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Band 7 Clinical Nurse Specialist
Posting date: | 09 January 2025 |
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Salary: | £51,883.00 to £58,544.00 per year |
Additional salary information: | £51883.00 - £58544.00 a year |
Hours: | Full time |
Closing date: | 23 January 2025 |
Location: | London, TW4 7BU |
Company: | NHS Jobs |
Job type: | Contract |
Job reference: | C9289-EI-1650-B |
Summary
Clinical To support and contribute to the nurse led Rapid Access Chest Pain clinic service in accordance with NSF 2000 targets. To make an assessment of patients cardiac care needs based on highly developed nursing knowledge and skills including advanced cardiac physical assessment skills and history taking and request appropriate investigations. To assess patients risk of CVD using NICE guidance and empower patients to realise and maintain their potential in relation to health and wellbeing. To assess complex health and wellbeing needs, diagnose or refute diagnosis of Coronary artery disease using accountable professional decision making and problem solving skills autonomously. To develop with the patient a management plan for their cardiac needs within the remit of the clinic with emphasis on treatment including revascularisation where appropriate whist emphasising health education and prevention measures. To assess and authorise the admission or discharge of patients from caseload as appropriate. To ensure patients and relatives are given appropriate oral and written information regarding Coronary artery disease. To provide health promotion to individuals and their family regarding Coronary artery disease and risk factors for primary and secondary prevention. To review and maintain standard of documentation in accordance with the NMC standards for records and record keeping. To act as a gateway for the GP referrals ensuring that appropriate referrals are accepted to the RACPC and inappropriate referrals are forwarded to a consultant cardiologist. To Inform GPs of clinic outcome and requested investigations by letter. Realise their own limitation of ability and recognise boundaries and consult with other members of the team as appropriate. To develop a culture that improves quality within the Rapid Access Chest Pain service. To be an independent nurse prescriber in accordance with nursing and midwifery council (NMC) standards for prescribing medicines and trust policy. Educational To contribute towards staff development within cardiology by means of teaching in the classroom and the clinical setting. To contribute towards the knowledge of healthcare professionals within primary and secondary care through teaching and presentations. To develop and maintain own clinical skills and expertise by attending relevant study days/ conferences where appropriate. To participate in the orientation of new staff and students. Professional To act in accordance with the NMC Code of Conduct To exercise sensitivity and diplomacy regarding role boundaries with other healthcare professional across the Acute Trust and local Primary Care Trust To engage in personal clinical supervision To participate in own annual appraisal with regular review with line manager, identifying own development needs and appropriate learning that relate to the demands of the role. Audit and Research To facilitate and participate in the collection of audit data and outcome measures to demonstrate effectiveness of the service provided, and to highlight areas for further development To present results of audit to the Trust and cardiac directorate To obtain, evaluate and implementation findings from research and other information to facilitate best practice for the management of the rapid chest pain clinic To be actively involved in the Controls Assurance/Clinical Governance Group within the Trust Communication Ensure all communication, which may be complex, contentious or sensitive, is undertaken in a responsive and inclusive manner, focusing on improvement and ways to move forward. Ensure all communication is presented appropriately to the different recipients, according to levels of understanding, type of communication being imparted and possible barriers such as language, culture, understanding or physical or mental health conditions.