Clinical Nurse / Biomedical Scientist / Pharmacist Anticoagulation
Ashford & St. Peter's Hospitals NHS Foundation Trust
Main duties of the job
* Provide basic and complex warfarin dosage management in the initiation and management of warfarin therapy.
* Lead and manage clinics for complex and medically unstable patients on warfarin.
* Support and assist occasionally with point of care clinics at Woking Community Diagnostic Hub.
* Patient and carer education, at initiation and throughout the duration of warfarin therapy.
* Formulate guideline led warfarin peri-operative plans for ASPH and specialist centres including but not limited to cardiology and bariatric specialties.
* Make independent professional evidence-based decisions requesting and interpreting INR results, including manually adjusting anticoagulation dosages, and be accountable for these decisions.
* Manage and run face-to-face anticoagulant clinics for complex and clinically unstable patients.
* Provide occasional cover for point of care anticoagulant clinics based at Woking Community Diagnostic hub.
* Manage patients' thrombo prophylaxis pre and post-operatively as required. Teaching patients to self-inject. Commence/discontinue LMWH treatment on own professional judgement based on current guidelines.
* Establish effective and highly complex communication links with all users to ensure safe, efficient and patient-centred warfarin management.
* Provide accessible advice for patients and carers accounting for communication barriers, via telephone, email, correspondence and anticoagulant clinics.
* Provide Warfarin education advice for patients, carers and other healthcare professionals.
Job responsibilities
* Participate in bi-annual Benchmarking audit scheme and effect and monitor any changes required to provide an optimum service for all users.
* Make appropriate referrals to other healthcare professionals and accept and assess referrals from other disciplines.
* Provide colleague training, competency assessment and support as required for the role.
* Maintain computerised records using DAWN and Cerner software for warfarinised patients.
* Be a resource within both the Trust and the Community for anticoagulant advice and information on anticoagulant therapy issues.
* Use LEAN Thinking principles in the development of the Service.
* Report incidents and complaints pertinent to the service provided to ensure appropriate actions are promptly taken.
* Participate in regular risk assessments of the Anticoagulant Service in line with Trust policy.
* Participate in projects undertaken by Medical teams, Consultant Haematologists and the Department of Haematology concerning the Anticoagulant Service.
* Have a deep understanding of relevant databases and IT systems, develop knowledge and skills in the use of the anticoagulant therapy dosing system (DAWN).
* Be aware of Patient Group Directives (PGDs) and Trust Protocols relevant to Anticoagulation. Review and update as required.
* Ensure full competencies for the treatment and monitoring of patients requiring anticoagulant treatment.
* Maintain confidentiality surrounding patient care and treatment at all times.
* Complete documentation accurately and within agreed timescales using Trust approved documentation, in line with NMC, HPC, Royal Pharmaceutical Society and Trust guidelines.
* Demonstrate a professional approach to work, adhering to Trust policy and professional standards.
* Undertake further training and academic qualifications as relevant to the role.
* Keep abreast of developments in anticoagulant treatment by attending local, national, and international meetings.
* Participate in local and national committees and working parties.
Person Specification
Knowledge and Skills
* Registered with your professional body.
* Experience managing patients on anticoagulation.
* Excellent communication skills working within a multidisciplinary team and for service users.
* Strong team working ethic while retaining ability to work autonomously.
* Non-Medical prescriber.
* Passion for excellence and personal responsibility.
* Flexible and adaptable approach to working.
* Knowledge of pharmacology of warfarin.
Skills
* Good time management.
* Able to work under pressure.
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Ashford & St. Peter's Hospitals NHS Foundation Trust
£39,205 to £47,084 a year pa inc. HCAS, pro rata of 22.5 hours pw
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