Clinical Nurse Specialist

3 weeks ago


Wakefield, United Kingdom The Mid Yorkshire Teaching NHS Trust Full time

Job summary

The post holder will be responsible for themanagement of a defined caseload of patients / service users and will highlyprovide specialist nursing support, education, and care to that specific group.They will ensure continuing responsibility for the assessment of care needs,the development, implementation, and evaluation of programmes of care,including setting of standards of care and to take a lead role in establishingevidenced based practice.

This will be the first Clinical Nurse Specialist post in the area of arrhythmia, but the post holder will join a large cardiology department that already has an established CNS team caring for patients with other cardiac diseases. Close support will be provided by a consultant cardiologist especially in the early stages of the role.

As this is a new role within our department, the post holder will need to work flexibly as it develops. There is significant scope for development and adaptation of the role over time, in order to best meet the needs of our patients. The post holder will lead this development.

The post holder will be dynamic, enthusiastic, and act as a role model for colleagues. They will be expected to develop and maintain up-to-date clinical knowledge and competence and will be given appropriate opportunity for study.

Main duties of the job

The post holder will work as part of a multi-disciplinary team providing clinical care to patients with arrhythmia. The post holder will be primarily based at Pinderfields Hospital, within the cardiology department. The core clinical aspect of the post will be specialist outpatient arrhythmia clinics, working closely with a consultant cardiologist with a specialist interest in heart rhythm management. This will involve: Clinical assessment of patients Requesting and interpreting relevant investigations Independently prescribing drugs relevant for the treatment of arrhythmia and monitoring anti-arrhythmic drug therapy where required. This will also include counselling for and initiating anticoagulation when required. Assessment, counselling, and shared decision making with patients regarding onward referral for electrophysiological procedures in tertiary care. Triage and advice provision for primary care arrhythmia referrals via the Trusts Shared Referral Pathway (eConsultation) Audit and governance of the arrhythmia service through various means ( waiting times, patient reported outcome measures) Participation in the development of local arrhythmia guidelines

About us

We provide care and support to over a million people inWakefield and Kirklees in their homes, community settings and across ourthree hospital sites at Pontefract, Dewsbury and Pinderfields (Wakefield).

Always striving for excellence, we are at the forefront ofinnovation and research, and we invest in teaching and the development of ourworkforce.

We live by our values of caring, improving, being respectfuland maintaining high standards. We listen and learn because we aim to make MidYorkshire the best place to work and receive care.

We value diversity and welcome talent and enthusiasmirrespective of age, disability, neurodivergence, sex, gender identity andgender expression, race or ethnicity, religion or belief, sexual orientation,or other personal circumstances including providing unpaid carers support tosomeone with a health and care need. As ethnic minority groups, members of theLGBTQ+ community, and people with a disability/neurodivergence are currentlyunder-represented across the organisation, we encourage applications frommembers of these groups. We have policies and procedures to ensure allapplicants are treated fairly and consistently.

We are proud of our staff networks - who offer valuableguidance and feedback from those with lived experience.

We have a clear vision and you could be part of this Ifyou share our values and you want to make a difference to the lives of ourpatients and their families and carers, we would love to hear from you.

Job description

Job responsibilities

Key Responsibilities

Responsibility for a defined caseload of patients and will provide an effective and high-quality patient-focused service that is sensitive to the needs of users and providers. Organises, prioritises, and evaluates workload based on accepted referral criteria and discharge criteria in line with operational protocols. Will provide clinical, social and psychological support to their patient group using advanced communication skills, education and health promotion to enable them to reach an optimum level of independence and health. Will have responsibility for the delivery of specialist nursing skills within complex pathways and will be able to provide specialist advice and support to a defined caseload and to other health care providers. Responsible for providing evidence-based practice. Will have responsibility for leading identified and agreed aspects of the service, in the development of care systems, protocols and guidelines working as part of a multi-disciplinary team and developing excellent interdepartmental relationships with excellent communication with a focus on quality improvement. Will ensure cost effective use of all resources and appropriate governance management. Lead and promote programmes of health education and health promotion relevant to service. Work within national policy frameworks relevant to the service and trust local guidance. Review, interpret and act upon diagnostic investigations and point of care testing which may affect, change to individual care plans, liaising with appropriate medical staff where necessary Deal effectively and professionally with patient / service user issues collaborating with PALS as appropriate and take a proactive approach to resolving issues and learning from complaints. To maintain accurate appropriate and concise patient records within agreed databases and electronic systems Contribute and lead the multi-professional approach in the management of patients / carers within the specialist area in relation to ongoing care needs. Act as a resource for specialist knowledge for clinical staff on wards / departments Ensure effective multi- disciplinary communication. Provide mentorship and preceptorship as required to all staff in the team or students on placement. Produce an annual report for the service and board reports / other reports as required. Ensure you work within an agreed divisional work plan. Responsible for managing staffing capacity and service need for effective clinical cover. Person Specification

Skills and Abilities

Essential

IT literate Teaching and presentation skills Organisation and negotiation skills Excellent communication skills Ability to motivate self and others. Ability to work autonomously and as part of a team. Flexible attitude to working. Ability to deal with complex and difficult emotional situations. Able to write a service report at Board level. Able to complete a literature review and analyse and interpret data for the service

Desirable

Recruitment and selection experience

Qualifications

Essential

Registered Nurse First level (Honours) degree Evidence of education at masters level or prepared to work towards Post basic qualification in specialist area (if available) Evidence of continued professional development Recognised teaching qualification

Desirable

Advanced skills training or prepared to work towards Extended/ supplementary prescribing Management qualification or prepared to work towards

Experience

Essential

Relevant post registration experience at Band 6 Leadership and management experience Experience of teaching/ presenting Specialist experience relevant to role Multi professional working Audit and research Influencing change in practice

Desirable

Previous experience working as a Clinical Nurse Specialist Management of staff

Knowledge and Awareness

Essential

Knowledge of role Awareness of own limitations. Knowledge of patient needs within the specialist area. Understanding of the Trusts priorities that may influence role. Understand the national specialty and professional agenda

Personal Attributes

Essential

Calm and objective Assertive and confident yet approachable Personally and professionally mature Flexible to service needs

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