Consultant Nurse job description

Consultant Nurse in Rheumatology

The purpose of the post is to lead in the development of an advanced/expert specialist service in Rheumatology that has a consistent and sustainable impact on the experience of patients and carers, as appropriate across the Trust.

Key responsibilities include:

1. To improve standards and outcomes of specialist care by facilitating the development of practice and strengthening leadership to ensure that Rheumatology patients and carers have a quality experience, and to reduce risk and increase safety for staff and patients

2. To line manage, oversee and support the specialist nurses in Rheumatology in the development and implementation of a consistent and effective specialist service

Consultant Nurse -Rheumatology job description

3. To act as a clinical expert in Rheumatology providing highly specialised and expert advice at clinical and strategic level

4. In liaison with other members of the multidisciplinary team to lead /facilitate the development of the Rheumatology service at clinical and strategic level

5. In liaison with Head of Nursing, Specialist nurse and Clinical Practitioner Educators, to be accountable for leading and managing educational programmes in Rheumatology in response to identified nursing, junior medical staff and Allied Health Professionals practice and service needs

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6. In liaison with the Education Training & Development Manager, to act as lead for nursing research and practice development in Rheumatology

Consultant Nurse -Rheumatology job description

7. With the Head of Nursing/ Head of Midwifery and Chief Nurse contribute to Clinical Governance, Nursing and Midwifery Strategy and fundamentals of care within the Trust via practice development initiatives

Specific Responsibilities

Advanced/ Expert Clinical Practice Function

Consultant Nurse -Rheumatology job description

1. To work as a nursing expert in the area of Rheumatology performing advanced clinical assessment and interventions. A minimum of 50% time will be spent in clinical practice

2. To oversee the management of the clinical caseloads of the Specialist Nurses in Rheumatology and to oversee the planning and evaluation of care which addresses patients` complex and changing health care needs at all stages of their rheumatological illness/disease

3. To provide expert advice and support to multi-professional teams to improve the way in which the Rheumatology service is provided, including ongoing referral to other services as appropriate

4. To provide expert advice to support ward staff when patients are referred to Rheumatology, ensuring all medical and nursing needs are understood and carried out in accordance with national and Trust guidelines

5. To be a nurse prescriber within Rheumatology as/ if determined by service need and in consultation with the Non Medical Prescribing Group and to act as a resource for clinicians in relation to rheumatological treatment and care

6. To work in partnership with service users to enable them to make informed

choices about their care and treatment wherever possible

7. Accountable for achieving rigorous adherence to infection control safety practices including hand hygiene and universal precautions

Education, Training, Research and Development

Consultant Nurse -Rheumatology job description

1. To oversee annual training needs of staff to identify education and training needs relating to the care of people with rheumatological conditions and the strategic development of other clinical roles

2. To act as a professional supervisor. To utilise professional supervision and reflective practice skills to enhance development of self and colleagues in the interprofessional team to optimise care.

3. To act as a mentor for Specialist nurses /Clinical Practitioner Educators and other members of staff ensuring learning that is commensurate with learning needs

4. In liaison with the Clinical Skills Education Manager to identify, develop and review competency based frameworks for advanced skills development for Specialist nurses and other relevant staff in Rheumatology.

5. To oversee the management and development of competencies for nursing staff to care for the patients with rheumatological conditions

Consultant Nurse -Rheumatology job description

6. To advise on, and participate in, education programmes in Rheumatology, focusing on advanced practice and practice development within the Trust and via local higher education provider as appropriate.

7. To attain and maintain an honorary appointment at the University of Surrey or other higher education provider

8. In liaison with the Patient Advice and Liaison Manager, to oversee the provision of written and other health information for patients with rheumatological conditions with regard to disease, treatment, management and ongoing care, ensuring the best level of understanding and self care as appropriate

Consultant Nurse -Rheumatology job description

9. To keep abreast of developments in Rheumatology and advanced/expert practice and update other staff accordingly

Leadership and Consultancy Function

1. To provide effective clinical leadership that supports and inspires colleagues

2. To function in a consultancy role for all health care professionals involved in delivery of care to people with rheumtological conditions

3. To contribute to the Trust`s Strategy for Nursing and Trust wide development and implementation of evidence-based practice in Rheumatology

4. To contribute to strategic Trust wide service development

5. To be responsible for facilitating the development of a strategy for Rheumatology in collaboration with other team members

Consultant Nurse -Rheumatology job description

6. To act as a clinical expert in investigations into specific incidents or complaints relating to Rheumatology services as requested by the Director of Nursing, Business Manager (Medicine) or Head of Nursing/Head of Midwifery to inform the focus of practice development

7. To participate in relevant working groups within the Trust and nationally as appropriate

8. To work collaboratively with the Chief Nurse and Business Unit Managers regarding practice issues, delivery of service and Clinical Governance in Rheumatology

Additional role responsibilities specific to Post

Expert and advanced practice

1.To deliver expert direct patient care in nurse-led outpatient clinics for people with inflammatory arthritis working autonomously and utilizing a high level of specialized clinical expertise and judgement in planning, implementing and evaluating care collaborating with and referring patients to medical colleagues and Allied Health Professionals as appropriate

  * -requesting investigations such as blood tests, X Rays and DXA scans
  * and acting on results
  * -initiating admission of patients to hospital or discharge from secondary
  * care
  * -performing joint and soft tissue injections and administering
  * medications according to relevant Patient Group Directions

Consultant Nurse -Rheumatology job description

2.To develop and deliver a service for people with newly diagnosed rheumatoid arthritis providing highly specialized advice, education and support

3.To offer expert rheumatological opinion to Paediatric and Renal Consultants and patients in specialized outpatient clinics.

4. To oversee the management and participate in the delivery of the Telephone Advice service provided by Specialist nurses in Rheumatology, providing expert advice and support to both callers and colleagues running the service; to evaluate the contribution of the Adviceline to the care of patients with rheumatological conditions.

Consultant Nurse -Rheumatology job description

Practice development

1. To provide strong leadership in Clinical Governance in Rheumatology across the Trust, promoting high quality care, evidence-based practice, management of risk and coordinating audit activities and Rheumatology business meetings.

2.To work with clinical colleagues based at Ashford to develop a business plan and strategy for implementation of the post of Specialist Nurse in Rheumatology at Ashford Hospital

3.To strengthen links with GPs and Practice Nurses involved in the care of people with musculoskeletal disease, especially rheumatoid arthritis, by developing and disseminating practice guidelines for drug use, monitoring and disease management in the primary care setting, with provision of relevant educational sessions

4.To interpret and evaluate recommendations from NICE and any other national guidelines and to incorporate any necessary actions into rheumatology practice and service delivery

Consultant Nurse -Rheumatology job description

Research

1. To take an active role in Research and Development activity in the Rheumatology Department by developing, supervising and participating in research projects

2. To disseminate research findings at national and international conferences by presenting work orally and in written form

3. To publish research findings in peer-reviewed journals

4. To initiate and encourage inter-disciplinary research collaboration with other rheumatology centres

Consultant Nurse -Rheumatology job description

Education

1.To participate in multi-disciplinary teaching programmes and educate, train and assess students in the clinical setting, in collaboration with the Undergraduate Coordinator

2. To lecture on post-graduate and Masters Level Rheumatology Courses locally and nationally

Leadership and consultancy

1.To network with Rheumatology Consultant Nurses nationally to share good practice initiatives and develop policies to guide rheumatology practice at a national and local level

2.To participate in maximising the strength and input of the ASPH Consultant Nurse group in its contribution to the development of Nursing strategy and its delivery

Other

1.To perform annual appraisals and interim reviews for the Specialist Nurses in Rheumatology 2.To actively seek out, obtain and manage funding for research projects and educational needs of staff including research grants, sponsorship, bursaries and awards.

Consultant Nurse -Rheumatology job descript

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