The post holder is an autonomous expert practitioner accountable for their own professional outcomes and will be expected to treat patients in the hospital, outpatients clinics and remote monitoring and alert-based management systems. They will work closely with the lead Consultant and HF/Device Multidisciplinary Team (MDT) in reducing the impact of symptoms and prevent unnecessary admissions to hospital by ensuring optimal therapeutic interventions. When patients are admitted to hospital the post holder will support and review patients in hospital as required. Non-Medical Prescribers will be working autonomously and prescribing in line with NICE guidelines (108) for the management of heart failure.
1. To promote and liaise with multi-disciplinary team, by improving patient and carers quality of life and satisfaction. 2. To reduce impact of symptoms and prevent unnecessary admissions through ensuring optimal therapeutic interventions, including early action on remote monitoring heart failure risk alerts.
2. Maintain and utilize advanced clinical skills to analyze and interpret history of illness, presenting symptoms and physical findings to enable diagnosis, planning and treatment of the patient. To liaise closely with the lead Consultant in complex clinical decision making. 4.
As an independent/supplementary non-medical prescriber you are responsible for the initiation and prescribing of Heart failure therapies; as per NICE guidelines personal formulary. You are responsible for evaluation of patient response and monitoring. You are accountable for prescribing activities by ensuring you are aware of your Professional accountability and any restrictions or special considerations in your prescribing practice. To note: they act as a Prescriber within the whole clinical team involved with individual patient care and communicate this appropriately.
Also to be aware of, and adhere to, the NMC Standards for the Administration of Medicines Act 1992, and the Misuse of Drugs Act To be aware of, and adhere to, the NMC Standards for the Administration of Medicines Act 1992, and the Misuse of Drugs Act
To ensure all eligible patients with heart failure and post-ICD implant are appropriately referred to cardiac rehabilitation, providing relevant clinical information, and to liaise with the Cardiac Rehabilitation Lead and multidisciplinary agencies to support delivery of the Programme 7. Address psychosocial-economic needs of both patients and carers and refer onto other agencies as appropriate. Use appropriate evidence based assessment tools to identify any concerns. 8.
Advanced communication skills will be required to provide patients and their carers with highly complex, controversial or sensitive information, including discussing preferred priorities of care (PPC) and end of life issues (EoL) in an empathetic and reassuring manner, using persuasive, motivational and negotiation skills. 9. To manage heart failure and device patients in the hospital, give discharge advice as required and refer patients to the appropriate community services. 10.
To work closely with the heart failure and device consultants in the hospital to ensure all patients have a clinical management plan