Management Running and maintaining a week day specialist VTE and Anticoagulationadvice service, Trust wide and to external stakeholders as required. To be responsible for policy implementation throughout the Trust, liaisingwith other sites where appropriate and working closely and effectively withthem and all other stakeholders. To implement coping strategies as appropriate where the work pattern isunpredictable, unplanned or disrupted. To participate in management initiatives and strategic developmentissues.To be responsible for the running of the service in the absence of the leador deputy lead VTE nurse specialist, in liaison with the Band 6Administration manager. To facilitate and assist with study sessions relevant to this specialistservice.ClinicalAble to work in an autonomous and unsupervised manner, making clinicaldecisions within the boundaries of specialist knowledge and expertiseBe an expert source of advice, guidance and support for other healthcareproviders on the management of VTE and anticoagulationTriage and accept suitable VTE referrals into the thrombosis andanticoagulation service, evaluate their suitability for outpatient managementand facilitate anticoagulant management within locally agreed protocolsReview patients requiring anticoagulation in an outpatient clinic followinglocally agreed protocols and seek support from or refer to appropriateclinician if any problems are identifiedProvide face to face and telephone anticoagulation counselling to patients andeffectively communicate anticoagulation dosing advice by telephoneIdentify and refer appropriate patients to the community pharmacyanticoagulation team or the GP for ongoing anticoagulation managementFamiliarity with or willingness to learn to use DAWN anticoagulation dosingsoftware to ensure that patients receive appropriate anticoagulation dosingadvice within agreed protocols, including adjustment of VKA dose and supplyand/or administration of low molecular weight heparin / Vitamin K that may beappropriatePerform point of care INR testing and follow clinic guidelines to teach patientsto self test using home POC testing deviceIdentify the specific health promotion /educational needs of individual patientsand carers and facilitate meeting those needs through the provision ofspecialist education, care and supportLiaise with GP and the wider multidisciplinary team as necessary regardingpatients anticoagulation plan and appropriate follow upRequest blood tests and perform venepuncture and review results, withinlocally agreed protocolsBe responsible for ethical decision makingDemonstrate sound understanding and application of relevant policies,including professional nurse codes of conduct and NICE guidelines.Ensure the use of clinical governance frameworkLeadership and professional conductEncourage best practice within the management of VTE and anticoagulationby acting as a professional expert and role modelPromote a positive working environment.Safeguard the health, safety and welfare of staff, patients and visitors.Be aware of trust policy regarding resolution of grievances, disputes andcomplaints and reporting of unsafe practice and incidents via the DATIXsystem, and use these systems to report and resolve issues, seekingmanager support where appropriateExhibit professional behaviour and attitudes and demonstrate excellentcustomer care skillsComply with policies, procedures and clinical guidelines for self and othersAdapt own practice in line with changes and developments of the service.Education and TrainingBe part a team who provides both formal and informal education and supporton VTE and anticoagulation to all levels of staff within the trust.Maintain knowledge base that reflects contemporary issues and developmentin anticoagulation and VTE management to enable selection and applicationof the most appropriate treatmentBe able to source and critically appraise information obtained from researchpapers and other sources.Personal and professional Development and CompetenceBe fully accountable for practice and take every reasonable opportunity tosustain and improve knowledge and professional competenceDevelop and maintain clinical and practical skills in patient assessment withinthis specialist field through attending study days, conferences, meetings andtraining relevant to the serviceUse excellent professional judgement skills in the analysis, interpretation andcomparison of a range of options.Be accountable with the ability to take action based on interpretation of broadclinical and professional policies where necessary.Be accountable for your practice and maintain your own professionaldevelopment in accordance with your annual performance review andpersonal development planBe capable of working within a team but equally be able to workautonomouslyEnsure that you practice in accordance with the NMC code of professionalconduct and other appropriate NMC and statutory guidelines.Be computer literate with the ability to utilise all Trust wide NHS databases,spread sheets, word, powerpoint and clinical support systems as appropriateto the role.Ensure all mandatory training is updated as required.CommunicationUtilise excellent communication skills with patients and other healthcareprofessionals to provide and receive highly complex, sensitive or contentiousinformation. Also to work sensitively at different levels of understanding toprovide advice and counselling to the patients about their illness and onimpending therapies and treatmentCommunicate regularly with other clinical nurse specialists working in thisfield, sharing knowledge and experienceEnsure that confidentiality and adherence to the Data Protection Act inrelation to own practice is maintained in full and accurate records of relevantinformation is documented in the patients medical notesLiaise with and advise other members of the multidisciplinary team andservice stakeholders, in the care of patients with a VTE or receivinganticoagulation therapy ensuring that treatment is delivered safely and anyfollow up care is provided.Provide advice and support to patients regarding VTE and anticoagulationand encourage adherence with treatment, while respecting patientsautonomy to make informed choicesTake personal responsibility for ensuring that your communication andconduct with patients and staff is in line with the trust values.Service Delivery and ImprovementWork with Consultants, Service Leads and other key personnel identifyingareas that will lead to improved quality of clinical pathways and sustainableworkforce/data quality/financial improvementsContribute to improved ways of working leading to improvement of serviceand data quality standardInformation ResourcesDeveloping and maintaining a broad-based knowledge of the DAWNPatient Management System and the clinic processes to ensure bestpractice in using the dosing systemLiaising directly with IT to report and resolve any problemsFollow contingency planning guidance as set out in the anticoagulationclinic guidelines.