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Job Title:

Arrhythmia Specialist Nurse – Development Role (Band 6 progressing to Band 7 upon completion of agreed competencies and prescribing qualification)

Department:

Cardiology & Arrhythmia Services

Location:

GHNHSFT

Reports to:

Lead Arrhythmia Nurse Specialist / Cardiology Matron

Job Summary:

The post holder will work as part of the specialist arrhythmia nursing team within the cardiology service to support the management of patients with cardiac rhythm disturbances. This Band 6 role is a developmental post with a clear progression pathway to Band 7 once the post holder has completed the Independent Non-Medical Prescribing course and demonstrated competence in advanced arrhythmia care as defined by the department’s competency framework.

The post offers an exciting opportunity to develop advanced clinical skills in arrhythmia management, including patient assessment, care planning, device management, remote monitoring, and nurse-led clinics. The role is integral to enhancing the quality of care for patients living with arrhythmias and implanted cardiac devices across inpatients and  outpatients.

Main Responsibilities:

Clinical Duties:

• Undertake comprehensive nursing assessments of patients with arrhythmias, including history taking, symptom analysis, and ECG interpretation under supervision.

• Support and gradually lead nurse-led clinics for conditions such as atrial fibrillation, SVT, bradycardia, and patients with implanted devices (e.g., pacemakers, ICDs, CRTs).

• Provide telephone/virtual consultations and support remote monitoring for patients with cardiac devices, escalating concerns appropriately.

• Assist in the review and management of inpatients with arrhythmias, including pre/post electrophysiology procedures and device implantation.

• Deliver patient education, including lifestyle modification, anticoagulation counselling, and arrhythmia symptom management.

• Support cardioversion preparation and follow-up in collaboration with the consultant and EP team.

• Interpret remote device transmissions and support appropriate clinical triage.

• Maintain accurate, timely, and comprehensive documentation of all clinical interactions.

• Promote patient safety and contribute to early detection of deterioration or complications.

Professional Development:

• Undertake an approved Independent Non-Medical Prescribing course 

• Participate in the department’s specialist competency framework to transition into a Band 7 post.

• Attend arrhythmia-specific training courses, study days, and conferences as part of CPD.

• Engage in clinical supervision and reflective practice.

Service Development and Quality Improvement:

• Participate in audits, patient feedback initiatives, and service evaluations to support evidence-based improvements in arrhythmia care.

• Contribute to pathway development for AF, syncope, post-implant follow-up, and virtual monitoring services.

• Support innovation in nurse-led services and digital health technologies (e.g., virtual clinics, wearable monitoring).

Key Working Relationships:

• Work closely with Consultant Electrophysiologists, Cardiologists, Cardiac Physiologists, and Specialist Nurses within cardiology.

• Collaborate with GPs, and community heart failure teams to ensure safe, integrated care.

• Liaise with admissions, inpatient wards, outpatient departments, and day case units to support smooth patient journeys.

• Engage with administrative and clerical staff to ensure efficient clinic management, booking, and communication.

Leadership and Communication:

• Act as a role model for high standards of nursing care and professionalism within the cardiology department.

• Provide informal education and support to ward staff, students, and junior nurses regarding arrhythmia care.

• Communicate effectively with patients and their families, using empathy and clarity, including discussions about long-term device therapy and treatment options.

• Contribute to departmental meetings, service reviews, and multidisciplinary team (MDT) discussions.