The TB service offers a high standard of care to a diverse population with Tuberculosis, as well as screening and caring for contacts (adults and children). The TB service works closely with the department of Infectious Diseases and HIV services both adult and paediatric. Community visits are an integral part of our service, and we also do outreach work with HMP Wandsworth, GP practices and local schools and colleges.
To provide a high-quality service within St George's Hospital to all patients with Tuberculosis. The TB Clinical Nurse Specialist works as part of the multi‑professional team, ensuring that patients with TB receive a high standard of care and support from time of diagnosis onward.
* Represent TB Services and the Trust at meetings, including the Southwest London TB sector
* Work as an autonomous, advanced practitioner and effectively deliver an expert nursing service within the specialist area
* Effectively manage a caseload of patients/clients
* Ensure that patients and their families are fully informed and supported by providing clinical and social support to adults and children
* Assist in the development of evidence‑based clinical nursing practice in line with current research and guidelines
* Establish clear lines of communication within the specialty team to ensure cohesive multidisciplinary management of patients
* Assist in the delivery of a TB specialist nursing service for patients under the care of TB Physicians in the Trust
* Lead by example
* Be recognised as an expert in their field holding additional qualifications / specialist knowledge and expertise
* Provide specialist nursing advice and support to patients, their families and other healthcare professionals following diagnosis and through all stages of TB diagnosis and treatment
* Ensure continuity of a high standard of evidence‑based nursing care, assessing health, health‑related and nursing needs of patients, their families, including their children, and other carers by identifying and initiating appropriate steps for effective care. This can include:
o Managing a patient caseload of individuals with active and latent TB
o Ordering and performing diagnostic tests within agreed parameters including Mantoux tests, induced sputum and phlebotomy
o Admitting and discharging patients for specified conditions and within agreed protocols
o Running nurse‑led clinics including screening, latent and active TB follow‑up
* Work autonomously by accepting responsibility for own patient caseload, ensuring all patients have an accurate plan of care, which reflects the assessment undertaken and incorporates the issues and recommendations made ensuring clear documentation in all the patient's records
Working for our organisation
St George's, Epsom and St Helier University Hospitals and Health Group cares for a population of four million people in South West London and North East Surrey. Our sites include St George's Hospital, one of 11 major trauma centres in the UK and the largest healthcare provider and major teaching hospital in the area; St Helier Hospital, home to the South West Thames Renal and Transplantation Unit and Queen Mary's Hospital for Children; and Epsom Hospital, home to the South West London Elective Orthopaedic Centre (SWLEOC). After years of collaboration, our two Trusts became a hospitals group in 2021. While remaining as two separate Trusts, being a hospitals group will help us to collaborate more closely on research, and the development, education, and training of our 17,000‑strong workforce.
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