Job overview
Anticoagulation Clinical Nurse Specialist - Band 7
The CNS is will join a nurse-led clinic which manages various aspects of anticoagulant care: commencing treatment, counselling and education, peri-operative management and reviewing / stopping treatment.
As a member of the team you will work closely with Consultants and existing Nurse Specialists to run nurse-led clinics for patients on anticoagulant therapy. You will need advanced communications skills and ability to deal with patients and relatives at a sometimes very anxious time. You will be expected to play an active role in creating individual treatment plans in line with current research and guidelines. As a registered general nurse you will have considerable nursing experience, preferably with an acute or community background. Experience of autonomous working and management will also be beneficial.
Main duties of the job
Key functions of the post include:
1. Review of all new patients
2. Overseeing the discharge of patients discharged home on anticoagulants
3. Patient training, education and counseling of patients on anticoagulants – vitamin K antagonists, Direct Oral Anticoagulants and low molecular weight heparin.
4. Follow up appointments to review patients in nurse lead service.
5. To perform INR testing a using Near Patient Testing device.
6. To see patients in anticoagulant clinic, review INR and adjust warfarin dose as appropriate.
7. Manage patients’ anticoagulation peri-operatively.
8. Reviewing of patients who have completed their period of anticoagulant treatment.
9. Liaise with Lead Haematology Consultant regarding complex patients.
10. To be actively involved in the prevention of venous thromboembolism and the Trust’s risk assessment and thromboprophylaxis strategy.
11. Be involved in the management and supervision of Band 6 CNSs, administrative staff and the Anticoagulant
12. Assist the Lead CNS and Haematology Consultant in service development and improvement.
Working for our organisation
St George’s, Epsom and St Helier University Hospitals and Health Group cares for a population of four million people in South West London and North East Surrey. Our sites include St George’s Hospital, one of 11 major trauma centres in the UK and the largest healthcare provider and major teaching hospital in the area; St Helier Hospital, home to the South West Thames Renal and Transplantation Unit and Queen Mary's Hospital for Children; and Epsom Hospital, home to the South West London Elective Orthopaedic Centre (SWLEOC). After years of collaboration, our two Trusts became a hospitals group in 2021. While remaining as two separate Trusts, being a hospitals group will help us to collaborate more closely on research, and the development, education, and training of our 17,000-strong workforce.
Detailed job description and main responsibilities
Key functions of the post include:
13. Review of all new patients
14. Overseeing the discharge of patients discharged home on anticoagulants
15. Patient training, education and counseling of patients on anticoagulants – vitamin K antagonists, Direct Oral Anticoagulants and low molecular weight heparin.
16. Follow up appointments to review patients in nurse lead service.
17. To perform INR testing a using Near Patient Testing device.
18. To see patients in anticoagulant clinic, review INR and adjust warfarin dose as appropriate.
19. Manage patients’ anticoagulation peri-operatively.
20. Reviewing of patients who have completed their period of anticoagulant treatment.
21. Liaise with Lead Haematology Consultant regarding complex patients.
22. To be actively involved in the prevention of venous thromboembolism and the Trust’s risk assessment and thromboprophylaxis strategy.
23. Be involved in the management and supervision of Band 6 CNSs, administrative staff and the Anticoagulant
24. Assist the Lead CNS and Haematology Consultant in service development and improvement.
As a member of the team you will work closely with Consultants and existing Nurse Specialists to run nurse-led clinics for patients on anticoagulant therapy. You will need advanced communications skills and ability to deal with patients and relatives at a sometimes very anxious time. You will be expected to play an active role in creating individual treatment plans in line with current research and guidelines. As a registered general nurse you will have considerable nursing experience, preferably with an acute or community background. Experience of autonomous working and management will also be beneficial.
Person specification
Qualifications and Training
Essential criteria
25. RGN
26. General training in teaching and assessing
Desirable criteria
27. General training in Cannulation, venepuncture
Experience
Essential criteria
28. Clinical acute or community
29. Management Experience
Desirable criteria
30. Previous anticoagulation experience
31. Experience of service development.
32. Experience of completing staff appraisals
Knowledge and Skills
Essential criteria
33. Advanced interpersonal skills
34. Sound clinical knowledge
35. Current anticoagulation CNS issues
Desirable criteria
36. Patient Manager Systems
37. Research and Audit
Employer certification / accreditation badges
Applicant requirements
You must have appropriate UK professional registration.
This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.
Documents to download
Further details / informal visits contact
NameJudith WolstenholmeJob titleLead Anticoagulant CNSEmail addressj.Telephone number01372 735170Additional information
Email: j.wolstenholme@ or