PLEASE REFER TO THE ATTACHED JOB DESCRIPTION FOR FULL DUTIES OF THE ROLE. To coordinate the delivery and development of the cardiac arrhythmia service using effective evidence-based practice in line with agreed national standards for patient safety and monitoring. To work closely with the Medical, Nursing and Professionals Allied to Medicine teams within the Trust to facilitate the prompt, evidence-based treatment of patients with cardiac arrhythmias. To triage patients, prioritising clinical need and highlighting those patients who require immediate medical intervention to the cardiology/ medical team. To work autonomously, admitting, and clerking appropriate emergency / cardiac arrhythmia admissions, assessing individual needs, undertaking and reporting on biomedical investigations, determining a differential diagnosis and initiating appropriate holistic, evidenced-based treatment and care. To make autonomous decisions regarding admitting or discharging patients within agreed protocols and arranging outpatient appointments for those being discharged under nurse-led protocols. To support the Emergency Department with the assessment and management of patients with suspected cardiac arrhythmias according to the agreed pathways by providing an in-reach service and utilise delegated discharge following discussion with the on-call Cardiologist when appropriate. Manage/lead nurse led clinics in relation to reviewing patients and play a key role in optimising complex treatment regimes, facilitating hospital discharge and preventing avoidable hospital admissions. To contribute to the organisation of multidisciplinary, patient centred care. To be accountable for the planning and delivery of safe, effective and compassionate patient care in relation to dedicated pathways of care, working as an autonomous practitioner within Cardiology. To provide specialist clinical advice and support to patients and clinical staff within the Trust on the assessment, management and care of patients within Cardiology. To continuously improve clinical care standards in line with the clinical governance framework. To exercise accountability as set out in the NMC Code. To ensure effective communication internally and externally regarding patient care and resources. Provide education and training to clinical staff across the Trust. Provide expert specialist clinical advice and support to patients and clinical staff within the Trust on the management and care of patients within Cardiology including those with cardiac arrhythmias, undergoing coronary intervention or device implantation. To provide direct access for patients, either face to face or telephone consultation. To represent the service nationwide. To play a key role in ensuring that national and local standards/targets for Cardiology are met including those set out in the National Service Framework for Coronary Heart Disease (Department of Health 2000) and relevant National Institute of Clinical Excellence guidance. To contribute towards audit activities across the service and undertake research relevant to the needs of the Cardiology department. To comply with the trusts vision, values and behavioural compact. Support peoples equality, diversity and rights. Promote best practice in health and safety issues. To undertake nurse led elective cardioversion list and emergency cardioversions when required including taking informed consent for the procedure. Actively participate in post take ward rounds with medical team. Support the Cardiology nursing team with the delivery of direct nursing care when available to do so. Support the cardiology nursing team across the unit to determine the correct course of action if there are any clinical concerns regarding a patient and support junior members of the team to escalate medical level of care as appropriate.