Senior Registered Nurse (Community)

at  Demelza Hospice Care for Children

Assess, plan, evaluate and deliver high quality nursing care to meet the diverse and individual needs of children/young people and their families within competency level. To include: Assessments and Care Plans Symptom Management End of Life Care Safeguarding concerns Liaising with tertiary centres and appropriate external professionals. To work with and support other team members to ensure that plans of care are carried out to the agreed standard. Take the lead in case load management with allocated children/young people and families when this model of care is in place.
To identify, report and act on significant changes in a child/young persons condition or well-being, outside area of competence. To be responsible and take the lead with delegated specialism and actively share knowledge and skills. To deliver prescribed care, assessing and evaluating child/young persons presentations, observations and contribute to clinical reassessment. To include End of Life Care.
Lead referral assessment with other team members to accurately identify needs and promote the range of hospice services. To establish professional relationships with children, young people, families and colleagues through effective communication skills. To include: Managing difficult conversations Complex situations Dealing with conflict To record accurately and contemporaneously, as per Nursing Midwifery Council standards and current legislation. To lead on and deliver post death care of the body and support the wider family.
To support children or young peoples best interests during external multi-disciplinary meetings. To include: Symptom Management End of Life Care Safeguarding concerns To promote working relationships across Demelza sites. To work flexibly and manage own diary (when appropriate) to meet the needs of the service. Take responsibility to seek and participate in regular supervision to enhance learning and practice as per procedure.
Participate in an on-call system with the nursing team on a regular basis. Leadership To lead in the delivery of direct care to a child/young person receiving short break support, ensuring good use of charity resources and facilities available. Undertake the role of Shift Co-ordinator. To ensure appropriate delegation of tasks; maintaining your own accountability.
To lead a multi-disciplinary meeting with external professionals. To include organisational developments. To share good practices identified with the wider team in order to improve standards of care. To respect colleagues and learn from the teams wider range of skills and expertise, offering development opportunities.
To assume Preceptor duties for newly qualified Band 5 Equivalent Registered Nurses and assist other team members to provide support in all aspects of clinical care, and be a positive role model of professional conduct. Understand and actively promote how the organisation is funded, making a positive contribution to appropriate marketing of care activities. To raise awareness of our work and support raising of funds. To carry out line management duties and annual performance appraisal of Health Care Assistants and Band 5 Equivalent Registered Nurses.
To undertake the recruitment process for Band 3, 4 and 5 Equivalent positions. To promote working relationships across all sites and departments. To deputise in the absence of the Team Leader or Care Services Lead. Governance To welcome and respect diversity and contribute positively to anti-discriminatory practice, actively promoting equality and diversity.
Ensure a consistent approach to all aspects of care delivery by following protocols and prescribed care, recommending changes to advance practice. Report all incidents/accidents and near misses in line with reporting procedures to facilitate opportunities to advance practice. To take responsibility for being a handler of the incident review process. Actively contribute to employee consultation around policy and procedure development and highlight any areas of concern or suggestions for improvement.
Take the lead and participate in audit process Assess and support sign off/skills audits for competences of Band 3, 4, and 5 equivalent staff as defined by the Educational Matrix and Clinical procedure and competency policy. Facilitate learning opportunities. To undertake and evaluate clinical audit and benchmarking activities, recommending changes to improve policies, procedures and advance practice, under the direction of the Clinical Governance and Quality Team. To train and undertake the role of a Clinical Supervisor.
Education Undertake and maintain qualified Mentor status in accordance with local Higher Education Institution guidance. Mentor student/trainee nurses. Successfully complete and maintain a university approved mentorship course. Proactively seek and take responsibility for continuing professional development, routinely undertaking clinical supervision according to policy guidance.
Proactively seek opportunities to deliver micro training sessions to share skills and expertise and learn from those of the wider team. Participate in clinical supervision and appraisals with senior care team member. To successfully complete Band 6 equivalent competences as defined within the Educational Matrix To use appraisal constructively for personal and professional development

Please refer the Job description for details