Are you an experienced nurse with knowledge of paediatric cardiology, arrhythmia, ICDs and pacemakers?

Are you passionate about delivering high-quality, individualised care, working closely with the multi-disciplinary team and local teams to achieve this?

We are seeking a Clinical Nurse Specialist in Paediatric Electrophysiology and Inherited Arrhythmia: highly specialised fields, working with children, young people and their families.

The post-holder will work cross-site and collaborate with our network partners, to support children young people, their families and carers, ensuring they have access to relevant, up to date information and education about their condition.

Closing date: 23/09/2024

Interview date: 01/10/2024

Main duties of the job

The Electrophysiology Nurse Specialist and Inherited Arrhythmia role supports children, young people and their families with arhythmias such as SVT, atrial tachycardia and Wolff-Parkinson-White Syndrome, as well as channelopathies including Long QT, Brugada syndrome and CPVT. The role also encompasses care for patients with endocardial and epicardial pacemakers and ICDs , and congenital complete heart block.

The scope of the role is across our hospital sites of Royal Brompton and Harefield and Evelina London. This role also links closely to our Lifelong cardiac network, with communication to local centres and across the MDT.

There is great opportunity to be involved in service development, local and national education, also audit and research. Evidence of experience in these areas is preferable.

The successful candidate will be kind and compassionate, be an excellent communicator, a great team player, be a critical problem solver, be able to multitask, and to use basic computer software such as Windows, PowerPoint, and Excel.

About us

Guy's and St Thomas' is among the UK's busiest and most successful NHS foundation trusts. We provide a full range of hospital and community services for people in south London and as well as specialist care for patients from further afield including cancer, renal, orthopaedic, respiratory and cardiovascular services.

Evelina London cares for local children in Lambeth and Southwark and provides specialist services across south east England including cardiac, renal and critical care services. We lead a number of specialist service networks aiming to ensure children are treated locally where possible, but have access to specialist expertise when they need it. Our community services include health visiting, school nursing and support for families of children with long-term conditions.

In February 2021 the Royal Brompton and Harefield joined Guy's and St Thomas' NHS Foundation Trust, bringing together world-leading expertise in the care and research of heart and lung disease. Our merger provides a once in a generation opportunity to build a lasting, world-renowned heart and lung centre, providing the highest quality care for patients and conducting world-leading research.

Job description

Job responsibilities

Support children, young people and families with a new diagnosis providing written and verbal information regarding their diagnosis, symptoms, management and treatment plan (short and long term).

Providing contact details for further support on discharge.

Seeing patients in a family clinic setting, liaising with genetic counselors, creating family trees. Knowledge of genetic inheritance, supported by the wider MDT.

Liaising with health visiting/midwifery/community nursing teams to ensure support and management plans are in place post discharge from the ward/PICU.

Discuss support needed at school and nursery, providing tailored written care plans for each individual patient.

Liaising with bedside nurse and education team about the potential need for basic life support training, depending on diagnosis.

Liaising with ward nursing team regarding psychological or social care support required ensuring that continuity is maintained on discharge. Maintaining communication with named member of psychology team, CAHMS, safeguarding and named social worker post discharge.

Liaise and communicate with hospital school for long term inpatients. Provide ad hoc teaching to bedside nurses when needed, signposting to written information when needed.

Review discharge plans with medical team/ward ANP and meet with patients prior to discharge to ensure appropriate support and follow up is in place.

Follow up therapeutic drug monitoring post discharge in community.

Post discharge telephone call to families to check on medications, patient symptoms, investigations, wound healing and outpatient appointments.

Support patients undergoing electrophysiology study (EPS), radiofrequency ablation (RFA), and permanent pacemaker (PPM) insertion. Ensuring clear documentation via EPIC for all patient interactions.

Offer support and verbal/written information to patients listed for EPS, RFA and PPM insertion/revision (in conjunction with cardiology/inherited cardiac conditions nursing team if shared patient) at time of review in consultant outpatient clinics.

Weekly reviews of post discharge ISLA wound images for post operative patients who have undergone PPM/ILR insertion.

Screening of consultant and nurse led clinics to ensure appropriate investigations are carried out and ensuring follow up is arranged in an appropriate time frame.

Offer further nursing care and education to patients seen in consultant led clinics that may need further information or support about their diagnosis and management.

Offering and requesting nurse led transition appointments for teenage patients who will soon be transferring to adult services.Telephone consultations and remote patient support

Telephone support to parents via work mobile and office phones this may involve managing symptoms/discussing new symptoms, being responsive to worries/concerns and advising accordingly, relaying the results of investigations (exercise tolerance tests, holter monitors, ECGs and cardiac MRIs), medication management and formulating and actioning management plans.

Telephone triage for patients with new or increased/worrying symptoms. Requesting appropriate investigations and following up results. Escalating and signposting where appropriate - 111/999, A& E or electrophysiology consultants, consultant nurse.

Coordinating AliveCor monitoring loaning and reviewing all AliveCor results from symptomatic patients in the community who are trying to document symptoms of arrhythmia. Discussing these results with the consultant team to ensure there is an appropriate management plan when necessary.

Review holter monitor results sent from local services and outreach clinics that are seen within shared teams in the network. Ensuring abnormalities are flagged to consultant team, making appropriate treatment and escalation plans where necessary.

Organise local investigations for families with local paediatricians, paediatricians with expertise in cardiology (PECs), GPs and health visiting/community teams.

Draft reports and attend child protection conferences and core group meetings organised by local social care / authorities.

Attend school visits as necessary.

Working closely with colleagues in the pacing department to co-ordinate remote downloads of patients PPMs/ICDs. To review with pacing team the results of routine remote downloads, as well as downloads at times of worrying symptoms relaying these results to families.

Supporting patients with letters in relation to housing, government benefits, schooling and exams, travel signposting when necessary.

Service Development and improvement

Person Specification

Qualifications

Essential

• Registered Adult or Paediatric Nurse
• Degree/diploma relevant to area or equivalent expertise
• Relevant post registration course
• Evidence of continuing professional development at postgraduate level
• Teaching/mentoring experience

Desirable

• Extensive experience looking after children and young people with heart disease, particularly arrhthymia
• Ability to demonstrate sound knowledge of arrhythmia and inherited arrhythmia , ICDs and pacemakers, and paediatric cardiology

Previous Experience

Essential

• Extensive experience of working autonomously at an advanced level within the specialist area delivering effective patient focused care.
• Proven evidence of management / leadership skills and autonomous practice
• Previous experience of student supervision and clinical education at undergraduate level
• Experience of delivering patient advocacy
• Experience of audit, research & evidence based care

Desirable

• Experience of delivering change management

Skills/Knowledge/Ability

Essential

• Advanced clinical, managerial and leadership skills in specialty.
• Proven listening / counselling skills with the ability to manage complex situation and appropriately deliver sensitive and difficult outcomes.
• Evidence of teaching skills in particular teaching patients in how to manage their conditions and raise their awareness of their condition.
• Ability to clinically lead & influence staff
• Up to date knowledge of current clinical and professional issues
• Sound knowledge of current issues in the profession and practice of nursing
• Excellent verbal, written, interpersonal & communication skills
• Able to use skills of history taking and physical assessment to direct patient care
• Time management and organisation skills
• Ability to conduct & evaluate own projects successfully
• Knowledge of current clinical & nursing research

Desirable

• Ability to analyse and interpret complex data and findings
• Undertaken nurse research

Employer details

Employer name

Guy's and St Thomas' NHS Foundation Trust

Address

Royal Brompton Hospital

Sydney Street

London

SW3 6NP

Any attachments will be accessible after you click to apply.

196-NM12094