Key Result Areas: Expertise & Excellence in Clinical Practice Contribute to the delivery of evidence-based personalised and compassionate care which places quality at the heart of practice. Care will be responsive to individual needs and reflect current local protocols and national guidelines. Act as an accessible professional for the multi-disciplinary team (MDT) supporting the management of a clinical caseload for at least 80% of the role. This will necessitate a degree of autonomy and advocacy to ensure the delivery of appropriate care. Use knowledge of the speciality and treatment to support the development of personalised care pathways for individuals and assist with holistic needs assessment, planning and evaluation of care and all care interventions. To be responsible for cardiac catheter laboratory specific training and competency sign off for existing departmental staff and staff rotating through catheter laboratory. Act as a patient advocate to facilitate the process of shared decision making in respect to health, choice of treatment and care. Use interpersonal and communication skills where there may be significant barriers in order to build confidence. Ensure that patients individual needs are expressed and valued and individual care plans are understood. Act as a resource providing specialist advice and support across service boundaries to ensure optimum liaison and co-ordination of care. Undertake clinical competencies relevant to this service to demonstrate expertise in extended nursing roles. Assess and assist in managing individual psychological reactions to diagnosis, treatment and associated side effects these. Management & Leadership Act as a role model demonstrating high standards of holistic care and provide clinical leadership to others across the organisation. Participate in the recruitment and selection of staff where required. Provide support to ensure public and patient involvement is embedded within the sphere of practice. Assist in setting measurable outcomes for the service and continuous evaluation of practice supporting changes where necessary. Participate in operational and strategic planning for the development and delivery of the service. Support service improvement activities. Attend Trust senior nurse meetings and contribute to the agenda and strategic nursing vision. Represent the Trust by contributing to and participating in meetings locally, regional and nationally relating to the speciality. Contribute to an annual service review, gathering information to support the annual report. Undertake annual team appraisals. Communication Take personal responsibility for ensuring effective communication between all service providers. Act as a role model for excellent communication skills. Work in partnership with patients, relatives and carers to obtain complex information. Create a climate in which patients are empowered to make informed choices. Ensure all clinical practice is documented appropriately in patient records ensuring that the NMC guidelines for documentation are adhered to. Informally manage complaints with the aim of a satisfactory resolution. Ensure appropriate escalation when this is not achieved. Demonstrate empathetic interpersonal and communication skills in supporting, informing and advising patients and carers through diagnosis, treatment, disease progression, prognosis and supportive and palliative care where applicable. This will involve occasionally imparting significant news or supporting patients and carers during and following such consultations. Effectively and sensitively communicate complex and sensitive information to emotionally distressed patients and family/carers at key points along the care pathway on a frequent basis. Education Identify and use educational strategies to deliver information to patients and carers. Assist in the development of other professionals by contributing to department wide specialist education and training. Support the delivery of formal and informal teaching initiatives as part of the Trusts education strategy as agreed with the appropriate senior nurse to ensure practice development, staff empowerment and improved care for patients. Take personal responsibility for life-long learning and personal development through clinical supervision and appraisal. Actively engages with learning and development opportunities needed to work as an advancing practitioner and take appropriate action to ensure these needs are met. Contribute to promoting educational links with local providers of higher education and deliver lectures on a range of courses. Act as a mentor/clinical supervisor as appropriate. Quality, Audit, Innovation and Research Assist in the development of written patient information and use existing appropriate resources to inform users, according to individually assessed need. Work within the NMC code of professional conduct. Contribute to the development of policies and clinical guidelines to support the service. Collaborate with other MDT members to develop and update multi-professional Trust operational policies and guidelines. Maintain patient records and ensure an effective documentation system to reflect the activity and delivery of specialist nursing care. Promote the service were applicable. Use creative reasoning, experience and vision to support advancement of care. Support and deliver local and national audits relevant to the speciality. Develop new skills in response to emerging knowledge and techniques. Supports management of change as required. Maintain membership and attendance at national and local forums to network and debate issues to inform the specialist nursing role and service delivery where applicable. Assist with the collation of data to provide evidence of productivity, outcomes and quality through audit and research. Participate in clinical research relevant to practice area. Assist in the development of links and system to seek the views of patient and carers to ensure service development is in line with user need. Strategic and Service Responsibilities To utilise the Capacity Task Management System in the allocation of all outstanding jobs to the most appropriate member of the team. In all aspects of work demonstrate an ability to work across organisational and professional boundaries, ensuring the delivery of high quality care. Promote collaborative working relationships and effective communication between all members of the multidisciplinary team. Develop the evolving skill set required of the Cardiac Pull Clinical Nurse Specialist role, ensuring that they reflect the individuals holistic needs and fit within the nursing agenda. Governance To assist in the development of relevant standards, protocols and procedures in conjunction with the multi-professional team in relation to the Cardiac Pull Clinical Nurse Specialist role, ensuring that clinical practices are evidence based and benchmarked against best practice. To achieve competency in core skills for the role and to continue to explore new ways in which clinical practice can be further developed. To ensure compliance with all Trust policies and procedures at all times Contribute to the clinical governance agenda. Statutory Requirements The post holder will at all times act in accordance with the NMC Code of Conduct and Practice, Scope of Professional Practice and all MNC guidelines. All staff are subject to the Trusts policies, procedures and conditions of service, with reference to the Health and Safety at work act.