Thank you for your interest in NHS Tayside vacancies
Please see below Job Description/Specification and General Conditions of Service
Your Application Form must be completed in full. Please note copies of Curriculum
Vitae, Qualifications and Course Certificates will not be accepted at this stage.
Please return your completed Application Form to recruitment.tayside@nhs.net
(quoting the vacancy reference number in the subject box) or to the postal address given on the General Conditions of Service.
All completed applications are held in Human Resources until the closing date. After the closing date a panel will meet to prepare an interview shortlist. Once this decision has been made, all shortlisted applicants will be emailed to invite them to attend for interview. It is important that you check your emails regularly.
This process takes approximately 6 weeks. Therefore, if you have not been contacted regarding interview within 6 weeks of the closing date, your application has been unsuccessful and you will receive no further correspondence from Human
Resources.
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JOB DESCRIPTION
NHS Tayside
1. JOB DETAILS
Job Title: Specialist Nurse -Chest pain
Department: Medical Directorate
Immediate Senior Officer: Head of Nursing (Urgent) / Cardiology Team
Location: NHS Tayside
Salary: Band 6
2. JOB PURPOSE
Summary
The post holder will contribute to the planning, delivery and evaluation of the Chest
Pain Specialist nursing service across NHS Tayside and will be responsible for delivering :

Safe and effective clinical practice and the development of specialised care programmes for patients predominantly with chest pain, other cardiological conditions and symptoms suggestive of conditions e.g. Syncope

Enhance the patients experience of care based on assessment of their needs

Contribute to the performance of the team

Contribute to the delivery of the organisations objectives

Provide specialist advice to healthcare professionals, other agencies, carers, clients and relatives for this field of practice.

Contribute to the delivery and implementation of specialist care pathways
 Enable and promote patients’ knowledge of their condition, self management and independence
This aims of this service are to:
1. To ensure prompt and timely assessment, risk stratification, clinical management and onward transfer of chest pain patients to an appropriate environment for on-going management
2. To provide appropriate investigation for both in patient and out-patient e.g.ETT; tilt testing; rapid access chest pain clinic
3. To facilitate the discharge of patients within chest pain service who do not require on going management
4. To support nurse led out patient assessment clinics within the service
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3. ORGANISATIONAL POSITION
Nurse Director
Associate Nurse Director
Head of Nursing
Advanced Specialist Nurse (line manager)
Nurse Consultant
4. SCOPE AND RANGE
NHS Tayside covers some 7,558 square kilometres with a population of approximately 394,000. The Chest Pain specialist nursing service provides care across NHS Tayside, including acute and community hospital sites.
In collaboration with the multi-disciplinary team, the specialist nurse is responsible for explaining the diagnosis, and co-ordinating treatment and management of patients with chest pain, other cardiological conditions and symptoms suggestive of conditions e.g. Syncope

Ensuring that standards of practice are maintained and developed by delivering safe, effective, patient-centred, efficient, timely and equitable care within their scope of practice

Ensuring effective use of physical, human and financial resources e.g. the nursing resource and supplies including pharmaceutical supplies and equipment

Work as part of the multidisciplinary team within designated areas covered by the Chest Pain Service

Contribute to the management and coordination of the patient’s journey from point of referral through to discharge.
Environment of Care

A variety of clinical settings including Wards, Clinics within acute and community care settings across Tayside.
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5. MAIN DUTIES/RESPONSIBILITIES
Within the governance framework of the organisation (including clinical, staff and financial governance) the post holder will focus on the following key result areas:
1. TO ENSURE SAFE & EFFECTIVE CLINICAL PRACTICE
1.1 Clinical Leadership and Teamwork
As a clinical specialist, promote teamwork within a multi-professional environment, demonstrating critical analysis and decision making skills, delivering a clinically excellent, high quality Chest Pain Specialist Nurse Service influencing and facilitating change across NHS Tayside.
1.2 Evidence Based Clinically Effective Practice
Supporting the development of clinically effective practice centred on individual need through the utilisation of evidence; implementing and monitoring evidence based policies, procedures and protocols.
Responsible for explaining the diagnosis, and co-ordinating the treatment and management of patients with chest pain, other cardiological conditions and symptoms suggestive of cardiac conditions, as in-patients and out-patients taking action to ensure appropriate clinical management of the patient in accordance with local protocols.
1.3 Continuous Quality Improvement
Ensure a culture of continuous quality improvement through the use of audit, research, patient feedback and reflection on practice by self and other members of the team.
Responsible for data entry and storage of data using computer based systems.
Ability to produce reports for projects related to aspects of work as appropriate
1.4 Patient Safety
Responsible for promoting a safe and clean environment for staff, patients and visitors by ensuring compliance with legislation, policies and protocols e.g. health and safety, healthcare associated infection, risk management and critical incident reporting and analysis, assessing and managing actual and potential risks to health and well-being.
Ensures high standard of record keeping in accordance with Nursing & Midwifery
Council, national legislation and local standards, facilitating effective communication with multi-professional team regarding patient care.
1.5 Patient Care
Ensure care needs are assessed; programmes of care are developed, implemented and evaluated in partnership with partners/carers/clients/relatives for patients whose needs may be predictable or unpredictable to ensure delivery of a high standard of
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care. This will include clinical assessment particular to the speciality, e.g. chest auscultation.
Prescribe and/or make recommendations within the multi-disciplinary team and within primary care about patients’ medications particular to the speciality, working within the scope of their own professional practice, adhering to the NMC Standards for
Medicines management and the NHS Tayside Safe and Secure Handling of
Medicines Manual.
The post holder will provide appropriate education and psychological support to patients and their families in response to individual need.
Contribute to health promotion activity raising the awareness of patients referred to the service regarding their health and wellbeing and the actions that can be taken to address issues
2. TO ENHANCE THE PATIENT ’S EXPEREINCE
2.1 Coordination of the Patient Journey
Responsible for ensuring the planning and co-ordination of the patient journey including the smooth transition of patients to other settings, promoting effective discharge of non ACS patients. Communication with interdisciplinary, inter-agency teams as required.
Facilitate ongoing referrals for further assessment, diagnostic tests and to other professionals as appropriate
Accept direct referrals to assess, plan, deliver and evaluate care
2.2 Clinical Expertise
Responsible for ensuring co-ordination of nursing interventions, influencing clinical decisions and monitoring the quality of patient care provided through using expert clinical knowledge relevant to own field of practice, underpinned by theory and experience.
2.3 Promote a Culture of Person Centred Care
Within a multidisciplinary team environment, contribute to a culture of person-centred care within the service, communicating regularly with patients, relatives and/or carers; promoting a caring environment where equality and diversity issues are respected and patients are enabled to be partners in their care.
Identifies opportunities to develop care and services by ensuring that there are effective systems in place to ascertain patient and carer experience/feedback and complaints are managed in line with organisational policy including the dissemination of learning points.
3. TO MANAGE & DEVELOP THE PERFORMANCE OF THE TEAM
3.1 Role Model
Act as a clinical expert and a role model, creating a supportive ethos to empower
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staff to contribute to the delivery of high quality person-centred care.
3.2 Learning and Development
Demonstrate a personal commitment to lifelong learning though continuing professional development and support the learning and development of all staff within an environment which ensures effective learning opportunities for all staff and students.
Attendance at on going mandatory training and relevant education/development opportunities.
Contribute to pre and post registration curriculum and teaching multiprofessional/multi agency groups
Participate in Individual Performance Review and Personal Development Plans and maintain an up to date knowledge of current clinical and professional issues and legalities.
3.3 Managing the Practice Setting
Ensuring effective use of resources and workforce by helping to monitor workload and maintaining appropriate staffing levels taking account of role and competence of staff when delegating work, within the allocated resource.
Ensure compliance by self and others with professional standards including (NMC
Code of Professional Conduct), legislation, national and organisational policies, in relation to recruitment and selection, attendance management, ensuring grievance and disciplinary matters within own department are identified, actioned and reported to the appropriate manager
4. TO CONTRIBUTE TO THE DELIVERY OF THE ORGANISATION’S
OBJECTIVES
4.1 Networking
Network with peers across professional groups promoting the exchange of knowledge, skills and resources
4.2 Service Development
Work in partnership with a range of clinicians and managers in the planning or development of the Cardiology nursing service.
4.3 Political and Strategic Awareness
Develop and maintain a working knowledge of local, national and professional strategy and policy, ensuring that organisational goals are reflected in own personal objectives and demonstrate the ability to contribute to policy and strategy development at organisational level.
4.4 Service delivery and organisation
Works with managers to suggest and improve the services provided to the local community, representing nursing in local service improvement meetings.
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6. EQUIPMENT & MACHINERY
The Registered Nurse is expected to have the knowledge and skills necessary to use all equipment safely in the area The post holder will be required to manage the use of the following equipment for the reasons stated and is responsible for ensuring that systems/policies/procedures are practiced to ensure safe use, maintenance and storage of equipment in the area:

Occasional use of moving and handling equipment used considering patients who are unpredictable.

Medical and Technical equipment to record vital signs and administer treatments- frequently

Equipment to monitor physiological status- specifically ETT and Tilt Testing
Equipment

IT equipment including local and national systems to read, analyse, record and transmit patient and staff information within the boundaries of local and national policies and legislation

Clinical Records

Emergency alarm systems- occasional use
RESPONSIBILITY FOR RECORDS MANAGEMENT
All records created in the course of the business of NHS Tayside are corporate records and are public records under the terms of the Public Records (Scotland)
Act 1937. This includes email messages and other electronic records. It is your responsibility to ensure that you keep appropriate records of your work in NHS
Tayside and manage those records in keeping with the NHS Tayside Records
Management Policy and with any guidance produced by NHS Tayside specific to your employment.
7. DECISIONS & JUDGEMENTS
The post holder:

Will be responsible to the Head of Nursing (Urgent) Service in respect of guidance and professional management, work review and formal appraisal of performance.

Will have responsibility for setting and monitoring standards and quality of clinical practice and contributing to the management of the nursing team.

Has responsibility for reflecting upon and reviewing their decisions in relation to assessing, monitoring, evaluating and interpreting patients’ condition and effectiveness of their care programmes.

Is also accountable for decisions relating to the management of physical, human and financial resources within own area.

Is responsible for the making decisions and clinical judgements in relation to care management underpinned by specialist knowledge and expertise.
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
Has responsibility for explaining the diagnosis, and co-ordinating the treatment and management of patients with chest pain and other (suspected) cardiological conditions managed within the service . This may include the prescribing of medication.
8. COMMUNICATION & RELATIONSHIPS
Continuous responsibility for establishing systems and standards of communication for routine, complex, sensitive and potentially contentious and stressful matters with a wide range of health and social care workers, patients, families, other relevant departments/agencies using a wide range of media such as telephone, verbal and written communications to overcome any difficulties in communication with people involved, identifying and negotiating appropriate actions to reach agreed outcomes, demonstrating sensitivity and empathy when communicating with people.
Establish and maintain relationships based on mutual respect, communicating on a regular basis with the patient/relatives/multi-disciplinary team and external agencies in the provision of respiratory care and services. Ensures appropriate systems are developed and operational to facilitate dissemination of information up, down and across the organisation.
Provide and report formal, informal support and counsel to team members.
9. DEMANDS OF THE JOB (Physical, Mental, Emotional)
Physical Skills (frequent)
The post holder will require a range of physical skills relevant to clinical area examples are key board skills, general use of IT systems, and use of diagnostic equipment e.g. clinical examination, clinical history taking and technical skills.
Administer intravenous injections and or intra-muscular injections.
Venepuncture/ cannulation
ECG recording
Tilt Testing
Physical Demands (occasional)
The physical demands include movement and transportation of bulky equipment, movement of tables, chairs etc for meetings and clinical consultations, and travel on a daily basis within NHS Tayside.
Patient movement with use of mechanical aides, manoeuvre patients
Stand/walking for the majority of shift.
Push wheelchairs
Mental Demands (frequent)
The mental demands include concentration required when checking documents/patient notes and calculating drug dosages, whilst subject to frequent interruptions from patient/relatives/team members; concentration
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required when observing patient behaviours/physiological status; balancing the competing demands of the role; maintaining high level and consistent professional behaviour in unpredictable and stressful situations; keeping abreast of national and local policy and evidence based practice , interpreting applicability and adapting for local implementation; monitoring quality for improvement; working as clinical leader within multi-professional team; teaching and presenting to staff and patient groups with differing knowledge levels. Concentration required
Constant interruptions
Challenging the values/beliefs/decisions of multi-professional teams and taking appropriate action
Balancing clinical/managerial/administrative demands on time
Influencing clinical decisions with MDT members.
Emotional Demands (frequent)
Communicating with distressed/anxious/worried patients/ relatives/staff; palliative care support for patients who are dying from their disease over a prolonged period; caring for and/or communicating bad news to patients/relatives/staff; dealing with challenging behaviours; supporting team members with personal and professional issues.
Caring for patients following receipt of bad news.
Dealing with patients with severely challenging behaviour
Communicating with sensory impaired people
Managing aggressive patients
Care of patients with special needs
Supporting colleagues with the emotional burden of public expectations of health care services
Working Conditions (frequent)
Working conditions include for example exposure to body fluids, faeces; exposure to confined spaces and unpleasant condition, e.g; spending prolonged periods at the computer; working outwith normal working hours; frequent hand washing; lone working. Regular exposure to verbal aggression i.e. 2-3 times per week
Maintain standards of care in unpredictable situations including elective and unscheduled care
Exposure to infected and infectious materials and patients
Exposure to portable X-rays
10. MOST CHALLENGING/DIFFICULT PARTS OF THE JOB
Effective management and prioritisation of competing demands within an unpredictable environment.
Balancing the demands of all stakeholders and other agencies to provide a safe, effective, efficient, person-centred, timely and equitable service.
Update knowledge to maintain competence
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11. QUALIFICATIONS AND/OR EXPERIENCE SPECIFIED FOR THE POST

First level nursing qualification with first degree or other qualification equivalent to level 9 of Scottish Credit and Qualifications Framework (SCQF)

Appropriate part of NMC Register relevant to area

Post holder must have extensive post registration experience including experience within specialty field and/or demonstrate expert clinical and professional practice developed through experience and theoretical knowledge

Evidence of post basic study in Cardiology

Have specialist knowledge of the relevant anatomy physiology, disease process and treatment options acting as a resource for Cardiology

Have expert level of knowledge in Acute Coronary Syndrome; cardiology care, accepting direct referrals, working autonomously to assess, plan deliver and evaluate care.

Able to independently prescribe or be willing to undertake non-medical prescribing course.

Ability to maintain professional and personal credibility across all staff groups demonstrating knowledge of current clinical policies and guidelines

Ability to support and develop teams, lead practice and continuous professional development, work effectively as part of a multi-professional / multi- agency team

Personal motivation and enthusiasm for the development of nursing, patient care and the enhancement of the patients experience of care

Computer and information literacy.
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Knowledge and Experience First level nursing qualification Part 1 or 12 of the NMC Register with minimum first degree or other qualification equivalent to level 9 of Scottish Credit and Qualifications
Framework (SCQF)
Extensive post registration
Accountability experience within cardiology and/or demonstrate expert clinical and professional practice developed through experience and theoretical knowledge
Demonstrates responsible, accountable practice
Effective decision making
Leadership
Clinical Skills skills
Ability to lead practice and continuous development, professional working effectively as part of a multiprofessional/multi-agency team
Ability to participate on service delivery and redesign
Experience of supporting redesign and quality improvement including audit and evaluation
Have expert knowledge of the relevant anatomy
Hold or willing to work to a recognised Master’s degree level 11 of Scottish Credit and
Framework
Qualifications
(SCQF) specialised qualification relevant to specific post.
A relevant post-registration qualification within
Cardiology
Experience of working autonomously with minimal supervision.
Ability to maintain professional and personal credibility across all staff groups demonstrating knowledge of and ability to implement current clinical policies and guidelines
Independently prescribe or be willing to undertake non-
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Additional requirements
Developed by:
Date:
Review Date: physiology, disease process and treatment options acting as an expert resource for
Cardiology
Demonstrate the ability to accept and manage direct referrals, working autonomously to assess, plan deliver and evaluate care.
Flexible to meet the demands of the service.
Excellent communication skills
Computer and information literacy
Ability to deliver and lead educational programmes medical prescribing course
Knowledge of current evidence and direction of travel for NHS Scotland
Meg Park
16 th
June 2015
16 th
June 2016
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POST REF NO: D/PS/72/15
JOB TITLE/GRADE:
LOCATION:
Specialist Nurse, Band 6
Chest Pain Services, Ninewells Hospital
Conditions of
Service
Remuneration
The terms and conditions of service for this post are those determined by the NHS Staff Council.
The current salary scale for the post is £26,302 to £35,225 per annum (pro rata for part-time staff). Placing on the scale on appointment is normally at the minimum but may be higher subject to verification of previous relevant service.
Salary is paid monthly by Bank Credit Transfer.
Hours of Duty The hours of the post are 37.5 per week.
Start and finish times will be determined by the needs of the service.
Superannuation Membership of the NHS Superannuation Scheme is not compulsory but is open to all staff between the ages of 16 and
70 (65 in some instances).
The contributions paid are a percentage of superannuable pay, which is essentially basic pay excluding, for example, overtime or travelling expenses.
Contribution rates with effect from 01.04.15 are as follows:
Annual Pensionable Pay
(Full-time equivalent)
Up to £15,828
£15,829 to £21,601
£21,602 to £27,089
£27,090 to £49,967
£49,968 to £71,337
£71,338 to £111,376
£111,377 and over
Contribution
5.2%
5.8%
7.3%
9.5%
12.7%
13.7%
14.7%
Annual Leave
Contributions are subject to tax relief and reduced National
Insurance contributions. NHS Tayside also makes a substantial contribution towards scheme benefits – currently around 14% of basic pay.
On appointment = 27 days (pro rata for part-time Staff) or 5.4 weeks per year.
After 5 years aggregated service = 29 days (pro rata for parttime staff) or 5.8 weeks per year
After 10 years aggregated service = 33 days (pro rata for parttime staff) or 6.6 weeks per year
Public Holidays = 8 days (pro rata for part-time staff) or 1.6
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References weeks per year
All offers of appointment are subject to receipt of two satisfactory references.
Occupational
Health
Clearance
All offers of appointment to new entrants to the National Health
Service are subject to a medical examination. Medical examinations are arranged and undertaken by the Occupational
Health and Safety Advisory Service (OHSAS).
Rehabilitation of
Offenders Act
1974
(Exclusions and
Exceptions)
(Scotland) Order
2003
Disclosure
Scotland
All current or spent criminal convictions, cautions, warnings or any case pending must be disclosed prior to commencing in employment as detailed on the application form.
Please note that having a conviction will not automatically debar you from obtaining employment with NHS Tayside. Careful consideration will be given to the relevance of the offence to the particular post in question. However, if you are appointed, and it is found that you did not reveal a previous conviction your employment may be terminated.
The successful applicant will be required to become a member of the Protecting Vulnerable Groups Scheme (PVG) in respect of regulated work with protected adults and regulated work with children.
It is a criminal offence for an employer to employ anyone who does not have permission to live or work in the UK.
Immigration,
Asylum and
Nationality Act
2006 Shortlisted applicants will be asked to produce specific original documentation at interview e.g. Passport, or full birth certificate together with an official document giving the applicants permanent National Insurance Number and name issued by a
Government Agency or a previous employer, as well as photocopies of these documents.
Professional
Registration/ you should have current and continuing professional registration with NMC and hold the appropriate qualification(s).
Induction Standards
&
Code of Conduct
Smoking Policy NHS Tayside operates a No Smoking Policy and smoking is prohibited within NHS premises and grounds.
Applications Completed forms should be returned to:
quoting the job reference in the subject line or to Human Resources Directorate, NHS Tayside, Level 9,
Ninewells Hospital, Dundee DD1 9SY
By closing date of 17 July 2015
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