Community TB Nurse Specialist

Job responsibilities

Management and Leadership

Identifies need for change and supports management of change, including service development.

Negotiation and influencing skills.

Provide direct management for band 5 and administration colleagues.

Coordinate clinical work with colleagues demonstrating effective time management skills and participates in the monitoring and reviewing of team performance.

To commit to continuous personal development/lifelong learning by attending mandatory training, use of eLearning and adhere to all trust policies and procedures.

To understand owns role within the wider multi-disciplinary team and articulate own develop needs through attending clinical supervision, 1:1 sessions, undertaking appraisal preparation and contributing to objective setting and personal development planning.

Possess effective leadership skills by directly managing junior staff within the team.

Perform risk assessments and compile action plans for the service.

Be an active part in the recruitment process including short listing and interviewing.

Participate in and provide clinical supervision.

Promote service development, improvements and quality expansion and efficiencies.

Clinical Responsibilities

NMC nursing registration.

To case manage patients with potential or a TB diagnosis within a community setting without direct supervision, reporting to the TB specialist nurse lead, as appropriate, utilising specialist history taking and examination skills.

Holistically assess patient need and develop a plan of care that is individualised and meets the needs of patients and carers through physical assessment skills.

Identify, manage and review adjustments in optimising TB therapies within agreed service protocols, through non-medical prescribing.

Notify UKHSA of all new active cases of TB

Develop, implement and evaluate patient treatment plans and concordance through clinical checks, tablet counting, and, providing directly observed therapy (DOT).

Communicate patient treatment plans

Eligible BCG vaccination administration for neonates, children and adults.

Phlebotomy

Review clinical results

New entrant screening and contact tracing for all eligible patients

Assist patients to identify and manage risk factors using behavioural change to self-manage their condition.

Provide specialist advice to patients/carers in relation to programmes of care which may be complex.

Provide sensitive information to patients, where there may be barriers.

Decision making/clinical judgment and problem solving.

Liase with multi-disciplinary teams, referring as appropriate.

To contribute to the development of service specific guidelines and protocols that are evidence based.

Work closely with key members of the team from primary and secondary care to alter the management plan as appropriate. Communicate and accurately document any changes in a timely manner.

Support service provision within the local area and wider foundation trust.

Adhere to trust clinical governance, equality and diversity policy through ethical decision-making.

Assess and manage risk.

Service user/public involvement.

Supervise the work of others; clinical supervision of staff, students; provides training to others.

Work within codes of practice and professional guidelines.

Attend mandatory training and maintain evidence based practice. Be accountable for maintaining skills and revalidation.

Promote and support effective implementation of all Organisational Policies and Procedures, and practice in accordance with them.

Support and promote a team culture which actively encourages empowerment thereby supporting and facilitating change.

Support the provision of a high quality, value for money and effective service within available resources.

Educational Responsibilities

Provide and support training for the multidisciplinary team in the management of TB disease.

Be a role model providing mentorship and coaching to the team.

Provide positive well-being support to the team.

To regularly attend and participate in training, peer support and clinical supervision.

Supporting others to develop knowledge and skills.

Promotion of learning/creation of learning environment.

Service user/carer teaching and information giving.

Support local patient groups.

Developing service user/carer education materials.

Acts as a resource for improving health.

Teaching and mentorship.

Research

Involvement in any research and service development.

Involvement in audit and service evaluation.

Implements policies and proposed changes to working practices or procedures in own work area.

Qualifications

Essential

• Professional knowledge acquired through degree or equivalent level of demonstrable professional knowledge/experience.
• Excellent communication and interpersonal, organisational and problem solving skills.
• Experience of managing a caseload of complex patients including clinical assessment.
• BCG vaccination administration including neonates or willingness to work towards.
• Physical assessment skills course or willingness to work towards on employment.
• Independent prescribing course or willingness to work towards within 12 months of employment.
• Accurate recording of clinical data and understand its significance: BP, heart rate and rhythm, pulse, oximetry, respiratory rate.
• Knowledge of national and regional policies influencing TB disease.
• Accredited teaching qualification.

Desirable

• Health Visitor or Paediatric Registration.
• Specialist knowledge of TB disease including disease specific management pathways.
• Short courses supporting role.
• Paediatric experience.
• Experience of vaccination administration.
• Phlebotomy.

Special Requirements

Essential

• Able to travel independently around County Durham & Darlington.
• Possess good IT skills
• Flexible attitude to work.
• Able to safely move and handle loads.

Desirable

• SystmOne experience

Statutory Registration

Essential

• Nursing Midwifery Council part 1 and 2 Registration.

Special Skills & Knowledge

Essential

• Evidence of team working.
• Accurately record clinical data and understand its significance: BP, heart rate and rhythm, pulse, oximetry, respiratory rate.
• Ability to work independently and with minimal supervision.
• Ability to act alone in an emergency situation.
• Able to prioritise work on a daily basis to meet service demands.
• Confident in the use of email and basic IT skills.
• Understand use of health related questionnaires and patient reported outcome measures.
• Participates in and provides clinical supervision.
• Participates in networking opportunities.

Desirable

• Brief smoking cessation intervention.

Experience

Essential

• Post registration experience of working in healthcare.
• Up to date knowledge of professional practice and new research in management of TB.

Desirable

• Health visitor or Paediatric Registration.
• Post registration experience of working with TB patients.
• Experience of working in a community setting.
• Experience of vaccination administration.
• Knowledge of national and regional policies influencing TB disease.
• Experience of recruitment processes.
• Experience of audit and/or service development/review.

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.

Certificate of Sponsorship

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).