PILGRIMS HOSPICES IN EAST KENT JOB DESCRIPTION Job Title: Associate Practitioner Department: Nursing Grade: Band 3 Responsible to: Family Services Manager Accountable to: Hospice Manager Terms: 33 days holiday per year including statutory bank holidays General Employing over 400 staff and supported by more than 1,500 volunteers, Pilgrims Hospices is one of the largest hospices in the UK. Pilgrims provides palliative care for adults with a range of illnesses that cannot be cured including cancer, heart failure, respiratory conditions and neurological diseases. Care is provided from the three sites in Canterbury, Ashford and Thanet, in patients' homes and via community programmes. Care is also extended to families and carers. Pilgrims well-resourced multidisciplinary team includes consultants, nurses, counsellors, social workers, complementary therapists and chaplains, with support from other dedicated therapy staff. To keep delivering care to those who need it most, Pilgrims has to raise in excess of £9 million each year. The majority of this comes from our local community. Pilgrims Hospices has its own lottery and a chain of shops in east Kent. In addition, Pilgrims has a central services team comprising Human Resources, Education, Accounts, IT, Supporter Services, Fundraising and Marketing. 1. Job Purpose To support and care for patients and their families in Pilgrims Day Hospice, who have advanced progressive disease and life threatening illnesses. Assisting registered nurses and therapists in the assessment of patients to develop a plan of care which meets the holistic needs of each individual patient, respecting them as individuals and maintaining privacy and dignity at all times. Working as part of the multidisciplinary team implements plans of care, setting goals, delivering programmes and monitoring and modifying care plans in order to help our patients and families to maintain optimum quality of life. 2. Job Dimensions The Associate Practitioner Nursing and supportive Therapies is an integral part of the palliative care team. The post holder will provide elements of planned care and packages of education to our patients and their carers. This role plays an essential part in our services providing a supportive and ongoing monitoring role for our community and ward patients. 3. Nature and scope of the role He/she will develop a supportive role supervised by the Family Services Manager as part of the services provided on behalf of Pilgrims Hospices in East Kent and play a part raising the profile of the Charity locally and nationally. It is expected that the post holder will be recognised as an essential part of the clinical team providing care and support in the hospice. 4. Principal accountabilities and responsibilities Clinical and professional Work with patients and their families predominantly in the day hospice, and outpatient setting to deliver aspects of a plan of palliative care. Deliver activity programmes for day hospice in partnership with volunteer staff and others. Continuously assess patients to modify care plans, tailoring to the changing needs of the patient and family to ensure care needs are met and making recommendations for future patient management to the Clinical Nurse Specialist and related health practitioners. To conduct small group activities, including simple physical therapies, relaxation techniques, diversional and rehabilitative therapies. To provide assistance with aspects of physical nursing care where needed including assisting with the changing of simple dressings and medication administration. To identify and provide within the level of competency, psychological support to patients and carers; referring onto multi disciplinary colleagues where required. To recognise and report any changes in the psychological and spiritual needs of patients. To develop a knowledge of local health and social care resources of benefit to patients and carers. To maintain clear and accurate contemporaneous notes within patient held notes in the home and via the electronic patient management system in place within the Hospice. To work as part of the multi-disciplinary team supporting the team and individual patient goals, demonstrating a flexible and adaptable approach. Support the appropriate use of public health and health promotion activities within the service. Alert healthcare professional in response to a crisis or problem arising with a patient or family. Review and discuss care plans with registered staff to ensure continual quality improvement for patients and carers. Demonstrate understanding and clinical skills when undertaking the assessment of patients and applying process’s in delivering care. To support the service by undertaking administrative duties including audit and participate in research which will ensure progressive service development for patients and carers. Applies a range of interpersonal skills in response to the different needs of patients, using listening skills and adapting communication to build a rapport with patients and families. Takes decisive and remedial action when faced with a complex and demanding situation to ensure safety of patients and families and communicates these actions with appropriate health professionals to ensure continued management of patients. Supports the team through data collection and participation in audit to develop ideas and practice. Maintains professional development, participating in education, mandatory training and works effectively to meet personal development plan objectives and knowledge and skills as set out within the competency framework. Contribute to providing an effective learning environment for students of all disciplines who are on placement at Pilgrims Hospices in East Kent. Understands and acts in accordance with Hospice, local and national policies, standards and guidelines including NICE guidance. Plans own work to make most effective use of time. 5. Measures of Success 1. Listens and maintains communication with colleagues, patients/clients and others. 2. Completes written documents to support patient care or work activities. 3. Provides response appropriately to complaints 6. Communications & Relationships External Community Nursing Teams Internal Practice Educator Clinical lecturer Fundraising Manager and fundraising team AHP Colleagues Ward Sister To communicate appropriately with all members of the multidisciplinary team, other colleagues, patients, relatives and visitors to the ward. Displaying a friendly and approachable manner at all times Uses verbal and listening skills to effectively and appropriately communicate with patients from diverse backgrounds including different cultures. As well as patients who exhibit challenging behaviour, sensory loss and other difficulties with communication To understand the physical and mental health needs of older people who have complex and multiple health issues To involve patients in all care and provide choices whenever possible to help patients maintain optimum independence and a sense of self control To ensure any queries raised by patients, families and visitors are responded to in a friendly and sensitive way and directed to the appropriate professional if you are unable to address the question or resolve the issue yourself, whilst maintaining patients confidentiality and privacy at all times Communicates effectively ensuring the relay to the appropriate professional any concerns or wishes expressed by the patient Use ways and tools that allows you to create the necessary time needed to understand the patients’ needs especially where barriers to communication exist. Such barriers may be sensory loss, cognitive loss, language barriers, challenging behaviour or combinations of all the above 7. General Statements Corporate Governance The postholder must, at all times, act honestly and openly and comply with relevant corporate governance requirements, employment legislation and standards of business conduct. Health and Safety Under the Health & Safety at Work Act (1974), it is the responsibility of the postholder at every level to take care of his/her own health and safety and that of others who may be affected by his/her acts at work. Code of Conduct The postholder is required to observe the following principles: Make the care and safety of patients his/her first concern and act to protect them from risk Respect the public, patients, relative, carers, staff and partners Be honest and act with integrity Accept responsibility for his/her own work and the performance of the people the postholder manages Show commitment to working as a team member by working effectively with team members and the wider community Take responsibility for own learning and development In all actions undertaken have regard for the hospice reputation Flexibility The postholder is expected to work flexibly to be able to meet the challenges and opportunities of working within Pilgrims Hospices in East Kent. Other Post holders are expected to be familiar with and comply with the policies and procedures published by Pilgrims Hospices in East Kent. This job description is a reflection of the current position and the postholder is expected to view it as a guide rather than an exact description of all duties and responsibilities. It may be subject to variation from time to time. The Job Description is not exhaustive. The Post holder will be required to undertake any other duties that may be required by the Line Manager, commensurate with the level of the post. JOB DESCRIPTION AGREEMENT – I have read this job description and understand their contents in relationship to my day-to-day duties. Jobholder’s name (Please print)……………………………………………………………… Jobholder’s signature:……………………………………………. Date…………………….. Revised December 2012. Person Specification Associate Practitioner Nursing and Supportive Therapies Essential Desirable Experience Recent experience working in a relevant health or social care environment Experience of working in Specialist Palliative Care Experience of leading a small group in activities Experience of working in a multidisciplinary team. Qualifications NVQ level 2 in diagnostic and therapeutic support or health and social care Willing to work towards NVQ level 3 health & social care and related courses in health and therapies. Skills, Knowledge & Abilities Communication skills and fluency in English Multi agency communications and Multi disciplinary communications Understanding of the principles and role of a community service. Understanding of the principles of palliative care Effective IT skills Motivational skills both for self and others Capable of working unsupervised, able to plan and prioritise work activities Personal attributes Empathy with Palliative Care setting Commitment to equal opportunities Ability to think laterally and support flexible working and problem solving Ability to liaise and work effectively with others Enthusiastic team player Personal Circumstances Ability to manage time, self and own workload Assessed By