Lead Clinical Nurse Specialist for Pain Management
Lead Clinical Nurse Specialist – Band 8a
Newham University Hospital
Secondment opportunity for 18 months.
We are looking for an experienced clinical nurse specialist in pain management with ambition and vision to lead our progressive pain management service at Barts Health NHS Trust. You will be responsible for professionally leading the clinical nurse specialist team at the Newham University Hospital site.
We are a progressive inpatient pain service; therefore, the successful candidate must possess the right skills to drive forward service objectives for development and innovation whilst maintaining the day to day operation of the service.
You will be expected to work at an advanced practitioner level and promote clinical excellence throughout the team and the organisation, whilst working closely with the clinical lead, consultant colleagues and key stakeholders.
Main duties of the job
Main duties, responsibilities and results areas
Plan and lead the pain management clinical network in conjunction with the lead clinician for pain. Oversee the professional development of nursing staff and cross-site thinking for developing standards, policies and pathways for clinical improvement and innovation, maintain an overview of governance and identify trends for service improvement, lead on audit, research and education relevant to the whole service.
Lead on ensuring clinical practice related to pain management is delivered in accordance with local Barts Health NHS Trust Policies, National and Statutory Standards. Benchmark against National guidance for good practice following Royal College Guidance and that of National and International Pain Societies.
Represent the pain service at Division and Trust meetings where relevant/appropriate.
Deal with highly complex patients and situations which require detailed analysis and assessment.
Provide evidence-based advice, support and guidance to Trust staff in the management of patients in pain, in accordance with the local pain service policies.
Demonstrates time management and organisational skills to deliver a flexible service that responds appropriately to unpredictable and challenging needs.
Job responsibilities
Be responsible for leading and developing a high-quality clinical nursing Pain Management Service and to modify and expand the service where necessary.
Maintain a high profile in the clinical areas, acting as a role model and clinical expert for other health care professionals, including own team members in the management of acute and chronic pain.
Work as an advanced level practitioner in both an inpatient and outpatient environment.
Lead clinical care by providing expert assessment, planning, evaluation and support skills in all aspects of pain management.
Provide expert advice on pain and symptom management to medical and surgical teams across the Trust.
Provide medical, surgical teams and GPs with individualised pain management plans for acute and chronic pain referrals within agreed protocols. This should include advice on appropriate drug management, including dosages and information on non-pharmacological management techniques. Follow up on patients, on a regular basis, to monitor effectiveness of the regimen.
Provide individualised advice, education and support to in-patients, out-patients and their relatives/carers, to manage their treatments effectively.
Lead on the provision and delivery of PCA, Epidural and other pain interventions in the inpatient setting.
Provide advanced clinical skills relevant to pain management, such as the adjustment of depth of epidural catheters, intravenous opioid loading of patients in pain.
Lead on the provision and development of nurse-led out-patient chronic pain clinics, managing own patient caseload, and acting as a role model for others.
Act as a resource and provide support to other members of the pain service.
Act as an advocate for patients and their carers, enabling them to express their needs effectively, when dealing with the multi-disciplinary team, through counselling and discussion.
Deal with complex and sensitive information and be able to communicate this information in a delicate manner to patients and their carers.
Act as a patient advocate through the application of professional knowledge and skills taking into account the multicultural needs of the patients.
Take autonomous responsibility for a clinical caseload.
Practice in an organised but flexible manner with the ability to respond to the unpredictable and challenging needs of the service.
Understand when a patients care is beyond own clinical limitation and to liaise with other senior members of the team, or other professionals for advice.
Communicate effectively at all times and maintain a harmonious working environment.
Liaise with and provide expert advice to community care teams, GPs where necessary, to promote a seamless continuity of care.
Actively involve service users in providing feedback of their experience of the current service and suggestions for future improvements.
Evaluate new proprietary products (including drugs), medical devices and equipment.
Lead on, alongside the Pain Consultants, Clinical Nurse Specialists, Medical and Pharmacy staff, setting agreed standards of pain management within the inpatient and outpatient clinical areas.
Plan and lead the pain service clinical network in conjunction with the lead clinician for pain. Oversee the professional development of nursing staff and cross site thinking for developing standards, policies and pathways for clinical improvement and innovation.
Effectively line manage the Clinical Nurse Specialists at the Newham site.
Involved in regular finance meetings and observe budgetary limitations. Provide specialist advice and support related to the purchasing and commissioning of resources/services trust wide.
Lead on pain education strategies trust wide.
Ensure appropriate forecasting to take account of future service development.
Develop the pain service in accordance with local and nationally agreed policies, standards and nursing strategies.
Lead on developing, updating and renewing written information for pain service.
Ensure all pain policies, guidelines and procedures are effectively implemented and maintained within the relevant clinical areas.
Maintain an overview of governance and identify trends for service improvement.
Identify clinical risks that potentially reduce quality of care. Respond, take appropriate action and devise strategies to counter these risks to ensure the delivery of safe and effective care, working within the Trusts agreed governance framework.
Identify where there are deficiencies in pain management and initiate appropriate meetings/working parties to improve standards of care.
Participate in the quest to meet national and local targets, with regards to out-patient appointment waiting times.
Network with other Clinical Nurse Specialists to evaluate, develop and promote the specialist nursing role both within the Trust and Nationally.
Be a member of the Royal College of Nursing (RCN) Pain Forum Network and attend meetings and conferences to keep abreast of current issues and practices related to developing the service.
Appraise, review, and manage the performance of the Clinical Nurse Specialists, identifying and addressing training and education needs as required.
Maintain contemporaneous and accurate records of all actions taken and support given related to training activities, clinical records, personnel management and action plans.
Manage own clinical and non-clinical workload and projects in discussion with the Senior Nurse for perioperative, critical care and pain, and communicate with other members of the Pain Service.
Contribute positively to the leadership of nursing within the care group acting as a positive and effective role model.
Introduce systems and procedures for the development of clinical audit and research.
Devise and lead on clinical audit and research activities as required to assess and monitor the quality of care and adherence to local/national policies/guidance in pain management. Working collaboratively with team members identify and implement changes to practice/procedure as required maintaining a quality service. Encourage the team to maintain accurate up to date records.
Act as an effective role model and mentor to other colleagues. Represent the Trust Locally, Nationally and internationally participating in and speaking at conferences as appropriate and relevant.
Manage duty rosters, including re-deployment of staff as necessary to cover any shortfall in the service, in conjunction with the Senior Nurse for Perioperative, Critical Care and Pain.
Effectively manage time through prioritisation, problem solving and delegation skills.
Handle complaints, accidents and incidents, as required or instructed, in accordance with Barts Health NHS Trust policies.
About us
Barts Health is one of the largest NHS trusts in the country, and one of Britain’s leading healthcare providers.
Our vision is to be a high-performing group of NHS hospitals, renowned for excellence and innovation, and providing safe and compassionate care to our patients in east London and beyond. That means being a provider of excellent patient safety, known for delivering consistently high standards of harm-free care and always caring for patients in the right place at the right time. It also means being an outstanding place to work, in which our WeCare values and behaviours are visible to all and guide us in how we work together.
We strive to live by our WeCare values and are committed to promoting inclusion, where every staff member has a sense of belonging. We value our differences and fully advocate, cultivate and support an inclusive working environment.
Person Specification
Qualifications
- Registered General Nurse (Adult).
- Evidence of Continued Professional Development.
- ENB 998 or equivalent teaching/mentorship qualification (inc. experience).
- Relevant MSc (in pain management or associated subject).
- Independent non-medical prescriber.
Experience
- Extensive experience post RN registration.
- Extensive clinical experience working as a band 7 in a pain management team (acute and chronic).
- Knowledge/evidence of change management.
- Evidence of service planning and development.
- Evidence of audit and data collection/analysis.
- Knowledge of research and/or participated in projects.
- Experience of undertaking Nurse-led Clinics.
Knowledge
- Knowledge and experience of pain management principles (inc. anatomy, physiology, pharmacology and chronic disease management).
- Knowledge and experience in delivering teaching and public presentation skills (formal and informal basis).
- Experience in preparing and presenting information at meetings.
Skills
- Established leadership and interpersonal skills.
- Effective multi-disciplinary team working.
- Conflict management and resolution.
- Time management, organisational and problem-solving skills.
- Extensive experience with IT systems and software packages.
- Excellent communication and interpersonal skills.
Other
- Able to work independently and part of a team and seek advice and support when appropriate.
- Willingness to undertake further study and training (including non-medical prescribing, physical assessment skills).
- Able to be flexible with working hours to meet the service requirements.
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.
#J-18808-Ljbffr…