Clinical Nurse Specialist

Management and Quality Independently assess the patient needs, identify their goals and work with the patient and family towards achieving them. To collect and report accurate information relating to patients caseload and dependencies. To make appropriate referrals to the multi-disciplinary team and work collaboratively with a wide range of community-based services. To actively seek and identify areas where changes to routines and practices will result in improvements. Observe legal requirements regarding the security and administration of drugs in accordance with the NMC Standards for Medicines Management (2007). Prioritise and distribute referrals equitably amongst the team members ensuring patients are seen according to need. Effective caseload management within the locality team; this will include reviewing patients for discharge at three months or sooner. Record contemporaneous and accurate patient records according to NMC guidance. Work within The NMC Code of professional conduct:
standards for conduct, performance and ethics. Contribute to the aims and objectives of improving health and wellbeing outcomes, including health promotion, widening access to services and reducing health inequalities by maintaining awareness of current trends and developments. Participate in the planning and undertaking of patient and carer satisfaction surveys contributing to action plans to address the identified outcomes. Actively participate in audit programmes and clinical governance initiatives for the organisation. Participate in, and where appropriate undertake, research as approved by St Margarets Research and Education Forum. Actively contribute to the implementations of hospice strategic and business objectives. Contribute to and participate in the review and development of policies, procedures and strategies in the interest of users, the team and the organisation.Practice & Leadership Record concisely, accurately and confidentially the appropriate elements of the history,
examination, results of investigations differential diagnosis and management plan within the electronic health records. Navigate different IT systems to ensure holistic care for patients and families ie EMIS, Rio, Sider, SMH electronic health records. Present cases clearly, consistently and professionally to the multi professional team contributing effectively in patient management. Provide clinical expertise, and specialist advice and support to assess and analyse highly complex situations, including patients with multiple comorbidities, complex psychological or social issues. Demonstrate an in depth knowledge of the options for achieving control of symptoms and ability to advise the primary healthcare team. Plan and manage own caseload and prioritise response to referrals and urgent requests for advice. Participate in primary care Gold Standards Framework meeting, Primary care network meetings with GPs and in Care Homes. Explore the personal resources of families and carers in order to
ensure patients are cared for in the place of their choice. Support carers at home in managing a relative whose condition is deteriorating. Recognise and manage palliative care emergencies. Demonstrate safe mobilisation and movement of patients in the community and how to obtain appropriate equipment. Initiative advance care planning discussions and documentation, visible on different IT systems.Communication Manage complex communication issues with patient and families as a lone worker in the community; using advanced level of knowledge, interpersonal and communication skills Anticipate potential problems, or barriers to communication, and take action to improve the communication skills and strategies of the team. To discuss sensitive and emotional information with patients and their families/carers Involve patients and carers in decision making, offering them informed choices and respecting their views. Work collaboratively with all relevant health and social care
professionals and agencies Gather and provide information using appropriate questioning, avoiding jargon using familiar language, at the patients own pace. Remain professionalism and facilitate appropriate boundaries within the nurse-patient relationship.Education and Training Maintain expert clinical knowledge and skills, using evidence based practice. Develop and provide relevant education programmes internally and externally. Continually provide informal education in the clinical setting to meet these needs and ensure continuing promotion of excellence in palliative care. Maintain own continuing professional development, including a reflective portfolio of evidence, as required by the NMC for revalidation. Participate in the induction, training and mentorship of new staff, and the teaching of all staff up to and including post-graduate level Provide support, assessment and mentorship of student nurses with St Margarets on pre-registration nursing programmes. Participate
in clinical supervision, significant event meetings within the hospice and within the locality setting. Provide learning opportunities for other health and social care workers via mentorship and supervision. This includes providing inter-professional support for staff of all disciplines and clinical placements. Undertake any necessary skills, training and mandatory training as appropriate to the post Maintain revalidation requirements according the NMC.