Rotation programme

We are committed to developing our staff, which is why we’ve developed a bespoke 18-month specialist rotation programme to which all Band 5 nurses can apply. 

This involves six-month placements on three of our specialist units to develop your clinical skills and knowledge. 

You will work alongside clinical nurse specialists and other experienced nurses, and there will also be some classroom teaching.

On each new rotation you will have a supernumerary period, an allocated mentor and an educational supervisor. You will attend eight study days, and you will be expected to complete the Trust competencies (for example communication skills and wound care), alongside three academic assessments. 

Some ward areas may give you a workbook or quizzes to assist you during your rotation.

Once you’ve completed the rotation, you’ll have the chance to apply for a permanent job in your chosen specialist area. You may also have the opportunity to complete other modules in preparation for progressing to a Band 6.

There will be many more professional and personal development opportunities available as you progress in your chosen speciality.

Royal Brompton Hospital rotation areas

Cardiology 

Here you will care for patients who require: 

  • cardiac surgery and TAVIs
  • percutaneous coronary intervention
  • pacemakers and cardiac investigations

You will also care for patients with adult congenital heart disease (ACHD), heart failure and endocarditis. The ACHD service is one of the largest specialised centres in the world. 

Critical care unit 

Here you will provide nursing care for those who require optimisation before surgery, and post-procedure care. This may include: 

  • invasive and non-invasive ventilation
  • intra-aortic balloon pump (IABP) therapy
  • haemofiltration
  • extra corporeal membrane oxygenation (ECMO)
  • management of ventricular assist devices (VAD) 

Respiratory unit 

Here you will care for patients with cystic fibrosis, bronchiectasis, asthma and chronic lung conditions, including chronic obstructive pulmonary disease (COPD). 

You will gain experience in: 

  • high dependency care
  • nasal ventilation
  • neuromuscular lung disorders
  • sleep studies
  • complex respiratory diseases

Surgical unit 

Here you will care for patients before and after cardiac and thoracic surgical procedures. 

This includes: 

  • coronary artery bypass grafts
  • valve surgery
  • aortic repair/replacement
  • cancer treatment such as lobectomy and pneumonectomy
  • chest wall reconstruction

Harefield Hospital rotation areas

Critical care unit 

This includes the intensive therapy unit (ITU), recovery and high dependency unit (HDU). 

You will provide nursing care for patients who require: 

  • ventilation
  • intra-aortic balloon pump (IABP) therapy
  • extra corporeal membrane oxygenation (ECMO) 
  • ventricular assist devices (VADs). 

You will also care for patients after cardiothoracic surgery including transplantation

Transplant unit 

Here you will develop your nursing experience for patients before and after heart/lung transplants. You will also care for patients who require ventricular assist devices (VADs) or intra-aortic balloon pumps

Surgical unit 

Here you will care for patients before and after cardiac and thoracic surgical procedures. This includes: 

  • coronary artery bypass grafts
  • valve surgery
  • aortic repair/replacement
  • cancer treatment such as lobectomy and pneumonectomy
  • chest wall reconstruction

Acute cardiac care unit 

Here you will care for patients who require: 

  • cardiac surgery
  • angioplasties
  • pacemakers 
  • cardiac investigations

The unit’s primary angioplasty service has one of the fastest door to balloon times in the UK

Contact

For further information about the rotation programme contact:

Alexandra Wilson - Sister, clinical education 
Email: a.wilson@rbht.nhs.uk
Telephone: 020 7351 8121 (ext 8841 or 5760)
Bleep: 1449