An exciting opportunity has arisen to establish a clinical nurse specialist provision for children and young people diagnosed with Leukaemia.
The post is a 2-year fixed term contract and you will be supported by the clinical lead and lead nurse to develop the service. We are therefore looking for highly motivated, experienced individuals to act as keyworker for patients.
The post will be offered at band 7 or 6 dependant on experience and qualifications (non-medical prescriber)
Oxford Children’s Hospital is a tertiary centre for malignant conditions, treating children and young people up to the age of 18. This service covers the surrounding Thames Valley area in partnership with our POSCU’s.
- To act as a keyworker for children and young people with a leukaemia diagnosis across the Thames Valley Network.
- Support children and their families through the duration of treatment and transition into the late effects service where appropriate.
- Complete holistic needs assessments for all patients at diagnosis and liaise with the MDT to ensure all needs are met.
- Attend all appropriate MDT’s
- Liaise with POSCU leads to co-ordinate care in local centres, Oxford and BMT services
- Prescribe maintenance chemotherapy and provide dosing advice for patients in the Oxfordshire catchment area.
- As required support appropriate community provision (home visits, community chemotherapy provision etc) for patients in Oxfordshire catchment area
Oxford University Hospitals NHS Foundation Trust is one of the largest NHS teaching trusts in the country. It provides a wide range of general and specialist clinical services and is a base for medical education, training and research. The Trust comprises four hospitals - the John Radcliffe Hospital, Churchill Hospital and Nuffield Orthopaedic Centre in Headington and the Horton General Hospital in Banbury.
Our values, standards and behaviours define the quality of clinical care we offer and the professional relationships we make with our patients, colleagues and the wider community.
We call this Delivering Compassionate Excellence, and its focus is on our values of compassion, respect, learning, delivery, improvement and excellence.
These values put patients at the heart of what we do and underpin the quality healthcare we would like for ourselves or a member of our family. Watch how we set out to deliver compassionate excellence via the OUH YouTube channel .
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If you want to make a difference with us, come and join our team. Together, we will uphold the highest standards of care and professionalism.
Senior Specialist Nurse, in the Paediatric Haematology Oncology Service:
- Develop and provide comprehensive clinical care, specialist advice, and support to patients in the paediatric haematology/oncology service.
- Work as an experienced, autonomous, specialist practitioner alongside members of the multidisciplinary team in paediatric haematology/oncology service.
- Service specific skills, tasks or procedures required are acting as a keyworker for the child and families through the duration of the treatment. This includes liaison with family to discuss treatment protocols including complications of treatment. Signposting to other services and end of treatment support including transition into LTFU. The role also requires co-ordination of care with other professionals on Kamrans Daycare ward, shared care centres and BMT centres.
- Administer, assess and prescribe medications maintenance chemotherapy and oral chemo doing, within scope of practice for service – chemotherapy administration in hospital and community settings
- Develop and deliver a high-quality practitioner led clinic in paediatric haematology/oncology service. To include BMT follow up, and on treatment and post treatment nurse led clinics.
- Be flexible within the paediatric haematology/oncology service to ensure appropriate specialist cover .
Main Duties and Responsibilities
This job description outlines the core requirements expected of a Band 7 practitioner working in an autonomous enhanced practice role. The list below is not exhaustive, and specific requirements related to any specialist area of practice will be outlined with the prospective post holder, in line with professional or service specific training requirements and their professional scope of practice.
Clinical
The post holder will be supported to develop skills, practices and behaviours which…
- Practice in compliance with their respective code of professional conduct, being responsible and accountable for their decisions, actions, or omissions at this level of practice
- Work towards demonstrating a critical understanding of their broadened level of responsibility and autonomy, recognising the limits of their own competence and scope of practice, to include when working with complexity, risk or uncertainty
- Develops own professional judgment skills identifying when to escalate and seek help/guidance, critically reflecting on practice, self-awareness, emotional intelligence and their willingness to change or challenge thought processes.
- Learn to work in partnership with individuals, families and carers, using a range of assessment methods as appropriate (e.g. may include history-taking and physical assessments, holistic assessments, identifying risk factors, mental health assessments, requesting/undertaking and/or interpreting speciality-specific diagnostic tests or procedures, and conducting health needs assessments).
- Develops effective communication skills, supporting people in making decisions, planning care or seeking to make positive health changes, promoting person-centred approaches in health and care.
- Develops effective communication skills with colleagues both internally and/or externally, in verbal, non-verbal and written communication methods, adapting to changing parameters as required; this includes thorough accurate documentation in patient records as required.
- Provides and receives sensitive, complex or contentious information relating to patient care, and communicates information to patients, families or carers with respect, compassion and empathy.
- Begins to develop proficiency and clinical acumen in relation to decision-making skills, to inform clinical reasoning approaches when dealing with specialty-specific presentations; synthesising information from multiple sources to make appropriate, evidence-based judgements within own scope, knowing when to refer or escalate care.
- Works towards increasing knowledge and skills, in order to initiate, evaluate and modify a range of interventions, which may include the prescribing of medications, therapies, lifestyle advice and care.
- For registered professionals authorised to prescribe , in roles requiring therapeutic medications and treatments, and after approval from the Trust’s respective Non-Medical Prescribing Lead, the Practitioner will prescribe medications safely and effectively in line with their scope of practice and registration, utilising local or organisation guidelines, national guidelines, and adhering to the Royal Pharmaceutical Society (RPS) Prescribing Standards, and those of their professional regulatory body (e.g. NMC/HCPC).
- Develops professional judgement to manage risk appropriately with support and clinical supervision, especially where there may be complex and unpredictable events, promoting the safety and wellbeing of individuals, families and carers.
- Begins to act as a clinical role model/advocate for developing and delivering care that is responsive to changing requirements, informed by local service and local population health needs, external agencies and/or wider networks, acting as a key worker for own case-loads or service as required.
- Demonstrates evidence underpinning paediatric haematology/oncology speciality-specific knowledge and role capabilities and competencies, relevant to the clinical setting and own scope of practice, through the development of a professional portfolio, and in line with any relevant service specific curriculum/frameworks for training.
