NursingNetUK

Detailed job description and main responsibilities

Core Competencies

Functions at an advanced level within healthcare organisation and management systems in line with their scope of practice and sphere of influence.

Able to deal with complex ethical and legal issues relating to patient care

Selects and uses advanced communication skills to articulate and shares their decision making, while maintaining appropriate situational awareness, displaying professional behaviour and exercising professional judgement.

Initiates, leads and delivers effective quality improvements in patient care, focused on maintaining patient safety

Able to critically appraise and undertake research, including managing data appropriately.

Developing within the context of advanced level practice as a learner, teaching and supervisor.

Generic Clinical Competencies

Undertakes an advanced clinical assessment in the face of uncertainty, and utilises critical thinking to inform diagnosis and decision making.

Leads acute intervention for patients, recognising the acutely deteriorating patient and delivering resuscitation

Manages the assessment, diagnosis and plans future management of patients in an outpatient clinic, ambulatory, or community setting, including the management of long term conditions, in the context of complexity and uncertainty.

Manages problems in patients in special cases and other specialities

Manages a multi-professional team, including the planning and management of discharge planning in complex, dynamic situations.

Manages end-of-life care and applies palliative care skills in the context of complexity and uncertainty.

Speciality Clinical – Pleural Services

The post holder will develop competence in Pleural Procedures to include:-

-Diagnosis & therapeutic pleural aspiration

-Seldinger Chest Drain insertion including intra-pleural fibrinolytics, talc pleurodesis and pleural lavage and removal of device

-Surgical Chest Drain insertion and removal

-Indwelling Pleural Catheter Insertion, Care, Troubleshooting, District Nurse Support and removal

- Medical Thoracoscopy assistance

- Simple US guided percutaneous pleural based biopsy and cervical node biopsy

Actively engages in acute medical service development, deliver and evaluation, including as a leader and role model. They will monitor clinical quality and the delivery of KPIs related to the service to effect ongoing service improvement. In particular they will be responsible for reducing the number of Datix Adverse Events related to pleural procedures and nursing after-care.

Develops, supervises and delivers alternative patient pathways, including same-day emergency care (SDEC). Role model systems working and leadership qualities that best manage capacity and patient flow with a focus on ED and ambulatory management/early discharge of pleural conditions.

Prioritises and selects patients appropriately according to the severity of illness, including making decisions about escalation of care, discharge and use of virtual ward.

Integrates with other specialist services – including critical care.

Management the interface with community services, including complex discharge planning. Providing an expert resource and patient support across in-patient and out-patient care including support of DN teams managing IPC drainage systems.

Take responsibility for procedural and clinical policy updating to inform the wider governance framework and safeguard patients.