We are seeking a motivated and dynamic Clinical Nurse Specialist to join our multi-disciplinary Chronic Pain Management Service and lead our nursing team.
A Clinical Nurse Specialist in Chronic Pain provides expert advice, information and support for patients, delivering a combination of both individual and group based interventions. We require someone who can work both autonomously and as part of a team, and demonstrates leadership, innovation and be self-motivated. The successful applicant will need to be flexible regarding hours worked.
The successful applicant will be expected to provide leadership of the nursing team and work closely with other leads in the service to deliver pain management services for the people of East Lancashire. They will be expected to provide operational management of the Unit at BGH and provide professional support and development of the chronic pain nursing team. They will lead on service development, audit and research and service evaluation in conjunction with the other professional leads in the service. They must be able to demonstrate evidence of recent learning and examples of continued professional and clinical development.
Training and development opportunities are supported in order to meet the needs of the role. Nursing provision within the Chronic Pain Service is well established, well regarded and highly valued.
Preceptorship opportunity will be considered for suitable candidates.
The post holder will act as an expert practitioner in pain management and provide a specialist role within the multidisciplinary team, managing patients with chronic pain (including acute exacerbations) to ensure that patients receive the highest standard of clinical care. They will demonstrate a high level of knowledge and expertise within the speciality and provide education, advice and support to other health care professionals and patients and relatives. The post holder will act as a role model and mentor for other team members and within the wider Trust.
The post holder will be responsible for contributing to the ongoing development of clinical practice, audit and research and standards of care within the service, including development of protocols, policies and guidelines and actively participate in service developments in collaboration with multidisciplinary colleagues.
At East Lancashire Hospitals Trust, our vision is to be widely recognised for providing safe, personal and effective care. We currently provide high quality services and treat over 600,000 people across East Lancashire and the surrounding area. We employ over 7,000 staff, many of whom are internationally renowned and have won awards for their work.
Please ensure you check the email account from which you apply regularly as we may use this to contact you regarding your application. Only those applicants who demonstrate clearly how they meet our person specification will be shortlisted for interview. We reserve the right to close any vacancies from further applications when we have received a minimum number of applications from which to make a shortlist. Please ensure you apply without delay if you wish to be considered for this role.
The Trust is committed to creating a well managed, flexible working environment that supports staff and promotes their welfare and development. We are committed to promoting equality and diversity; we value the contribution of individual talent, skills, knowledge and experience and aim for a workforce demography representative of the local community. We operate Zero Tolerance to aggression, violence, bullying and harassment. We will make reasonable adjustments to ensure our recruitment and selection process is accessible to all. Flexible Working applications will be considered.
MAIN DUTIES
* Work autonomously and take responsibility for the ongoing assessment, care and support for patients with chronic pain, in outpatient settings.
* Work in an organised, flexible manner responding to the changing and challenging needs of the service.
* To clinically assess, plan, implement and evaluate programmes of care, providing specialist advice and actively seeking evidence based practice which will improve the quality of care and meet the needs of a group of patients.
* Participate in the provision and delivery of nurse-led pain interventions for chronic pain such as TENS and neuromodulation in the outpatient setting.
* On-going follow-up and supporting of patients with complex pain conditions. Adjusting medication autonomously within a trust approved personal formulary.
* Facilitate short and long-term follow up of patients through provision of nurse-led pain clinics, telephone triage, facilitating consultant-led clinics and admissions.
Maintain accurate, comprehensive and up-to-date documentation, in line with legal and departmental requirements, and communicate assessment and treatment results to the appropriate disciplines. Assess capacity, gain informed consent and have the ability to work within a legal framework with patients who lack capacity to consent to treatment.
Undertake regular measurement and evaluation of your area of clinical work and current practices through the use of audit and other measures, individually and with colleagues. Ensure that clinical outcomes and patient feedback are included in your audit plans. Compile high quality reports as appropriate. Make recommendations for change, and manage the implementation of any agreed changes.
Be responsible for the clinical supervision of the nursing team and support staff to ensure there is effective assessment, care planning and review of agreed patient goals/outcomes.
COMMUNICATION
To build networks/links with stakeholders/agencies; attending meetings related to the specialism/pathway. To undertake joint working with clinical leads from other professions. Actively contribute to own and others development by attendance at and delivery of presentations and training sessions at staff meetings, tutorials, training sessions in house and by organising and attending appropriate external courses and practicing reflective practice.
Communicate effectively and work collaboratively with medical and other therapy colleagues to ensure delivery of a coordinated multidisciplinary service. To report effectively to the MDT on patients assessment/goals/treatment plans/progress/recommendations/discharge planning outcomes.
Lead or participate in relevant working groups in line with departmental requirements. Co-ordinate and produce formal reports as required, ensuring these are of a sufficient standard and including assessment/treatment outcomes and recommendations.
To deal frequently with issues which are of a highly complex and sensitive nature. Participate in the NHS appraisal scheme and Personal Development Plan (PDP) as both appraiser and appraisee and take responsibility for ensuring that appraisals take place as required and in accordance with ELHT policy. Proactively participate in delivering Clinical Governance and Risk Management in line with Trust policies.
Use a range of techniques to overcome barriers to communications. Adapt your own communication style and utilize advanced communication skills appropriate to the patient in order to foster an effective therapeutic relationship. Deal with challenging situations including verbal aggression/distress from patients, carers and relatives. Ensure that up to date written and electronic records and activity data are maintained in accordance with professional standards and organizational guidance.
TRAINING AND DEVELOPMENT
To develop and deliver training re: specialism/pathway to colleagues, patients/carers and other professionals as appropriate. To provide highly specialist opinion and support e.g. co-working cases, joint assessments/appointments as appropriate and required. To mentor and coach staff in relation to specialism/pathway. To facilitate the development of problem solving/negotiation skills and reflective practice within peer review/supervision of therapists, and other clinicians within IMPReS. To identify training needs for specific pathway and locality teams in conjunction with team leader.
Responsible for your own continuing professional development including maintaining your own development portfolio and assisting others in the development of theirs.
Research & Audit
To undertake or take part in research applicable to the specialism/pathway. To lead and undertake clinical audit to evaluate practice within the specialism/pathway.
ORGANISATIONAL RESPONSIBILITIES
Agree priorities for own work area and that of relevant staff balancing other patient related and professional demands, and ensure that these remain in accordance with those of the section as a whole. Ensure that staff for whom you are responsible are supported and enabled to implement policy and service development changes. Be aware of Health & Safety aspects of your work and implement any policies, which may be required to improve the safety of your work area, including your prompt recording and reporting of incidents and ensuring that equipment use is safe.
Demonstrate familiarity with and understanding of all relevant organisational and departmental policies and procedures and be involved in their development and review as appropriate. Work flexibly to support equity of nursing provision across the wider service. Undertake any other duties considered appropriate by the MDT Leads.
Responsibility for the oversight and management of the department during operational hours and oversight of additional ad-hoc activity as necessary. Responsible for ensuring that the department expenditure stays within the budgetary allowance. Identifies problem areas, acts accordingly and escalates where necessary. Oversees the deployment of staff within the department and ensures that safe staffing levels are maintained reporting any deficiencies to the line manager. Monitors the estates and facilities (e.g. cleaning and portering) and transport services to the department reporting any deficiencies to the appropriate department.
Involved in all departmental activities and managerial decisions, in conjunction with other professional leads, aimed at improving and developing the quality and cost effectiveness of the service. Act on concerns reported by team members or service users and manage accordingly. Leads in the recruitment and selection of staff for own area of responsibility.
PROFESSIONAL RESPONSIBILITIES
Maintain registration with the NMC, and adhere to professional standards of conduct at all times. Maintain own clinical professional development through demonstrating up to date knowledge of research, policy, trends, and new developments relating to the clinical and clinical management aspects of the role/specialism/pathway.
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