Job summary
We are delighted to offer a new and exciting opportunity for a dynamic, experienced nurse to join our friendly and well-established multidisciplinary Invasive Cardiology team as a Cardiac Rhythm Management (CRM) Specialist Nurse. This newly created post reflects our commitment to expanding and modernising cardiac services within the Trust.
We're looking for a motivated nurse with a cardiology background, excellent clinical skills, and the ability to work collaboratively across disciplines. You'll play a key role in delivering a high-quality, patient-focused CRM service, working closely with the Invasive Cardiac Physiologists and wider teams both locally and regionally.
As the first role of its kind in CRM, the role will evolve and make a significant impact on patient care and pathway development. If you're passionate about innovation in cardiac care and have a keen interest in CRM, we'd love to hear from you.
Main duties of the job
- Will primarily undertake CRM combined nurse and physiologist led clinics providing a full clinical assessment, physical examination, and adjustment of medical therapy for this cohort of heart failure patients.
- Assess, diagnose, and manage patients with cardiac rhythm disturbances with the support of the wider multidisciplinary team. This includes advice regarding medications, making referrals to other members of the multidisciplinary team, requesting investigations.
- Monitor and interpret data from implantable cardiac devices using specialist platforms (e.g., Merlin, CareLink, Latitude).
- Support pre-assessments, post-procedure, and follow-up care for CRM device implant patients, including medication management. Prescribe (or instruct primary care) and safely adjust cardiac medications, including heart failure, anti-arrhythmic and anticoagulants drugs, within the scope of cardiology independent prescribing.
- To be BHRS accredited and be willing to study towards the BHRS Nurse accreditation.
- Participate in CRM multidisciplinary team (MDT) meetings and contribute to complex case discussions. Triage patients to appropriate MDTs. Action agreed plans and document on EPR.
About us
CHFT is an integrated Trust of 6,500+ colleagues providing hospital and community services to patients and communities across Calderdale and Kirklees. We are rated as 'Good' by the Care Quality Commission, are a top performing Trust for Elective Recovery, Emergency and Cancer Care and widely acknowledged as a national digital lead when it comes to caring for people across our local and regional systems.
Our people are at the core of everything we do, hence our commitment to One Culture of Care. Our focus is to care for and support each other in order to provide outstanding compassionate care to our patients. That is why we are looking for an inclusive collaborative, creative, innovative and compassionate leader to join us in this role.
Job description
Job responsibilities
The postholder: -
- Will primarily undertake CRM combined nurse and physiologist led clinics providing a full clinical assessment, physical examination, and adjustment of medical therapy for this cohort of heart failure patients.
- Demonstrate a high level of expertise within the CRM specialist service providing advice, education and support to staff, patients, their families and carers.
- Have responsibility for the on-going development of clinical practice and standards of care within the CRM service, including the development of evidence-based policies, procedures, protocols and guidelines in collaboration with multidisciplinary colleagues.
- Be practising autonomously as a nurse practitioner within the designated speciality area to provide patient-centred clinical care. This will encompass the skills of clinical assessment, examination, diagnosis and treatment within an agreed scope.
- Support new ways of working that emphasises a more efficient and patient-focused service, and will ensure the safe treatment, referral and discharge of patients within CRM.
- To liaise and engage with wider teams within community, primary, secondary and tertiary care to establish care pathways that support the referral and management of patients within CRM in respect to service development, referral and access to services.
- Collaborate with the wider cardiology team to ensure patients are assessed and a plan of care is in place which is relevant to the patients ongoing safe and timely care, including the prompt prescribing of medication and assisting with discharge. Focusing on proactive patient care and management.
- To maintain open and effective communication within the invasive team and senior cardiology doctors with the patient journey in mind.
- Assess, diagnose, and manage patients with cardiac rhythm disturbances with the support of the wider multidisciplinary team. This includes advice regarding medications, making referrals to other members of the multidisciplinary team, requesting investigations, managing emergency situations and arranging emergency clinic visits. To provide education, counselling and reassurance to patients and their families within your care.
- To assess patients psychological needs and refer to wider support teams as necessary. To provide expert clinical advice and support to nurses and wider members of the multidisciplinary team and act as a clinical role model.
- To assess patients clinical status and be willing and able to discuss end-of life care and deactivation of defibrillators when at advanced stage of heart failure/deteriorating health.
- To be a point of contact for clinical teams within the Trust for patients admitted with a CRM implantable device, providing prompt independent assessment and advice in collaboration with the Cardiac Physiologists ensuring high standards of professional patient centred care.
- Monitor and interpret data from implantable cardiac devices using specialist platforms (e.g., Merlin, CareLink, Latitude). Respond to remote monitoring alerts, Triage HF and determine appropriate clinical actions. This training will be given and supported by the Cardiac Physiologists and wider CRM training opportunities.
- Support pre-assessments, post-procedure, and follow-up care for CRM device implant patients, including medication management. Prescribe (or instruct primary care) and safely adjust cardiac medications, including heart failure, anti-arrhythmic and anticoagulants drugs, within the scope of cardiology independent prescribing. Ensuring timely documentation is forwarded to primary care. Provide on-going monitoring and clinic assessment as needed and be able to discuss end of life device deactivation pre-implant.
- Participate in CRM multidisciplinary team (MDT) meetings and contribute to complex case discussions. Triage patients to appropriate MDTs. Action agreed plans and document on EPR.
- Support education and training of ward and outpatient staff in CRM-related topics where required.
- Engage in continuing professional development, keeping abreast of current CRM guidelines and technologies (e.g., NICE, BHRS, ESC). To be BHRS accredited and be willing to study towards the BHRS Nurse accreditation.
- To work within the NMC Code of Professional Practice, and within policies, procedures and guidelines of Calderdale and Huddersfield NHS Foundation Trust.
- To be aware of and adhere to Trust Policies relating to the control and administration of drugs. Have a sound knowledge of medication requirements for CRM patients as well as other cardiac conditions.
- Attend local and regional meetings, CRM training events and conferences within area of expertise and maintain CPD.
- Participate in extensive audit, quality improvement projects, and research relevant to arrhythmia and CRM. Present quarterly performance data to the senior management team.
- To take responsibility for own continuing professional development and performance, including identifying own development needs, maintaining own professional portfolio. Complete mandatory training as per the Trusts specification.
- To endeavour to treat patients holistically, respecting dignity and encouraging them to be active participants in their ongoing care.
Job description
Job responsibilities
The postholder: -
- Will primarily undertake CRM combined nurse and physiologist led clinics providing a full clinical assessment, physical examination, and adjustment of medical therapy for this cohort of heart failure patients.
- Demonstrate a high level of expertise within the CRM specialist service providing advice, education and support to staff, patients, their families and carers.
- Have responsibility for the on-going development of clinical practice and standards of care within the CRM service, including the development of evidence-based policies, procedures, protocols and guidelines in collaboration with multidisciplinary colleagues.
- Be practising autonomously as a nurse practitioner within the designated speciality area to provide patient-centred clinical care. This will encompass the skills of clinical assessment, examination, diagnosis and treatment within an agreed scope.
- Support new ways of working that emphasises a more efficient and patient-focused service, and will ensure the safe treatment, referral and discharge of patients within CRM.
- To liaise and engage with wider teams within community, primary, secondary and tertiary care to establish care pathways that support the referral and management of patients within CRM in respect to service development, referral and access to services.
- Collaborate with the wider cardiology team to ensure patients are assessed and a plan of care is in place which is relevant to the patients ongoing safe and timely care, including the prompt prescribing of medication and assisting with discharge. Focusing on proactive patient care and management.
- To maintain open and effective communication within the invasive team and senior cardiology doctors with the patient journey in mind.
- Assess, diagnose, and manage patients with cardiac rhythm disturbances with the support of the wider multidisciplinary team. This includes advice regarding medications, making referrals to other members of the multidisciplinary team, requesting investigations, managing emergency situations and arranging emergency clinic visits. To provide education, counselling and reassurance to patients and their families within your care.
- To assess patients psychological needs and refer to wider support teams as necessary. To provide expert clinical advice and support to nurses and wider members of the multidisciplinary team and act as a clinical role model.
- To assess patients clinical status and be willing and able to discuss end-of life care and deactivation of defibrillators when at advanced stage of heart failure/deteriorating health.
- To be a point of contact for clinical teams within the Trust for patients admitted with a CRM implantable device, providing prompt independent assessment and advice in collaboration with the Cardiac Physiologists ensuring high standards of professional patient centred care.
- Monitor and interpret data from implantable cardiac devices using specialist platforms (e.g., Merlin, CareLink, Latitude). Respond to remote monitoring alerts, Triage HF and determine appropriate clinical actions. This training will be given and supported by the Cardiac Physiologists and wider CRM training opportunities.
- Support pre-assessments, post-procedure, and follow-up care for CRM device implant patients, including medication management. Prescribe (or instruct primary care) and safely adjust cardiac medications, including heart failure, anti-arrhythmic and anticoagulants drugs, within the scope of cardiology independent prescribing. Ensuring timely documentation is forwarded to primary care. Provide on-going monitoring and clinic assessment as needed and be able to discuss end of life device deactivation pre-implant.
- Participate in CRM multidisciplinary team (MDT) meetings and contribute to complex case discussions. Triage patients to appropriate MDTs. Action agreed plans and document on EPR.
- Support education and training of ward and outpatient staff in CRM-related topics where required.
- Engage in continuing professional development, keeping abreast of current CRM guidelines and technologies (e.g., NICE, BHRS, ESC). To be BHRS accredited and be willing to study towards the BHRS Nurse accreditation.
- To work within the NMC Code of Professional Practice, and within policies, procedures and guidelines of Calderdale and Huddersfield NHS Foundation Trust.
- To be aware of and adhere to Trust Policies relating to the control and administration of drugs. Have a sound knowledge of medication requirements for CRM patients as well as other cardiac conditions.
- Attend local and regional meetings, CRM training events and conferences within area of expertise and maintain CPD.
- Participate in extensive audit, quality improvement projects, and research relevant to arrhythmia and CRM. Present quarterly performance data to the senior management team.
- To take responsibility for own continuing professional development and performance, including identifying own development needs, maintaining own professional portfolio. Complete mandatory training as per the Trusts specification.
- To endeavour to treat patients holistically, respecting dignity and encouraging them to be active participants in their ongoing care.
Person Specification
QUALIFICATIONS / TRAINING
Essential
- Registered Nurse
- Independent Non-Medical- Prescriber
- Nurse (Master's Level) BHRS accreditation, accredited, working towards or willing to undertake
- Evidence of ongoing CPD
Desirable
- Post graduate qualification - Masters level
- Teaching qualification
- Post registration qualification
- ILS (be willing to undertake this training)
KNOWLEDGE, EXPERIENCE & EXPERTISE
Essential
- Significant experience of working within Cardiology
- Substantial experience working with patients diagnosed with heart failure and/or cardiac rhythm problems
- Commitment to working with multi-agency and multi-disciplinary teams
- Substantial experience of medication management and administration of cardiac medications and treatment
- Advanced Clinical Assessment skills
- Significant experience in supervising staff groups and delivering training
Desirable
- Demonstrable experience of CRM remote monitoring systems
- Significant experience in using the EPR system
- Demonstrable experience of end-of-life care
- Demonstrable experience of service development and change management
- Significant experience in problem solving in time-critical situations
COMMUNICATION AND RELATIONSHIPS (INCLUDING MANAGEMENT RESPONSIBILITIES)
Essential
- Excellent communication skills
- Ability to work autonomously
- Flexible and adaptable approach to work practices
- Demonstrable evidence of effective organisational skills
- Demonstrable evidence of maintaining accurate and contemporaneous record keeping
Desirable
- Demonstrable evidence of excellent report writing.
- Excellent interpersonal skills including negotiation and conflict management
- Demonstrable evidence of leadership skills
- Demonstrable evidence of clinical supervision skills
Person Specification
QUALIFICATIONS / TRAINING
Essential
- Registered Nurse
- Independent Non-Medical- Prescriber
- Nurse (Master's Level) BHRS accreditation, accredited, working towards or willing to undertake
- Evidence of ongoing CPD
Desirable
- Post graduate qualification - Masters level
- Teaching qualification
- Post registration qualification
- ILS (be willing to undertake this training)
KNOWLEDGE, EXPERIENCE & EXPERTISE
Essential
- Significant experience of working within Cardiology
- Substantial experience working with patients diagnosed with heart failure and/or cardiac rhythm problems
- Commitment to working with multi-agency and multi-disciplinary teams
- Substantial experience of medication management and administration of cardiac medications and treatment
- Advanced Clinical Assessment skills
- Significant experience in supervising staff groups and delivering training
Desirable
- Demonstrable experience of CRM remote monitoring systems
- Significant experience in using the EPR system
- Demonstrable experience of end-of-life care
- Demonstrable experience of service development and change management
- Significant experience in problem solving in time-critical situations
COMMUNICATION AND RELATIONSHIPS (INCLUDING MANAGEMENT RESPONSIBILITIES)
Essential
- Excellent communication skills
- Ability to work autonomously
- Flexible and adaptable approach to work practices
- Demonstrable evidence of effective organisational skills
- Demonstrable evidence of maintaining accurate and contemporaneous record keeping
Desirable
- Demonstrable evidence of excellent report writing.
- Excellent interpersonal skills including negotiation and conflict management
- Demonstrable evidence of leadership skills
- Demonstrable evidence of clinical supervision skills
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Additional information
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Employer details
Employer name
Calderdale and Huddersfield NHS Foundation Trust
Address
Calderdale and Huddersfield NHS Trust
Calderdale Royal Hospital
Halifax
HX3 0PW
Employer's website
https://www.cht.nhs.uk (Opens in a new tab)
