Anexciting opportunity has arisen in the Leeds Pain and InterventionalNeuromodulation service for a Band 7 Clinical Nurse Specialist (CNS). We area small team of Clinical Nurse Specialists looking for an innovative,enthusiastic and dedicated CNS to provide highly specialised care to ourpatients. Experience in neuromodulation is required to be able to provideexpert specialised care to our patients and to support the nursing team.
TheLeeds Pain and Interventional Neuromodulation Service provides acomprehensive range of specialist pain services for the patients of Yorkshireand beyond. Our highly experienced multidisciplinary team provides a range ofmedical interventions to reduce pain and are dedicated to achieving the verybest outcomes for patients with long term pain. The service runs Mon-Fri 8-4.
Main duties of the job
Therole will involve advanced clinical assessment of patients within the LTHTChronic Pain and Neuromodulation service, including the intrathecal pumpservice. The role involves assessing and prescribing specialised medications(such as intrathecal drugs) and making consequent dose changes (within yourclinical knowledge, competence and Trust Guidelines). The role involvesspecialist clinical decision making and working autonomously.
Youwill work alongside the team leader, providing leadership, training andsupport for the Band 6 CNS and Clinical Support Worker within the team and totake a lead on audit, service improvement and development.
Youwill work collaboratively with the wider team, referring patients to otherservices where appropriate.
About us
TheChronic Pain and Interventional Neuromodulation service is a regional servicewhich sits within the Centre for Neurosciences Clinical Services Unit at theLeeds Teaching Hospitals NHS Trust.
LeedsTeaching Hospitals is committed to our process of redeploying 'at risk'members of our existing workforce to new roles. As such, all our job advertsare subject to this policy and we reserve the right to close, delay or removeadverts while this process is completed. If you do experience a delay in theshortlisting stage of the recruitment cycle, please bear with us while thisprocess is completed, and contact the named contact if you have anyquestions.
Job responsibilities
Thepost holder will be practising as an independent specialist clinicalpractitioner providing patient-centred and evidence-based clinical care,within an agreed scope of competence and practice. The jobholder isresponsible for the management of a defined caseload. The jobholder carriescontinuing responsibility for the assessment of care needs, the development,implementation and evaluation of programmes of care and the setting ofstandards of care.
Thepost holder will provide specialist nursing advice and care to support andfacilitate high quality, individualised care to patients and their carers incollaboration with the multi/interdisciplinary team for patients with chronicpain, spasticity and movement disorders, who are referred to the Chronic Pain& Neuromodulation and Neuro Rehabilitation Service, for proceduresincluding: spinal cord stimulation, peripheral nerve stimulation andintrathecal drug delivery, as well as key involvement in the chronic painmedication management.
Toprovide specialist nursing care and support in the management of theNeuromodulation Service. This will involve dealing with complex situationsand having to take appropriate action in a variety of settings, under theguidance of the team leader for the service.
Tobe flexible in the approach to the clinical area acting as a professionalrole model providing direct and indirect clinical care, teaching, researchand audit.
JOBDIMENSIONS
Inconjunction with the team leader:-
Beresponsible for the organisation and development of the service.
Producingbusiness plans to support restructure of the service as/when required.
Settingout an education structure for the team
Ensurethe team comply with the Trusts risk and governance agenda.
Supportand encourage the development of the band 6 role.
KNOWLEDGE,SKILLS AND EXPERIENCE REQUIRED
Qualifications
RegisteredNurse (Level 1)
Recognisedteaching/assessing qualification
Firstlevel Degree Education
Postregistration qualification in speciality field (desirable).
Postregistration study at masters level in specialist field or equivalentexperience.
Extended/SupplementaryPrescribing (or willingness to complete qualification)
Experience
Extensiveexperience at band 6 or equivalent within relevant specialty during which thefollowing experience will have been gained:
Clinicalaudit, research and standard setting
Servicedevelopment and or change management
Skills
Communicationskills
Leadershipskills
Teaching
Recruitmentand Selection
ITskills
Planspecialist nursing provision, including education and training
Knowledge
Highlydeveloped specialist knowledge, underpinned by theory and experience
Currentissues in healthcare
Standardsof professional practice
PersonalAttributes
Excellentinterpersonal skills
Motivator
Flexibility,adaptable, capable of lateral thinking
Politicallyaware
THELEEDS WAY VALUES
Ourvalues are part of what make us different from other trusts, so we see thisas strength, as well as a responsibility. They have been developed by ourstaff and set out what they see as important to how we work. Our five valuesare:
Accountable
Empowered
Allour actions and endeavours will be guided and evaluated through these values
Additionallythe following are core values which relate specifically to this post:
Commitmentto working in a multi-disciplinary team
Commitmentto the specialty area, valuing the contribution of all team members,encouraging a positive and creative working environment
Commitmentto own personal and professional development and to the development of otherswithin the team.
COREBEHAVIOURS AND SKILLS
Communicationskills
Teachingand assessment skills
Organisationalskills
Understandingof research based practice research conscious
Teamplayer
Conflictmanagement
Usesinitiative to resolve issues within their own control
Abilityto act professionally at all times
COREKNOWLEDGE AND UNDERSTANDING
Understandingof the local and national nursing agenda
Understandingof relevant National Service Frameworks (if appropriate)
Awarenessof Leeds Teaching Hospitals Trust guidelines and policies
Understandingof organisational structures
PRINCIPALDUTIES & AREAS OF RESPONSIBILITY
Actsin accordance with the Nursing and Midwifery Code of Conduct
Clinical
-Provide a clinical lead and role model to other nursing staff by deliveringhigh quality care as an expert practitioner
-Undertake clinical procedures where dexterity and accuracy are required.
-Maintain a safe working environment
-Undertake duties on other wards or departments as and when required byservice demands or patient need.
-Act in such a way that safeguards the health and wellbeing of children andvulnerable adults at all times. Is familiar with and adheres to, the LTHTsafeguarding policies.
Responsibilitiesfor patient and client care
-Assesses, develops and implement specialist nursing care programmes andevaluate care and treatments using advanced clinical knowledge and clinicalskills
-Plan specialist nursing service provision organising and managing ownworkload.
-Provides specialised advice contributing to the diagnosis and care ofpatients.
-Freedom to act
-Makes clinical assessments and treatment decisions within clearly definedpolicies and protocols
-Refer patients as appropriate to other members of the multi-disciplinary team
-When required exercises significant clinical discretion and judgement withinbroadly defined clinical parameters and policies.
Communication
-Maintains accurate clinical and other records using the Leeds TeachingHospitals Trusts documentation
-Support patients and their families communicating very sensitive, complexcondition related information, ensuring they receive required information toenable them to participate on their care delivery
-Liaise with Community Services (as appropriate) to ensure seamless provisionof care delivery
Educationand Training
-Plans, provides and facilitates specialist training and education of learnersand other junior staff within own speciality area
-Provides specialist training and education at post-graduate level within theUniversity settings as agreed with Head of Nursing.
-Actively participate in the development of own personal development plan andperformance review.
-Participate in national, regional and local conferences as agreed with Headof Nursing.
-Provide education and training to patients and their carers.
-Keep up to date with developments, advances within the specialty
Leadershipand management
-Provide leadership to the clinical team working with Head of Nursing, developnew roles/ways of working
-Investigate and respond to accidents, complaints, untoward incidents andother significant events
-Maintains record of workload and performance monitoring information for ownpractice and reviews this on a regular basis with Team Leader/ Head ofNursing.
-Exercises a personal duty of care in relation to equipment, resource andstock control ordering and utilising equipment and supplies appropriately
-Work with Team Leader/ Head of Nursing. to lead the development of nursingpractice, reflecting the CSU and Corporate Nursing business plans
-Set, monitor and seek to continuously improve standards and the quality ofpatient care, including those standards defined in the National Benchmarksfor Essential Care
-Promote evidence based practice, wherever possible
-Raise concerns with regards to risk, danger, malpractice or wrong doing byfollowing the LTHT Whistleblowing policy and supporting processes.
-Propose, develop and implement policy, protocols and practice guidelinesspecific to the clinical specialty.
-Contributes to the development of specialist protocols for specialist area.
-Proposes policy and service change and leads the development of the samewithin and beyond own specialist area.
-Engage users and carers views on service delivery and development.
Person Specification
Qualifications
* Registered Nurse(Level 1) Recognised teaching/assessing qualification
* Post registration qualification (or equivalent) or extensive clinical experience in speciality
* Non Medical prescribing qualification (or willingness to complete)
* Post registration study at Masters level in specialist field or relevant experience
Skills & behaviours
* Excellent written and verbal skills.
* Ability to organise own and others workload
* Capable of lateral thinking
* IT Skills
Additional Requirements
* Able to satisfy the occupational health requirements of the role.
Experience
* Extensive experience at Band 6 (or above) level or equivalent in speciality.
* Experience in neuromodulation
* Audit and standard setting
* Current issues in healthcare
* Managing human and financial resources
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
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