Job responsibilities
Job Summary:
An autonomous practitioner, responsible for the assessment, diagnosis, management and evaluation of treatment and/or care for patients attending the Complex Ventilation service.
Senior clinical and managerial specialist role in the home ventilation service co-ordinating this alongside the Lead Consultant and Physiotherapist for NIV.
Commences and supports long term ventilation as a therapy to patients in hospital and at home
Through effective leadership ensure the clinical multidisciplinary team deliver a safe, effective, responsive, caring and well-led service where compassion is embedded and a positive patient experience is achieved.
Provide strong professional clinical and managerial leadership and act as a professional role model.
Work across organisational and professional boundaries.
Key Responsibilities:
Clinical/Professional
Promote and set high standards of professional care and maintain the delivery of quality care within the trust policies, protocols and guidelines. Implement the trust values and beliefs ensuring they are embedded into everyday practice and evaluate their impact on the patients experience.
Provide professional leadership to MDT within sphere of clinical responsibility. Lead and motivate others by giving clear direction and setting achievable objectives.
Continuing responsibility for the assessment of care needs and the development, implementation and evaluation of programmes of care.
Act as a specialist clinical practitioner demonstrating developed clinical skills and knowledge. Passport to Manage We are proud to support staff with a competency framework that is designed to equip staff with the skills and knowledge to become effective managers and leaders. This post has been identified as a role that will benefit from the training and you will be enrolled onto Level Three of the Passport to Manage programme upon commencement with the Trust. Please click here for further information about the Passport to Manage programme.
Manage a caseload of patients including running New patient clinics, NIV set ups, Follow Up Clinics and home visits (planned and emergent).
Help create and then be part of internal hospital NIV Flying Squad responding in a timely fashion to acute admissions requiring NIV input in the Emergency Department/AMU (during core hours); commencing and supporting ventilation as a life support therapy
Develop a service philosophy and models of care to ensure that all policies and procedures are implemented and to lead on the development of nursing practice. Monitor any impact on the patient experience.
Ensure that any patient quality and safety issues are addressed in a timely manner. This includes monitoring and evaluating standards of care by the clinical team and providing regular feedback to the specialty team on the standards of care.
Implement evidence based practice, identify, initiate, manage and evaluate changes that lead to improved and high standards of care and in particular any service changes following feedback from patients. Use information to inform Business Plans for the specialist area.
Communicating, influencing and working with the multidisciplinary team to ensure seamless care across traditional boundaries and barriers leveraging different ways to improve quality and inform clinical decisions. Promote innovation and participate in benchmarking and quality audits to measure effectiveness of current practices.
In collaboration with members of the multidisciplinary team, ensure that the users of the service and their families have a positive experience and using feedback (Elephant Surveys, Family and Friends Test, concerns and complaints) evaluate patient processes and pathways of care are redesigned as required.
Ensure concerns raised by patients and their families are dealt with in an open, honest and transparent way, quickly and effectively, in line with trust policies, procedures and Duty of Candour legislation.
Oversee the service co-ordinator, ensuring that accurate and timely MDT records are maintained, patients are tracked and appointments booked as required, monitoring standards and taking corrective action as required.
Ensure the MDT are competent in the use of any medical devices/equipment and have access to training and monitoring compliance.
Assist in creating/purchasing an electronic patient database and oversee its use by the co-ordinator ensuring accuracy and timeliness of data input.
Make independent clinical, psychological and social assessments of patients and initiate/interpret investigations/treatments.
Reduce emergency admissions by providing timely telephone advice and education to patients and their families. In addition provide education to health care professional both in hospital and in the community.
Accept and triage referrals and refer patients to other health care professionals as required in the hospital and/or in the community.
Management/Leadership
Responsible for the organisation and management of the service alongside the Lead Consultant and Physiotherapist.
Provide clinical expertise and leadership to relevant staff within and outside PHT, in order to inform service provision and development.
Demonstrate awareness of national and local guidelines relating to specialty (e.g. NICE guidelines) and influence care developments in accordance with these.
Ensure regular team meetings take place and that all members of the MDT have opportunity to be involved in team discussions.
Lead the continuing development of Home Ventilation (Nursing) team, taking responsibility for to Identify, contribute to and lead on aspects in the development and dissemination of evidence-based guidelines, standards and protocols as required and implement change to improve the quality of nursing care.
Contribute to trust peer reviews and any focused CQC style reviews.
Actively contribute to achieving the clinical governance goals/targets set by the trust and department and comply with reporting schedules for monitoring and reporting on clinical outcomes. Includes auditing of services.
Implement the Trust Strategy by setting clear achievable objectives into any staffs annual performance and development reviews and evaluate performance (where applicable).
Be proactive in the prevention and management of complaints (formal and those via Patient Advice and Liaison
Service) and when they occur investigate and respond in a timely manner. Use any learning to share widely with the multidisciplinary team and to improve care delivery.
Responsible for the management of staff performance and attendance in line with trust policies (if applicable).
Promote effective communication with staff members across organisational boundaries and provide support to those dealing with patients who are either newly diagnosed or struggling with CPAP compliance.
Promote the health and well-being of MDT, patients and their carers. Making every contact count.
Comply and promote compliance with Trust policies and guidelines e.g. Health and Safety, Clinical Risk and Infection Control.
Take appropriate action to address unexpected changes and situations, informing the Matron/HoN or manager if unable to resolve.
Responsible for any pay and non-pay budgets to ensure good housekeeping and economic use of resources.
Work closely with partners i.e. Engie, resolving any relevant issues and escalate when issues cannot be resolved.
Contribute to operational policies to ensure the appropriate use of the oncology team and its resources within the Trust.
Attend relevant department and management meetings.
Network with other regional and national specialty teams (i.e. UHS or other) to share good practice and bring back new ideas to improve the local service.
Attend local, regional and national networks/meetings and working parties as required ensuring learning contributes to the evidence base.
Present at seminars/conferences/meetings to raise profile of team and department. Submit articles for publication in peer review or other appropriate journals.
Research and Education
Research
Develop a research culture within the MDT team to identify current knowledge and deliver evidence based care.
Support local research teams, actively contribute to local department multidisciplinary audits, represent the clinical area at governance meetings and highlight areas for change.
Liaise with the relevant research nurse to ensure patients are identified to take part in clinical research studies and research is delivered safely on the ward.
Report research activity as standard practice and as part of the ward accreditation process.
Education
Feed agreed development opportunities into department training plan and ensure there is a fair and equitable approach to post registration education that is aligned to service delivery and succession planning. Educate ward link nurses.
Educate and support patients requiring NIV and MIE.
Lead in the evaluation of the service and patient care, including patient satisfaction.
Responsible for ensuring staff who the post holder lines manages undertake essential training (if applicable).
Embed in the team culture the concept of recruitment to clinical trials which is a national performance indicator.
Contribute to the multidisciplinary education and training provision for health care professionals involved in relevant specialty area across organisational boundaries by developing and coordinating education and training programmes and evaluating their effectiveness. Mentor and coach students, support staff and other registrants.
