Always maintain a professional behaviour and always promote a positive image of Royal Free London NHS Foundation Trust, in line w.....
Always maintain a professional behaviour and always promote a positive image of Royal Free London NHS Foundation Trust, in line with World Class Care values. Work as an expert clinical nurse specialist within the LSD MDT. Provide expert knowledge, advice and clinical support to patients, carers and health professionals in the care and management of patients with LSD. Establish and maintain effective communication with patients and carers/relatives and healthcare professionals. Establish close liaison and communication with and between all disciplines involved in the care of the patients to facilitate a coordinated pathway between hospital departments, primary care and tertiary centres. Provide signposting of patients for appropriate clinical review. Provide a problem-solving approach in the management of complications of treatment, using expert knowledge of treatments and side effects. Undertake all procedures in accordance with trust policies and ensure that these procedures and policies are understood and adhered to. Collect, evaluate and report information, maintaining accurate patient records. Initiates patient care planning and pathways to meet the specific needs of all patients. Clinical activity including administration of infusions and delivery of clinical care to LSDU patients. Respond to clinical situations utilising clinical judgement and decision making to initiate appropriate interventions and treatment for patients. Ensure oversight and participate in managing the Homecare therapies workload and prescriptions to ensure safe, quality homecare for patients. Use sound clinical knowledge and judgement to ensure all necessary medical matters are communicated with allied health professionals concerned. Refer to new services or for investigations as necessary. Act in accordance with the Nursing and Midwifery Council (NMC) Code of Professional Conduct and Scope for Expanded Practices for Nurses, Midwives and Health Visitors. 1. RESPONSIBILITY FOR RESEARCH PATIENTS Provide/supervise intensive monitoring and surveillance of the patient and is responsible with the clinical lead/PI for assessing, escalating, and reporting any adverse or unexpected events. Acts as key nurse and demonstrate clinical expertise for patients exposed to novel treatments, procedures and investigations as dictated by the approved clinical trial protocol. Within this provides/ supervises intensive monitoring and surveillance of the patient and is responsible with the PI for assessing, escalating, and reporting any adverse or unexpected events. To work closely with Chief Investigators and Principal Investigators responsible for a specific trial. Co-ordinate and conduct appropriate local, national, international phase I, II and III clinical trials utilising knowledge in clinical research methodology, epidemiology, pharmacology, and critical appraisal including setting up a trial, organising feasibility meetings and managing the site initiation visits. Coordinates and monitors the care of all patients on clinical trials as follows: o Participates in identifying potential patients for trials and reviews referrals from other members of the clinical team. Evaluates eligibility of patients. o Deliver clinical trials in line with trial protocol. o Ensure all pre-study tests are undertaken and results obtained. o Provides written and verbal information to patients and families on the concept of clinical trials. o Acts as patient advocate and assists in obtaining informed consent and advising the patient of any amendments to the protocol. o Advises in decisions concerning the treatment, timing of visits and sampling and follow up of patients as per protocol. o Systematically document patient information via the Trust electronic record system and in relevant research reports o Collects and prepares biological samples as per protocol in trials where this is required and/or supports the training of suitably qualified laboratory staff. o Liaises with pharmacy regarding the administration of clinical and trial medication o Ensures regular checking and maintenance of relevant equipment o If applicable to clinical setting, participates on the out of hours on call services (see footnote) o Contribute to protocols, documentation systems, standards, policies, and clinical guidelines for others to use in practice. o Liaise with other members of the multi-disciplinary team to ensure seamless patient care through the development of protocols and care pathways.