Norfolk Community Health and Care NHS Trust
To perform as a specialist nurse, performing assessments, supporting diagnosis and management of heart failure using local and National guidelines.
Main duties of the job
Working as a resource for patients, their carers and other staff.
Working and liaising with the multi-disciplinary team (MDT) to provide high quality, evidence based patient care.
Supporting the planning, co-ordinating, delivering and evaluating of care given to heart failure patients in the community.
Support the development of the service across Primary Care and work collaboratively with the heart failure team in Secondary Care to promote a seamless service across the patient pathway.
In reach into the secondary care trust to review patients.
Assessing, monitoring and reviewing patients on the 'virtual ward'.
Working autonomously within own scope of practice under the guidance of the Band 7 Heart Failure Nurse and Clinical lead.
Constantly striving to improve heart failure care the role requires engagement with other healthcare professionals to support the modernisation of care delivery with supervision from the Clinical Lead.
Job responsibilities
Professional and Clinical
Provide care to a specialist level in a variety of settings for heart failure patients referred into the service in line with agreed guidelines.
To support the implementation and monitoring of a care pathway for heart failure patients, including rehabilitation and lifestyle changes.
To liaise with GPs and Consultant Cardiologists on the initiation and titration of evidence based medications for patients on the heart failure service caseload.
Using Independent Prescribing to enhance management of heart failure.
To accept referrals and manage a patient caseload according to agreed guidelines.
To support the development and deliver a specialist nursing and support service across the care pathway with supervision from the Clinical Lead.
Supporting the improvement of Standards of Care for people with heart failure, in line with the National Institute of Clinical Excellence (NICE) Guidelines for Chronic Heart Failure.
To provide a specialist resource for Primary Health Care Teams to provide care and support for people with heart failure with supervision from Band 7 and Clinical Lead.
Working with the MDT to deliver the care pathway for people with heart failure, including supportive and palliative care.
In reach into the secondary care trust.
Assessing, monitoring and reviewing patients on the virtual ward - assessing suitable patients to step down from secondary care or step up from primary care.
Discharging from the virtual ward when appropriate and ensuring appropriate community follow up.
Using telehealth to monitor community patients and promote self-management.
To assist in the provision of training and education for patients, carers and professionals to develop the skills required to manage heart failure effectively.
Demonstrate specialist knowledge and skills through nursing practice in line with local and national guidelines.
To maintain own levels of clinical competence.
Working autonomously with support from Band 7 and Clinical lead and being accountable for own practice.
To promote and facilitate research and evidence based practice in heart failure nursing.
To maintain a high profile in the clinical area, acting as a role model for other health care professionals.
Person Specification
Qualifications
* Previous experience working within the NHS
* To have or be working towards first degree
* Independent Prescriber (or willing to undertake)
* Post-registration qualification relating to Cardiovascular Disease
Experience
* Up to date relevant clinical practice under pinned by specialised knowledge and experience
* Able to demonstrate management skills and experience
* Excellent interpersonal skills.
* Knowledge of change management
* Good knowledge of NHS and Social Care structures and policy (most notably NICE and ESC Heart Failure Guidelines)
* Able to demonstrate examples of innovative practice
* Understanding of Primary, Community and Secondary care within the current NHS agenda
Skills, Abilities and Knowledge
* Ability to work effectively within a number of different teams, demonstrating leadership skills
* Committed to developing clinical practice
* Interested in research and evidence-based practice
* Ability to travel between different bases
* Able to perform advanced assessments to support clinical decision making and developing a management plan
* Specialist clinical reasoning skills
* Previous use of SystmOne
Communication
* Self-motivated and directed
* Confident in own ability whilst acknowledging limitations
* Forward thinking
* Demonstrate empathy and sensitivity
* Evidence of Advanced communication training to include difficult / sensitive end of life discussions
Personal and People Development
* Supporting the management / supervision of a team of other staff and facilitating development
* Delivering training / education to other professionals
Personal Attributes / Behaviours
* Able to identify with the Trust's commitment to safeguarding and promoting the welfare of children and young people/vulnerable adults
* Flexible and committed
* Innovative and proactive
* Work autonomously under pressure, able to prioritise work with good time keeping.
* Supporting colleagues when under pressure
* Act as role model, identify gaps in learning and identify own training needs
* Demonstrate responsibility for the wellbeing of patients other colleagues and self
* Must hold full and valid driving licence and have access to a vehicle
* Able to communicate effectively in written and verbal English Language
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.
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