care pathway.
Promote and ensure through ongoing review that all patients are treated in line with the principle of dignity and respect and that this is embedded within the team. Develop and maintain effective communication networks with otherprofessionals. Responsible for the accurate recording, timely collection, completion andsubmission of relevant information. Provide specialist expert clinical leadership in the field of palliative care toinspire colleagues to improve standards and practice e.g.
Palliative care MDTs and case conferences. Attend and participate in team meetings. Working with other Clinical Nurse Specialists and MDTs to ensure that allpatients who have specialist palliative care needs are supported appropriately. Quality, Safety and EffectivenessEnsure that lines of communication are maintained with key workingrelationships to demonstrate politeness, courtesy, compassion and sensitivity, promoting a positive image of the Health Board.
Provide evidence-based information, knowledge, support and training onpalliative care treatment options and outcomes. Supporting patients in order that they can make informed choices. Apply the principles of Being Open in communicating with patients families and appropriate others in all aspects relating to concerns. Provide professional support and specialist clinical knowledge on palliative care to members of the community resource teams and work jointly with staff as necessary to promote best practice.
Support relevant public health and community development initiatives. Undertake patient satisfaction surveys/patient stories at regular intervals. Consistently work with teams to ensure standards of patient care are high and maintain safety and quality of the patient experience. Support the effective transfer of patient care to and from your case load byensuring that appropriate assessment, communication and liaison thusfacilitating safe admission and discharge.
To work specifically with Carers to ensure an equal partner approach to ongoing care. Provide specialist assessment of patients, through clinics and home visitsundertaking a range of clinical measurements and assessments, interpret the results to inform treatment approach with support from the Clinical Nurse Specialist where required. Review the effectiveness of treatments through monitoring and interpretation of clinical indicators and make-adjustments to treatments, onward referrals and/or recommendations for changes to treatment or appropriate therapies as appropriate with support from the Clinical Nurse Specialist where required. Contribute to the service operational policy and work plan, contribute to the Powys end of life plan and report and contribute to the development of co ordinated clinical policies in all relevant areas with expert evidence-based advice and information.
Take a zero-tolerance approach to practice which does not meet the higheststandard working with staff/teams to consistently improve patient outcomes and experience. Develop clinically effective and therapeutic working relationships with patients and relatives/carers using negotiating and motivating skills to communicate complex, contentious and sensitive information. Through bereavement support and through the MDT identify where complex grief patterns are present facilitating referral to specialist bereavement support services. Take part in a rota providing specialist palliative care advice and support atweekends and bank holidays to other health professionals.
Nursing Workforce Development and Team WorkingTo consistently develop skills, knowledge and expertise to provide appropriate patient care in line with current service development. Maintain clinical and professional competencies of specialist knowledge byaccessing research, professional literature, attending educational events and liaising with other specialist professionals. Responsible for the accurate recording, timely collection, completion,submission of relevant information to support patient care, operationalmanagement, nursing staff and skill mix, service development and audit. Contribute to the delivery of specialist education and core training requirements to the Community Resource Team and other health and social care professionals within PTHB, with support from the Clinical Nurse Specialist.
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