TB specialist nurse

The TB team provides specialist advice, leadership and clinical service in relation to TB. The goals of the service are to identify and reduce the risk of people being newly infected with TB and provide high quality treatment and care for all people with TB. The TB team will achieve these goals by making all relevant groups of people aware of the facts of TB, strengthening more active case finding amongst high risk groups including contract tracing and ensuring everyone expected of having the disease has rapid access to TB services. These services are needed by a range of groups with differing needs and are delivered in a variety of settings including community settings, clinics, patients homes and in the acute sector. This is a flexible role to provide care to individuals, families and communities in response to changing local need.

.The post will be based in a Liverpool community clinic with close links to all relevant hospitals, community agencies and the health protection agency. The TB specialist nurse will act as a positive role model for all nurses through demonstration of expert clinical practice in the area of TB. The post holder will provide specialist knowledge and advice to all healthcare professionals, patients and carers., * To maintain a TB Data Base detailing TB patients treatment, disease pattern, location and outcome. Also, identifying numbers of contacts and New Entrants screened and numbers of BCG’s given, to assist with management follow up and clinical audit; and to monitor effectiveness of service. This will require close liaison with the hospital service

• To follow cases out of hospital and ensure they are taking their medication as directed and monitor for any side effects, liase with TB specialist nurse team leader and treating physicians should problems occur. To undertake a holistic assessment of patient needs and to ensure appropriate agencies locally and nationally are involved to resolve any problems.

• To identify those patients who may be at risk of non – concordance with medication and initiate and monitor strategies that will assist the client to adhere to an appropriate regimen, involving the most appropriate agencies.

• To identify close contacts of Index cases through careful questioning and ensure that they are invited to clinic for screening for symptoms. Also, to provide those identified with appropriate information about TB and answer questions.

• To visit all TB cases throughout their treatment, including those with multi drug resistance and those infected with HIV.

• Promote HIV testing and be prepared to develop knowledge and skills in HIV testing.

• To perform Tuberculin tests at home, hospital and clinic as part of the TB testing programme and to interpret the results and take the appropriate action. To administer the BCG vaccine to individuals.

• Nurse prescribing, The Trust is committed to promoting a healthy work-life balance and achieve fair, equitable and consistent practice. We welcome flexible working requests and will consider a variety of flexible working arrangements from day one of your employment. Not all roles are suitable for every flexible working opportunity all of the time. Flexible working options may include reduced hours, compressed hours, fixed shifts, time back in lieu and home working.

The Trust is committed to promoting equality and diversity; we value the contribution of individual talent, skills, knowledge and experience and aim for a workforce demography representative of the local community. We encourage applicants from the following groups that are currently under-represented in our workforce black, Asian and minority ethnic, lesbian, gay, bisexual and Transgender (LGBTQ+), disabled, male and age 16-24.

Trust policy requires that the cost of submitting & processing the successful applicant/s DBS application be recovered via salary deduction following start in post. The amount of £23 (standard disclosure) or £43 (enhanced disclosure) will be deducted from salary, in manageable monthly instalments for up to 3 months following commencement of employment. Bank posts require upfront payment. DBS applications submitted from 2nd December will be subject to the new DBS fee of £26.50 (standard) and £54.50 (Enhanced).

From April 2017, Skilled visa applicants and their adult dependant(s) will be required to provide a criminal record certificate from each country they have lived in consecutively for 12 months or more in the past ten years.

Applicants requiring sponsorship may wish to determine the likelihood of obtaining sponsorship for this position by assessing themselves against the criteria on the gov.uk website – https://www.gov.uk/check-uk-visa.

This organisation has a zero-tolerance approach to the abuse of children, young people and vulnerable adults. All staff must ensure they adhere to the organisations safeguarding children and adults’ policy and comply with the Local Safeguarding Children and Adult Board procedures.

Staff should be mindful of their responsibility to safeguard children and adults in any activity performed on behalf of the organisation in line with the requirements of statutory guidance and legislation.

All employees (and volunteers)are expected maintain their safeguarding knowledge and skills by completing mandatory safeguarding training which includes understanding and recognising the signs of abuse and neglect and taking appropriate action.

As an organisation, we have adopted the Merseyside Domestic abuse workplace scheme which supports our staff who are experiencing Domestic Abuse /any forms of sexual violence.

This is an development opportunity for an enthusiastic, motivated, NMC registered nurse preferably with knowledge skills and expertise in TB nursing to join our team. The TB specialist nurse will support the team leader and clinical lead for TB community nursing providing a comprehensive Pan Mersey TB service encompassing disease control, care and prevention.

The team adopts a multi-disciplinary approach, maintaining close links to all relevant hospitals, community agencies and Public Health England.

The successful applicants will be required to assess adults and children for TB, screen with Mantoux or IGRA, administer BCG vaccine, promote and undertake HIV testing, undertake holistic assessments applying national and local guidelines, caseload manage, identify close contacts of index cases and facilitate appropriate screening. There is a requirement to visit adults, children and families with active TB at home across the pan Mersey region during their treatment, including those with MDR/XDR TB, HIV and other co morbidities. There is a requirement to teach, undertake service audit, and maintain IT literacy.

Applicants should have good interpersonal and communication skills, having an ability to communicate sensitive information to patients and relatives where there may be barriers to communication or reassurance is required. Applicants should be able to travel in a timely manner across Merseyside to undertake home visits and deliver clinics., * Registered Nurse (Adult) Level 1

• Up to date professional portfolio

• Evidence of recent CPD

• Registered nurse with a thorough knowledge and demonstrable achievements within chest medicine

• Level 3 study

Desirable criteria

• Degree

• Management and clinical leadership experience.

• Relevant TB qualification

• V300 nurse prescribing

• Relevant TB qualification or adequate knowledge of TB prevention, care & control

• Teaching Mentorship qualification, * Experience of working with vulnerable groups

• Community nursing/primary care experience, * Knowledge of primary and secondary care interface

• Basic knowledge of computer literacy, * Evidence of being able to communicate complex information and advice on healthcare to patients / carers / colleagues

• Self-management and motivation skills

• Ability to identify care needs independently and/or accept referrals from other agencies

• Able to work autonomously and as part of a team

Desirable criteria

• Vaccination and immunisation skills (or willingness to train)

• Risk assessment skills, * Commitment

• Flexible working approach

• Innovative and enthusiastic

• Trustworthy and reliable, You must have appropriate UK professional registration.

If you have any personal requirements that will enable you to participate in our recruitment process please contact a member of the Recruitment Services by phone on 0151 706 4666 at the earliest opportunity to ensure that measures can be put in place to enable your application for this post., Name

Kate Bradfield

Job title

Team Leader Community TB Team

Email address

kate.bradfield@liverpoolft.nhs.uk

Telephone number

0151 295 3876, Kate.Bradfield@liverpoolft.nhs.uk