Swydd-ddisgrifiad a phrif gyfrifoldebau manwl

Duties and Responsibilities

• Provide high quality care and support, acting as a key worker to TYA patients diagnosed with cancer and treated at the TYA Principal Treatment Centre.
• Provide emotional, psychosocial and clinical support (as appropriate) from the point of diagnosis, during and after treatment, fulfilling the role of Key Worker, using knowledge and skills as appropriate to one’s professional accountability, for example counselling skills. Ensure that the support to TYA’s and their carers respects their diverse cultural and ethnic backgrounds
• Advise patients/carers regarding any aspect of treatment plan, side effects, symptom control, discharge planning and palliative care.
• Ensure there is clear communication between the hospital and all necessary community teams, leading to a seamless support package that provides TYA’s and their families with the individual and appropriate support whether they are in hospital or at home.
• Liaise closely with Primary Care Services to ensure patients receive a high standard of clinical nursing care and provision of resources in the community according to the patient’s individual need
• Ensure newly diagnosed patients are followed up in the Community setting to ensure provision of information is of a high standard and psychosocial support is adequate from the time of diagnosis
• Where appropriate ensure new patients are assigned a Social Worker and liaise closely with all members of MDT throughout the patient’s cancer trajectory, taking an active role in contributing to multi- disciplinary meetings and engaging with other members of MDT in the best interests of the TYA patient.
• Ensure that appropriate patients receive the highest standard of palliative care and provide support and advice to community care professionals as necessary and appropriate to ensure where possible a seamless service between hospital, hospice and home
• Adhere to Trust Policies and Procedures, for example lone worker policy, safeguarding policy, and where appropriate escalate worries and concerns to line manager(s).
• Provide all adolescents/ young adults with cancer opportunity to receive home visits as individual need required
• Liaise closely with schools/colleges/universities/ employers as appropriate, acting as a resource in TYA cancer care and providing a supportive role as required
• Ensure appropriate families are signposted to and have access to information about bereavement support services that are available and take a proactive role in offering ongoing bereavement support as appropriate.
• In the role of TYA key worker be present, when possible, in outpatient clinics based in the Palatine Treatment Centre and across the Principal Treatment Centre, supporting TYA patients and their families, as well as providing expert TYA cancer care advice to clinical teams, particularly at key points along the patient treatment pathway.
• Ensure that patients are being offered an holistic needs assessment at the beginning and end of their treatment, and at other key moments through their treatment, and disseminate the outcomes to colleagues as appropriate.
• Support TYA cancer patients to attend the Way Forward programme, or other similar Health and Wellbeing Event
• If appropriate use non-medical prescribing qualification to support one’s own practice in helping to deliver the most seamless support to TYA cancer patients
• Have good awareness of and practice in accordance with the safeguarding policies that exist within the Principal Treatment Centre. Provide guidance and expertise to colleagues with regards to safeguarding policies and practice, supporting the work of the Trust’s Lead for Safeguarding and attending the Trust’s Safeguarding Committee meetings.
• Signpost to appropriate charities and organisations, that sit outside of the Principal Treatment Centre, that can help to ensure that TYA cancer patients have access to the most comprehensive support possible.
• To act as a key worker to Teenage and Young Adult patients. To accept referrals and assess individual need, implement clinical practice and evaluate its effectiveness, referring appropriately to services in the acute and community setting. 
• Ensure regular attendance at both the Psychosocial and TYA MDT’s.
• Provide supportive care for all children and their families during treatment within the Christie Hospital.

Strategic

• Strategic planning, education, research and audit are key components of this role
• Contribute to the collection of quantitive and qualitative data, utilizing this data by providing written reports when required which provide evidence of productivity, outcomes and quality.
• Actively integrate research, theory and practice by undertaking surveys or audits as necessary.
• Participate in the development of trust policy and clinical guidelines within haematology.
• Actively participates in multi- professional meetings, acting as the patient advocate and representing nursing views.
• Demonstrates the agreed set of values and accountable for own attitude and behaviour. 

Management Responsibilities

• Line management responsibilities of TYA CNS team
• Provide a supportive working environment and maintenance of staff morale, promoting a culture in which members of the team feel valued and able to achieve their potential.
• Actively participate in clinical risk assessments and ensure correct reporting of clinical incidents in accordance with hospital policy.
• Supports a culture that facilitates patient centred care and patient empowerment
• Support the development and promotion of the specialist nursing service ensuring the delivery of high quality, cost effective care.
• Engage patient and public involvement within the sphere of practice.
• Contribute to wider issues in the Trust such as committee membership and policy development
• Participate in nursing and clinical developments within the Trust
• Provide written evidence of service development and performance.
• Maintain accurate clinical records relating to nursing.
• Participate in TYA advisory boards and relevant working group

Professional Responsibilities

• Participate in a structured orientation programme in order to achieve full competency within the role
• Work within professional codes and policies laid down both nationally and by the Trust
• Participate in clinical supervision as a supervisor and where appropriate a supervisee
• Provide leadership for regional nursing forum in the TYA arena

Training & Education

• Identify and initiate service development projects within the TYA service, allowing nursing practice and expertise to be maximised in the pursuit of optimal clinical care and experience for TYA patients coming through the service.
• Ensure that service development projects, on which one has led or participated, are appropriately evaluated and written up.
• As part of the TYA nurse team work collectively to provide attendance at appropriate Trust, local and regional meetings.
• Contribute to the writing of protocols relevant to this specialty.
• Be aware of change at national and local level and participate in ensuring the service meets best practice measures through a range of methods including attendance at appropriate study days
• Initiate and develop educational programmes at the Principal Treatment Centre and within the community that promote a wider understanding in the care of TYA’s with cancer and the unique needs of this age group
• Identify training needs of non-specialist Christie and Network colleagues and help to develop educational programmes or working alongside existing teams, ensure care can be delivered safely and competently at home eg.  Management of central lines.
• Participate in the theoretical and practical teaching of pre/post registration students as required
• Offer guidance and teaching to Ward based staff on a regular basis through formal presentations
• Attend and participate in the TYA nurse team meetings
• Lead on projects that support the nursing contribution to service development, helping to ensure the pursuit of excellence in care.
• Contribute to the identification of team objectives through TYA nurse meetings and the practice development group,
• As necessary and appropriate support the work of colleagues or the Christie Hospital in the development and formulation of standards of care associated with the care of TYA patients.
• Take responsibility for life-long learning through clinical supervision and performance development review meetings, the maintaining of a professional portfolio, identifying one’s own educational needs, for example participation in TYA courses.
• As part of the TYA Specialist Nurse team work collectively to provide attendance at The Christie Clinical Nurse Specialist meetings.
• Participate in and promote where necessary and appropriate involvement in user involvement activities such as Young Voices Network meetings.
• Identify opportunities to be involved in national groups and projects associated with the TYA oncology speciality