Band 3 Shca - Hospice at Home Bristol & South Glos

To provide holistic nursing care for patients with palliative care needs at the end of life, mostly this will be patients in the last weeks of life To provide emotional, physical and psychological support to patients and carers To work as part of the hospice at home team providing packages of care for patients requiring care and support in their own homes, this will involve a variable shift pattern including night shifts and will involve both lone working and working directly with another colleague To provide planned care for individual patients working without direct supervision with the support of and accountability to the Hospice at Home Registered nurses To role model the values of the hospice at al times and contribute to a positive team culture Internal Hospice at Home Team Leader and wider team St Peters Hospice Clinical Teams Director of Patient Care Head of Community Nursing Fundraising, Marketing and Communications Team Learning and Development Team Clinical Quality Improvement Team External Patients and their carers Community Nursing Teams and other Allied Health Care Professionals General Practitioners Other agencies providing care in the patients home Provide nursing care for patients at the end of life Have the ability to monitor the patients condition and record findings accurately and report the patients condition and progress accurately both verbally and in writing Recognise changes in patients' conditions and take the appropriate action Have the ability to identify potential problems in relation to patients' situation and communicate to the relevant health care professionals Effectively manage volatile or unpredictable situations and call for help and assistance as appropriate Cope with highly distressing situations including when a patient dies during a visit or shift Work collaboratively as a Hospice at Home team member and as part of the wider multidisciplinary team to provide effective care delivery Support patients and carers to manage loss and change Maintain a safe working environment for patients, carers and staff Work within the limits of own competence and responsibility and ask for help as necessary Competencies include but are not limited to: catheter care wound care troubleshooting syringe pumps safe handling of medicines verification of expected death (supported by another registered healthcare professional working remotely) Work to support their team and can be counted on when people ask for help or support Work according to St Peters Hospice policies, procedures and values Use hospice resources efficiently and effectively thinking of cost and environmental issues Prioritise own workload and manage own time to ensure priorities are met and quality is not compromised Be physically able to support the manual handling and care needs of patients in a home environment Communication (KSF 2) Will frequently be required to use sensitive communication, using the highest level of interpersonal and communication skills, e.g. When dealing with dying patients, deteriorating patients and for patients with anxiety, agitation and panic attacks and supporting carers who may be in a highly distressed state Able to demonstrate active listening skills and understand complex information about the patient to be able to effectively address patient's needs Ensure effective communication with the Hospice at Home team as well as with the wider multidisciplinary health care team. Both verbal and written communication skills are accurate, making relevant and up to date records on EMIS and document using visit and shift summary templates according to hospice guidelines Ability to communicate with patients whose first language is not English or patients who have communication or language problems Respect the need for confidentiality of patient's details both verbally and written Able to demonstrate the English language proficiency level required for this post Governance, Quality and Clinical Practice ( KSF1) Maintain quality in own work and encourage others to do so Monitor the quality of own work and alerts line manager to quality issues, reporting any errors or issues according to policy Discuss with line manager areas that would support the development and improvement of care delivery Adapt own work, takes on new tasks as agreed and asks for help if needed Attend and participate in team meetings and help evaluate the service when asked to do so Pass on any good ideas to improve services to line manager Alert line manager if new ways of working, polices or strategies are having a negative impact on the service and therefore on patients People and People Development (KSF 1- 2 ) Develop own skills and knowledge and provide information to others to help their development Identify when support needed in any areas of own work Prepare for and takes part in own appraisal process Identifie (with support if necessary) what development gaps currently exist and how they may be met Produce a personal development p