An exciting opportunity has arisen for an experienced cardiac nurse to join the Cardiology Clinical Nurse Specialist team at Queen Elizabeth Hospital, Woolwich, who manage Nurse-Led Rapid Access Chest Pain and Acute Coronary Syndrome (ACS) service. We are looking for a dynamic and motivated nurse with extensive experience within cardiology, excellent communication skills, and an innovative and flexible approach. A key element of this role will include service development in accordance with NICE guidance and leading Rapid Access Chest Pain clinics, subsequently managing the cardiac patient through the patient pathway, referring onto other specialists as required. The clinics accept GP/A&E referrals for patients with stable chest pain.
Main duties of the job
The expectation of the successful candidate is to work autonomously as a specialist nurse practitioner to provide highly specialist assessment of patients presenting to the Rapid Access Chest Pain and Acute Coronary Syndrome service with stable chest pain to facilitate early diagnosis, investigation, and treatment.
In mainly a medically supported clinic setting, formulate a diagnosis, order, and interpret cardiology investigations, and develop a patient management plan in line with local and national guidelines underpinned by evidence-based practice.
Work flexibly in the acute trust and collaborate with the wider multidisciplinary team. Liaise with your Cardiologist clinical support supervisor in partnership with the chest pain team.
You will be required to actively support research, audit, triage, training, and the development of the Chest Pain Service.
To contribute to the development and coordination of the Chest Pain specialist nurse service collaboratively with managers. Lead Rapid Access Chest Pain clinics using highly specialized, advanced clinical consultation skills, assessment, and physical examination skills to establish a diagnosis of patients presenting to the Rapid Access Chest Pain Clinic with Chest Pain/Coronary Heart Disease/Acute Coronary Syndrome.
About us
Our people are our greatest asset. When we feel supported and happy at work, this positivity reaches those very people we are here for, the patients. Engaged employees perform at their best and our Equality, Diversity & Inclusion (EDI) initiatives contribute to cultivate a culture of engagement. We have four staff networks, a corporate EDI Team and a suite of programmes and events which aim to insert the 5 aspirations:
* Improving representation at senior levels of staff with disabilities, from black, Asian, and ethnic minorities background, identify as LGBTQ+ and women, through improved recruitment and leadership development.
* Widening access (anchor institution) and employability.
* Improving the experience of staff with disability.
* Improving the EDI literacy and confidence of trust staff through training and development.
* Making equalities mainstream.
Job responsibilities
The role of Cardiology Clinical Nurse Specialist requires a high degree of personal professional autonomy and making clinical judgement. Taking sole and joint responsibility for the patient and procedure during diagnostic and therapeutic interventional procedures to ensure a successful patient-based outcome within the acute/community setting, which will require assessment, planning, and implementation of treatment.
To give advice and guidance both to Consultants and other specialty professionals on interventional procedures and clinical practice.
To be responsible for the nursing leadership within the specialty and giving support and guidance within the multidisciplinary team, contributing to the high-quality care given to patients, in accordance with clinical governance. The postholder will ensure delivery and expansion of an expert and advanced nurse-led service through effective interdisciplinary care, utilizing clinical and managerial expertise, which will include a review of the effectiveness of treatment.
Key Result Areas & Performance:
All the following are to be carried out while working in close collaboration with members of the multi-disciplinary team led by a Consultant. To demonstrate clinical expertise within the specialty and work autonomously, managing own allocated clinics independently and seeking guidance/support when necessary.
To co-ordinate the specialty care within the Trust/CCG, including outreach clinics within the region.
To become an essential member, and point of contact and resource for the multi-disciplinary team and patients and carers.
Carries out diagnostic/therapeutic interventions as an independent practitioner, interprets, writes reports, and commences further possible treatment on the basis of the findings.
Carries out complex therapeutic/investigational procedures under indirect supervision of the Consultant. Ensuring that they are carried out using safe practice and under agreed guidelines/protocols to ensure that the highest possible standard is obtained based on competent clinical practice.
To demonstrate the ability to develop new skills, to provide an expert high-quality, nurse-led service.
To provide ongoing follow-up care and support (telephone support/nurse-led clinics/outpatient clinics and outreach clinics).
To develop the service in a structured interdisciplinary way, initiating ongoing change and progression in the expanding role of a Clinical Nurse Specialist.
To develop interdisciplinary clinical management protocols and work within them.
Autonomously or in collaboration with the multidisciplinary team, manage the care of patients carrying out relevant interventions, within agreed clinical protocols and in line with current practice/trends.
To offer a supportive service to patients and their carers, disseminating specialist knowledge enabling individuals to try and adapt to any changes to their body image and life experiences. Liaising with other healthcare professionals when necessary.
To provide, promote and maintain a support and advice service to patients and their carers, to include provision of information giving from diagnosis through to all stages of the disease process, in liaison with relevant healthcare professionals.
To maintain accurate and legible records of all clinical and legal documentation with regard to Statutory and Trust policies.
To assess, develop, implement and evaluate programmes of care within the acute and community setting.
To control patient admission via direct referral and with consultant guidance and supervision.
Be aware of, understand, and act upon the Divisional Business Plan, with particular reference to nursing care, in order to participate in the re-formulation of nursing/midwifery aspects of the plan.
When required, investigate the nursing aspects of incidents/complaints and initiate corrective action.
Workforce
To line manage a cohort of staff ensuring HR processes are followed.
To provide advanced specialist knowledge and education, acting as a clinical resource to the Trust, CCG, and Trust affiliated Universities.
In conjunction with Ward Managers and Heads of Departments and the CCG assess learning needs and organise training and teaching programmes to fulfil the areas and individuals learning requirements within the specialty.
* Take part in the selection, orientation and development of relevant staff and students within the service.
* Promote staff confidence and competence and therefore assist job satisfaction and staff recruitment and retention.
* Identify the requirements to carry out the specialist role, implement and manage the service, developing the role in line with patient and service needs.
Take responsibility for the effective and efficient use of resources, being aware of resource requirements and limitations.
Ensure all equipment and supplies in the clinical area are maintained to enable delivery of efficient and safe care.
Evaluate equipment and make recommendations relevant to purchasing policies in conjunction with Procurement.
Authorise the issue of appropriate appliances to patients within the Trust and community setting.
Partnerships
Communications and Relationships
Possess excellent communication skills to facilitate the collaboration between all professionals in the complete care and management of all patients within their specialty.
Work in partnership with Ward Managers and Consultants and extended members of the multidisciplinary team, within the Trust and community in order to provide a coherent patient-centred service.
To ensure effective communication networks are established and maintained with all disciplines, patients and relatives/carers, to include Community Health Care Teams.
To communicate highly sensitive information, opens barriers to information. Demonstrates sensitivity, empathy and reassurance.
To provide advice, support and education to both inpatients and outpatients who may use the service, to include the development and regular reviews of relevant written patient and carer information.
To access effective clinical supervision to allow personal reflection on own practice and self-development both personally and professionally.
To be an active member of the Lead Nurse Group and other relevant external specialist groups.
Develop links within the Trust and outside agencies to organise and implement practical instruction for HCAs, Pre-Registration and Post-Registration nursing/midwifery staff and Medical staff both in a theoretical and a clinical setting.
Support and assist other specialties within the Trust with relevant clinical issues and those of service development.
Act as a resource for specialist knowledge and skills related to care and for the development of research-based practice.
Represent their specialty clinically, both internally within the Trust and externally.
Act as a representative of the Trust at local/national educational meetings.
Promote and undertake, where appropriate, nursing research and to publish the outcome in order to update own knowledge and promote excellence in clinical practice.
Be aware of and participate as necessary in clinical research trials for patients, liaising with relevant Healthcare professionals.
Utilise research findings, where applicable, in the delivery of specialist patient care, disseminating relevant information to colleagues.
General
Develop guidelines, set standards, policies, and protocols to ensure the provision of a safe and effective, research/evidence-based nurse-led service.
To initiate and participate in nursing/midwifery and clinical audit, taking action to improve any areas of weakness.
Continually monitor and evaluate the service through the facilitation of quality assurance tools in the clinical area.
Monitor and evaluate the role of the Clinical Nurse Specialist within the Trust.
Be self-aware, taking own continuing education and professional development needs into account, accessing advice, guidance, and support.
Keep up to date with current trends and developments in nursing/midwifery practice related to your specialty.
Ensure all Trust/Divisional nursing policies/protocols and procedures are adhered to, including EC Directives, Health and Safety and Work, COSHH and Moving and Handling Codes of Practice.
Person Specification
Experience
* Experience in interpreting ECG reading.
* Evidence of working in an acute Cardiology setting for a minimum of 4 years.
* Completed ECG interpretation course.
Skills
* Wide-ranging in-depth knowledge of clinical issues in CHD, Acute Coronary Syndromes, angina management and their treatment.
* Demonstrate an in-depth knowledge of coronary heart disease and issues relating to the management of the cardiac patient.
* Willingness to work towards level 7 relevant training.
Management and Leadership
* Understanding of Clinical Governance and Health & Safety issues.
* Evidence of autonomous working and management of caseload.
* Willingness to study at L7 master degree courses.
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
£46,148 to £52,809 a year per annum plus HCA.
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