JOB DESCRIPTION ONCALL COMMUNITY PALLIATIVE CARE NURSE Reporting to: Palliative Care Community Team Leader Employment Status: On call Date Prepared: 11 April 2014 POSITION PURPOSE To work under the delegation and direction of the Palliative Care Coordinators to cover leave. The on call community palliative care nurse will work closely with the Mary Potter community team and external health partners to ensure that the continuum of care for the person and family can be delivered across multiple sites using collaborative planning and implementation with a range of health care providers. Central to the delivery of specialist palliative care provided to patients and their families in the community is to ensure that care is coordinated in an appropriate and timely manner. Nursing care is delivered according to the Hospice’s philosophy, Code of Practice, Code of Rights and Responsibilities and the Code of Health and Disability Services Consumers’ Rights. RESPONSIBILITIES To provide support to Palliative Care Co-ordinators and care for people with a life limiting disease. This will incorporate multidisciplinary assessment and palliative care provision. Contribute to the assessment of the needs of the patient and family and an up-todate plan of care according to the Assessment and Planning of Care Policy with the multidisciplinary team. Facilitate the implementation and evaluation of the plan of care in collaboration with the Palliative Care Co-ordinator. Ensure referrals are made to the appropriate agencies and services. Ensure that all palliative care services delivered to the patient and family are planned and delivered in consultation with the patient and family and that goals are set to maximise and maintain patients/families optimal potential. Ensure informed consent and appropriate knowledge re: Enduring Power of Attorney, Advanced Directives and Wills is provided to the patient and family according to Mary Potter Hospice policy. Ensure understanding of and compliance with Health & Disability Code. Ensure that care is delivered with an understanding of the Treaty of Waitangi and that the principles of partnership, participation and cultural affirmation are embedded in care co-ordination practice. Ensure care is appropriate to the person’s needs and their culture. To ensure palliative care service provision by providing advice and support to other health professionals and to the patient and family, with the objective of maximising their quality of life. To liaise and keep informed the other health care providers e.g. General Practitioner, secondary specialists, oncology district nurses and district nurses according to the patient’s needs and appropriate for each person. Ensure shared care partnership principles are recognised when coordinating care for patients and families To provide palliative care advice and caring support for patients and carers during their experience of illness, pre-bereavement and into the bereavement phase. Ensures that the patient and family have access to information about their condition and treatment and care options, skills to be self-determining or assist in the care of the dying person. Contribute to family meeting(s) to develop an agreed care management or discharge plan, when complex or competing care issues/needs arise or anticipated. Identify barriers to accessing necessary services and initiate positive action. To be an integral and effective team member of the multidisciplinary team in Porirua, Kapiti and Wellington. Attend multidisciplinary team meetings and referral meetings, as required. To actively participate in discharge planning, as required To keep the multidisciplinary team informed of changes for patients and families being managed in the community. To work with the multidisciplinary team and to make appropriate recommendations for other palliative care service provision as part of the ongoing assessment of the patient’s needs. To undertake areas of responsibility delegated by Palliative Care Team Leader. To participate in review and in one’s own professional development. To undertake relevant for own professional development Develop own nursing practice, ensuring competency is maintained and advanced. To contribute to quality improvement issues and ensure the continual development of a quality palliative care service for Mary Potter Hospice Community services. To maintain relevant records and monthly statistics as determined by Mary Potter Hospice executive management. Implement required audits and actively participates in the review of policy and procedures. Abide by all relevant MPH policies 2 Health and Safety Practise within Mary Potter Hospice health and safety policies and procedures outlined in the Health and Safety Policy Manual. Report all identified hazards, incidents (including near-misses) and accidents to the Team Leader Contribute to ensuring that a safe working environment is maintained at all times Participate in mandatory health and safety training as required This job description does not intend to cover every detail that may be required within the role, and the expectation is that any other reasonable requests made by the Team Manager will be undertaken. FUNCTIONAL RELATIONSHIPS Internal Palliative Care Coordinators Patients and their families and whanau/significant people Multidisciplinary team from Mary Potter Hospice localities Volunteers External Community Health Services Primary Healthcare Services Secondary / Tertiary Healthcare Services Other Mary Potter Hospice stakeholders as necessary EDUCATIONAL REQUIREMENTS Be a Registered General and Obstetric Nurse or Registered Comprehensive Nurse PERSON SPECIFICATION The following requirements are sought for this position: Have demonstrated experience in Palliative Care Have community health experience A minimum of three years full time equivalent post registration clinical experience in palliative care nursing, generalist palliative care nursing, primary care, or care of the elderly. Have a commitment to own educational development Demonstrate an ability to communicate clearly and effectively both verbally and in writing Have an ability to work independently and show initiative with accountability for actions, to think laterally and problem solve 3 Demonstrate a commitment to the understanding of the hospice philosophy and have an understanding of the Treaty of Waitangi and openness to wider cultural diversity Have a strong commitment to interdisciplinary team work, influencing patient/family/whanau focused practice and goal attainment Have a current driver’s licence In order to meet the changing needs of Mary Potter Hospice, this job description may require change from time to time. Signed: ............................................................ Date: ............................... (Job Holder) Signed: ............................................................ Date: ............................... (Director) 4 Job Description Appendix About Mary Potter Hospice For over 30 years, Mary Potter Hospice has provided the highest quality specialist palliative care to people living with terminal illnesses and supported their families. Care is focused on the Hospice’s philosophy of helping people to make the most of life. At Mary Potter Hospice our vision is to ensure that people in our community who need palliative care have access to it when and where they need it. Our care is free. We support the right of people to die as they live. We will work with them to minimise their suffering. The values which form and inform our practice are respect, compassion, dignity, hospitality and stewardship. They link us to the founding values of the venerable Mary Potter, for whom the Hospice is named. In 2012/13, it cost over $9.5 million a year to run the Hospice. Sixty per cent is currently funded by Government. The Hospice has to fundraise to find the additional 4 million dollars to be able to deliver the services. Mary Potter Hospice is proud to be regarded as one of Wellington's most loved and trusted charities. As At 2014 5