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TB Nurse Specialist
| Dyddiad hysbysebu: | 02 Medi 2024 |
|---|---|
| Cyflog: | £44,806.00 i £53,134.00 bob blwyddyn |
| Gwybodaeth ychwanegol am y cyflog: | £44806.00 - £53134.00 a year |
| Oriau: | Llawn Amser |
| Dyddiad cau: | 16 Medi 2024 |
| Lleoliad: | London, N19 5NF |
| Cwmni: | NHS Jobs |
| Math o swydd: | Parhaol |
| Cyfeirnod swydd: | C9220-24-0876 |
Crynodeb
Clinical Responsibilities Ongoing responsibility for the assessment and progress of individuals receiving treatment for TB and LTBI. This includes adults and children including those infected with HIV and MDRTB. Manage a caseload of patients including complex cases requiring enhanced case management, with support from the wider TB team, to ensure high treatment completion rates. Develop specialist programmes of care in collaboration with the wider TB team to provide individualised care, education and support to meet the needs of patients with TB/LTBI diagnosis. Demonstrate role model excellence in nursing practice to other staff and act as an expert TB resource within the acute and community setting. Assess the likelihood of adherence before/during treatment andif necessary to provide/coordinate directly observed therapy video observed therapy. Manage and undertake nurse led clinics offering screening, contact tracing, rapid access, LTBI treatment and support, advice and referral of patients to appropriate services as necessary. Ensure the needs of the patient are placed at the centre of care delivery. Make community visits to non-attendees, where there are concerns regarding treatment adherence/contact screening. Offer contact screening to close contacts in the community setting in line with local protocol. Carry out community visits to all patients being treated for pulmonary TB or those assessed as requiring enhanced support. Provide nurse-led clinics and walk-in clinic within agreed protocols, but also to assess and determine need for unplanned medical review. Select, carry out and interpret the results of specific tests; e.g. Mantoux test (diagnostic tool), IGRA, induced sputum, routine blood tests, visual acuity and BCG vaccination (by intradermal injection) under patient group direction, within agreed local protocols and in accordance with national guidance. Prepare and dispense TB medication (oral, IM and IV) in accordance with local protocols and where appropriately trained, prescribe TB medication. Investigate microbiology results, abnormal radiology referrals, assess urgency and need for medical review. Discuss patient prognosis with the patients and their relatives, dealing with the stigma associated with TB, TB/HIV, including dealing with distressing and emotional circumstances. Act as a patient advocate when required to ensure that their needs are met and refer patients to specialist services and professionals within other agencies if necessary. Assist and investigate cases/outbreaks of TB and carry out risk assessment, contact identification, tracing and co-ordinate mass community screening in conjunction with United Kingdom Health Security Agency (UKHSA). Liaise with infection control/occupational health in the management of inpatient ward exposure incidents. Record clinical activities and outcomes accurately. Communicate effectively with patients/clients, relatives/carers, colleagues both verbally and in writing. Assist in the development of a non-tuberculosis mycobacterium nursing service. Maintain accurate and timely patient records, worthy of medico-legal scrutiny. Undertake any activity requested by the Sector Lead Nurse/Clinical Team Lead and deemed within the expectations of the role. Provide agreed incentives to patients as per care plan. Management Responsibilities Co-ordinate and lead the TB service in own base in the absence of senior TB Nurse. Ability to work independently under the guidance of the Senior TB Nurse. Supervise and monitor students and junior members of staff as required. Seek support from the Senior TB nurse on clinical issues as appropriate to ensure clinical governance. Carry out delegated duties from the senior team members. Participate in the induction and training of new members of staff. Work closely with the Senior TB nurse specialist in implementing Health and safety policy and action plans derived from risk assessments carried out for patients and places where services are being delivered. Ensure that adult safeguarding and child protection procedures and NHS policies are followed for this vulnerable client group. Work closely with the Senior TB nurse specialist to participate in the update and continued assessment as necessary of clinical protocols and policies for the diagnosis, treatment and management of patients/clients with TB and those vulnerable to TB. Promote and maintain a safe clinical environment for patients/clients and staff. Identify clinical risk and ensure that appropriate action is taken, in accordance with the Trusts Risk Management/Infection Control Policy, in order to prevent the transmission of TB. Maintain accurate databases, collect and interpret data on caseloads, add and edit records onto LTBR providing information for UKHSA. Partnership Working Report through the cohort review process Be an active member of the London TB workforce group. Maintain and develop existing links with prison healthcare staff to develop the TB service for the prison community, ensuring a high standard of nursing practice that is responsive to the needs of the patient using national guidelines and evidence base. Works within MDT, case review, team meetings, participates in and actively contributes. Maintain proactive and effective communication channels with key professionals across the NHS. (Eg, colleagues, primary healthcare staff and GPs, specialist team staff) public health, stakeholders and voluntary organisations. Ensure patient experience feedback is collected and incorporated into service development. Promoting Health and preventing ill Health Participate in the training, education and ongoing support of health professionals about the needs of TB patients, their families and close contacts. Assist in the development and implementation of sustainable programmes to raise awareness and reduce stigma amongst high risk groups and those people who work with them, teachers and the public. Participate in trust wide and national study days. Actively seek out opportunities to participate in formal and informal teaching and training of all members of the multidisciplinary team. Provide Mantoux, BCG training and support for appropriate health care professionals. Professional Practice Keep up to date with a working knowledge of relevant NMC guidelines and demonstrate this in clinical practice. Take an active role in monitoring and ensuring standards of care at own base and developing awareness of clinical governance issues. Pursue a programme of continuous education to achieve and maintain expertise for the post. Maintain and develop a lifelong learning portfolio. Demonstrate good knowledge regarding BCG vaccination and children affected by TB. Demonstrate a good understanding of the public health strategies and issues relating to this patient group. Participate in own 1:1 meetings. Identify own clinical competency, strengths and deficits/educational development needs through participation in the Trusts appraisal process. Complete all statutory training requirements relevant to the post. Participate in clinical supervision and act as a clinical supervisor. Keep up to date with a working knowledge of NMC and demonstrate this in clinic practice. Audit Ensure clinical audit and clinical governance are integral to the TB Nursing Service. Share and disseminate knowledge and expertise through formal and informal teaching. Develop, maintain and update relevant information and health promotion materials on all aspects of TB. Participate and contribute to network research studies as required. Management of resources Be aware of contracting issues and budgetary constraints in order to manage resources effectively. Be responsible for the safekeeping and use of equipment. Assist with the distribution of patient information Use Trust resources effectively and encourage others to do the same.