Trainee Chronic Disease Nurse

Job responsibilities

This list of duties and responsibilities, which follows, represents the broad range of tasks which may be required to be undertaken either routinely or periodically. This list is not exhaustive and the role may include additional duties which are not listed here. It is understood that there will be training provided both academically and clinically in a phased approach to allow the Trainee Chronic Disease Nurse to meet the requirements:

Clinical Skills

1) Works independently as a Practice Nurse with long-term conditions management and treatment room skills within the scope of professional practice

2) Undertakes the Long-term condition management clinics including asthma, COPD management, diabetes and chronic heart disease, CVD, providing specialist nursing care for patients promoting a prevention agenda

3) Manages programmes of care for patients with Long-term conditions by planning, providing and evaluating care under agreed local/national guidelines, protocols and patient group directions.

4) Excellent communication skills through patient consultation and nursing assessment of physical, psychological and social needs.

a) Takes an accurate history, building rapport towards a therapeutic relationship.

b) Assess, plan and implements patient centred plan of care for patients and refer when necessary to other healthcare professionals for further specialised care.

5) Maintains disease registers.

6) Undertake routine assessments in relation to individuals health and wellbeing and evaluate the outcomes of care.

7) Performs investigations and uses core clinical skill and competence. Initiate treatment including diagnostic investigations.

a) Recognition of abnormal vital signs observing adult respiratory rate and effort, heart rate rhythm and volume, temperature and blood pressures as appropriate.

b) Perform investigative procedures including; Performing ECGs, Urinalysis, Blood Glucose monitoring, Venepuncture, measuring and interpreting Peak Flow, initiating appropriate blood work

8) Demonstrate competence in examination and diagnostic techniques relevant to Long-term conditions clinic e.g. spirometry and FeNowith interpretation completing diabetic foot checks

9) Is a non-medical prescriber, able to prescribe safely and effectively within the scope of practice for multiple long term conditions as described above including injectables.

10) Adapts to change within working situation managing unscheduled emergency situations.

a) Basic life support, severe breathing problems, serious cardiovascular problems, collapsed patients and seriously ill patients.

11) Delivers a high standard of care without discrimination to all ages, sexes and ethnic origins of the population through continuum of life.

12) Promote improving the health of the individual through providing advice and education to aid adjustment of lifestyle on a prevention agenda, demonstrating collaborative working.

13) Recognise own limitations, seek assistance and refer appropriately.

14) Deliver safe, effective evidence based care and advice to ease patient problems.

Communication

1) Communicates effectively as a member of a multi-disciplinary team.

a) Liaises when necessary with general practitioners, Practice Nurses, HCAs, Reception & Admin Team, Paramedics, Accident and Emergency, Secondary Care, District nurses, Community MDT, social workers, mental health team, and Social Care Team as well as training institutions .

2) With Primary care nursing team giving support and advice.

3) With reception staff regarding patient information.

4) Recognise and effectively manages situations where there are barriers to effective communication.

Professional

1)Complies with Nursing and Midwifery council code of conduct and works within scope of professional practice.

2)Actively participates in clinical meetings.

3)Ensures practice and implementation of care is evidence based by adhering to local and national guidance

4)Maintain confidentiality of information regarding patients.

5)Ensure accurate, concise documentation.

6)Report any adverse incidents or near miss events= Significant events through agreed CH system.

7)Maintains professional development in risk awareness, health and safety, fire safety at work, Child and Adult safeguarding, conflict resolution, information governance and basic life support by attending annual mandatory training.

8)Identify and/ or participate in strategies of risk assessment to avoid or prevent clinical incidents and near misses incorporated in the clinical governance framework including:

a)Risk management, Child and Adult safeguarding policies, Medicine management policies and Infection prevention policies.

Leadership

1) Supports Practice colleagues, particularly nursing team.

2) Act as role model to inspire and motivate others

3) Act as mentor, support and induct new staff where appropriate

4) Is a voice that challenges practise to promote best practice.

Organisational Skills

1) Be aware and comply with CH policies and procedures.

2) Able to adapt to change in the workplace being involved in new developments in the delivery of care.

3) Ensure faulty clinical equipment is reported and repaired and adequate for use.

4) Ensure store supplies are adequately ordered and maintained.

5) Participate and support the implementation of clinical governance, clinical audit and clinical risk assessment, setting and monitoring standards of care.

6) Promote improving the health of the community through reporting and preventing occurrences of infectious disease, providing advice and education.

7) Have a flexible approach to geographical locations across county sites.

Training and Educational

1)Currently enhancing professional development.- by undertaking level 6 or 7 courses relevant to chronic disease management and as agreed by the practice.

2)Partakes in clinical training opportunities both in the practice and externally

3)Trainee LTC nurses can expect to undertake learning in their own time as well as practice designated time.

2) Continually keeps up to date with current evidence based practice practising reflectively.

3) Is involved in lifelong learning.

4) Ensure mandatory training has been completed.

5) Participates in in-house training provided/clinical meetings/supervision

Personal Circumstances

Essential

• Positive
• Confident
• Well organised
• Good team player
• Ability to build rapport and effective relationships at all levels
• Demonstrate initiative
• Ability to maintain workload in a sometimes busy and demanding environment

Experience

Essential

• Post registration experience
• Evidence of good practice
• Working autonomously in a nursing role
• Experience of working within primary care.
• Management of patients with long term conditions.

Desirable

• Experience of case
• Management
• Compiling protocols
• and clinical
• Guidelines.
• EMIS experience
• Knowledge of population health modelling

Skills and Aptitudes

Essential

• Demonstrate clinical knowledge in acute and Long-term condition management
• Able to demonstrate excellent communication and consultation skills
• Management of patients with complex needs.
• Able to work independently and effectively within a team
• Flexible and motivated
• Basic computer skills.

Desirable

• Ability to adapt to change within working situation
• Demonstrate clinical competence in minor illness management
• Innovative practice to deliver patient centred care
• Knowledge of care of the elderly.

Qualifications

Essential

• Current NMC
• 1st Level registration
• Relevant Long-term condition management qualification Respiratory required , diabetes/ CVD
• Evidence of recent Continual Professional Development
• Relevant Vaccination and Immunisation training

Desirable

• 998 or equivalent
• teaching certificate.
• Independent Non-
• Medical Prescriber
• ILS Intermediate
• Life support
• Recognised spirometry qualification
• Cytology
• Childhood
• Immunisations

Other requirements

Essential

• Willingness to undertake further
• Training
• Keen to develop.
• Weekend working on rotational basis
• Current driving licence and access to own vehicle as job role may require travel between sites.

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.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).