Clinical Nurse Specialist in TAVI

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Patient/customer care (both direct and indirect)

·         To provide seamless care for patients 

·         Develop support mechanisms for sharing good practice within the Division and Trust wide

·         To participate as a member of the multi-disciplinary team, assisting in the treatment and management of patients. To provide telephone advice to potential patients who contact the hospital

·      To develop and run nurse-led preadmission and follow-up clinics and participate in nurse-led discharge

• Co-ordinate the arrangement of investigations (e.g. MRI, CT, Echo, and blood tests)

• Refer patients to other members of the multi-disciplinary team as necessary

• Ensure accuracy of documentation and maintain an efficient and accurate record system with relevant information in agreement with the cardiology team

• Ensure through good practice that customer care initiatives are improved and sustained. Act as a resource for advice to patients, relatives/carers, and staff

• To actively promote a healthy lifestyle for patients & staff appreciating national strategy requirements

• To act as an expert resource for patients/relatives/colleagues relating to the care of their caseload of patients

• To maintain patient’s confidentiality, privacy, dignity, religious and cultural needs at all times

• To comply with and participate in the Trust’s framework for Clinical Governance within the department

• Adhere to the Nursing and Midwifery Council’s Code of Professional Conduct at all times

• Comply with project / international clinical trial guidelines and protocols where relevant

• To supply and administer medicines according to Patient Group Directions/ protocols and/or to be able to administer drugs as a non-medical independent prescriber

• Organise patient admission for TAVI in collaboration with the Consultants and aortic valve team administrator

• Coordinate the aortic valve MDT with the TAVI coordinator and ensure treatment decisions are communicated to patients

Management

·        To make use of all resources within the area in line with the Division’s Business Plan

·        To provide effective clinical leadership to all Nurses in the Division 

Training, Education and Research 

·        To maintain an active awareness of clinical and professional development within the speciality and disseminate that knowledge to all colleagues

·        To be responsible for the implementation and evaluation of a comprehensive training package for patients, relatives, and staff

·        To work with the Consultant Nurse/ Senior Nurses to proactively identify ways of raising the profile of the service by contributing to practice development needs of the Trust

·        Participate in and support staff undertaking clinical trials and research projects within the clinical setting

·        Be proactive in ongoing audit to access the effectiveness and practice of the service provided, implementing relevant changes

·        Participate in the process of gaining informed consent from study patients through the provision of information and answering questions honestly and accurately

·       To work closely with the sponsoring companies, study principal investigators, co-investigators, and other staff. To give regular reports on all aspects of trial progress as and when required        

·       Set standards to monitor the quality of the care provided, ensuring local and national quality standards are met

·       To assist those quality initiatives in line with clinical audit and clinical effectiveness and the Trust’s corporate objectives and quality standards

·        Disseminate up to date information by presenting papers and posters and participating in national and international conferences

·        Maintain database and registers within the department

·        To be responsible for the development and ongoing evaluation of educational material for patients and staff

Personal and Professional

·        To develop professional practices through reflection, participation in post-registration courses and attendance at conferences and meetings

·        To be accountable for your own professional action and a lead specialist for the area

·        To identify and be responsible for own professional/managerial management in liaison with the Nurse Consultant and Divisional Senior Nurse

·        To act as a resource in this specialist area and to participate in Trust-wide professional groups, as appropriate

·        To represent the Trust locally and nationally, participating and speaking at conferences and study days

·        To maintain a flexible approach to the role responding to changing patterns of care

·        To participate in the strategic development of the service

·        Providing leadership, motivation, and vision regarding the contribution of nursing to health care

·       Forge links with those involved in the development of the service both internally and externally

Communication

·        Provide support mechanisms for sharing good practice within the Department and Trust wide.   Assist in the programme and provide clinical supervision, as required for all registered nurses working in the Department

• Maintain and promote effective communication with all members of the multi-disciplinary team and other Wards / Departments, including developing your formal presentation skills

• Promote the corporate image of the Trust to all individuals, groups, and organisations both within the Trust and to the community at large

• Participate fully as a team member, sharing knowledge and information and supporting colleagues, including support staff to promote a cohesive team and the achievement of team objectives

• Contribute to the development and maintenance of a positive learning environment for colleagues, patients, and visitors

Policy development

• Support the development of research protocols on differing aspects of Trans catheter Valve Implantation

• To be actively involved in the development of Trust policies and procedures at department level, the implementation and reinforce their use

Service development

• Assist with the running of trials (if necessary, travel to external study days and investigator meetings)

• Actively participate in regular departmental seminars and educational programmes at both Royal Brompton & Harefield Hospitals

• Maintain, update, and develop personal, professional knowledge and skills, using the Trust’s Performance Review System, enabling standards of patient care to be constantly monitored and improved

• Collaborate in the preparation of papers for publication with suitable support

• Participate in the business planning process, helping to identify areas for service development

Resource management

• Plan and manage own time to meet the needs of the service

• To ensure staff, equipment and resources are managed effectively

Information management

• Identify areas where local audit is needed, conduct the audit, and analyse the data with support

• To be actively involved in maintaining data quality on PAS or similar systems in the future

• Undertake relevant training for electronic information systems in place & under development

• Participate in the collection and analysis of audit and research data as required

• Be able to undertake web searches as necessary