Job Title:            Registered Nurse - Day-care Unit

               
Work Base:            St Luke’s Kenton Grange Hospice

Hours of Work:        37.5 hrs per week

Responsible to:        Senior Sister – Daycare
And Senior Nurse Manager

Accountable to:        Director of Patient Services

Job Purpose:

This post has been created to work three days a week as part of the Daycare nursing team.  The fourth day will be devoted to nursing audit, working with the Senior Nursing team across both the In-patient Unit and the Daycare Unit.

The Registered Nurse is accountable and responsible for delivering a holistic approach to patient centred care, which is of an excellent standard and meets the needs of individual patients. 

The post-holder will perform his/her duties according to the philosophy of the Hospice, acting at all times to safeguard the interests of individual patients and their families/carers.

High priority will be given to:

-    the provision of an exceptional level of care to patients
-    the effective use of resources
-    high standards of safety and hygiene
-    excellent working relationships
-    the continuing training and development of staff

The post-holder will be accountable for his/her professional practice according to the NMC Code of Conduct.





Clinical:

·    To provide a relaxed and caring atmosphere in the Daycare Unit for participants and families allowing adequate time for discussion of problems, practical, spiritual or emotional.  To provide a varied programme of activities both on an individual/group basis. 

·    To participate in the assessment of new referrals and the regular monitoring and review of patients.  Provide a nursing assessment of patients on a regular basis, ensuring symptoms are managed, liaising with the medical team re: changes in treatment.

·    Provide support for  Daycare volunteers and Complementary Therapy volunteers who work within the Daycare unit. 
 
·    Stay abreast of professional and clinical developments so that any implications and/or opportunities for St Luke’s Kenton Grange are identified.

·    Contribute to hospice policies and procedures and assist in carrying out regular reviews and audit of it.

·    Liaise with external agencies (hospital and community teams), which may contribute to improving patient care.

·    Contribute to a climate where team members openly discuss and challenge the standards of individual practice, and where decision-making can be ratified as a team.

Audit:

·    To contribute to  regular audits  in the following areas:
-    documentation
-    pressure area management
-    MRSA and infection rates

·    In conjunction with the Senior Sister, ensure that practice is changed/developed as required as an outcome of audit results.

·    Look at other areas of clinical practice where audit may help to identify areas that require development.  In doing this, ensuring that evidence based practice is paramount in our decision-making.

·    Ensure all audit work is thoroughly prepared and available for annual National Care Standards Commission inspection.

·    To assist in seeking the views of patients, visitors and staff as to the nature of services provided and to constantly seek methods to improve on them.  Utilisation of current Help the Hospices questionnaire results to improve services. 

Managerial:

·    To develop and maintain effective relationships with all members of the multidisciplinary team to ensure collaborative working for the benefit of patient care.

·    Assist in the operational management of nursing, acknowledging and valuing equal contribution to patient care and to hospice life generally.

·    To ensure effective communication is maintained within the team, through formal and informal routes.

·    To accept responsibility for specific administrative tasks as delegated by the Senior Nursing team.

·    To assist in promoting a healthy and safe working environment by ensuring compliance with all legislation and appropriate regulations.  This includes establishing and maintaining systems for the conducting of Health and Safety Audits, the completion of risk and COSHH assessments and for the updating and communication of all relevant policies.

·    To record and monitor all accidents, untoward incidents etc. and report to the Senior Sister and/or Senior Nurse Manager.

Education:

·    To contribute to staff induction programmes.  This will cover the immediate training of e.g. fire, security, equipment use etc, and then a planned clinical education programme, which will contribute to a knowledgeable team of nurses, HCAs and volunteers.

·    To contribute to an education programme that consists of a broad programme from up-dating clinical sessions, NVQs, to conferences, ENB and Diploma programmes.

·    To take responsibility for own professional and clinical growth, whilst seeking to broaden one’s own knowledge base and skills, whilst maintaining a record of professional development.

·    To contribute to the development of St. Luke’s Hospice as a clinical practice area.  To act as a mentor and assessor for standards of healthcare.  This will include NVQs, pre-nursing courses, Diploma and Degree pre and post registration students, Return to Nursing and other professional students.

·    The post-holder must be prepared to attend training sessions at the request of the Director of Patient Services.  E.g.:  Food Handling Certificate, Moving & Handling, Health & Safety, Fire Precautions, First Aid and any other courses for the development of the service and the individual and for the protection of staff.



OTHER:

The post-holder must at all times carry out his/her responsibilities with due regard to St. Luke’s equal opportunities policy.

Whilst the post is primarily day-care based, all nursing posts within the hospice are contractually obliged to work across departments when the need arises.  There may be a need to contribute to the 24 hour nursing provision; this would be on a negotiated basis.

This job description will be reviewed regularly. The post holder will contribute to the development of this post, in conjunction with their line manager.


KJS – Reviewed Aug 2007