MAIN DUTIES AND RESPONSIBILITIES: To be professionally and legally accountable for all work undertaken. To work within the Standa.....
MAIN DUTIES AND RESPONSIBILITIES: To be professionally and legally accountable for all work undertaken. To work within the Standards for Better Health and guidelines of the Palliative Care Centre, the Trusts, and NMC Code of Conduct at all times. To ensure that the patient and their informal carers have an understanding of treatment protocols and give informed consent to examination and treatment interventions recommended. To undertake specialist-nursing assessment of clients with complex palliative care needs through subjective questioning, objective examination, and study of appropriate written material (e.g. clinical records) available. To prioritise factors involved in the patients and informal carers condition through advanced clinical reasoning based on knowledge of current professional opinion, patients prognosis and other physical, psychological, spiritual, ethical, social, and mental health records. To identify patients, their informal carers or children whom may be at risk and vulnerable. Promptly enact the process outlined in the policies for Care of Vulnerable Adults and Care of Vulnerable Children. To constantly monitor, evaluate and review clinical assessments and interventions within the multidisciplinary framework and to modify approach to clinical care as necessary. To act as an expert nurse in palliative care for patients and their families with complex palliative care needs. Monitoring, evaluating and reviewing palliative interventions, taking a key worker role as indicated. To independently receive and make referrals and manage a caseload of patients with complex palliative care needs. To independently assess referrals from a variety of sources where no other professional is currently involved. To establish priority, to determine needs, initiate and monitor treatment plans. To direct and support 1st and 2nd tier clinicians in this process. To work independently within a general Multi-Disciplinary Team to advise on a palliative approach to patients who may not be currently known to the Palliative Care Centre. Develop and conduct skilled nursing interventions with palliative care patients- assessing their palliative care needs and addressing issues such as quality of life, futility, prognosis and end of life decision making within an ethical framework. To be an expert assessor/advisor on pain and symptom management,psychological/spiritual/social/practical care and ethical decisions at the end of life and to work in partnership, collaborating with a range of professionals to improve their palliative skills. To independently assess bereavement needs for informal carers and give advice, support and make appropriate referrals independently to improve the bereavement outcome. To work autonomously in isolated community care settings that vary in relation to local socio economic and multi-cultural issues. To swiftly respond and lead resolution in challenging or crisis situations within palliative care, eg. difficult family situations, emergencies, and professional distress. To use comprehensive knowledge of other multidisciplinary roles and external agencies to ensure best referral management and achieve best patient care. To act as First Contact for palliative care emergencies out of hours across two community settings and UCLH group of Hospitals. To receive and manage new referrals out of hours with the support of the Consultant on call. To contribute to the development and implementation of uni-disciplinary and multidisciplinary clinical policies, guidelines, protocols and care pathway implementation. To participate in multi-disciplinary assessments and cross agency assessments as required. To ensure dignity for the patients and their families at all times. To ensure clinical records are recorded and maintained on the team database. To provide specialist contribution to health promotion and health education initiatives within the locality. To develop the palliative care skills of other professionals working locally. To undertake courses to extend the scope of nursing roles as specified in CNO 10 document i.e. independent and supplementary prescribing and to use these skills in practise once appropriate qualified. To ensure competence is maintained and new skills areundertaken according to Trust Guidance within a Governance Framework. To maintain a continuing Professional Development portfolio. To maintain up to date, evaluative client records in accordance with service policy and to contribute to maintaining the minimum data set. To ensure that clinical care that is undertaken is safe and to an acceptable quality, and that it is continuously improving. To contribute to new innovative approaches to nursing within palliative care and ensure this knowledge is shared widely within the profession to enhance patient experiences. To acts as mentor to junior colleagues.