Under the guidance and supervision of the Cancer Clinical Nurse Specialists and Haematology Support/Specialty Managers, assist in.....
Under the guidance and supervision of the Cancer Clinical Nurse Specialists and Haematology Support/Specialty Managers, assist in the coordination of patient care throughout the pathway: To provide general information and support about cancer and cancer services, to enable people to navigate the health and social care system and make choices that are best for their cancer and their life. A key aspect of the role involves daily and direct (e.g. face to face and telephone) communication with patients, relatives, carers, and other health and social care professionals. The information and nature of the communication required is sensitive due to the nature of cancer. Communication in this context requires a high degree of empathy, understanding, diplomacy, honesty and integrity. Triage patients, using a risk assessment framework and initiate appropriate response according to protocols and individual pathways, using good communication skills, basic clinical awareness and appropriate tools and procedures, liaising as appropriate when non routine and refer complex decisions to the team for assessment and review Provide basic telephone and face to face advice and refer on or sign-post to other sources of support Provide support to patients in the clinic setting when required Coordinate the necessary assessments, appointments or investigations to fast track people back into the system if required Demonstrate the ability to recognise and respond appropriately when faced with a sudden deterioration or an emergency situation, alerting the team or enabling rapid response as appropriate Support information provision and signpost as appropriate Guide people through the use of self-assessment resources Document and monitor all aspects of care coordination and service delivery, supporting data collection for audit To proactively identify patient and carer needs using approved tools and procedures to ensure that people get the right support to meet their needs. The role requires use of good judgment in responding to the needs of individuals. The level of judgment required relates to identifying the complexity of the situation, providing appropriate advice and escalating to the registered practitioner where appropriate Coordinate the care for a defined group of patients assessed by the clinical nurse specialist regarded as having needs best met by supported self-management Organise and prioritise the designated workload in relation to identified needs Contribute to and undertake where appropriate holistic needs assessments and the development of an individual care plans Implement, monitor and review the care plan with the patient and carer, in line with standard operating procedures and protocols and modify as appropriate Coordinate and organise appointments and assessments as required Identify indicators of need or changes in need through telephone contact and respond appropriately Coordinate the handover with other teams to facilitate safe and effective transition of care between services in order to provide seamless support for people Act as advocate and facilitator to resolve issues that may be perceived as barriers to care To coordinate access to the right information and education resources to support people in making decisions about aspects of their own care, enable independence and support self-management as appropriate. Develop a partnership approach to working in order to empower the patient and carers. Support people to access appropriate information and support, by sign-posting to a range of support services and take an approach which helps people to self-manage where appropriate Advise patients on individual self-care management principles and provide consistent planned aftercare to reinforce and further promote this information Participate in the organisation, delivery and administration of the Living Well days and courses and other patient education days Collection of data and evaluations of all Living Well events and courses to ensure accurate record of attendees and evaluation by patients of programme Encourage and support active and healthy lifestyle choices Help patients and carers in the understanding of signs, symptoms or situations that would cause concern Explain to patients and carers how they can make contact when they feel that their condition or needs have changed, including what to do out of hours To administratively coordinate patient pathways to ensure patients have timely review, and the service is compliant with national cancer targets. Develop an in depth knowledge and understanding of the pathway for Haematology patients; including an understanding of medical terminology relating to Haematology and Cancer. Where necessary to liaise with Clinicians and MDT coordinators/administrators both internally and outside of the Trust Work closely with the clinical nurse specialists to track patients throughout their cancer pathway and flag up any delays in the cancer patients journey. Ensure all outcomes of the MDT meetings, tests, investigations, and referrals are recorded and acted upon. To be proficient in the use of multiple hospital IT systems, including CRIS, CareFlow, ICE and Somerset Cancer Register. Support the Haematology administration team with typing and booking to ensure cancer patients are not delayed due to administration delays. Carry out some clerical duties to support the Clinical Nurse Specialists.