The Lead Nurse CNS role for heart failure in the Hospital at Home will incorporate the dimensions of expert clinical practice, education, leadership, management and research. The post holder will be required:
Liaise with all key members of the multidisciplinary team to advise and support colleagues in the delivery of specialised patient care across professional boundaries within a H@H setting.
To work autonomously to deliver specialist clinical care appropriate to the needs of the patient group and based on principles that are research-based and enhance the quality of patient care.
To undertake nurse-led care and to be responsible for excellent standards of nursing care to patients through the planning, coordinating, delivering and evaluating nurse-led clinics and services.
Line-manage clinical nurse specialists within speciality and across boundaries.
To lead and support with specialist nursing knowledge the development and implementation of programmes of nursing care for individual patients and the client group as a whole.
1.1 Maintain a professional behaviour at all times and promote a positive image of Royal Free London NHS Foundation Trust at all times, in line with World Class Care values.
1.2 Ensure that the needs of patients are placed at the centre of care delivery, thus achieving trust and national standards for clinical quality, safety and patient experience.
1.3 To lead, negotiate, supervise, participate in, and manage caseload of patients within nurse led clinics both on and off site using advanced clinical assessment skills and clinical judgement to take a detailed history, physically assess, make any required differential diagnosis, order any tests or investigations required to confirm diagnosis, prescribe medication, evaluate and review treatment plan.
1.4 Make any alterations in the patient’s current treatment plan or drug regimen required in response to evaluating test & investigation results or changes in patients’ condition. Use advanced clinical knowledge & expertise in undertaking clinical assessments in partnership with patients and other professionals, using agreed protocols, but also where there are no appropriate precedents
1.5 Provide professional, clinical and managerial leadership to nursing and associated staff and ensure the provision of a high-quality, responsive nursing service.
1.6 Collaborate on all aspects of quality management related to the nursing and clinical area.
2. RESPONSIBILITY FOR PATIENTS
2.1 Act as autonomous first line of contact for patients seeking advice or support.
2.2 Provides professional and clinical leadership, providing a highly visible and authoritative presence ensuring the delivery of excellence in core, specialist and advanced nursing practice, audit, research, and service and practice development agendas.
2.3 To identify outcome measures which illustrate the quality of the service in line with national targets with a particular emphasis on establishing ways to show patient related outcome measures.
2.4 Recognises and champions innovations in nursing practice ensuring they are supported, evaluated and contribute to develop an evidence base to meet the needs of the patients, families, relatives and staff.
The Lead Nurse CNS role for heart failure in the H@H will incorporate the dimensions of expert clinical practice, education, leadership, management and research. The post holder will be required:
Liaise with all key members of the multidisciplinary team to advise and support colleagues in the delivery of specialised patient care across professional boundaries within a virtual ward setting.
To work autonomously to deliver specialist clinical care appropriate to the needs of the patient group and based on principles that are research-based and enhance the quality of patient care.
To undertake nurse-led care and to be responsible for excellent standards of nursing care to patients through the planning, coordinating, delivering and evaluating nurse-led clinics and services.
Line-manage clinical nurse specialists within speciality and across boundaries.
To lead and support with specialist nursing knowledge the development and implementation of programmes of nursing care for individual patients and the client group as a whole.
To contribute to the facilitation of the planning, delivery and evaluation of care pathways for a designated group of patients.
To contribute to training and education within specialist area.
To promote an innovative and progressive attitude to the continual improvement of patient care through reviewing the evidence base and embedding this in practice through engagement in research activities, including QI work.
Act as a visible role model and expert practitioner.
