KCVD Community Cardiac Rehabilitation Nurse

Job overview

To work as an integral part of the Knowsley Community CVD Service in the development, coordination and delivery of a comprehensive programme of Cardiovascular Rehabilitation. The programme will be delivered to the Residents of the Borough of Knowsley in a variety of Community settings, with specific emphasis on the delivery of a comprehensive menu based programme of cardiovascular rehabilitation.

The post holder will contribute to the management, planning and education of cardiovascular patient’s complex health and well-being needs in line with the Patients Vision.

Main duties of the job

Maintain and utilise advanced clinical skills to analyse and interpret history of illness, presenting symptoms and physical findings to enable diagnosis, planning and treatment of the patient. Contribute to the management, planning and evaluation of the CVD patients with complex clinical and social needs.

Registered practitioners who are non medical prescribers are accountable for their prescribing activities by ensuring they are aware of their Professional accountability and any restrictions or special considerations in their prescribing practice. To note they act as a Prescriber within the whole clinical team involved. To be aware of, and adhere to, the NMC Standards for the Administration of Medicines Act 1992, and the Misuse of Drugs Act 1971.

Plan towards the delivery of high quality CVD rehabilitation programme working with the Community CVD MDT and multi-disciplinary agencies.

According to patients needs, review patients on home visits or in clinic to provide appropriate levels of follow up care post discharge.

Address psychosocial-economic needs of both patients and carers and refer onto other agencies as appropriate.

Detailed job description and main responsibilities

Cardiovascular Rehabilitation Programme:

• To undertake patients reviews in the home or clinic area and offer ongoing support in health promotion and healthy lifestyle choices. to be involved, and take an active role in all aspects of service delivery – including the operational aspects of organising the programme.
• To undertake patients reviews in the home or clinic area and offer ongoing support in health promotion and healthy lifestyle choices.
• to be involved, and take an active role in all aspects of service delivery – including the operational aspects of organising the programme.
• a) clinical evaluation, exercise, and education/relaxation sessions b) Have a good understanding of monitoring and prescribing a menu based approach based upon sound evidence and best practice guidelines and supporting the patient to reach their goals. c) Ensure that all patients progress through the relevant stages of the programme at the correct time and that appropriate information and advice is given at each stage d) Ensure that all patients accessing the menu based approach for cardiac rehabilitation are offered appropriate care via an exit strategy for promotion of continued lifestyle change within their local community e) To be responsible for contacting patients to arrange bookings, correspondence and dealing with cancellations/rebooking f) Assess individuals physical, psychological and emotional needs prior to commencing the rehabilitation programme.
• MANAGEMENT RESPONSIBILITY

To demonstrate leadership by means of:

• Effecting change within own sphere of practice when and where indicated
• Making recommendations to improve services Influencing, motivating, supporting and enabling others to contribute towards the effectiveness and success of NHS Knowsley

Ensuring that all patients progress through the relevant stages of the programme at the correct time, and that appropriate information and advice is provided at each stage To actively participate in Local and National Cardiovascular networks. To act as patient advocate and ensuring effective partnership work within the multi-disciplinary team. To contribute to the commissioned service to deliver to high quality Service in line with the QIPP agenda To ensure Key performance indicators of the service are met via service delivery and data recording

• EDUCATION AND TRAINING To assist in the development of care pathways in relation to H/R. Contributing to the implementation and supervision of planned student placements. Assisting in the delivery of in-service training programmes for CVD rehabilitation. Maintaining sound knowledge and understanding of issues relating to the prevention, treatment and rehabilitation of CVD. Demonstrate critical thinking and reflective skills to ensure own professional development in line with PREP. Participate fully in the clinical supervision sessions arranged by the team leader and clinical supervisor.
• PROFESSIONAL RESPONSIBILITIES

Qualified Nurses are required to evidence maintenance of their registration with the Nursing and Midwifery Council (NMC) and work to the NMC Code of Professional Conduct.

To participate in research and clinical audit for the nurse led heart failure and cardiac rehabilitation service.

To liaise with all members of the multi disciplinary team relating to patient care and treatment plans.

Responding to requests for advice and information from the public and other health professionals.

This job description is not exhaustive, additional duties may be requested in line with the post holders knowledge, skills and competencies and the requirements of a developing service.

To establish, maintain and develop professional working relationships with colleagues

Follow all agreed Quality Assurance Mechanisms in operation and contribute generally to the establishment and development of a quality service.

Adhering to Liverpool Heart & Chest Hospital NHS Foundation Trust policies and procedures including standing financial instructions and orders.

Participate in the Trust’s Development Review Appraisal process and, with line management, objectives and development plans. All staff are entitled to participate in the Review Process and, with their manager, are jointly responsible for the completion of agreed actions.

The Trust is keen to ensure the health and safety of patients, staff and visitors. All staff are responsible for complying with the Health and Safety at Work Act 1974 and ensuring no-one is affected by individual acts or omissions.

The Trust aims to be a place in which people can work and study free from discrimination. All staff, patients and visitors are required to comply with the Trust’s Equal Opportunities Policy.

To be aware of, and responsible to, the changing nature of the Trust and adopt a flexible and pro-active approach to work

To personally contribute to the Liverpool Heart & Chests Hospital’s health promotion strategies both internally and externally.

All Liverpool Heart & Chest Staff are required to be familiar with the arrangements for safeguarding children, young people and vulnerable adults and support the organisation in promoting the welfare of children, young people and vulnerable adults.

Staff who come into contact with children, vulnerable adults, parents and carers in the course of their work and/or have access to records will have responsibilities to safeguard and promote the welfare of children, young people and vulnerable adults.

Staff who come into contact in the course of their duties, with parents, carers or other significant adults or children, young people and vulnerable adults should always be mindful of safeguarding and promotion of the welfare of these individuals and have a responsibility to ensure safeguarding and promoting their welfare forms an integral part of their duties.

Staff will be trained to a level appropriate to their responsibilities in this respect in line with the current KSF post outline and the ongoing PDR process.

All employees have a personal contribution to reducing healthcare-associated infections(HCAIs). Staff must be compliant with all measures known to be effective in reducing HCAIs and be familiar with the Trust’s Infection Control Policies. All staff are required to attend a mandatory training session on infection prevention and control and be updated according to their area of employment.

Infection Prevention and Control is everyone’s responsibility. All staff, both clinical and non clinical, are required to adhere to the Trusts’ Infection Prevention and Control Policies and make every effort to maintain high standards of infection prevention and control at all times thereby reducing the burden of Healthcare Associated Infections including MRSA and Clostridium Difficile in accordance with the Hygiene Code - Code of Practice for the Prevention and Control of Healthcare Associated Infections (DH 2008).

Applicant requirements

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.