End of Life Facilitator - Clinical Nurse Specialist

Job overview

As a registered nurse and degree holder, you will have proven experience working in supportive/palliative care and/or oncology, demonstrated by relevant qualifications.

To undertake and evaluate the effectiveness of generic and specialist end of life and bereavement care interventions which are consistent with evidence based practice, whilst transferring and applying knowledge and skills to meet the patients’ needs.

You will also be a non-medical prescriber (or be willing to work towards this) which will enhance autonomous clinical decision making and practice and be part of our out of hours service.

This post is also to facilitate palliative, end of life care and bereavement support teaching within the Trust.

Main duties of the job

To undertake and evaluate the effectiveness of generic and specialist end of life and bereavement care interventions which are consistent with evidence based practice, whilst transferring and applying knowledge and skills to meet the patients’ needs.

To evaluate palliative care & end of life teaching currently being carried out by the supportive care team, and to assess if any areas of palliative & end of life care are not being addressed.

Independently deliver significant news to patients with complex psychological needs and support both patients and their carers. Demonstrate advanced communication skills when dealing with difficult or challenging situations.

Manage clinical caseload, prioritising patient need across in-patient and out-patient settings to enable rapid response to referrals for urgent advice.

To actively lead on service development, education, research and audit and provide mentorship to relevant staff.

To discuss and agree short, medium or long term goals for bereavement care, prioritize and develop plans with  the multi-professional team.

We will offer you an environment where you will be encouraged and supported in making a real difference to the delivery of patient care

Detailed job description and main responsibilities

DUTIES AND RESPONSIBILITIES

Clinical Responsibilities

• To undertake and demonstrate expert clinical knowledge and advanced skills for the management of patients with complex and intractable problems through direct clinical input.
• To provide clinical advice regarding end of life care to clinical staff, patients and their families/carers.

Discuss and agree with colleagues end of life and bereavement assessment and care delivery processes incorporating current practice, evidence base, future trends and developments in care, timeliness of interventions and their related risks.

To undertake and evaluate the effectiveness of generic and specialist end of life and bereavement care interventions which are consistent with evidence based practice, whilst transferring and applying knowledge and skills to meet the patients’ needs.

To monitor the effectiveness of the end of life and bereavement care programs and renegotiate/redesign where indicated to meet patient and carer needs.

To explain clearly to staff the benefits and risks of different end of life and bereavement care interventions, the alternative approaches available and the role of the multi-professional team.

To discuss and agree short, medium or long term goals for bereavement care, prioritise and develop plans with the multi-professional team.

To utilise specialist knowledge to enable colleagues to develop their competence in using different interventions in end of life and bereavement care.

• Independently assess, implement, and evaluate patients with complex and intractable problems using holistic needs assessment.

To refer to other specialists when needs and risks are beyond one’s own scope of practice.

To educate the multidisciplinary team in co-ordinating and participating in end of life & bereavement discussions, and recommending best course of action as necessary.

To practice as a non-medical prescriber.

• Independently deliver significant news to patients with complex psychological needs and support both patients and their carers.
• Demonstrate advanced communication skills when dealing with difficult or challenging situations.
• Manage clinical caseload, prioritising patient need across in-patient and out-patient settings to enable rapid response to referrals for urgent advice.
• Lead multi-disciplinary discussions on current caseload within the Trust to ensure continuity and co-ordination of optimum patient care.
• Establish and maintain effective communication with patients and patients and carers/relatives within the clinical setting using effective strategies to overcome barriers to communication.
• Utilise and respond to sensitive information appropriately.
• Work collaboratively with the multi professional team to ensure patient’s needs are met.
• Maintain accurate legible and timely written/verbal/electronic reports which inform other members of the team, patients and their carers/relatives.
• Act as a patient advocate in promoting and delivering the highest standard of nursing care.
• Participate in the provision of out-of-hours specialist palliative care advice and 7 day working as per rota and operational policy.
• Work collaboratively with other professionals and agencies across Greater Manchester to ensure patient needs are met, especially in relation to on-going supportive & palliative care needs and discharge arrangements.

To promote multi-disciplinary working across professional boundaries, to ensure seamless delivery of patient care and best practice.

• To be flexible to the changes within the Supportive Care Team and within the organisation.
• To maintain advanced communication skills.

Training & Education

• To evaluate palliative care & end of life teaching currently being carried out by the supportive care team, and to assess if any areas of palliative & end of life care are not being addressed.
• To audit current palliative and end of life care teaching, to help identify areas for improvement.

To support the matrons, ward managers and clinical educators to coordinate palliative & end of life education.

To promote the palliative care approach and facilitate the development of best practice and education within the Trust.

To promote research/evidence based practice, audit (e.g. NACEL) and benchmark clinical outcomes to inform and participate in setting clinical standards ensuring that legislation, policies and procedures are applied correctly within own service.

To contribute to the development of end of life care through participation in the identification and provision of training and development needs, providing on-going support and working with others to identify the effectiveness of service development against agreed criteria.

To participate in the education of pre and post registered nurses, medical staff, AHP’s, patients and carers and participate in curriculum development where appropriate.

Promote patient and public involvement to enhance service development.

To influence the development of the supportive care strategy at the Trust.

• Provide evidenced based education, information and training for a range of disciplines both internally and externally to the organisation.
• Disseminate best practice through presentation at regional, national and international palliative care/oncology conferences.
• Be aware of current research associated with supportive and palliative care practice and utilise same in ensuring evidence-based practice at local level.
• Maintain up to date, high standards of palliative care skills and knowledge and maintain awareness of professional/national issues.

Professional Responsibilities

• Maintain own professional status and ensure that the NMC requirements for registration are met and adhered to.
• Ensure all relevant nursing policies, procedures and guidelines are adhered to.
• Participate in team and directorate meetings as required

Maintain a safe environment for yourself and others, taking reasonable care to avoid injury. Co-operate with the Trust to meet statutory requirements. Provide statements regarding untoward incidents, as requested by the Senior Nurse Ensure all staff attend Trust mandatory training annually Maintain registration and nursing competencies, and comply with the NMC Code of Professional Conduct, and related documents. Contribute to clinical governance and research & development initiatives Support and contribute to the development of quality improvement strategies within the Supportive Care Team and contribute and effective use of physical and financial resources.

• Contribute to the writing of protocols relevant to specialist palliative, end of life and bereavement care.
• Promote patient and public involvement activities in the specialist area, leading to service improvement
• Promote people’s equality, diversity and rights to shape appropriate service provision that is equitable and accessible.

This job description is an outline of the key tasks and responsibilities of the role and is not intended as an exhaustive list.  The job will change over time to reflect the changing needs of the Trust and its services, as well as personal development needs of the post holder.