Warning
This job advert has expired and applications have closed.
Community Clinical Nurse Specialist HIV
| Posting date: | 17 May 2024 |
|---|---|
| Salary: | £43,742.00 to £50,056.00 per year |
| Additional salary information: | £43742.00 - £50056.00 a year |
| Hours: | Full time |
| Closing date: | 02 June 2024 |
| Location: | London, SE18 4QH |
| Company: | NHS Jobs |
| Job type: | Contract |
| Job reference: | C9197-24-0609 |
Summary
Detailed job description and main responsibilities: Ensure care for complex patients is specifically tailored and co-ordinated to individual needs through case management. To practice autonomously in the management of own caseload of clients in the community and clinic, in line with Trust processes and the NMC Professional Code of Practice. Assess and interpret complex clinical information and data in partnership with the patient to make appropriate diagnoses, developing and implementing a plan of healthcare management including prescribing medications or refer for medical review if required. Evaluate the effectiveness of the patients care plan on an ongoing basis and initiate any further action required. Recognise and act on situations that may be detrimental to the health and wellbeing of the individual. To provide ongoing follow-up care and support such as home visits, telephone support, nurse -led clinics, phlebotomy in the community/patients homes, including lone working. Utilise their expertise and clinical skills to manage a case load of patients including those with highly complex treatment and psycho-social needs, referred by the medical consultant or team doctors for ongoing follow-up care in the community Provide pathways for HIV testing to high-risk patients e.g. partners of people with recently diagnosed HIV, historical untested partners/children. Use highly developed knowledge and skills to assist and support the patient in developing their understanding and skills to ensure effective self-management of HIV as a chronic disease. Prevent mother to child transmission of HIV through collaborative working with members of the MDT in the care co-ordination and treatment support for HIV positive women who are pregnant. To support patients at risk of Lost to Follow Up (LTFU) engaging with them to remain in care through a collaborative approach involving the LTFU clinicians within the service, patient and their support network. To enable clients affected by HIV and their support network to make informed decisions concerning their care through the provision of advice, support and health education regarding HIV and the supplementary services available to them. Use advanced expertise in health promotion and the prevention of illness to assess and advise patients with particular reference to smoking cessation, diet, and recreational drug use, mental health, immunisation, sexual and reproductive health. Identifying other issues that may impact on health e.g. Domestic abuse, substance misuse, child and adult safeguarding issues, those experiencing stigma and referring on for further support. Use highly developed communication skills to assess situations and empathetically impart information, which is often complex and sensitive, at all levels of interaction with others. To assist in facilitating the transition of care between acute and community services. To support the referral pathways to Mildmay Mission Hospital (for people with HIV), in order to support the service and advice commissioners on the utilisation of this resource. Work closely with Health and Social care colleagues to ensure patients are timely and appropriately referred/assessed. Referring to Primary or Secondary care as appropriate e.g. Dietetics, Social services, Food Chain, General Practitioner. Make referrals as required to members of the multi professional team internal and external to the department, Trust and Third Sector. Act as a resource providing advanced non-medical practice advice on the care and management of HIV patients for other health care professionals both within and external to the Trust including patients relatives and carers To work closely and collaboratively with members of the multi professional team both internal to the Trust and external stakeholders. To communicate and liaise with primary care teams, secondary care teams, and community agencies to ensure continuity of care and adequate support at home. Support the senior Nursing team where appropriate in the development of the junior nurses ensuring they are working within a local competency framework (based on the NHIVNA Nurse Competency Framework) Lead initiatives that enhance the quality of community nurse-led patient care and treatment support through policy and guideline development based on the best available evidence. To take overall responsibility for the management of the HIV community service and team; with support of the wider clinical team in the service To supervise junior members within the community HIV team acting as a role model for junior members and a support to colleagues and managers To provide treatment support to community-based patients starting or switching therapy and advising on those patients experiencing problems with adherence both within the outpatient and inpatient settings To critically reflect on own competence and performance through clinical supervision and act as a mentor and clinical supervisor to nursing team members within the clinic. To develop and expand upon a specialist interest with the HIV service, for example management of older patients, co-infection, BME, hard to reach groups or women, service development, creating SOPs and providing specialist education. Liaise with Pharmacy colleagues to ensure a seamless provision of anti-retrovirals to patients who are housebound/community based. To provide data and reports pertaining to the HIV community nursing cohort of patients.