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Clinical Nurse Specialist in Cardiology

Employer
Guy's and St Thomas' NHS Foundation Trust
Location
Harefield, Middx
Salary
£49,178 to £55,492 a year p.a. inclusive of Outer London HCA
Closing date
1 Oct 2024
View more categoriesView less categories
Profession
Nurse, Adult nurse, Cardiology nurse
Grade
Band 7
Contract Type
Permanent
Hours
Full Time
To be a highly specialised nurse working with a specified group of cardiology patients and taking responsibility for their on-going clinical management.

In collaboration with the Consultant Nurse in Cardiology, manage the continuing care of patients who are undergoing PCI.

To deliver a high standard of care to cardiology patients.

Closing Date: 30 September 2024 at Midnight

Interview Date: w/c 12 October 2024

Main duties of the job

Running nurse-led preadmission clinics.

Running nurse-led follow-up clinics for patients post PCI.

Nurse-led discharge

Optimisation of secondary prevention.

Acting as a resource for advice on management of patients with coronary artery disease.

About us

The Cardiology Specialist Nurses are a team of specialist nurses who work within a variety of areas of cardiology including patients undergoing coronary intervention, aortic valve, and mitral and tricuspid valve intervention.

The team are led by the Consultant Nurse in Cardiology and run a variety of nurse-led services.

Job description

Job responsibilities

Clinical
  • To manage the outpatient follow-up care for patients who have undergone PCI including the assessment, planning, implementation, and evaluation of that care.
  • To arrange admission dates for procedures and follow-up appointments as per PCI follow-up protocol.
  • Use expert judgement and analytical and problem-solving skills in the surveillance and recognition of changes in the patients condition, referring to senior/medical staff as necessary.
  • To independently manage a caseload of patients and the associated responsibilities.
  • To ensure accuracy of documentation and to maintain an efficient and accurate record system with relevant information in agreement with the cardiology team.
  • To be aware of the legal implications of all patient related records.
  • To be responsible for data entry and maintaining the BCIS/CCAD patient database.
  • To assist with the running of pre-admission clinics for all elective cardiology admissions.
  • To participate in nurse-led discharge.
  • To manage the psychological issues related to caring for patients on a long-term basis.
  • To assist with the running of other cardiology nurse-led services.
  • To act as an expert resource for patients/relatives/colleagues relating to the care of their caseload of patients.
  • To maintain patients confidentiality, privacy, dignity, religious and cultural needs at all times.
  • To be an independent non-medical prescriber.
  • To prescribe within scope of practice /area of competency.
  • To follow locally approved clinical guidelines and NICE and be within the formulary.
  • To provide cost effective prescribing activity.
  • To regularly review prescribing activity and implement change as necessary.
  • To have prescribing activity audited annually.
  • To work within the framework of the Trust Non-Medical Prescribing Protocol.
  • To interpret blood results, ECGs and other non-invasive tests and act accordingly.
  • To maintain an environment for safe and effective patient care in accordance with the Trust Risk Management Policy.
  • To work effectively within the Trust's adult multidisciplinary cardiology team as required ensuring an individualised, evidence based optimum service for each patient and their family.
  • To act as advocate for cardiology patients enabling them to express their needs effectively when dealing with the multidisciplinary team.
  • To promote collaborative relationships with other health care professionals for the benefit of quality patient care.
  • To maintain effective channels of communication within the multidisciplinary team and promote effective interpersonal skills.
  • To facilitate a seamless service between the Trust and locally based services by ensuring good on-going communication between tertiary, secondary and primary care.
  • To actively promote a healthy lifestyle for patients & staff in line with national strategy requirements.
  • To deputise for the Consultant Nurse in Cardiology when required.
Management
  • To develop and maintain clinical skills and knowledge of the speciality of cardiology that are evidenced based aiming to achieve a 'best practice' principle.
  • To act as a role model and clinical expert for staff providing education as appropriate.
  • To work in partnership with colleagues, having accountability for decisions made (in accordance with the NMC Code of Professional Conduct).

To develop professional practice through reflection, participation on post registration courses and attendance at meetings and conferences.

To identify and be responsible for own professional and managerial development in liaison with the Consultant Nurse and Lead Nurse.

To contribute to the development of positive staff morale and team cohesiveness.

To utilise appropriate resources within the Trust to provide a consultation, education, technical or information service as needed for self, staff, or patients.
  • To co-ordinate departmental activities ensuring there is adequate cover for annual leave and study leave.
  • To ensure staff, equipment and resources are managed effectively.
  • To access and utilise all IT services appropriate to the service.
  • To maintain high standards of nursing care within own practice and monitor the performance of junior staff.
  • To act as a professional representative of the Cardiology department and the Trust.
  • To attend suitable course/conferences and hold membership of appropriate professional organisations.
  • Participate in the Trust appraisal and personal development plan schemes by meeting with their manager at least annually.
  • To abide by the Trusts core behaviours for staff and all other Trust policies.
Service Development
To ensure the constant provision of effective, high quality nursing care to all cardiology patients.
  • Plan and lead local audit as required, ensure findings are disseminated appropriately and recommendations implemented.
  • To support and work with the cardiology multidisciplinary team in the introduction of clinical changes.
  • To be actively involved in the development and implementation of cardiology related protocols and procedures in conjunction with other members of the multidisciplinary team.
  • To keep up to date with new advances treatment and new developments in the world of cardiology research and actively seek ways of implementing new ideas into clinical practice.
  • To be actively involved in the production of departmental and divisional reports.
  • To participate in the presentation and publication of relevant research and best practice initiatives.
  • To attend and actively contribute to departmental and multidisciplinary meetings and actively participate in committee meetings as requested.
  • To develop and maintain operational policies, standards, guidelines, and procedures and ensure those kept within the department are up to date and monitored as per Trust procedure.
  • To represent the Trust nationally and internationally.

Quality and Patient Safety
  • To assist with the development and implementation of quality assurance programmes.
  • To participate in departmental and divisional audit activities.
  • To implement changes in care practices as indicated by audit results and current research findings including those identified within the Nursing strategy.

Be aware of and act in accordance with the Patients Charter for the care of cardiology patients.

To be aware of and act in accordance with the National Service Framework for Coronary Heart Disease, NICE guidelines, and Trust Cardiology guidelines.

To participate promptly and effectively with the investigation of complaints and incidents in line with Trust policy and procedure.
  • To comply with and participate in the Trusts framework for Clinical Governance within the department.
  • Identify clinical risks and ensure that appropriate action is implemented in accordance with the Trust risk management policy.

Research
  • To maintain an active awareness of clinical and professional developments within cardiology and to disseminate that knowledge to all colleagues.
  • To identify and suggest relevant areas for research within cardiology nursing which will benefit patient care.
  • To lead on nursing research including publishing papers and speaking at conferences/meetings.
  • To encourage other staff to recognise the need for nursing research.
  • To assist in introducing and applying research findings along with members of the cardiology team.
  • To participate in research studies as appropriate.

Teaching
  • To mentor pre and post-registration students and health support workers as requested.
  • To participate in the in-house adult education programme and to undertake informal teaching of colleagues and ward nursing staff as required.
  • To be actively involved with conferences and meetings developing presenting skills in the national and international setting.


Person Specification

Qualifications

Essential

  • RGN
  • Cardiac experience
  • ALS/ILS
  • Professional related BSc
  • Post registration cardiac certificate
  • Evidence of continuing professional development at post graduate level
  • Mentorship in practice qualification or equivalent


Desirable

  • MSc
  • Registered NMP


Experience

Essential

  • Extensive post registration experience in cardiology
  • Experience of change management
  • Evidence of the development of advanced nursing skills
  • Experience or research and audit


Desirable

  • Counselling skills
  • Previous experience as a CNS
  • Running nurse-led clinics


Skills/Knowledge

Essential

  • Leadership skills
  • Proven communication skills
  • Ability to inspire others
  • Excellent interpersonal skills
  • Proven teaching and assessing skills
  • Ability to apply research to practice


Desirable

  • Involvement in Trust initiatives/committees


Employer details

Employer name

Guy's and St Thomas' NHS Foundation Trust

Address

Harefield Hospital

Hill End Road

Harefield, Middx

UB9 6JH

Any attachments will be accessible after you click to apply.

196-NM12104

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