The Christie Lung Cancer Nursing Team are looking for an experienced oncology nurse who is passionate about the patient experience and the delivery of quality, patient-focused care, to join their team as a Band 7 Clinical Nurse Specialist or as a Band 6 to Band 7 developmental post depending on the candidates experience.
Main duties of the job
The post involves acting as a keyworker to patients diagnosed with lung cancer requiring anticancer treatment (chemotherapy, immunotherapy, oral targeted therapy, radiotherapy) and providing support and information throughout their cancer pathway, delivering care and monitoring treatment within nurse-led clinics, as well as participation in service development.
Successful candidates will have a minimum of 5 years post registration, with previous experience in oncology.
About us
The Christie is one of Europe's leading cancer centres, treating over 60,000 patients a year. We are based in Manchester and serve a population of 3.2 million across Greater Manchester & Cheshire, but as a national specialist around 15% patients are referred to us from other parts of the country.
We provide radiotherapy through one of the largest radiotherapy departments in the world; chemotherapy on site and through 14 other hospitals; highly specialist surgery for complex and rare cancer; and a wide range of support and diagnostic services. We are also an international leader in research, with world first breakthroughs for over 100 years.
We run one of the largest early clinical trial units in Europe with over 300 trials every year. Cancer research in Manchester, most of which is undertaken on the Christie site, has been officially ranked the best in the UK.
Job responsibilities
* To act as a key contact for lung cancer patients, carers and other professionals.
* To provide advice, support and symptom management for patients, carers and other professionals.
* To work as a member of the Lung Disease Group with responsibility for the development and review of protocols / guidelines which promote innovative clinical nursing practice and integration of patient care.
* To be aware of change at national and local level and how it affects the service provided.
* To undertake clinical and organisational audit, promoting the importance and value of undertaking such initiatives through multi professional collaboration.
Clinical duties
* To accept referrals and undertake a holistic assessment of patient needs, implement clinical practice and evaluate its effectiveness, referring appropriately to services in the acute and community setting.
* In collaboration with lung Advanced Practitioner and CNS colleagues, act as a point of contact for patients and their carers in the community- face-to-face and over the phone.
* Attend lung cancer clinics at The Christie to meet patients and their carers in order to provide information about treatment. Be fully conversant with treatment protocols.
* Assessment of patients on anti-cancer treatments in nurse-led clinics (face-to-face and telephone).
* Non-medical prescribing (within the limits of your competence) to manage treatment toxicity and symptoms for patients with lung cancer.
* To communicate effectively and support / counsel patients and carers prior to, during and after treatment.
* Undertake IRMER training and develop skills in chest x-ray ordering as appropriate.
* Ensure accurate documentation of patient care in accordance with hospital policies and standards.
* To be aware of all lung cancer patients admitted as inpatients and liaise with nursing and junior medical staff involved in their care.
* To attend MDT meetings and radiology meetings as appropriate and contribute to discussions about individual patients. To attend other professional and clinical meetings as appropriate.
* To be aware of current research protocols and liaise with the lung Research Nurses regarding eligibility.
* To act always in accordance with the NMC Code and guiding documents.
Managerial/Clinical Leadership
* To provide specialist, expert clinical knowledge to colleagues, patients and carers both within and outside the Trust.
* Management role to Associate CNS colleagues; assuming responsibility for delegated tasks including PDR process.
* Act as a specialist resource for the ward team who provide care for patients with lung cancer.
* Evaluate service delivery; identify areas for improvement to promote excellence in patient care and initiate change. Involve patients and the public in service development as appropriate.
* Provide written evidence of service development and performance.
* To build effective professional relationships with the GMCCN and across Acute and Community settings.
* Provide and receive clinical supervision and mentorship to facilitate reflective practice.
* Attend and participate in the CNS Forum.
* Act as a role model presenting a professional image always.
Education and Development
* To participate in annual appraisal and accept personal responsibility for professional growth and development. Maintain a professional portfolio.
* Ensure compliance with Trust essential training.
* To identify training needs of colleagues and develop educational programmes in collaboration with Advanced Practitioner and CNS colleagues e.g. ward teaching, dissemination of best practice through presentation at conferences, annual Trust lung cancer conference.
* To provide specialist input on relevant post registration courses.
* Use relevant educational opportunities, including attending national and international conferences, to ensure provision of the highest standards of patient care that is evidence based. Provide written and verbal feedback to colleagues.
* Together with other professional colleagues develop information and resource packs for patients and their carers.
* Provide an annual report to Macmillan Cancer Support and Christie Trust.
* Contribute to the bi-annual service review for Macmillan Cancer Support.
* Contribute to Macmillan's National agenda to Improve Outcomes for people affected by cancer.
Research and Audit
* To ensure that clinical practice is based on evidence and current best practice and to disseminate information to staff.
* To identify opportunities for nursing research and to participate where appropriate in nursing and multi-disciplinary research, clinical audit, and benchmarking, in order to improve effectiveness of patient care.
* Evaluate service delivery; identify areas for improvement and initiate change.
* Contribute to the writing of protocols relevant to lung specialty.
Person Specification
Qualifications
* RGN/RN
* Degree in Nursing/Health related subject
* Post registration qualification in oncology or equivalent experience
* Teaching and assessing
* NMP qualification/working towards NMP
* Masters Degree
* Counselling Certificate
* Palliative Care Certificate
Experience
* Demonstrable experience of working at a senior level
* Senior experience in Oncology
* Participation in service development and implementation of change
* Nursing leadership
* Project management
* Experience of influencing change
Skills
* Advanced communication skills
* Able to analyse data and provide written reports
* Able to work autonomously
* Able to present information to professional groups
* Ability to develop effective interpersonal relationships with colleagues across health and social care setting.
* Active involvement in a Trust Quality Improvement initiative
* Evidence of writing protocols/standards.
* Evidence of effective team working across professional and organisational boundaries.
Knowledge
* Knowledge of professional and NHS issues, and policies relating to lung speciality
* Evidence of continuing professional development.
Other
* Demonstrates flexibility in working hours.
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, pro rata
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