As a result of the service need to cover maternity leave, here at West Middlesex Hospital, particularly in the Rapid Access Chest Pain Clinic, we are looking to recruit a Senior Nurse with experience in this area to support the service.
Key Responsibilities:
To work cross-site to standardise services and care for patients presenting with chest pain and to ensure that the service sees patients in a timely way, assisting the Trust to meet access targets.
To support and contribute to the organisation’s existing nurse-led Rapid Access Chest Pain Clinics, adhering to protocols and guidance agreed by the Team’s consultant cardiologists, basing decisions on professional knowledge and expertise, providing a one-stop service for patients with new onset chest pain referred by GPs within the North West Sector catchment area.
To provide expert assessment of patients with chest pain, to operate within protocols, utilising advanced nursing skills and knowledge to identify or refute coronary artery disease. Ordering investigations, interpreting results and reports, recommending appropriate pharmacotherapy, determining discharge or inpatient admission where appropriate, and presenting findings to medical staff where appropriate.
To utilise protocols and integrated care pathways for patients attending the clinic, to enable appropriate risk stratification and early revascularisation referral where appropriate.
To maintain clinical audit of this client group, meeting the requirements of the National Service Framework for Coronary Heart Disease (2000) and NICE chest pain guidance 2016.
To become an integral part of the cardiology team and to contribute to service development in other areas of cardiology within the Trust.
To act as an educator, helping patients to understand and manage their symptoms and facilitate strategies for lifestyle modification when appropriate.
About Chelsea and Westminster Hospital NHS Foundation Trust:
Chelsea and Westminster Hospital NHS Foundation Trust is one of England's top-performing and safest trusts. We operate two main acute hospital sites—Chelsea and Westminster Hospital and West Middlesex University Hospital—along with award-winning clinics across North West London. Our nearly 7,500 staff care for a diverse population of 1.5 million, providing full clinical services, including maternity, A&E, and children’s services, plus specialist HIV and sexual health clinics. The Care Quality Commission rates us 'Good' in safety, effectiveness, care, and responsiveness, and 'Outstanding' in leadership and resource use.
We continually invest in our facilities, including a £30m expansion of critical care at Chelsea and Westminster and an £80m Ambulatory Diagnostic Centre at West Middlesex. We welcome applications for flexible working arrangements, accommodating requests where possible to support our staff and patient needs. The Trust is committed to equality and welcomes applications from all, regardless of background. Adjustments can be made for disabled candidates. Early application is advised as vacancies may close once sufficient applications are received. If you haven’t heard from us within three weeks of the closing date, your application was likely unsuccessful. Employment is subject to a six-month probationary period.
Minimum Requirements:
To support and contribute to the nurse-led Rapid Access Chest Pain clinic service in accordance with NSF 2000 targets.
To assess patients’ risk of CVD using NICE guidance and empower patients to realise and maintain their potential in relation to health and wellbeing.
To assess complex health and wellbeing needs, diagnose or refute diagnosis of Coronary artery disease using accountable professional decision making and problem-solving skills autonomously.
To develop with the patient a management plan for their cardiac needs within the remit of the clinic with emphasis on treatment including revascularisation where appropriate whilst emphasising health education and prevention measures.
To assess and authorise the admission or discharge of patients from caseload as appropriate.
Educational Responsibilities:
To contribute towards staff development within cardiology by means of teaching in the classroom and the clinical setting.
To contribute towards the knowledge of healthcare professionals within primary and secondary care through teaching and presentations.
To develop and maintain own clinical skills and expertise by attending relevant study days/conferences where appropriate.
To participate in the orientation of new staff and students.
Professional Responsibilities:
To act in accordance with the NMC Code of Conduct.
To exercise sensitivity and diplomacy regarding role boundaries with other healthcare professionals across the Acute Trust and local Primary Care Trust.
To engage in personal clinical supervision.
To participate in own annual appraisal with regular review with line manager, identifying own development needs and appropriate learning that relate to the demands of the role.
Audit and Research:
To facilitate and participate in the collection of audit data and outcome measures to demonstrate effectiveness of the service provided, and to highlight areas for further development.
To present results of audit to the Trust and cardiac directorate.
To obtain, evaluate and implement findings from research and other information to facilitate best practice for the management of the rapid chest pain clinic.
To be actively involved in the Controls Assurance/Clinical Governance Group within the Trust.
Communication:
Ensure all communication, which may be complex, contentious or sensitive, is undertaken in a responsive and inclusive manner, focusing on improvement and ways to move forward.
Ensure all communication is presented appropriately to the different recipients, according to levels of understanding, type of communication being imparted and possible barriers such as language, culture, understanding or physical or mental health conditions.
This advert closes on Tuesday 31 Dec 2024.
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