JOB DESCRIPTION Job Title: Department: Medicine - Haematology Day Care Unit Reports to: Lead Haematology/Chemotherapy Clinical Nurse Specialist Head of Nursing Medicine Liaises with: Lead Haematology/Chemotherapy Clinical Nurse Specialist, Consultant Haematologists Band: 6 Job Summary The Clinical Nurse Specialist is a senior nursing role required to work in partnership and a supportive capacity to the Lead Haematology Nurse Specialist in managing patients who attend the Haematology Day Care Unit, Haematology in-patients and those attending outpatient clinics. The post holder will be expected to: Provide professional, clinical and managerial leadership to the staff on the Unit and will be a recognised specialist within the field of haemato/oncology. This role is essential in the delivery of patient focused care to patients receiving chemotherapy, supportive care and other biological therapies. This post requires you to be a key worker and provide telephone triage and advice. Develop and maintain the standards of evidence-based nursing practice and policies within the Haematology nursing service. Demonstrate strong leadership skills and to manage the work within the unit effectively. Make the best use of resources and lead service development as required. Trust Culture and Values The Trust has defined its culture as one that is patient centred which puts safety first and all staff takes responsibility, are valued and value each other. To support this, our four values are that we are all:- Caring we design and deliver care around each individual patient s needs and wants Safe we make the safety of patients and staff our prime concern (safety comes first) Responsible all staff take responsibility for the hospital, its services and reputation And that we: Value each other we all value each other s contribution. 1 of 9
Our training, policies, procedures, and practices are all intended to support behaviours in line with our values and all staff expected to uphold these by 'Living Our Values Everyday' Our Department Philosophy Our philosophy is to consistently provide high quality care and interventions for our patients and be responsive to them as individuals. We will also ensure that their values, dignity and privacy are respected at all times and that they are treated with sensitivity throughout. We will be flexible in response to the demands for our service and co-operate with the Trust to meet the needs of our patients and the Trusts objectives. All staff will ensure that the interests and needs of the patients are the highest priority and be willing to participate in appropriate training and development to achieve this Department Structure Chart Head of Nursing Medicine and Emergency Services Lead Haematology/Chemotherapy CNS Clinical Nurse Specialist Band 7 Clinical Nurse Specialist Band 6 Staff Nurse Band 5 2 of 9
KEY RESPONSIBILITIES/OUTCOMES: Clinical 1. To provide clinical leadership and expertise in the administration of chemotherapy to patients, carers and staff. 2. To ensure that care given throughout the Unit is of the highest quality and adheres to local policies and guidelines. 3. To act as a key worker for patients in your caseload, providing a seamless, co-ordinated treatment pathway as set out by the multi-disciplinary team management plan. 4. To assist in the development of policies and protocols, ensuring that these are evidence based. 5. Provide support to newly diagnosed patients with a haematology cancer diagnosis. 6. Participate in Haematology/Joint Lymphoma clinic in the absence of Lead Haematology CNS. 7. In conjunction with the Lead Haematology nurse, instigate a programme for monitoring the quality of care delivered on the unit and participate in audit and patient satisfaction programmes. 8. To act as a clinical resource to both hospital and community staff and be fully competent in the use of specialised equipment. 9. To maintain own levels of clinical competence and up to date knowledge of the speciality to ensure evidence based practice. Professional 10. To act as a role model to junior staff, maintaining a professional manner at all times. 11. To maintain confidentiality with regard to information pertaining to both patients and staff. 12. To promote and participate in all research and audit projects conducted with the Haematology service. 13. To attend departmental and trust meetings as required. 14. To support the unit philosophy and ensure staff understand the significance of this philosophy. 15. Managerial 16. To support the Lead haematology nurse to run the haematology day unit resource economically and efficiently. 17. Assist the Lead Haematology CNS develop and implement policies, protocols in accordance with national guidance. 18. Participate with external chemotherapy groups.e.g. RMH Cancer vanguard 3 of 9
19. Recognise ethical and legal issues, which have implications to haematology / chemotherapy practice 20. Ensure best practice is promoted through application of evidence based practice 21. To ensure accurate records are kept and statistical/audit information collected when required. 22. To participate in the appraisals process on the unit. 23. To maintain effective channels of communication with wards and departments within the trust. 24. To participate in formal and informal educational audits of the unit. 25. To develop a structured training programme for student nurses to ensure they are adequately supported on their visits to the unit. Governance 26. Follow trust guidance in the reporting of untoward incidents. 27. To be responsible for completion of incident reporting forms and develop any required action plans. 28. To maintain COSH requirements with cytotoxic agents. 29. To participate in relevant research, education and training programmes within the trust and assist in the development of new protocols and policies for haematology practice. 30. To ensure that guidelines in relation to infection control are maintained at all times. Education and Training/Self-Development 31. Identify own training and development needs and undertake appropriate training/education as required by keeping up to date with relevant literature and attending courses relevant to the post. Feed back information to colleagues. 32. To actively participate in own professional development, identifying own academic and clinical training needs in conjunction with the Lead Haematology Nurse. 33. Participate in an annual individual performance review process where objectives will be agreed, performance monitored and personal development needs discussed. 34. Act responsibly in respect of colleague s health, safety and welfare following safe work practices and complying with the Trust s Health and Safety Policies. 35. Adhere to all Trust Policies. 36. Maintain and act in accordance with all NMC regulations and act within the Scope of Professional practice. This job description is not intended to limit the scope and extent of the job to be undertaken and will be subject to review and alteration as necessary, following discussion with the postholder. 4 of 9
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Health Clearance Health clearance is required for this appointment. Applicants must complete a medical questionnaire, return it to the Occupational Health and Wellbeing Service and, if required, undergo a medical examination before appointment. Disclosure and Barring Service (DBS) A DBS will be required before appointment for all posts with access to children or vulnerable adults. Confidentiality and Disclosure of Information In the course of your normal work with the Trust you will come into possession of confidential information concerning patients, the Trust and its staff. This information should always be treated according to the Trust s rules on confidentiality. Any inappropriate disclosure may be subject to the Trust's disciplinary procedures. Raising concerns Staff may on occasion have genuine concerns about healthcare matters and consequently the Trust endorses the principle that these must be raised in a responsible and appropriate manner, and if necessary using the Trust s Raising Concerns (Whistleblowing) policy. Data Quality/Security The post holder is responsible for ensuring that he/she maintains the integrity and quality of both computerised and manual data. Acceptance of Gifts and Hospitality The conduct of staff in the public service should be scrupulously impartial and honest and in this context any offers of gifts or hospitality should be discussed with your manager, prior to acceptance. Codes of conduct and professional standards All staff should adhere to any codes of conduct or professional standards set by the regulatory bodies with whom they are registered or by professional bodies of which they are a member. Managers should observe the Code of Conduct for NHS Managers. Risk (managerial and supervisory staff only) Managers are responsible for implementing and monitoring any identified and appropriate risk management control measures within their designated area(s) and scope of responsibility. Full details are set out in the Trust s Risk Management Policy. Health and Safety All staff are advised that, under the Health and Safety at Work Act 1974 and associated legislation, it is the duty of every employee to take reasonable care for their own health and safety and that of other people who may be affected by their activities at work, and also to co-operate fully with the Trust and others in connection with any arrangements to satisfy the statutory duties and responsibilities under the Act, including undertaking appropriate mandatory and health and safety training. Infection Control All staff must at all times be aware of their responsibilities for ensuring infection control and to maintain hygiene standards in accordance with infection control policies and instructions. Personal Property The Trust is unable to accept responsibility for articles of personal property lost or damaged on its premises whether by burglary, fire, theft or otherwise and staff are advised to insure against all risks. 6 of 9
Equal Opportunities Equality of opportunity is an integral part of the Trust s recruitment and selection process and recruiting managers must ensure that they comply fully with the Trust s Equality & Diversity Policy. The Trust aims to ensure equality of opportunity for all irrespective of race, disability, sex, gender reassignment, sexual orientation, age, marriage and civil partnership, pregnancy and maternity and religion, or belief. No Smoking Smoking by staff, patients and visitors, will not be permitted anywhere on Trust premises. Security Staff must wear their identity badge at all times to assist in maintaining the security of the hospital; be observant, and not afraid to enquire of people as to their business in the hospital. Any suspicious behaviour must be reported to the Security Officer, manager, or security team. Safeguarding children and vulnerable adults Kingston Hospital NHS Trust is committed to safeguarding children and vulnerable adults at risk of abuse. If the post is one that involves access to children and vulnerable adults during the course of their normal duties, an enhanced Criminal Records (CRB) check will be required. All employees have a responsibility for safeguarding children and vulnerable adults in the course of their daily duties and for ensuring that they are aware of the specific duties relating to their role. 7 of 9
Person Specification Job Title: Clinical Nurse Specialist for Chemotherapy/Haematology Department: Haematology Criteria for Selection Essential Requirements Desirable Requirements Assessment Method Qualifications Registered Nurse (Level 1) ENB 237 /N59 (or equivalent) Recognised teaching and assessing certificate e.g. ENB 998 Diploma/Degree in Nursing Experience Minimum 4 years recent post registration at least 1 year at band 6 or above Haematology / Chemotherapy/Oncology experience Involvement in clinical audit Teaching or lecturing Proven experience in working as an autonomous practitioner Skills Excellent knowledge in the management of patients undergoing chemotherapy and full range of Haematooncology treatments Ability to work within a multi disciplinary setting Excellent communication skills Ability to prioritise and meet deadlines, working in an organised way and excellent time management skills Knowledge Wider understanding of cancer related issues i.e. Cancer Reform Strategy NICE Implementation Peer review measures NCAG recommendations Acute Oncology Service Other Evidence of commitment to own self-development. Flexible Ability to prioritise and work under pressure Maintain high professional standards Management qualifications IT skills Able to interpret and apply local/national nursing initiatives to local area Good work attendance Approved by: Manager date Application form/certificate Application form Application form/interview Application form/interview 8 of 9
Agreed with: Employee date 9 of 9