Hospice North Shore
Position Description
Reports To: Community Palliative Care (CPC) Team Leader
Full Time Equivalent: 067 - 0.9 FTE (to be agreed)
Location: Based at 7 Shea Terrace, Takapuna, Auckland 0622
Primary Objective:
· Ensure the provision of expert and compassionate nursing care to patients, families/whanau who access the Hospice North Shore CPC services
· As part of an interdisciplinary team, co-ordinate care delivered, offer advice, support and education regarding palliative care to other health care providers
· Work from an interdisciplinary and holistic approach to care
· Participate in quality initiatives within Hospice North Shore
· Support a strong and positive image of Hospice North Shore within the community and with key internal and external stakeholders
· Work in a way which reflects Hospice North Shore’s vision and values
Our Vision:
Our Values:
KEY ACCOUNTABILITIES
1. Develop An Outstanding Organisational Culture and Workforce
Expected Results
Organisational Values
a) Role models behaviours linked to Hospice North Shore’s organisational values
b) Champions Hospice North Shore in the wider community, maintains a professional appearance and image
c) Links values to service development
d) Recognises the role of the Treaty of Waitangi in the context of hospice and palliative care
e) Recognises diversity and the need for care that supports each person’s/families unique hopes and needs
Professional Development/Training
a) Identifies individual educational and professional development needs and works with Clinical Nurse Specialist (CNS) and Team Leader to meet those needs
b) Supports the development of PDRP and nursing, education and quality career pathways
c) Ensures on-going personal development through completion and implementation of a personal annual performance and development plan
d) Generates and uses appropriate learning opportunities and apply own learning to the future development of practice
e) Articulates and reflects palliative care skills, enabling others to learn
f) Implements and evaluates planned teaching programmes in Residential Aged Care Facilities and other environments as requested by CNS or Team Leader
g) Precept / Mentor new staff and clinical placements as required
h) Consistently draws on evidence based practice and literature, apply evidence to patient care
Communication
a) Communicates both verbally and in writing to patients whose first language may not be English in a manner that they understand, using interpreters appropriately
b) Breaks bad news in steps appropriate to the understanding of the individual and be able to support distress, referring to MDT as appropriate
c) Involves patients and carers in decision making, offering them informed choices, respecting their views and cultural beliefs
d) Pro-actively manages potential dissatisfied patients / relatives, anticipating potential problems
e) Is aware of current service issues, current activities and organisation wide information
f) Effectively leads and /or attends and actively participates in team meetings
g) Attends clinical supervision as required by CNS/Team Leader.
h) Builds effective relationships within HNS and the Wider Health sector
2. Improve Patient and Family/Whanau Experience and Safety
Expected Results
Quality and Risk Programme
a) Contributes to the development of policies and procedures
b) Contributes to development and completion of audits, patient satisfaction surveys and quality improvement initiatives as directed by Team Leader.
c) Team Leader and Clinical Manager are advised of any issue that could adversely affect the delivery of services, the safety of patients and staff or the reputation of the service
d) Maintains privacy and confidentiality of information in accordance with HNS policies and procedures and within the provisions of the Privacy Act
Clinical Care
Ensures that key work processes e.g. referral, admissions, care planning and discharge planning are carried out in a best practice manner and are regularly monitored, managed and continually improved
a)
Works with CNS and Team Leader to ensure that collaborative and coordinated care is provided
Ensure plans are in place to manage complex situations relating to anticipatory grief or bereavement care;
b) Undertake follow up bereavement visits as agreed with MDT
c) Records and analyses all assessments and clinical information in a succinct and logical manner, ensuring PalCare is accurate and up to date referring to other members of the MDT as appropriate. ;
d) Presents cases clearly, consistently and professionally to the team contributing effectively in patient management;
e) Independently assesses the patient’s needs. Identifies their goals and works with the patient and family towards achieving them
f) Demonstrates an in depth knowledge of the options for achieving control of symptoms and ability to discuss with other health care providers
g) Demonstrates an ability to explore the personal resources of families/carers in order to ensure patients are cared for in the place of their choice
h) Supports and coaches family carers at home in managing a relative whose condition is deteriorating
i) Demonstrates accountability for educating, directing, monitoring and evaluating nursing care that is provided by health care assistants, and others;
j) Demonstrates knowledge, sensitivity and respect for patients and families from different religious and cultural background and sexual orientation;
k) Demonstrates safe mobilization, transfer and movement of patients in the community and how and where to obtain appropriate equipment;
l) Manages and demonstrates the safe administration of medication following HNS Policies and Procedures, legislation and regulations, working closely with the Clinical Pharmacist, Medical Team at HNS and Primary Ccarer within scope of practice.
m) Recognises and manages palliative care emergencies
Recognises and manages palliative care ethical dilemmas e.g. withholding/withdrawing or hydration/feeding
n)
Participates in the on-call roster and 7 day working Grief, Loss and Bereavement
Ensure plans are in place to manage complex situations relating to anticipatory grief or
bereavement care;
Demonstrate skill in working with families facing loss;
Identify and manage risk factors for adverse outcomes of bereavement;
Liaise with external care giving agencies;
Effectively manage a single structured bereavement visit for all carers following a death; (possibly change slightly to our proposed model)
Support and educate community staff in the issues surrounding tissue/ organ donation;
o)
Exception Reporting and Critical Events
a) Ensures all incidents, accidents, hazards, near misses and service enquiries are immediately and appropriately reported, are supported in writing and are responded to via the Incident, Accident, Near Miss Reporting Process
b)
c) Ensures investigations into patient/care complaints are undertaken professionally in an appropriate and timely manner in line with Health and Disability standards
d) Ensures the identification of corrective actions required in relation to quality service issues, in conjunction with the CNS or Team Leader
e) Reviews all relevant critical events in conjunction with CNS or Team Leader
Health and Safety
a) Complies with and contributes to Health and Safety systems and Emergency procedures in place throughout organisation
b) Assesses risk and minimises threat to personal safety
c) Participates in HNS’ Health and Safety system, and provides support to CPC’s Health and Safety representatives
Innovation and Management of Change
a) Identifies and participates in organisational projects using HNS methodology
b) Attends and contributes to national and international conferences or symposia when possible
c) Maintains own professional networks ensuring that innovative practice and knowledge is shared as appropriate
d) Demonstrates ability to work and lead in a changing environment and proactively responds to new challenges and opportunities
3. Community and Collaboration – a whole system approach
Expected Results
a) Strong professional relationships are in place with key personnel internal and external to Hospice North Shore
b) Appropriately contributes to the development and implementation of the Waitemata DHB Model of Care Project and other service delivery projects
c) Works to develop and implement collaborative working to improve patient outcomes
d) Develops and maintains local and national networks
4. Wise Stewardship and Improved Sustainability
Expected Results
Strategic and Business Planning
a) Contributes to annual business planning process and encourages involvement of direct reports
b) KPI’s agreed with and included in annual performance plans
Financial
a) Actively participates with team to ensure that financial performance meets or exceeds budget annually
Contract and Service Management
a) Works with team to monitor services provided by the team as per WBHB contract and HNS Policy and Procedure
b) Contributes to ensure services meet the national agenda (Hospice New Zealand and MOH)
· Registered Nurse, New Zealand Nursing Council
· Current NZ Annual Practising Certificate
· Postgraduate Certificate/Diploma or working towards the specialism of palliative care or health sciences or similar and with appropriate nursing experience required to fit this post
· Commitment to achieving PDRP Level 3 or 4 within 6 months of employment
· Experience and credibility in Palliative Care/Oncology
· Excellent verbal, non-verbal and written communication skills
· Able to work with complex team structures in negotiation, counselling and maintenance of co-operative working relationships
· Demonstrated knowledge and skills in working with families facing loss
· Demonstrated ability to articulate evidence based nursing advice to a multidisciplinary team
· Ability to work autonomously whilst working as part of the MDT
· Plans work to meet agreed deadlines, seeks advice and includes other appropriately
· Demonstrated conceptual, analytical and strategic thinking skills
· Able to effectively articulate and support a rational nursing position and perspective when working with personnel/teams from other disciplines
· Able to work as part of 24-hour service which includes 7 day working and on-call
· Expected to work in all HNS clinical services as required or as part of rotation through services.
· Has a valid full NZ driving license / · PDRP Level 3, or working towards Level 4
· Experience in a palliative care setting
· Comprehensive understanding of process and quality improvement concepts and methodologies and evidence of successful application of these in the practice settings
· Master Degree in Palliative Care, Health Sciences or similar
Knowledge of
· Current issues for specialist palliative nursing in NZ and internationally
· Current issues for nursing and health in general
· Current government healthcare policies, codes, guidelines and legislation
· Current nursing professional standards and codes
· Local community, its key issues and customers
· Principles of the Treaty of Waitangi and biculturalism
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