Peri-operative Tobacco Dependency Nurse specialist

Job summary

A newly developed, exciting opportunity to advance into a Band 5 Tobacco Dependency Specialist for the Peri-operative team is being advertised by SWFT. With fundamental supervision and support, you will obtain the highest level of training and development to advance your expertise as well as your skills.

As the initial point of contact for patients who have been identified as smokers, the Tobacco Dependency Specialist role will involve promptly reviewing the patients' needs and providing high-quality, evidence-based behavioural support in accordance with the National Centre for Smoking Cessation and Training Standard Treatment Programme and NICE Guidance. This would involve assistance and recommendations for accessing medication, such as Behavioural Therapy and Nicotine Replacement Therapy (NRT), working under the direction and supervision of the Nurse Lead for the service and the agreed Trust protocol.

The role will also consist of ensuring specialist Tobacco Dependency information, advice and guidance is accurate and current, and at all times supporting the design, implementation and maintaining the Tobacco Dependency service, systems and processes required to ensure that the Tobacco Dependency service can be accessed appropriately and that internal and external standards for recording and monitoring activity, including outcomes achieved, are met.

**This is pending job matching**

Main duties of the job

As part of the NICE Guidance and The NHS Long Term Plan SWFT have created a specialised team to help treat Tobacco addictions within a hospital setting. Theteam offer specialised support to people who are admitted to hospital who smokeand/or use Tobacco, to help them quit the Tobacco addiction and to be Tobaccofree during an inpatient admission (temporary abstinence).

The Tobacco Dependency Service recognises smoking and the use of Tobacco as an addiction and that it is a chronic relapsing clinical condition that prematurelykills at least half of the people who smoke. Smoking is seen as a medical conditionthat can be treated rather than it being a lifestyle choice. This post will tackleinequalities in health through specialised treatments and support for people whowant to stop smoking.

The post holder will require a NMC pin as a registered nurse who will take asupportive role in strengthening contribution to patients within this speciality with a specific focus to Elective Surgical Patients, who have agreed to quit prior to their planned surgeries. The post holder responsible for delivering Tobacco Dependency treatment through holistic assessments, Pharmacotherapy and Behavioural Therapy. Furthermore, to deliver programmes of care, collect NHSE mandatory data and establish Tobacco Dependency clinics within outpatients in line with The NHS Long Term project.

About us

Come and join a Trust rated Outstanding by the CQC. South Warwickshire University NHS Foundation Trust have been rated as outstanding following our latest inspection by the CQC and we are recruiting new staff to come and help us improve even further. In addition our staff survey results have placed us 4th in the country for recommended place to work.

We provide services across Warwickshire and beyond ranging from Hospitals in Warwick, Stratford-Upon-Avon, Royal Leamington Spa and Shipston-on Stour to Community Services across the county. We are a progressive, expanding organisation with great ambition around improving quality, integrating pathways and delivering high levels of values can be summed up in one sentence. We are 'Trusted to provide safe, inclusive, effective and compassionate care'. Throughout the recruitment process you will be asked to think about how you demonstrate these values and how they impact on your work. It doesn't matter what role you do, whether it is patient facing or not, we are all working in the same way with our values at the core.

Job description

Job responsibilities

Expertise & Excellence in Clinical Practice

An understanding and experience working within outpatient and/or asimilar setting, this must include establishing and/or delivering specificclinics.

Ability to assess, plan, implement, deliver and monitor tobaccodependency advice and support sessions throughout their outpatientjourney. This must include advice on Nicotine Replacement Therapymedications, on-going care management, and working withinrecommended protocols and guidelines provided. This may involveindividual, telephonic, on-line and group work sessions in a variety ofsettings and venues.

A sound understanding of developing individually tailored support plansincluding recommending treatments based on assessed needs.

Be able to provide evidence based general health, lifestyle advice andsupport to people using the service healthy life style choices,physical activity, and stress management. This will include individualand group-based interventions, signposting and referring to otherhealth, community, and voluntary services.

Have experience in and be competent to participate in educatingpatients about the benefits of stopping smoking, particularly prior tosurgery, and give support to those wanting to quit. Promote smoke freehomes and support and advice about passive smoking.

Undertake nursing interventions consistent with evidence-basedpractice, transferring and applying knowledge and skills to meetpatients needs.

Maintain accurate up to date and comprehensive records at all times.Furthermore, to contribute to the monitoring and evaluation of theTobacco Dependency service.

Ability to have difficult but motivational conversations with patientsabout the risks of smoking, including the importance of a smoke-freehousehold.

The above indicates the main duties of the post, which may be reviewed in thelight of experience and developments within the service. Any review will beundertaken in conjunction with the post holder.

Clinical

To practice in accordance with the NMC Code of Professional conductand scope of professional practice and maintain own NMC registration

Take clinical responsibility for patients within your allocated area ofwork.

Continuously assess, plan, implement and evaluate treatment, usingappropriate programs/methods of care and to ensure a high delivery ofquality care in accordance with Trust policies, procedures andguidelines.

Participating in activities to improve the quality, productivity andeffectiveness of care in response to local and national policies andinitiatives.

Identify and use educational strategies to deliver information topatients and carers.

Participate in the development of patient focused education includingtraining to support self-management and health promotion activities.

Assist in the development of other professionals by contributing toTrust wide specialist education and training.

Support the delivery of formal and informal teaching initiatives as partof the Trusts education strategy as agreed with the appropriate seniornurse to ensure practice development, staff empowerment andimproved care for patients.

Take personal responsibility for life-long learning and personaldevelopment through clinical supervision and appraisal. Activelyengages with learning and development opportunities needed to workas an advancing practitioner and take appropriate action to ensurethese needs are met.

Governance

Evaluate current research findings and if appropriate implement intopractice in the speciality area.

Promote quality of care delivery and participate in the audit process atspeciality and trust level.

Participate in the investigation of any complaints received as required.

Carry out and evaluate personal research projects.

Adhere to Trust and National Guidelines.

Measurable Result areas:

Play an active role in the development of the smoke-free service targetsand work with collaboratively with team members to share best practiceand information to achieve these.

Undertake relevant training to maintain the skills and knowledge asnecessary through participation in continuous development. TheNational Centre for Smoking Cessation Training (NCSCT) practitionertraining is essential to this role.

Respond effectively to referrals within stated timescales self-referralsfrom the individuals, and those from colleagues /other workers/GPs.

Ensure that the relevant equipment is provided and maintained on anagreed schedule. Report any failings of equipment or otherenvironmental factors to the Tobacco Dependency Nurse SpecialistLead.

To be involved in the monitoring and evaluation of client feedback,offering recommendations as part of the team to improve services.

Be aware of how to report incidents, concerns or complaints andescalate any concerns or complexities to the Tobacco DependencySpecialist Nurse.

Alert the appropriate line manager to any issues in work (includingconcerns about individuals or work in the community) and maintainconfidentiality.

Communications and Working Relationships:

Take personal responsibility for ensuring effective communicationbetween all service providers.

Act as a role model for excellent communication skills. Linked toTobacco Dependency, demonstrate empathetic interpersonal andcommunication skills in supporting, informing and advising patients andcarers through diagnosis, treatment, disease progression, prognosisand supportive and palliative care where applicable. This will involveoccasionally imparting significant news or supporting patients andcarers during and following such consultations.

Communicate effectively and professionally with colleagues and alllevels of staff.

Maintain confidentiality at all times, as required by legislation and Trustpolicy.

Effectively and sensitively communicate complex and sensitiveinformation to emotionally distressed patients and family/carers at keypoints along the care pathway on a frequent basis.

Refer to other health professionals and outside agencies to ensureoptimum care and ongoing support for individual patients/carers, and toensure the seamless transition from primary to secondary careappropriate to patients individual needs and circumstance.

To communicate with people in an appropriate manner to ensure a levelof understanding incorporates preferred ways of communicating, cultureand background. Furthermore, to communicate complex and sensitiveTobacco Dependency related information.

Work within the agreed and relevant policies and procedures and knowhow to access them.

Seek advice and support as and when appropriate.

Contribute actively to open discussions of how local services can beimproved, supporting improvements within the local community, anddemonstrating an understanding of the barriers individuals areexperiencing.

Act as a smokefree champion promoting the Smoke-free messagesthrough your day to day.

Professionalism

Ensure records and documentation are maintained, kept confidential,and meets professional NMC guidelines, appropriate Trust standards,and in line with the Data Protection Act.

To act in a professional manner, and as a role model, at all times,leading by example to junior members of the team.

Demonstrates a positive and enthusiastic approach to their work inorder to maintain high morale and motivation within the service.Promoting a professional and positive working environment.

Maintain and develop own professional knowledge.

Be aware of and adhere to the Professional Presentation Policy.

Quality, Audit, Innovation and Research

Assist in the development of written patient information and use existingappropriate resources to inform users, according to individuallyassessed need. Contribute to the audit, monitoring and evaluation ofthe service, including the completion of the minimum data set (NHSEngland mandatory requirement). This will include following up patientsfollowing discharge to monitor stop smoking outcomes.

Contribute to the development of policies and clinical guidelines tosupport the specialist service.

Collaborate with other MDT members to develop and updatemultiprofessional Trust operational policies and guidelines.

Maintain patient records and ensure an effective documentation systemto reflect the activity and delivery of specialist nursing care.

Promote the service were applicable.

Supports management of change as required.

Assist with the collation of data to provide evidence of productivity,outcomes and quality through audit and research.

Participate in clinical research relevant to practice area.

Assist in the development of links and system to seek the views ofpatient and carers to ensure service development is in line with userneed

Person Specification

Qualifications

Essential

Registered Nurse with NMC (Adult Nursing) Evidence of continuous professional development Obtained an educational level of GCSE level A - C English and Maths or equivalent

Desirable

NCSCT Stop Smoking practitioner training - or willing to undertake within 3 months of stating in post. NCSCT Pregnancy and Smoking Cessation Training or willing to undertake within the 3 months of stating in post

Experience

Essential

12 months relevant nursing experience Experience of assessing patient needs and responding with relevant care plans Experience working as part of a team and/or autonomously Experience of using hospital related computer system and electronic records

Desirable

Understands the need and importance of The Tobacco Dependency Service Experience of supporting the smoke free pathways for patients Experience in working with patients in the delivery of the health promotion agenda Experience of supporting patients who wish to give up smoking

Skills

Essential

Must be able to demonstrate up to date knowledge and wide range of clinical skills Ability to organise and prioritise workload Ability to communicate in situations where patients may be difficult or dismissive Ability to organise and prioritise workload Ability to communicate in situations where patients may be difficult or dismissive Must be able to demonstrate an understanding of research and evidence based practice and clinical audit Must have knowledge of the nursing process and be able to apply to patients in the outpatients setting Must be able to prioritise workload using sound clinical reasoning.

Desirable

Knowledge of evidence based smoking cessation interventions including smoke free pathways Good knowledge and understanding of evidence based practice in smoking cessation, the consequences of smoking and the benefits of quitting Knowledge of evidence based smoking cessation interventions including smoke free pathways Good knowledge and understanding of evidence based practice in smoking cessation, the consequences of smoking and the benefits of quitting Must be able to promote patient education

Personal Qualities

Essential

Must be able to demonstrate an understanding for the need for confidentiality in all aspects of the work in the department Must be able to demonstrate good communication skills, verbal and nonverba Must be able to work autonomously within the framework of your Lead Must be able to work on own initiative Must be able to deal with conflict Ability to be self-motivated Excellent role model

Other

Essential

Must be willing to undertake Criminal records Bureau Disclosure to Enhanced / Standard level Must be legally entitled to work in this country Must be willing to travel across Trust

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