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Detailed job description and main responsibilities

JOB TITLE:  Registered Nurse              

LOCATION: Mid and South Essex NHS Foundation trust                                                 

DIRECTORATE: Care Group 1 Division 2

DEPARTMENT: Cardiac Angiography suite

GRADE: Band 6

RESPONSIBLE TO: Senior Sister Cardiac Angiography Suite

ACCOUNTABLE TO: Lead Nurse Cardiac

 

 

JOB SUMMARY

We are recruiting for a motivated hard working band 6 Registered Nurse to join a dynamic Cath lab team, within a busy 10 bedded elective cardiac procedures unit.  We work closely with the Cardiac Centre and perform procedures on outpatients and inpatients including Diagnostic Cardiac Angiography, Permanent Pacemaker insertion, Loop Recorder insertion, Direct Current Cardioversions, Trans-oesophageal echocardiograms and Stress Echocardiograms.  

 

MAIN DUTIES & RESPONSIBILITIES

 

• Support the ward manager in the provision, co-ordination, management and development of an effective, high quality service in line with government targets
• Act as a competent scrub and runner nurse and be able to manage the recovery of patients following all cardiac procedures demonstrating good airway management skills. 

• Ensure the effective running of cardiology clinics and pre-assessment clinics

• Demonstrate good knowledge, experience and confidence in all cardiac procedures
• To provide care whilst adhering to trust protocols and guidelines
• To be able to perform and accurately interpret ECG’s and act upon the results
• To be able to administer by protocol thrombolysis or primary PCI protocols
• Ensure that the development of Mid Essex Hospitals Cardiology Service remains in line with the Governments National Service Framework for Coronary Heart Disease

 

• Willingness to attain and continue to maintain Advance Life Support Certificate with appropriately timed updates.
• Willingness to attend the Essex Cardio-Thoracic Centre in Basildon to undertake PCI training and keep up-to-date

 

1. Communication

• Ensure patients and their relatives are aware of their treatment plans and any tests or investigations that they may require pre or post procedure in both pre-assessment clinics and prior to discharge.
• Act as the patients advocate and re-assure patients during all cardiac procedures.
• Ensure information is communicated effectively with consultants, cardiac liaison and other members of the MDT to ensure a smooth pathway of care for patients from admission through to discharge.
• Communicate effectively with waiting lists in conjunction with the senior sister to ensure adequate utilisation of lists

 

1. Analytical and Planning

• Ensure all paperwork is completed accurately and clearly in the patient’s integrated care pathway.
• Work closely with the unit manager to ensure all patients receive the correct protocol and pathway of care.
• Ensure electronic tracking of case notes is completed on Lorenzo and patients are admitted and discharged in a timely manner.
• Interpreting blood results and any investigations required on assessment of patient pre or post procedure following protocols and liaising with the cardiology consultant where appropriate

1. Clinical Duties

• Rotate between cardiac clinics, pre-assessment clinics, Cath lab and Recovery
• Assist Cardiac Physiologists with the Stress Echocardiography service
• Work to deliver a high standard of care and provide prompt patient care in emergency situations whilst supporting junior staff
• To take responsibility of the unit in the absence of the ward manager

1. Policy and Service Development

• Adhere to unit protocols and trust policies
• Work with the senior sister to evaluate and update service provision and contribute to change
• Maintain best practice ensuring compliance with evidence based practice and participate and support research trials, clinical audit and practice development

• Contribute to the Cardiac Cath lab audit to measure performance against National Service Frameworks targets for Cardiology

 

1. Financial and Physical Resources

• Contribute to the management of the unit budget
• Complete Essex cardiac competencies for cardiac Cath lab and demonstrate both practical and theoretical learning
• Attending and keeping up to date with all mandatory training

1. Staff Management

• In conjunction with the senior sister be responsible for the development and learning of junior staff offering support in achieving their targets
• Assist in educational needs of staff through training and competency assessments
• To delegate supervise and actively participate in staff training to ensure a high standard of care whilst acting as a good role model
• To participate in completing staff appraisals

1. Information Resources

• Report any accidents and incidents per trust policy and investigate as required
• Provide education and advice to patients and relatives

• To participate in and support research trials, clinical audit and practice development as appropriate

 

1. Effort, Skills and Working

 

Physical Skills	Working in a theatre environment as a scrub and runner nurse on a daily basis
Physical Effort	Wearing lead aprons and standing for long periods.  Moving of boxes and patients notes, moving equipment in lab, manual handling of patients.  Transferring patients to the CTC in an ambulance
Mental Effort	High level of concentration during procedures, willing to learn new skills and being able to manage patients and the nursing team in a specialist cardiology environment
Emotional Effort	Occasional distressing or emotional circumstances may occur in emergency situations, supporting patients following procedure results, dealing with challenging behaviour from patients, supporting other members of staff
Working Conditions	Working with ionizing radiation, long days and occasional chance of staying late due to an emergency situation

 

KEY WORKING RELATIONSHIPS

 

Key Relationships:

 

Registered Nurses

HCSW

Consultant Cardiologists

Cardiac CNS team

Cardiac Liaison team Broomfield

Matrons

Waiting list coordinator

Cardiac physiologists

Radiographers