The team adopts a multi-disciplinary approach, maintaining close links to all relevant hospitals, community agencies, and Public Health England.
The successful applicants will be required to: Assess adults and children for TB. Screen with Mantoux or IGRA. Administer BCG vaccine. Promote and undertake HIV testing. Undertake holistic assessments applying national and local guidelines. Manage a caseload. Identify close contacts of index cases and facilitate appropriate screening. Visit adults, children, and families with active TB at home across the pan Mersey region during their treatment, including those with MDR/XDR TB, HIV, and other co-morbidities. Teach, undertake service audit, and maintain IT literacy.
Applicants should have good interpersonal and communication skills, with the ability to communicate sensitive information to patients and relatives where there may be barriers to communication or reassurance is required. Applicants should be able to travel in a timely manner across Merseyside to undertake home visits and deliver clinics.
The TB team provides specialist advice, leadership, and clinical service in relation to TB. The goals of the service are to identify and reduce the risk of people being newly infected with TB and provide high-quality treatment and care for all people with TB. The TB team will achieve these goals by making all relevant groups of people aware of the facts of TB, strengthening more active case finding amongst high-risk groups, including contact tracing, and ensuring everyone suspected of having the disease has rapid access to TB services.
This is a flexible role to provide care to individuals, families, and communities in response to changing local needs. The post will be based in a Liverpool community clinic with close links to all relevant hospitals, community agencies, and the health protection agency. The TB specialist nurse will act as a positive role model for all nurses through the demonstration of expert clinical practice in the area of TB. The post holder will provide specialist knowledge and advice to all healthcare professionals, patients, and carers.
Liverpool University Hospitals NHS Foundation Trust comprises Aintree University Hospital, Broadgreen Hospital, and Royal Liverpool University Hospital. We are part of NHS University Hospitals of Liverpool Group, formed on 1 Nov 2024 from the coming together of LUHFT and Liverpool Women’s NHS Foundation Trust. The Group was born from a shared aim to improve the care we provide our patients.
UHLG is one of the largest employers in the region, with over 16,800 colleagues dedicated to caring for our communities - from birth and beyond. For the 630,000 people across Merseyside, we are their local NHS. We provide general and emergency hospital care, alongside highly specialised regional services for more than two million people in the North West.
Aintree University Hospital is the single receiving site for adult major trauma patients in Cheshire and Merseyside and hosts a number of regional services, including an award-winning stroke facility. Broadgreen Hospital is home to elective surgical, diagnostic, and treatment services, together with specialist patient rehabilitation. Liverpool Women’s Hospital specialises in the health of women and babies, delivering over 7,200 babies in the UK’s largest single-site maternity hospital each year. The Royal Liverpool University Hospital is the largest hospital in the country to provide inpatients with 100% single bedrooms and focuses on complex planned care and specialist services.
To maintain a TB Data Base detailing TB patients' treatment, disease pattern, location, and outcome. Also, identifying numbers of contacts and New Entrants screened and numbers of BCGs given, to assist with management follow-up and clinical audit; and to monitor the effectiveness of service. This will require close liaison with the hospital service.
To follow cases out of the hospital and ensure they are taking their medication as directed and monitor for any side effects, liaising with the TB specialist nurse team leader and treating physicians should problems occur. To undertake a holistic assessment of patient needs and to ensure appropriate agencies locally and nationally are involved to resolve any problems.
To identify those patients who may be at risk of non-concordance with medication and initiate and monitor strategies that will assist the client to adhere to an appropriate regimen, involving the most appropriate agencies.
To identify close contacts of index cases through careful questioning and ensure that they are invited to clinic for screening for symptoms. Also, to provide those identified with appropriate information about TB and answer questions.
To visit all TB cases throughout their treatment, including those with multi-drug resistance and those infected with HIV.
Promote HIV testing and be prepared to develop knowledge and skills in HIV testing.
To perform Tuberculin tests at home, hospital, and clinic as part of the TB testing programme and to interpret the results and take the appropriate action. To administer the BCG vaccine to individuals.
Nurse prescribing.
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