Job summary
The role of the Transcranial Magnetic Stimulation/Electroconvulsive Therapy Practitioner is integrated within the newly established Nottingham Neuromodulation Unit at the Queen's Medical Centre in Nottingham. The post holder will work alongside the a diverse MDT to deliver treatment and develop the service to be a centre of excellence.
Open to all registered nurses and AHPs.
The post is a 9 months fixed term contract initially following a successful research trial which examined the efficacy, mechanism of action and patient acceptability of connectivity (neuroimaging) guided, intermittent theta-burst Transcranial Magnetic Stimulation (cgiTBS) in comparison with standard rTMS, in treatment resistant moderate to severe depression. Subject to a successful business case evidencing treatment efficacy and patient experience further funding for a permanent service may be made available.
The service is part of the Adult Mental Health directorate of Nottinghamshire Healthcare NHS Trust, but will deliver treatment to all service users of the Trust for whom these interventions are the appropriate clinical treatment option
Nottinghamshire Healthcare NHS Foundation Trust deliver mental health services to all individuals requiring the involvement of secondary mental health services across Nottinghamshire in a variety of community and inpatient settings .
Main duties of the job
The TMS/ECT Practitioner will be responsible for the safe administration of TMS/ECT under the direction of a consultant psychiatrist or the TMS/ECT clinical lead, and all other associated duties as described In the Job description. They will demonstrate enthusiasm and positive attitude to working in Transcranial Magnetic Stimulation/Electro convulsive therapy.
About us
We have a huge variety of opportunities in our expansive Trust covering geographically from South Yorkshire, Nottinghamshire to Leicester, providing mental health inpatient and community services, community health services, forensic mental health services and secure prison healthcare across the East Midlands.
We have more than 100 sites and a huge scope of unique opportunities to develop your career and gain some amazing experiences. We strive to be a great place to work and offer many staff benefits and tailored staff support and wellbeing programmes.
Do you want to make a difference?
Do you believe in Trust, Honesty, Respect, Compassion and Teamwork?
Then Nottinghamshire Healthcare is the perfect place for you to start, maintain or further your career. Join our team of nearly 9000 who are making a difference every day. We are all about our people - our staff, volunteers, carers, service users and patients. We are NottsHC.
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Job description
Job responsibilities
This post is eligible for a Golden Hello payment of £2,750 for new starters who are external to the Trust. This is payable in 3 instalments over a 2 year period. This payment is only eligible to new starters who do not already hold a contract of employment with the Trust. This post also includes paid enhancements for unsocial hours working during night, weekends and bank holidays.
To explain and safely administer Transcranial Magnetic Stimulation (TMS) treatment to patients with treatment resistant depression under the direction of a consultant psychiatrist.
To explain and safely administer Electro-Convulsive Therapy (ECT) treatment to patients with treatment resistant depression under the direction of a consultant psychiatrist
To initiate follow up treatment for established patients independently.
To fulfil duties of the role with enthusiasm and have positive attitude to working in TMS/ECT services.
To record patients physical observations (pulse, blood pressure, oxygen saturation) before, during and after TMS/ECT treatment.
To coordinate the booking of TMS/ECT treatment sessions in coordination with the patient, and members of the clinical team.
To monitor patients for adverse effects before, during and after receiving TMS/ECT treatment.
To provide medical interventions in an emergency situation including management of seizure and syncope.
To address any patient discomfort.
To ensure that TMS/ECT equipment is safely positioned and maintained in line with the trust polices.
To maintain patient confidentiality and treat patients with dignity and respect.
To follow established TMS/ECT protocols and clinical governance procedures.
To communicate effectively with the TMS/ECT Clinical Lead and other members of the team locally and other sites.
To maintain a high degree of precision regarding TMS/ECT administration, in terms of localisation of stimulation site, safe administration and patient monitoring.
Job description
Job responsibilities
This post is eligible for a Golden Hello payment of £2,750 for new starters who are external to the Trust. This is payable in 3 instalments over a 2 year period. This payment is only eligible to new starters who do not already hold a contract of employment with the Trust. This post also includes paid enhancements for unsocial hours working during night, weekends and bank holidays.
To explain and safely administer Transcranial Magnetic Stimulation (TMS) treatment to patients with treatment resistant depression under the direction of a consultant psychiatrist.
To explain and safely administer Electro-Convulsive Therapy (ECT) treatment to patients with treatment resistant depression under the direction of a consultant psychiatrist
To initiate follow up treatment for established patients independently.
To fulfil duties of the role with enthusiasm and have positive attitude to working in TMS/ECT services.
To record patients physical observations (pulse, blood pressure, oxygen saturation) before, during and after TMS/ECT treatment.
To coordinate the booking of TMS/ECT treatment sessions in coordination with the patient, and members of the clinical team.
To monitor patients for adverse effects before, during and after receiving TMS/ECT treatment.
To provide medical interventions in an emergency situation including management of seizure and syncope.
To address any patient discomfort.
To ensure that TMS/ECT equipment is safely positioned and maintained in line with the trust polices.
To maintain patient confidentiality and treat patients with dignity and respect.
To follow established TMS/ECT protocols and clinical governance procedures.
To communicate effectively with the TMS/ECT Clinical Lead and other members of the team locally and other sites.
To maintain a high degree of precision regarding TMS/ECT administration, in terms of localisation of stimulation site, safe administration and patient monitoring.
Person Specification
Qualification
Essential
- Qualified to degree level or with equivalent relevant experience in mental health nursing, psychology, or neuroscience
- Experience of providing support services to people with mental health problems and vulnerable people
- Significant further specialist knowledge/post registration experience to diploma level or equivalent
Knowledge
Essential
- A working knowledge of major depression and other forms of major mental illness
- Knowledge and experience relating to the assessment of risk and risk management
Desirable
- Experience of working in TMS or ECT services would confer a special advantage
Experience
Essential
- Experience of providing support services to people with mental health problems and vulnerable people
- Experience of developing therapeutic relationships with patients' whist being mindful of their needs and priorities
Desirable
- Experience of working in TMS or ECT services would confer a special advantage
- Experience of developing patient centered outcome measures and feedback mechanisms would be of benefit as would an enthusiasm for engaging patients in feedback
- Experience of working within an Acute inpatient mental health environment
- Experience of working within an ECT or TMS service previously
Skills
Essential
- Excellent interpersonal skills and the ability to develop rapport with patients, professionals, and partners both internal and externally to the organisations
- Excellent literacy skills to a standard that enables the post holder to record clinical observations and participate in the development of relevant business cases
Desirable
- Experience in the delivery of TMS or ECT treatment
Person Specification
Qualification
Essential
- Qualified to degree level or with equivalent relevant experience in mental health nursing, psychology, or neuroscience
- Experience of providing support services to people with mental health problems and vulnerable people
- Significant further specialist knowledge/post registration experience to diploma level or equivalent
Knowledge
Essential
- A working knowledge of major depression and other forms of major mental illness
- Knowledge and experience relating to the assessment of risk and risk management
Desirable
- Experience of working in TMS or ECT services would confer a special advantage
Experience
Essential
- Experience of providing support services to people with mental health problems and vulnerable people
- Experience of developing therapeutic relationships with patients' whist being mindful of their needs and priorities
Desirable
- Experience of working in TMS or ECT services would confer a special advantage
- Experience of developing patient centered outcome measures and feedback mechanisms would be of benefit as would an enthusiasm for engaging patients in feedback
- Experience of working within an Acute inpatient mental health environment
- Experience of working within an ECT or TMS service previously
Skills
Essential
- Excellent interpersonal skills and the ability to develop rapport with patients, professionals, and partners both internal and externally to the organisations
- Excellent literacy skills to a standard that enables the post holder to record clinical observations and participate in the development of relevant business cases
Desirable
- Experience in the delivery of TMS or ECT treatment
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).
