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Clinical Nurse Specialist: Lead nurse / Manager Cardiac Rehabilitation
| Dyddiad hysbysebu: | 16 Mai 2024 |
|---|---|
| Cyflog: | £50,952.00 i £57,349.00 bob blwyddyn |
| Gwybodaeth ychwanegol am y cyflog: | £50952.00 - £57349.00 a year |
| Oriau: | Llawn Amser |
| Dyddiad cau: | 29 Mai 2024 |
| Lleoliad: | Brighton, BN2 5BE |
| Cwmni: | NHS Jobs |
| Math o swydd: | Parhaol |
| Cyfeirnod swydd: | C9279-24-1144 |
Crynodeb
Communication Deliver complex and sensitive information to patients about their clinical condition following a significant health event, such as a myocardial infarction, cardiac surgery, out of hospital cardiac arrest, device implantation, and other interventional cardiac procedures.Use sensitivity and empathy to support the patient from a social and employment perspective and in the need for lifestyle changes. Communicate life-changing issues such as medical complications to patients and provide support to patients and their families. Use advanced communication skills to facilitate lifestyle changes using motivational skills. Support verbal communication by providing written educational material to patients, carers and healthcare professional to ensure understanding of complex issues. Assess discharged patients over the telephone, triaging calls, recognising red flags and providing appropriate clinical advise. Acts as a patients advocate in issues concerning their care. Refer patients with complex issues and challenging behaviour to the clinical psychologist after obtaining the patients consent. Represent the Cardiac Rehabilitation team in internal and external meetings as required to communicate the performance of the service. Present at national and international conferences. Provide written and verbal reports to GPs and other members of the multidisciplinary team regarding treatment changes and recommended management of care. Communicate results of tests results to patients and GPs. Maintain accurate records regarding all patient contacts, including telephone consultations. Ensure that confidentiality and adherence to the Data Protection Act in relation to own practice is maintained. Deliver group education to patients. Seek opportunities to publicise and promote the service. Explore the use of digital communication to facilitate collection of data for NACR. Lead the communication with other Cardiac Rehabilitation professionals to develop an integrated cardiac rehabilitation team. Gain patient feedback on the service and act on findings. Service Delivery and Improvement Lead and manage the cardiac rehabilitation team across 2 hospital sites RSCH and PRH. Deliver operational leadership on a daily basis ensuring safe staffing for all aspects of the service and managing clinical risk. Provide strategic leadership in line with national and local policy and priorities. Develop an integrated cardiac rehabilitation team spanning different professional groups. Develop hybrid models of cardiac rehabilitation to include face to face exercise programmes and virtual models such as REACH-HF and the Heart manual. Ensure the education programme in phase 3 remains contemporary, and utilise innovative ways for education delivery. Ensure complaints and plaudits are handled in a professional manner and following policy. Report any untoward incident or accident and ensure that appropriate investigation, corrective action and documentation takes place. Lead on the implementation of Trust policies relevant to cardiac rehabilitation. Adhere to all local standard operating procedures and policies. Take responsibility for Policy and Service development, as delegated by Senior Management or as required, in line with changing legal, professional or clinical issues.. Critically analyse methodology and results of research and apply to future clinical practice where appropriate. In collaboration with UHSussex research department, develop, participate in and encourage research pertaining to cardiac rehabilitation, and assist in changing practice related to evidence based research findings. Collect audit data in line with local and national requirements (eg NACR, PATS registry). Independently undertake service audit or local protocol audits according to service need. Promote dissemination of audit results through presentation and publication. Maintain certification with NACR demonstrating a service meeting key standards. Benchmark audit data against local and national data, making changes where required. Develop strategies to increase engagement in Cardiac Rehabilitation across the socio economic groups. Evaluate the effectiveness of the cardiac rehabilitation service in relation to patient outcomes. Actively encourage patient involvement in service development. Review national policy documents with reference to cardiac rehabilitation, eg The NHS Long Term Plan, and provide recommendations and actions to achieve the targets set. Develop a business case if required. Implement NICE guidance and quality standards, contributing to gap analyses where required. Participate in local clinical governance programmes, presenting an annual cardiac rehabilitation audit. Manage the cardiac rehabilitation budget. Work with the Integrated Care Board (ICB) regarding short term funding opportunities and evaluation of their use. Develop non medical prescribing within the team to support medicines optimisation during the programme, and to make changes that could prevent a hospital admission. People Management and Development Deal sensitively with staff with performance or HR issues adhering to Trust policy. Undertake annual appraisal of staff, identifying learning needs. Maintain an effective roster and manage staff absence on Healthroster. Lead on recruitment to the team with onward staff orientation and development. As a senior nursing role model provide guidance and training to junior doctors and nurses working with cardiac patients on the wards. Develop a programme of education and training to upskill other professional groups in holistic Cardiac Rehabilitation. Provide a structured education programme to nurses on cardiac wards, and as a visiting lecturer at the University on post graduate cardiac modules. Establish links with educational providers and Primary care providers in line with UHS regulations, providing maximum learning opportunities in this field. Provide training and education for GPs as required. Acts as a mentor and assessor to nurses undergoing cardiac modules. Patient Care Delivery Provide clinical advise in the specialist field of Cardiac Rehabilitation to patients, carers and members of the MDT. Provide clinical leadership to the cardiac rehabilitation team, acting as a resource for the most complex patients. Identify patients on the cardiac wards on a daily basis who have had a recent cardiac event and provide an individual assessment and plan. Receive referrals from Consultants Cardiologists, Consultant Surgeons, Heart Failure team, Arrhythmia team, General Practitioners, non-local hospitals. Triage referrals into the service ensuring patient safety. Provide phase 1-3 cardiac rehabilitation, and support onward referral to phase 4. Deliver individualised patient education to inpatients after a cardiac event, in the short window they are in hospital. Undertake a holistic assessment of the patient and develop an individual plan with the patient to address risk factor modification including lipid counselling, stress management, smoking cessation counselling (including pharmacological and behavioural support), diabetes education, nutrition education and counselling, psychosocial support and exercise management. Work with patients on behavioural goals. Provide a timely response to patients telephone calls, assessing symptoms and providing specialist advise with safety netting. Recognise life threatening changes and escalate appropriately. Develop pathways to prevent readmissions. Use non medical prescribing skills to optimise patient medication during the cardiac rehabilitation programme and to manage an unstable patient. Provide education and advise regarding complex medication regimes, promoting compliance, and identify adverse reactions with an action plan to resolve. Manage own clinical caseload and provide support and supervision to team members in the management of theirs. Be aware of expected clinical pathways and where deviation has occurred taking the necessary steps using specialist nursing skills. Perform psychological assessment using the Hospital Anxiety and Depression Score, acting upon findings and making referrals as required. Recognise the impact of psychological challenges on behavioural change. Provide support to patients with other psychological and emotional challenges, referring them to the clinical psychologist as necessary. Work closely and network with other nurse specialists to share practice and provide a uniformly high standard of care. Make clinical judgements about patients and adjust treatment plans accordingly in order to achieve treatment targets.