Job summary
WORCESTERSHIRE ROYAL
HOSPITAL
RAPID ACCESS CHEST PAIN CLINIC
COUNTYWIDE CARDIAC
SPECIALIST NURSE
BAND 7
FULL TIME - 37.5
HRS PER WK
FIXED TERM - 6 MONTHS
An exciting opportunity has arisen for an
enthusiastic individual to join the nurse led countywide Cardiac Assessment
specialist team. The post is 6 months fixed term and will provide an excellent
professional development opportunity for someone with experience and skills in
cardiac assessment.
The ideal candidate will be a RGN
experienced in cardiology having worked at senior level.
The successful candidate will lead the rapid
access chest pain clinic service and be responsible for triaging referrals,
organising clinics and managing a patient caseload as outlined in the job
description.
Join us
and make a difference, we would be delighted to have you!
Informal visits are encouraged and welcomed.
For further information or to arrange an informal
visit please contact:
Kerry ODowd, Lead Nurse Cardiology on (01905) 760147,
bleep 278 via switchboard on (01905) 763333 Email: Kerry.odowd@nhs.net
Main duties of the job
It is a requirement for this position that candidates have adult health assessment.
Non-medical prescribing would be an advantage.
About us
Our purpose is simple - Putting Patients First. We are looking for exceptional colleagues who can help us achieve this.
Worcestershire Acute Hospitals NHS Trust is a large acute and specialised hospital trust that provides a range of local acute services to the residents of Worcestershire and more specialised services to a larger population in Herefordshire and beyond.
The Trust operates hospital-based services from three sites in Kidderminster, Redditch and Worcester
Our workforce is over 7,000 strong, and our caring staff are recognised as providing good and outstanding patient-centred care. You could be one of them.
We are committed to recruiting the best people to work with us to achieve our Vision - working in partnership to provide the best healthcare for our communities, leading and supporting our teams to move 4ward. Our 4ward behaviours, which we ask all staff to demonstrate, underpin our everyday work and remain firmly at the heart of all we do.
Our objectives are simple:
- Best services for local people
- Best experience of care and best outcomes for our patients
- Best use of resources
- Best people
Better never stops, and our Clinical Services Strategy provides a clear future vision for our Trust, our hospitals, our services and our role in the wider health and care system.
We are proud to have achieved Timewise accreditation - this means we are committed to embedding flexible working within our organisation as a flex positive employer.
Job description
Job responsibilities
The Cardiac nurse specialist (CNS) role in
the rapid access chest pain clinic is key to cardiology services with
non-medical practitioners crossing professional boundaries, undertaking
traditional medical roles and leading the way for inter-professional practice.
The CNS will be able to assess and treat patients presenting with chest pain having
advanced skills to assess the patient with a differentiated or undifferentiated
clinical diagnosis. Advanced communication, problem-solving and decision-making
skills will be used to initially assess and provide on-going patient care.
The post holder will provide clinical
expertise, demonstrate advanced skills and competencies and ensuring that
evidence-based practice is inherent in all aspects of care and treatment.
Working within local and nationally agreed protocols and guidelines, the CNS exercises
independent judgement. To practice autonomously as a CNS in all aspects of the
service. Using collaborative and independent judgement to assess, investigate,
diagnose, plan, implement, manage, and evaluate clinical nursing and medical
care in the management of patients
Perform safe and correct
analysis of ECGs and take appropriate action to determine on-going
management and treatment.
To participate in the
stratification of cardiac risk factors for patients, providing appropriate
health education and guidance to minimise the risk of future cardiac
events.
To organise and interpret, as
appropriate, CTCA, ETT, ECHO, 24-hour tape and other investigations
following completion of IRMER training and other relevant competencies and
guidelines.
Organise and facilitate early
cardiac investigations and prompt referral to a cardiologist
To share knowledge
and expertise, acting as an expert resource to others across primary and
secondary care, as appropriate.
Contribute to the development and
improvement of systems and processes that facilitate patient flow.
To improve the
quality of the patient experience by identifying and meeting the individual
clinical needs of patients.
As a qualified non-medical prescriber,
prescribe drugs for cardiac patients as per the legal requirements for the
NMC, National Prescribing Centre and national guidelines.
To maintain up to date patient records
in accordance with Trust policy, utilising all hospital systems.
Maintain clear accurate and
concise records on every patient. Up-to-date written information to GPs
and the patient.
To provide specialist advice on
patient care to the healthcare team, considering all aspects of clinical
governance and act as a specialist resource within acute medicine, other
assessment areas and the Trust.
Responsible for
both initiating and then terminating an episode of care by either or referring
on to another agency or by autonomously discharging the patient.
Contribute to the review and
development of clinical patient pathways to ensure a standardised approach
to care.
Educates patients, relatives and staff
as necessary ensuring understanding has been interpreted accurately.
To identify and
intervene proactively where circumstances contribute to an unsafe environment
for patients, staff or relatives and escalate these to the Departmental Risk
Lead and or Consultant Leads for Clinical Governance.
Please see attached Job Description and Person Specification for further requirements.
Job description
Job responsibilities
The Cardiac nurse specialist (CNS) role in
the rapid access chest pain clinic is key to cardiology services with
non-medical practitioners crossing professional boundaries, undertaking
traditional medical roles and leading the way for inter-professional practice.
The CNS will be able to assess and treat patients presenting with chest pain having
advanced skills to assess the patient with a differentiated or undifferentiated
clinical diagnosis. Advanced communication, problem-solving and decision-making
skills will be used to initially assess and provide on-going patient care.
The post holder will provide clinical
expertise, demonstrate advanced skills and competencies and ensuring that
evidence-based practice is inherent in all aspects of care and treatment.
Working within local and nationally agreed protocols and guidelines, the CNS exercises
independent judgement. To practice autonomously as a CNS in all aspects of the
service. Using collaborative and independent judgement to assess, investigate,
diagnose, plan, implement, manage, and evaluate clinical nursing and medical
care in the management of patients
Perform safe and correct
analysis of ECGs and take appropriate action to determine on-going
management and treatment.
To participate in the
stratification of cardiac risk factors for patients, providing appropriate
health education and guidance to minimise the risk of future cardiac
events.
To organise and interpret, as
appropriate, CTCA, ETT, ECHO, 24-hour tape and other investigations
following completion of IRMER training and other relevant competencies and
guidelines.
Organise and facilitate early
cardiac investigations and prompt referral to a cardiologist
To share knowledge
and expertise, acting as an expert resource to others across primary and
secondary care, as appropriate.
Contribute to the development and
improvement of systems and processes that facilitate patient flow.
To improve the
quality of the patient experience by identifying and meeting the individual
clinical needs of patients.
As a qualified non-medical prescriber,
prescribe drugs for cardiac patients as per the legal requirements for the
NMC, National Prescribing Centre and national guidelines.
To maintain up to date patient records
in accordance with Trust policy, utilising all hospital systems.
Maintain clear accurate and
concise records on every patient. Up-to-date written information to GPs
and the patient.
To provide specialist advice on
patient care to the healthcare team, considering all aspects of clinical
governance and act as a specialist resource within acute medicine, other
assessment areas and the Trust.
Responsible for
both initiating and then terminating an episode of care by either or referring
on to another agency or by autonomously discharging the patient.
Contribute to the review and
development of clinical patient pathways to ensure a standardised approach
to care.
Educates patients, relatives and staff
as necessary ensuring understanding has been interpreted accurately.
To identify and
intervene proactively where circumstances contribute to an unsafe environment
for patients, staff or relatives and escalate these to the Departmental Risk
Lead and or Consultant Leads for Clinical Governance.
Please see attached Job Description and Person Specification for further requirements.
Person Specification
Qualifications
Essential
- Registered Nurse on sub-part 1 or 2 of the professional register.
- Cardiology care course or equivalent.
- Adult health assessment module.
Desirable
- Leadership course.
- Non-medical prescribing qualification.
- MSC advancing practice.
- Portfolio of evidence in line with specialty.
Skills and Knowledge
Essential
- Advanced knowledge of the range of presentations, diagnoses & current management options within the specialty area.
- Computer literacy.
- Demonstrates good communication skills, including emotional resilience, conflict management.
- Ability to work flexibly within the confines of the team and service.
- Provides support to all members of the multidisciplinary team.
- Able to travel across site.
Desirable
Experience
Essential
- Demonstrable clinical skills in specialty.
- Evidence of planning & organisational skills.
- Evidence of being able to work in partnership across organisational boundaries, delegating and referring as appropriate.
Desirable
- Independent working and autonomy.
- Experience of applying research evidence to clinical practice.
- Previous clinical experience including setting up and running clinics and services.
Person Specification
Qualifications
Essential
- Registered Nurse on sub-part 1 or 2 of the professional register.
- Cardiology care course or equivalent.
- Adult health assessment module.
Desirable
- Leadership course.
- Non-medical prescribing qualification.
- MSC advancing practice.
- Portfolio of evidence in line with specialty.
Skills and Knowledge
Essential
- Advanced knowledge of the range of presentations, diagnoses & current management options within the specialty area.
- Computer literacy.
- Demonstrates good communication skills, including emotional resilience, conflict management.
- Ability to work flexibly within the confines of the team and service.
- Provides support to all members of the multidisciplinary team.
- Able to travel across site.
Desirable
Experience
Essential
- Demonstrable clinical skills in specialty.
- Evidence of planning & organisational skills.
- Evidence of being able to work in partnership across organisational boundaries, delegating and referring as appropriate.
Desirable
- Independent working and autonomy.
- Experience of applying research evidence to clinical practice.
- Previous clinical experience including setting up and running clinics and services.
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).
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.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
