Job summary
30 hours per week. We are looking for a highly skilled, experienced, and enthusiastic Cardiac Rehabilitation
Nurse to work in the Livewell Southwest Community Cardiac Team.
This 1-year post has been created to support and improve Cardiac
Rehabilitation by offering Pre-habilitation to patients in University Hospitals
Plymouth.
Improving Cardiac Rehabilitation provision is currently high of the agenda of
The Integrated Care Pathway review and this post is part of a pilot scheme that
will provide evidence to highlight the requirement of Cardiac Prehabilitation
in the future. There is also a requirement to support the delivery of Phase 1 Cardiac
Rehabilitation on the in-patient wards.
This role will evolve with the pilot and offer potential opportunities in
the future.
Managed and supported by The Community Cardiac Team in Livewell Southwest,
you will be an educational resource, support and advocate for cardiology and cardiothoracic
patients who currently not offered any
Pre-habilitation at all. This successful candidate must be a confident communicator,
skilled motivator, and work well independently and within the multidisciplinary
team.
Main duties of the job
To undertake a leading role in the planning,
coordinating, delivering and evaluating of high quality Cardiac Nursing care
for patients with Cardiac Pre-habilitation needs. This will be focused primarily
on planned CABG patients.
To provide Phase 1 Cardiac Rehabilitation
to patients on the acute ward.
To act as a resource of specialist
expertise for patients and the wider MDT across Derriford and Livewell
Southwest.
To provide an effective interface
between the patient and Primary and Secondary care and offer a seamless, consistent,
and cohesive service.
This
role may evolve into other aspects of cardiac rehabilitation where the need
arises.
About us
Livewell Southwest values its staff and makes investment in
their development a priority. Currently we offer the following development
opportunities for staff:
- A
minimum of three days protected CPD for registered staff
- Development
pathways for unregistered staff from apprentice to bands 2, 3 and 4 and for
registered staff in bands 5, 6, 7 and 8
- Leadership
programmes
- Coaching
and mentoring
- Medicines
Management, leg Ulcer Management and Assessment Training
- Access
and funding for training including Care Certificate, Assistant
Practitioners Course and Scholarship Into Nurse Training
- Robust
Preceptorship
- An
induction programme tailored to your needs
- Relocation
package may be considered for the right candidate for certain roles
- Discounts available from retailers, UK hotels
and main attractions often up to 15% savings
- NHS Pension Scheme and competitive Pension
Scheme with Scottish Widows and/or Government Pension scheme (conditions
apply)
- Lease car scheme
- Cycle to work scheme
- Childcare vouchers
- School holiday childcare subsidies
- Multiple flexible working options
Livewell Southwest can allow existing members of the NHS
Pension Scheme to continue their membership when they join the organisation.
Job description
Job responsibilities
Management:
- Responsible for the planning, development,
and day-to-day running of the community cardiac prehabilitation service.
- Responsible for/ working in conjunction with
Manager regarding clinical governance including satisfaction
questionnaire, patient notes audit, clinical audits as deemed necessary.
- Produce and update cardiac prehabilitation
evidence within care quality commission framework.
- Responsible for the recruitment and selection
of new staff including induction and supervision of other staff
- Deputise for the service manager as required
- Manage clinical risk within own caseload and
perform risk assessments.
- Make recommendations on changes to clinical
practice within community cardiac prehabilitation
- Alongside team manager, Develop and update
standards and protocols for cardiac prehabilitation in line with
national guidelines.
- Work within the framework of patient group
directives for the administration of emergency drugs.
Clinical:
- Working within professional guidelines to
make clinical decisions without supervision. Seeking advice as necessary
from patients Consultant, GP or GPSI in using evidence-based research or
peer support from another trust.
- To reduce unnecessary hospital admissions
and enable the individual patient to be managed in the community.
- To offer specific individualised prehabilitation
advice
- To provide clinical assessment, support and
education to patients, and their carers, enabling them to make informed
decisions about the treatment, management, and monitoring of their condition,
with the aim of optimising their quality-of-life.
- Deal effectively with arising clinical
issues and emergency situations.
- To interpret blood results and suggest adjustments
to medications as required through liaising with the patients GP or consultant
as required.
- To be professionally and legally accountable
for all aspects of your work including management of patient care
- Evaluate progress, reassess, and alter
individual action plans with the patient and relatives where required
- To provide expert advice and support in
situations where the patient is able to actively participate in setting
their own individual action plan
- Work as a loan practitioner within the Hospital
or Community setting, with peer support as required
- Work within Livewell guidelines and have a
good working knowledge of national standards, such as the National
service framework for CHD and British Association of cardiac rehabilitation
guidelines, nice guidelines and CQC standards
- To be responsible for maintaining accurate
and comprehensive patient records in line with the nursing and midwifery
Council and data protection guidelines
Education and Training:
- Provide patients,
families and carers with tailored education programmes, advice, and support,
that may precipitate symptoms of acute exacerbation of cardiac conditions and
include lifestyle changes that would be advantageous to health
- Evaluate the impact of
these training programmes, for patients and carers, to ensure that they
provide the necessary knowledge and skills to gain independence, safely
manage changing circumstances and plan for unavoidable progression of
conditions
- Be responsible for providing
and maintaining a learning environment and maximise opportunities for education
and development in the clinical area to enhance individual development and
performance in the delivery of high standards of care
- Act as expert resource and
assist in teaching knowledge and clinical skills for other health care professionals
- Take part in the process
of clinical supervision and support clinical supervision for team members
- Take responsibility for
your own personal and professional development; maintain competence, knowledge,
and skills commensurate with role
- To develop, plan,
implement and evaluate educational programmes
- To undertake
all required training to develop competencies required for the role
- Integrate
theory into practice by bringing new knowledge around Cardiac Nursing into
the practice environment
- Act as mentor
for students and fulfil requirements of a practice placement
- Maintain
attendance at mandatory and statutory training as per organisation guidelines
Communication:
- Use a high level of
communication/negotiation skills on a daily basis with patients, carers and
relatives to encourage concordance with care planning and agreed outcomes.
- Use a high level of
communication/negotiation skills on a daily basis with other health and social
care professionals. To inform each, as
appropriate, of the highly complex and sensitive information related to the
patients condition required to achieve the best outcomes and care pathways.
- Show empathy and
sensitivity when dealing with life threatening illnesses or other sensitive
health related problems of patients, relatives and carers.
- Ensure effective and
timely information exchange is maintained, verbally, written or
electronically.
- Will be expected to
liaise at local level with people with Cardiac conditions, relatives and
carers, members of the public, Consultants, GPs and any other medical nursing
or therapy staff. Community and Acute
providers, Intermediate Care service staff, Social Services, other specialist
practitioner, statutory and voluntary organisations.
- Provide and receive complex,
sensitive, or contentious information where motivational, empathetic and
reassurance skills are required, verbal and non- verbal, as well as written
and electronic to communicate effectively with patients, carers, Consultants and
GPs. This will include patients who may have difficulty understanding or
communicating e.g., patients may be dysphasic, depressed, deaf, and blind or
may have difficulty accepting diagnoses.
- Able to provide the
interface between hospital and primary, community and social care settings. Maintain
case manager responsibility in reaching to inpatient facilities to facilitate
discharge to community.
- Demonstrate highly developed communication
skills required to take a lead role in case discussions/case conferences
concerning service users in their caseload.
- Act
as patient advocate as required to ensure individual needs, preferences and
choices are delivered.
- Establish
the dynamic process of understanding, reflecting, active listening and checking
understanding, thus developing a therapeutic relationship with patients and
carers.
Professional:
- Work within
the NMC Code of Conduct.
- Remain updated
and ensure that clinical practice is evidence based.
- Have a
personal development plan and professional portfolio.
Risk Management
In accordance with the Risk Management Strategy,
employees will participate, whenever required, with the risk management
process. They will support line managers by attending mandatory and statutory
training, completing incident/accident forms for every adverse event or near
miss that occurs, report all defects and complaints, and communicate any
dangerous situation to individuals potentially at risk.
Health and Safety at Work
You must co-operate with those in authority and
others in meeting the statutory requirements and in following policies and
procedures. A copy of the Health and
Safety Policy is available from the intranet or from the Risk Management
Department.
Infection Control
Livewell
Southwest is determined to eradicate healthcare-acquired
infection and puts a great deal of emphasis on the responsibility of all staff
to ensure their own personal and others compliance with Infection Control
(including Hand Washing) Policies. All staff must comply with infection control policies and
guidance, attend relevant updates and report issues of concern to their
immediate line manager (if no action or explanation received, then it is the
individuals responsibility to escalate their concerns to the Director of
Operations or Chief Executives Office).
Safeguarding Children & Adults
All employees have a duty to safeguard and promote
the welfare of children and adults and are required to act in such a way that
at all times safeguards their health and wellbeing. Familiarisation with
and adherence to national and local safeguarding adults and children policies
is an essential requirement upon all employees. Livewell Southwest has specific
safeguarding policies and in addition, employees also have a responsibility to
practice and work within the multi-agency policy developed by the Safeguarding
Adults Board and the Safeguarding Children Board. Staff are also required to
participate in related mandatory/statutory training.
Research
For
clinical posts at bands 5 and 6, there is an expectation that engagement in
research will be part of this role. Therefore, an awareness of the value and
relevance of research is expected and the post holder should either support
existing research within their specialty area as appropriate or identify
opportunities to raise awareness of research possibilities. For clinical posts at band 7 and above, the
post holder will be required to actively participate in complex audits using
research methodology, or participate as required in clinical trials or
equipment testing, and will demonstrate high level involvement in local ongoing
research projects.
Other
This Job Description is not exhaustive
and may change as the post develops, but such change will not take place
without consultation between the post holder and their manager. Job
descriptions should be reviewed at least annually at the appraisal meeting.
The post holder is required to comply with all relevant policies and procedures pertinent to their post. Current versions can be found on the intranet or via your manager.
Job description
Job responsibilities
Management:
- Responsible for the planning, development,
and day-to-day running of the community cardiac prehabilitation service.
- Responsible for/ working in conjunction with
Manager regarding clinical governance including satisfaction
questionnaire, patient notes audit, clinical audits as deemed necessary.
- Produce and update cardiac prehabilitation
evidence within care quality commission framework.
- Responsible for the recruitment and selection
of new staff including induction and supervision of other staff
- Deputise for the service manager as required
- Manage clinical risk within own caseload and
perform risk assessments.
- Make recommendations on changes to clinical
practice within community cardiac prehabilitation
- Alongside team manager, Develop and update
standards and protocols for cardiac prehabilitation in line with
national guidelines.
- Work within the framework of patient group
directives for the administration of emergency drugs.
Clinical:
- Working within professional guidelines to
make clinical decisions without supervision. Seeking advice as necessary
from patients Consultant, GP or GPSI in using evidence-based research or
peer support from another trust.
- To reduce unnecessary hospital admissions
and enable the individual patient to be managed in the community.
- To offer specific individualised prehabilitation
advice
- To provide clinical assessment, support and
education to patients, and their carers, enabling them to make informed
decisions about the treatment, management, and monitoring of their condition,
with the aim of optimising their quality-of-life.
- Deal effectively with arising clinical
issues and emergency situations.
- To interpret blood results and suggest adjustments
to medications as required through liaising with the patients GP or consultant
as required.
- To be professionally and legally accountable
for all aspects of your work including management of patient care
- Evaluate progress, reassess, and alter
individual action plans with the patient and relatives where required
- To provide expert advice and support in
situations where the patient is able to actively participate in setting
their own individual action plan
- Work as a loan practitioner within the Hospital
or Community setting, with peer support as required
- Work within Livewell guidelines and have a
good working knowledge of national standards, such as the National
service framework for CHD and British Association of cardiac rehabilitation
guidelines, nice guidelines and CQC standards
- To be responsible for maintaining accurate
and comprehensive patient records in line with the nursing and midwifery
Council and data protection guidelines
Education and Training:
- Provide patients,
families and carers with tailored education programmes, advice, and support,
that may precipitate symptoms of acute exacerbation of cardiac conditions and
include lifestyle changes that would be advantageous to health
- Evaluate the impact of
these training programmes, for patients and carers, to ensure that they
provide the necessary knowledge and skills to gain independence, safely
manage changing circumstances and plan for unavoidable progression of
conditions
- Be responsible for providing
and maintaining a learning environment and maximise opportunities for education
and development in the clinical area to enhance individual development and
performance in the delivery of high standards of care
- Act as expert resource and
assist in teaching knowledge and clinical skills for other health care professionals
- Take part in the process
of clinical supervision and support clinical supervision for team members
- Take responsibility for
your own personal and professional development; maintain competence, knowledge,
and skills commensurate with role
- To develop, plan,
implement and evaluate educational programmes
- To undertake
all required training to develop competencies required for the role
- Integrate
theory into practice by bringing new knowledge around Cardiac Nursing into
the practice environment
- Act as mentor
for students and fulfil requirements of a practice placement
- Maintain
attendance at mandatory and statutory training as per organisation guidelines
Communication:
- Use a high level of
communication/negotiation skills on a daily basis with patients, carers and
relatives to encourage concordance with care planning and agreed outcomes.
- Use a high level of
communication/negotiation skills on a daily basis with other health and social
care professionals. To inform each, as
appropriate, of the highly complex and sensitive information related to the
patients condition required to achieve the best outcomes and care pathways.
- Show empathy and
sensitivity when dealing with life threatening illnesses or other sensitive
health related problems of patients, relatives and carers.
- Ensure effective and
timely information exchange is maintained, verbally, written or
electronically.
- Will be expected to
liaise at local level with people with Cardiac conditions, relatives and
carers, members of the public, Consultants, GPs and any other medical nursing
or therapy staff. Community and Acute
providers, Intermediate Care service staff, Social Services, other specialist
practitioner, statutory and voluntary organisations.
- Provide and receive complex,
sensitive, or contentious information where motivational, empathetic and
reassurance skills are required, verbal and non- verbal, as well as written
and electronic to communicate effectively with patients, carers, Consultants and
GPs. This will include patients who may have difficulty understanding or
communicating e.g., patients may be dysphasic, depressed, deaf, and blind or
may have difficulty accepting diagnoses.
- Able to provide the
interface between hospital and primary, community and social care settings. Maintain
case manager responsibility in reaching to inpatient facilities to facilitate
discharge to community.
- Demonstrate highly developed communication
skills required to take a lead role in case discussions/case conferences
concerning service users in their caseload.
- Act
as patient advocate as required to ensure individual needs, preferences and
choices are delivered.
- Establish
the dynamic process of understanding, reflecting, active listening and checking
understanding, thus developing a therapeutic relationship with patients and
carers.
Professional:
- Work within
the NMC Code of Conduct.
- Remain updated
and ensure that clinical practice is evidence based.
- Have a
personal development plan and professional portfolio.
Risk Management
In accordance with the Risk Management Strategy,
employees will participate, whenever required, with the risk management
process. They will support line managers by attending mandatory and statutory
training, completing incident/accident forms for every adverse event or near
miss that occurs, report all defects and complaints, and communicate any
dangerous situation to individuals potentially at risk.
Health and Safety at Work
You must co-operate with those in authority and
others in meeting the statutory requirements and in following policies and
procedures. A copy of the Health and
Safety Policy is available from the intranet or from the Risk Management
Department.
Infection Control
Livewell
Southwest is determined to eradicate healthcare-acquired
infection and puts a great deal of emphasis on the responsibility of all staff
to ensure their own personal and others compliance with Infection Control
(including Hand Washing) Policies. All staff must comply with infection control policies and
guidance, attend relevant updates and report issues of concern to their
immediate line manager (if no action or explanation received, then it is the
individuals responsibility to escalate their concerns to the Director of
Operations or Chief Executives Office).
Safeguarding Children & Adults
All employees have a duty to safeguard and promote
the welfare of children and adults and are required to act in such a way that
at all times safeguards their health and wellbeing. Familiarisation with
and adherence to national and local safeguarding adults and children policies
is an essential requirement upon all employees. Livewell Southwest has specific
safeguarding policies and in addition, employees also have a responsibility to
practice and work within the multi-agency policy developed by the Safeguarding
Adults Board and the Safeguarding Children Board. Staff are also required to
participate in related mandatory/statutory training.
Research
For
clinical posts at bands 5 and 6, there is an expectation that engagement in
research will be part of this role. Therefore, an awareness of the value and
relevance of research is expected and the post holder should either support
existing research within their specialty area as appropriate or identify
opportunities to raise awareness of research possibilities. For clinical posts at band 7 and above, the
post holder will be required to actively participate in complex audits using
research methodology, or participate as required in clinical trials or
equipment testing, and will demonstrate high level involvement in local ongoing
research projects.
Other
This Job Description is not exhaustive
and may change as the post develops, but such change will not take place
without consultation between the post holder and their manager. Job
descriptions should be reviewed at least annually at the appraisal meeting.
The post holder is required to comply with all relevant policies and procedures pertinent to their post. Current versions can be found on the intranet or via your manager.
Person Specification
Experience
Essential
- Minimum 3 years post-registration experience
- At least 2 years working in a Cardiology setting
Desirable
- Previous Community Cardiac experience
- 2 years at senior level in a Cardiology setting
- Variety of Cardiology provision eg. Wards, community, cath labs, CCU.
- Cardiac Rehabilitation / Prehabilitation experience.
Qualifications
Essential
- Registered Nurse
- Relevant post registration qualification
Desirable
- Specific Cardiac course
- Mentorship/teaching qualification
- ILS/ALS trained
- Qualifications in education or health promotion
Skills & Knowledge
Essential
- Good knowledge of Cardiac Nursing; Cardiac Rehabilitation, Cardiac Pre-habilitation, Secondary Prevention, Cardiac Surgery, Cardiac intervention etc
- Excellent interpersonal skills
- Evidence of being able to work independently without supervision, but liaise effectively with an MDT
- Ability to assess, plan, implement and evaluate patients independently
- Ability to work independently and within a team, supporting colleagues to maintain equity of service for all
- Able to travel throughout the Livewell patch to attend courses and support colleagues.
Desirable
- Enhanced cardiac knowledge
- Coaching/ motivational interviewing skills
Person Specification
Experience
Essential
- Minimum 3 years post-registration experience
- At least 2 years working in a Cardiology setting
Desirable
- Previous Community Cardiac experience
- 2 years at senior level in a Cardiology setting
- Variety of Cardiology provision eg. Wards, community, cath labs, CCU.
- Cardiac Rehabilitation / Prehabilitation experience.
Qualifications
Essential
- Registered Nurse
- Relevant post registration qualification
Desirable
- Specific Cardiac course
- Mentorship/teaching qualification
- ILS/ALS trained
- Qualifications in education or health promotion
Skills & Knowledge
Essential
- Good knowledge of Cardiac Nursing; Cardiac Rehabilitation, Cardiac Pre-habilitation, Secondary Prevention, Cardiac Surgery, Cardiac intervention etc
- Excellent interpersonal skills
- Evidence of being able to work independently without supervision, but liaise effectively with an MDT
- Ability to assess, plan, implement and evaluate patients independently
- Ability to work independently and within a team, supporting colleagues to maintain equity of service for all
- Able to travel throughout the Livewell patch to attend courses and support colleagues.
Desirable
- Enhanced cardiac knowledge
- Coaching/ motivational interviewing skills
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Additional information
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
