Consultant Nurse - Stroke | Dorset County Hospital NHS Foundation Trust
Dorset County Hospital NHS Foundation Trust
Location
Dorchester, Dorset | United Kingdom
Job description
An exciting opportunity has arisen within the Urgent and Integrated Care Division as we look to recruit a Non Medical Consultant (8b - 8d, dependent on experience) to our expanding Acute Stroke Service at Dorset County Hospital. We have now successfully bid for Hyper Acute Stroke Unit (HASU) status and are now beginning to build our team to achieve that goal.
As a Non-Medical Consultant you will work clinically as part of the medical consultant rotation within the HASU service. You will be a registered nurse or Allied Healthcare Professional with substantial stroke experience.
You will be instrumental in developing our HASU and our stroke pathways in line with the regional integrated care service (ICS)
The post holder will:
• Provide expert clinical leadership, which crosses professional and organisational boundaries to bring about improvements in care and treatment outcomes. This will incorporate the care standards of the relevant stroke national guidelines.
• Be an expert resource and educator, and provide strategic leadership for stroke teams within the Trust, across Dorset, Wessex and the Southwest.
• Provide consultative clinical advice and expertise in person, via email or consultant telephone advice line, exercising highly advance clinical knowledge, levels of judgement, discretion and decision making in the delivery of high-quality stroke care.
• Lead in developing medical and nursing stroke practice, knowledge skills and roles within the Trust.
• Forge strong links with colleagues at Bournemouth University to provide post graduate educational programmes in relation to cardiovascular disease.
• Be part of the stroke consultant weekend rota, making clinically independent decisions in all medical aspects of hyperacute and acute stroke care.
• Be part of the consultant stroke thrombolysis rota making time critical, high pressured and complex autonomous decisions
• Identify research and audit opportunities in all areas of hyperacute and acute stroke medicine and pursue relevant sources of funding and collaboration across Wessex.
At Dorset County Hospital (DCH) we aspire to providing outstanding care for people in ways which matter to them. Our trust strategy is focussed on three strategic goals: People, Place, and Partnership. It signals our intention to truly value our staff. Our people are our most important asset, and we want them to feel valued, welcomed, respected, they belong and matter. We recognise the link between high levels of staff satisfaction and improving patient experience and outcomes.
We are a Trust that celebrates diversity, and we are committed to creating an inclusive environment for all employees. Dorset County Hospital has a number of employees from overseas delivering high quality services and we recognise the value of diversity in leadership.
CLINICAL EXPERT PRACTICE/Responsibility for patients
• Demonstrates advanced interpersonal skills in caring for stroke and TIA patients and their families.
• Work in a high pressured environment of frequent interruptions making rapid complex decisions autonomously.
• To provide consultative clinical expertise and act as a resource in the care and support of patients who have suffered from Transient Ischaemic Attack (TIA) or Stroke.
• To exercise highly advanced clinical and theoretical expertise, levels of judgement, discretion and decision making in the field of stroke care.
• To make high pressured, time critical, skilled evaluations and decisions about treatment options in ED, HASU, TIA, and stroke clinics.
• To work with the highest degree of personal and professional autonomy exercising full responsibility for the decisions made.
• To participate in the stroke consultant rota at weekends independently admitting and discharging stroke patients from the ward or ED. To continue to have a responsibility for this group of patients throughout their stay, after discharge and in the outpatient setting.
• To be an autonomous decision maker for stroke thrombolysis and independently refer to the tertiary centre for time critical interventions.
• Share in the responsibility of the stroke advice line for ED, GP’s, paramedics and Yeatman stroke rehabilitation centre.
• Demonstrates advanced practice functions including clinical history taking, physical assessment, including a full neurological examination, diagnosis and clinical plan.
• To provide a consultant TIA service, requesting appropriate diagnostic tests including, CT, MRI, carotid doppler, echocardiogram and ambulatory cardiac monitoring.
• Provide clinical supervision to the stroke MDT including ACP’s and junior doctors.
• To take full responsibility for the interpretation of test results and decisions about the ongoing clinical management based on the results.
• To develop and establish clinical effective standards of care, protocols, and guidelines to enhance the clinical care of stroke patients in a variety of settings
• Make direct referrals to other agencies or specialities both inside and outside the trust e.g. Early Supported Discharge, cardiology, neurology, vascular surgeons, memory clinics, voluntary organisations.
• To receive direct referrals from other agencies or specialities.
• Carry an equal consultant caseload of stroke patients in the West of Dorset
This advert closes on Thursday 7 Mar 2024
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