Lead Nurse Rheumatology | North Middlesex University Hospital NHS Trust
| Posting date: | 18 April 2024 |
|---|---|
| Salary: | Not specified |
| Additional salary information: | £56,388 - £62,785 per annum inclusive of HCAs |
| Hours: | Full time |
| Closing date: | 18 May 2024 |
| Location: | London, N18 1QX |
| Company: | North Middlesex University Hospital NHS Trust |
| Job type: | Permanent |
| Job reference: | 6203164/393-NMUH-1334 |
Summary
Lead Nurse Rheumatology ( Band 8a )
Contract - Permanent. Full-time 37.5 hours per week.
This post will be based at North Middlesex University Hospital (NMUH) to support the Clinical and Nursing Lead for Rheumatology services in meeting and maintaining the standards required by the British Rheumatology Society.
The post holder will be a key member of the Rheumatology team and will work closely with the Clinical Lead for Rheumatology and Service Manager.
The post holder will take devolved responsibility for the care of patients in clinic daily, assessing care needs and carrying out all relevant forms of care without direct supervision. This will involve case management, running nurse-led clinics, a telephone “hot-line” and developing a patient education service both for individual patients and groups of patients.
The post holder will develop a support the strategy within collaboration with the medical team and also will co-ordinate the delivery biological therapies to rheumatology patients and perform the detailed clinical and laboratory monitoring as required. This includes keeping up to date records of patients on the British Society of Rheumatology Biologics Register. The post holder will provide support to ward nursing staff in the care of rheumatology in-patients and liaise with community colleagues in the promotion to avoid admissions and will also develop with the support of other CNS in the Rheumatology department education.
The Lead Nurse will be involved in audit and guideline development and be expected to write and update local nursing policies and evaluate their implementation. The post holder will be expected to demonstrate excellent communication and clinical skills and develop a teaching package for those caring for rheumatology patients.
See Job Description for more details.
NorthMid is part of North Central London integrated care system – consisting of the NHS and Local authority organisations in Camden, Islington, Barnet, Enfield and Haringey. As with other ICS’s, we are working increasingly closely with partners and indeed many of our financial and performance objectives are measured at this system level. Whilst all organisations remain as standalone, statutory bodies we have an ICS infrastructure for making shared decisions and agreeing shared approaches.
We are proud of our staff and want to ensure their training allows them to provide excellent clinical care. We are also a training unit for medical students from UCL and St George’s University Grenada, and for nursing and midwifery students from Middlesex and City Universities.
Take a tour of our hospitalhere
Clinical• Manage and co-ordinate the care for patients referred for Rheumatology.
• Be responsible and accountable for all elements of professional nursing practice.
• To work autonomously in managing patients eligible for biologics and liaise with consultant and members of the multi-professional team.
• Maintain effective communication with patients, carers, and professionals to ensure seamless service delivery.
• Assist with the assessment of new patient referrals and working alongside consultants to ensure appropriate investigations are performed in a timely manner and an agreed management plan is in place.
• To undertake assessment of the patient which includes physical examination, when applicable, ordering and interpreting diagnostic tests as appropriate.
• Taking patient history relating to relevant condition and order diagnostic test as appropriate.
• Ensure all assessments are documented fully and communicated effectively to consultant, referring member of the medical team or GP and members of the multi-professional team.
• To review previous test results and identify any abnormalities with blood tests / imaging and instigate appropriate action or escalation to consultant.
• To be accountable for coordinating patient care with the Consultants and administration team, in order to meet agreed standards- /pathways. This will include prescriptions and updating patient and patients’ referring Consultant or GP of the care/treatment plan.
• To provide specialist clinical knowledge, support and practice, to patients and carers within the Department and wards. Ensure the patient and family are fully informed and understand the purpose of any investigations, treatment, and outcomes, in accordance with best practice and informed consent.
• To assess both outpatient base on national standards, to determine patient clinically fit for interventions/treatments.
• To communicate with the administrative team and confirm all appointments for diagnostic investigations/treatments are timely/appropriate and as per protocol.
• To make decisions independently regarding clinical care and priorities where Demonstrate clinical decision making and an ability to monitor and improve standards of care.
• To undertake aspects of the extended role of the nurse following appropriate training. Perform and assist with agreed procedures appropriate to the role and function of the Lead Nurse Rheumatology.
• To be responsible for setting, implementing, and monitoring acceptable standards of care for patients within Rheumatology department.
• Co-ordinate and run nurse led clinics in addition to managing and reviewing patients on an urgent basis in order to provide an expert and effective patient focused service.
• Communicate complex information following assessments and analyse information which is sensitive to patients/carers and health professionals. Support patients and their carers when giving bad news and dealing with difficult situations.
• Communicate information effectively and answer queries from patients, their relatives/carers and the multidisciplinary team members. Provide telephone support and advice which is safe and
• Provide psychological and emotional support for patients through facilitation of relevant groups, counselling and information sharing
• Maintain accurate patient records of all care delivered, procedures performed, and decisions/follow up post procedure.
• Work collaboratively with nursing colleagues to share good practice and provide equity of patient Be visible within clinical areas and act as a resource.
• Care and control of all medications used and ensuring systems in place for safe administration, ordering and maintenance of stock.
• Be accountable for principles of infection control and the prevention of cross infection in relation to patient care and the clinical environment.
• Participate in case conferences in relation to future management or discharge arrangement.
• Working with Consultant Service Lead and other health professionals in order to achieve optimum waiting lists for rheumatology, reduce waiting time for biologic treatment.
Management• Co-ordinate a nurse led rheumatology service which promotes a safe patient pathway for those eligible Work collaboratively with Clinical Lead and Service teams to optimise demand and capacity within Rheumatology.
• To collect, collate, evaluate information relating to patients referred and procedural All patient pathways are tracked, and data collated on key events such as timing of receipt of referral, date of consultations, treatment options and clinical outcomes.
• Present information to professional groups, analyse data and provide written Data will be analysed frequently to identify risks or delays in patient care which require immediate intervention by Clinical Lead or service teams.
• To establish and maintain effective communication links with all relevant personnel and departments, external agencies as necessary.
• Identify clinical risks and ensure appropriate escalation and action is taken, in accordance with policy, by providing expert advice.
• To be conversant with Trust and department policies and procedures and ensure that these are adhered to and available to others.
• To monitor clinical standards of nursing care and report to the Clinical Lead/ADoN when standards are not being This will include the notification of problems and incidents and initiating appropriate action.
• Evaluate service and identify areas of improvement to be assured clinical and financial efficiency, effectiveness and Participate in quality and audit initiatives.
• Attend multidisciplinary team meetings and present individual care studies or relevant data on service.
• Act as a patient advocate and counsel when informed discussion may lead to choices being made concerning treatment Possess a thorough understanding of safeguarding procedures and policies in practice.
• Network within and outside of the organisation in relation to service development. Influence strategic developments in pursuit of advancement of quality of patient care, clinical outcomes, and patients’ experience within rheumatology.
• Lead or facilitate the policy development for the Rheumatology Service to enable active and measurable Expected to represent self in the service to assure that real improvements have been implemented.
• Develop and strengthen interpersonal relationships with both Medical & Surgical teams and members of the Multi-professional team to ensure good working and collaboration within practice.
• Be responsible for financial control of consumables/resources including medications required for biological treatments.
Education• To act as a patient advocate in line with the National guidelines and to actively apply in-depth knowledge of holistic/socio-economic and cultural aspects of care to clients within the speciality.
• Participate in teaching and supervision of new and unqualified staff, including medical staff and learner nurses.
• Perform the role of a mentor to trainees, within the department.
• Be conversant with current legislation/NICE guidance for patients requiring rheumatology care and implement as appropriate.
• Participate in local/national audits and research relating to Rheumatology patients.
• To use information systems to aid regular audit of the clinical role and have an awareness of how information technology can contribute to clinical practice.
• Lead on audit, quality, and risk management initiatives in supporting rheumatology services.
• Utilise nursing research within clinical practice, keep up to date with, interpret and critically evaluate current literature in specialist area and within Professional arena.
• To ensure evidence-based practice is implemented and updates Trust guidelines to ensure high quality and effective care is delivered.
• To communicate and update staff on audit/research findings and to initiate any changes to practice, as required.
• Work with the Clinical and Nursing Lead to agree own learning objectives in order to develop both professionally and personally.
• To undertake clinical supervision and reflective practice and support other staff to do the same.
• Develop and maintain a professional portfolio, which complies with NMC recommendation and revalidation.
• To monitor/maintain a system for monitoring of self about the requirements of professional practice & the maintenance of NMC requirements regarding registration.
• To provide information and function as a resource for advice to GPs, primary care about patients requiring endoscopy with both written and verbal correspondence.
• Participate and contribute with staff review and appraisals and support Personal development plans for nursing and allied health professionals within Endoscopy.
• Act as an assessor/mentor for students and colleagues participating in induction programmes, teaching, developing and assessing competencies and support ongoing learning.
• Lead on the development and revision of patient information for patients undergoing endoscopy and ensure all information is in line with Trust standards and agreed within Trust Patient Documentation.
• To produce annual service review report and keep the CNS team Job planning in line with the service.
This advert closes on Thursday 2 May 2024
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