Ensure the provision of quality patient care, whilst maximising efficiency in accordance with the Cancer Centre’s policies and procedures and demonstrate that he/she can perform their duties according to the 5 UPMC Core Values
Clinical Focus
The CNSp Radiation Oncology will have a strong patient focus whereby the speciality defines itself as nursing and subscribes to the overall purpose, functions and ethical standards of nursing/midwifery. The clinical practice role may be divided into direct and indirect care. Direct care comprises the assessment, planning, delivery and evaluation of care to the patient, family and/or carer. Indirect care relates to the activities that influence and support the provision of direct care.
Direct Care
The CNCp Radiation Oncology will:
- Provide a specialist nursing service for patients with a diagnosis of Cancer who require support and treatment through the continuum of care.
- Undertake comprehensive patient assessment to include physical, psychological, social and spiritual elements of care using best evidence-based practice in Cancer care
- Use the outcomes of patient assessment to develop and implement plans of care in conjunction with the multi-disciplinary team (MDT) and the patient, family and/or carer as appropriate
- Monitor and evaluate the patient’s response to treatment and amend the plan of care accordingly in conjunction with the MDT and patient, family and/or carer as appropriate
- Make alterations in the management of patient’s condition in collaboration with the MDT and the patient in line with agreed pathways and policies, procedures, protocols and guidelines
- Accept appropriate referrals from MDT colleagues
- Co-ordinate investigations, treatment therapies and patient follow-up
- Communicate with patients, family and/or carer as appropriate, to access patient’s needs and provide relevant support, information, education, advice and counselling as required or make referrals to relevant MDT colleagues for supplementary care where required
- Where appropriate work collaboratively with MDT colleagues across Primary and Secondary Care to provide a seamless service delivery to the patient, family and/or carer as appropriate
- Participate in medication reconciliation taking cognisance of poly pharmacy and support medical and pharmacy staff with medication reviews and medication management
- Identify and promote specific symptom management strategies as we as the identification of triggers which may cause exacerbation of symptoms. Provide patients with appropriate self-management strategies and escalation pathways
- Manage nurse-led clinics with MDT input
- Identify health promotion priorities for the patient, family and/or carer and support patient self-care in line with best evidence. This will include the provision of educational and health promotion material which is comprehensive, easy to understand and meets patient needs
Indirect Care
- Identify and agree appropriate referral pathways for patients with Cancer
- Participates in case review with MDT colleagues
- Use a case management approach to patients with complex needs in collaboration with MDT in both Primary and Secondary Care as appropriate
- Take a pro-active role in the formulation and provision of evidence-based policies, procedures and guidelines relating to Cancer care
- Take a lead role in ensuring the service for patients with Cancer is in line with best practice guidelines
- Communicate, negotiate and represent patient’s family and/or carer values and decisions in relation to their condition in collaboration with MDT colleagues in both Primary and secondary Care as appropriate
- Develop and support the concept of advocacy, particularly in relation to patient participation in decision making, thereby enabling informed choice of treatment options
- Respect and maintain the privacy, dignity and confidentiality of the patient, family and/or carer
- Establish, maintain and improve procedures for collaboration and cooperation between Acute Service, Primary Care and Voluntary Organisations as appropriate
- Maintain clinical competence in patient management within Cancer nursing, keeping up-to-date with relevant research to ensure the implementation of evidence-based practice
- Provide the patient, family and/or carer with appropriate information and other supportive interventions to increase their knowledge, skill and confidence in managing their Cancer condition
- Provide mentorship and preceptorship for UPMC colleagues as appropriate
- Participate in training programmes for nursing, MDT colleagues and key stakeholders as appropriate
- Be responsible for addressing own continuing professional development needs
Audit and Research
- Identify, initiate and conduct nursing and MDT audit and research projects relevant to the area of practice
- Identify, critically analyse, disseminate and integrate best evidence relating to Cancer care into practice
- Contribute to nursing research on all aspects of Cancer care
- Use the outcomes of audit to improve service provision
- Contribute to service planning and budgetary processes using audit data and specialist knowledge
- Monitor, access, utilise and disseminate current relevant research to advise and ensure the provision of informed evidence-based practice
Consultant
- Provide leadership in clinical practice and act as a resource and role model for Cancer practice
- Generate and contribute to the development of clinical standards and guidelines and support implementation
- Use specialist knowledge to support and enhance generalist nursing practice
- Develop collaborative working relationships with local Cancer CNSp/Registered Advance Nurse Practitioner/MDT colleagues as appropriate, developing person centred care pathways to promote the integrated of model of care delivery
- Attend integrated care planning meetings as required
- Where appropriate develop and maintain relationships with specialist services in voluntary organisations which support patients in the community
- Liaise with other health service providers in the development and the on-going delivery of care
- Network with other CNSp in Cancer Care and in related professional associations
Health and Safety and Quality
- To comply with the Cancer Centres policies and procedure in relation to Health and Safety
- Actively participate in all quality initiative
Standard Responsibilities
- Performs in accordance with system-wide competencies/behaviours
- Performs other duties as assigned
- Lives the UPMC Values
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