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Deputy Clinical Nurse Specialist
4 months ago
Job overview
An exciting opportunity has arisen to appoint a highly motivated registered nurse with proven clinical skills in respiratory nursing to join a well-developed and supportive multidisciplinary ILD team within a nationally commissioned service. We work closely with our colleagues at Kings Hospital with a tertiary referral service known as Kings Health Partners (KHP-ILD service). You will be based at both the Guy’s and St. Thomas’ sites and a recent merge with The Royal Brompton Hospital brings the possibility of working closely with other ILD teams in the future.
This role requires the post holder to demonstrate clinical skills related to holistically caring for respiratory patients, with a special interest in interstitial lung disease.
Closing date: 16th June 2024
Interview date: 26th June 2024
Main duties of the job
As a Deputy CNS you will assist in reviewing patients within both outpatient and inpatient settings cross-site between Guy’s and St. Thomas’ hospitals. This may range from oxygen assessment, symptom management and support with treatment in our nurse-led clinics. You will be required to contribute to the education of the chest clinic, ward and community staff to enhance knowledge and management of ILD.
The Deputy CNS will be responsible for leading the co-ordination of our dedicated infusion suite, administrating IV medications including cytotoxics, biologics and immunosuppression.
The role requires you to support patients with palliative needs, advising and supporting patients and their families and liaising closely with community palliative care services to ensure continuity of care.
You will transfer, apply and develop your nursing knowledge and skills to ensure that the quality of care and the needs of adults with ILD are met in accordance to current national and Trust guidelines. You must be organised, confident and have excellent communication skills to enable you to liaise effectively with the MDT and work with a diverse and varied group of patients and carers. You will be an integral and valued member of the team alongside the nurse specialists, specialist pharmacists and consultants.
Experience in an outpatient setting or with ILD is not essential, but respiratory experience and a willingness to learn must be demonstrable.
Working for our organisation
Guy’s and St. Thomas’ NHS Foundation Trust comprises of five of the UK’s best known hospitals – Guy’s, St, Thomas’, Evelina London Children’s Hospital, Royal Brompton and Harefield – as well as community services in Lambeth and Southwark, all with a long history of high quality care, clinical excellence, research and innovation. We are among the UK’s busiest, most successful foundation trusts. We provide specialist care for patients including heart and lung, cancer and renal services as well as a full range of local hospital and community services for people in Lambeth and Southwark.
We have a long tradition of clinical and scientific achievement and – as part of King’s Health Partners – we are one of England’s eight academic health sciences centres, bringing together world-class clinical services, teaching and research. We have one of the National Institute for Health Research’s biomedical research centres, established with King’s College London in 2007, as well as dedicated clinical research facilities.
We have around 22,700 staff, making us one of the largest NHS Trusts in the country and one of the biggest employers locally. We aim to reflect the diversity of the communities we serve and continue to develop new and existing partnerships with local people, patients, neighbouring NHS organisations, local authorities and charitable bodies and GPs.
Detailed job description and main responsibilities
Co-ordination of care for patients requiring ILD infusions within the chest clinic infusion suite and inpatient setting, using clinical judgement and assessment skills regarding cytotoxic and biologic medications, immunosuppression.
Assist in managing a nursing caseload of patients, providing information and support, to enable patients to make informed decisions regarding treatment.
Conduct face-to-face and telephone clinic appointments between Guy’s and St. Thomas’ sites, ensuring that patients are seen within recommended time scales and targets.
Recognising and escalating any patient queries or concerns to senior specialist nurses for further advice and support as appropriate.
Work closely with the Pathway Coordinators to ensure clinics are managed efficiently and referrals processed in a timely manner.
To attend inpatient ward rounds as appropriate to ensure continuity of care and to give advice/ support to hospital staff.
To take joint responsibility in the ILD helpline, triaging and responding to patients and their relatives in a timely manner, escalating concerns as appropriate.
To take joint responsibility for training the wider nursing team using cytotoxic medications once competent.
Performing ambulatory oxygen assessments and completing appropriate referrals to community services (oxygen, PR, palliative care, hospice, dietetics, social services etc).
Attend and contribute to a range of MDT meetings, internal and external meetings relevant to the service, including the Serious Respiratory Failure (SRF) meetings in critical care, Action for Pulmonary Fibrosis (APF), ILD-IN and South East Network meetings representing GSTT.
Deputise for the B7 CNS staff in daily responsibilities in their absence.
Co-ordinate patient support groups and gain experience leading these sessions.
Participate in ongoing ILD research projects, auditing and data collection.
To maintain up to date knowledge of legislation, national and local policies and issues in relation to ILD and ensure that all relevant policies are adhered to.
Person specification
Qualifications
Essential criteria
NMC pin number Mentorship or equivalent qualification
Desirable criteria
Advanced assessment course
Skills
Essential criteria
Relevant course within speciality Knowledge of evidence-based practice
Experience
Essential criteria
Has speciality experience Experienced and competent in the management of patients within the speciality Experience of teaching Experience of student supervision and clinical education
Desirable criteria
Experience of oxygen therapy Outpatient setting experience Previous experience with biologics/cytotoxic drug administration
Values and Behaviours
Essential criteria
Reflects trust values in application
Employer certification / accreditation badges
