Pain Advanced Clinical Practitioner, Band 8a

Job description

Job responsibilities

Clinical Provision & Expert Practice

1. Provide nursing leadership and management of the pain service

1. Maintain and provide nurse led out-patient pain services. This includes medication review clinics, Telephone follow up clinics, TENS and reviewing Spinal Cord stimulator patients

1. Develop skills and knowledge to review new patients in the out-patient clinics.

1. Provide expert advice on pain and symptom management to medical and surgical teams across the Trust.

1. Co-ordinate the work of the specialist nursing team and in conjunction within the multi-disciplinary team, ensuring seamless continuity of care and delivery of service is maintained.

1. Provide direct clinical support and guidance to pain specialist nurses in the management of their caseload and patients.

1. Use physical assessment skills and analyse results and investigations as appropriate to aid diagnosis and treatment within areas of competency.

1. Refer for diagnostic tests (i.e. X-Ray, MRI, ultrasound, EMG studies and blood tests) and demonstrate extended knowledge, for example, in the fields of: Radiography and other investigations.

1. Facilitate and ensure that all pain management referrals are managed appropriately. This may involve appropriate triage, providing advice, assessing complex pain patients on the ward as part of an integrated referral pathway and assessing and managing patients in the outpatient setting to ensure timely assessment and intervention.

1. Prescribe for acute and chronic patients and to provide expert advice on pain medication to other medical teams.

1. Where required, to work in an extended clinical nurse specialist role administering advanced treatments such as Qutenza and on occasions the removal of Spinal cord stimulator devices.

1. Provide management and support to the specialist pain nursing service

1. Receive and make referrals to specialty teams and primary care

1. To undertake non-medical prescribing in line with the Trusts non-medical prescribing policy.

Clinical Leadership/Management

1. Provide management and support to the specialist pain nursing service on a day to day basis; this includes inpatient and outpatient pain.

1. Be aware of and promote current developments in pain management, nursing, education and practice within the NHS.

1. Be responsible for the development and implementation of appropriate protocols, guidelines and care pathways.

1. Organise workload effectively, delegating effectively and supporting others in caseload management and practice.

1. Lead on recruitment and retention initiatives within own specialty and to contribute to same within the Trust as required i.e. short listing and interviewing senior nursing staff.

1. Undertake regular Performance and Development Reviews (PDRs) ensuring that specialist pain nurses have robust and achievable personal development plans.

1. Encourage and promote evidence based practice and critical decision making in the Pain Department through role modeling and providing advice for members of the multi-disciplinary Pain Department team.

1. Lead and assist in the collation of data for the service key performance metrics, and work with others to ensure continuous improvement on results.

1. Develop links throughout the Trust through attendance at meetings and maintain communication networks across sites.

1. Contribute to clinical effectiveness thought involvement in audit, risk management and clinical governance.

1. Manage a safe clinical environment within the Health and Safety at Work act.

1. Ensure that concerns and complaints are resolved according to the Trusts policies.

1. Have knowledge of the role within policies and procedures relating to major incidents

1. Have basic IT skills and knowledge of Zoom, Microsoft teams, excel and word.

1. Participate in business meetings and the Multidisciplinary Team meetings. Be involved in planning and service development

1. Manage and maintain resources within the clinical area (Epidural and PCA pumps and supplies).

1. Manage incidents within hospital policy and procedure.

1. Work across both hospital sites maintaining a high level of expertise in both acute and chronic pain

Education

1. Act as a mentor to staff offering expertise, guidance, support and education on pain management practice and professional supervision.

1. Promote an environment where development and learning is encouraged and valued.

1. Plan and deliver formal teaching to all multi-disciplinary staff/service users across the Trust.

1. Take an active role in professional networks to ensure the exchange of knowledge and ideas, both locally and nationally.

1. Lead and provide assistance with teaching programmes for learners and qualified staff within the clinical area, liaising with the Professional Development Team and Medical Education Team to promote a continuous learning environment for nursing and medical teams by contributing to the development of knowledge and skill.

1. Role model correct use of relevant procedures, guidelines and protocols, and promote these within the Pain Department

1. Ability to educate, motivate and inspire members of the multi-disciplinary team and teach and support medical staff, nursing staff, trainee Advanced Care Practitioners, students and newly qualified staff within the clinical setting, and contribute to developing the effectiveness of the learning environment

Audit and Research

1. Proactively initiative, lead and participate in audit and research in the Pain Department, and in line with the Trust audit programme.

1. Maintain a critical awareness of current research, identify gaps in evidence based care of patients to formulate further research questions and create a culture of research and development, with evaluation of practice.

1. Innovate and implement necessary changes as a result of audit findings and demonstrate willingness and proactive attitude towards sharing, networking and publishing these results.

1. Raise the profile of Advanced Practice in the Pain Department locally, nationally and internationally visa publications, study days and conference attendance, and attend relevant network and regional meetings on Advanced Practice strategy.

1. Participate in professional working groups and research projects, as appropriate, in order to enhance patient outcomes.

1. Critically evaluate and disseminate research findings and promote the use of evidence-based practice.

Communication and Relationship skills

1. Maintain and promote effective communication both verbally and in writing with all members of the multi-disciplinary team and other wards or departments, including formal presentation of information. Communication will take place using formal and informal methods

1. To work in a collaborative manner, providing clear decision-making skills in consultation with medical and nursing staff, being prepared to pursue line management structures as needed to achieve best outcomes for patients

1. Promote the corporate image of Chelsea and Westminster NHS Foundation Trust to all individuals, groups and organisations both within the Trust and to the community at large

1. To act within the Trusts values and behaviours framework and demonstrate politeness, courtesy and sensitivity when interacting with patients, relatives and colleagues

PLEASE SEE JOB DESCRIPTION AND PERSON SPECIFICATION FOR FULL JOB DETAILS

Person Specification

Education and Qualifications

Essential

• RGN/ HCPC Registered professional
• Post registration qualification and/or appropriate clinical experience in Pain
• MSc in Advanced Practice or working towards
• Qualification in Advanced Assessment Skills with evidence of clinical practice
• Registered independent non-medical prescriber
• Teaching qualification

Desirable

• Qualification in at least one accredited emergency care course (eg. ILS/ALS)

Experience

Essential

• Currently working as a senior nurse with pain experience
• Senior clinical leadership experience
• Significant post registration experience in pain
• Experience and evidence of developing practice
• Experience of supporting learning in the clinical environment
• Acknowledged expert in their field who is clinically credible
• Experience of participating in clinical audit

Desirable

• Experience of disseminating work through presentation/publication
• Previous experience in a practice development role/ formal teaching experience

Skills and Knowledge

Essential

• Evidence of excellent communication and interpersonal skills to enable effective relationships with all staff; the patients and their carers
• Experience and evidence of working collaboratively in a multidisciplinary environment
• Experience of managing difficult situations and act in a supportive manner, safeguarding team wellbeing and leading debriefs
• Evidence of effective leadership, practice development, expertise and innovation in clinical practice
• Evidence of teaching/facilitation skills
• Ability to critically appraise research literature and apply research findings to practice as appropriate
• Provision of Care: -Work autonomously, demonstrating critical analysis and decision making skills
• Good insight into current health policy developments

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.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Chelsea and Westminster Hospital NHS Foundation Trust

Address

Cross site: London and Isleworth

London and Isleworth

SW10 9NH

Employer's website

https://www.chelwest.nhs.uk/ (Opens in a new tab)