Nottingham University Hospitals (NUH) is the biggest employer in Nottingham with over 19,000 staff
Nottingham therapeutic apheresis service is a rapidly growing service based within clinical haematology at Nottingham city hospital. The apheresis service provides a range of procedures including stem cell harvesting for both patients and donors, T-Cell collection, plasma exchange, red blood cell exchange and therapeutic photopheresis. The apheresis service provides treatment for patients who are referred from Derbyshire, Lincolnshire, Leicestershire, Northamptonshire and Staffordshire. We are also closely linked with our Haematology Daycase unit where we deliver different treatments such as chemotherapy, immunotherapy and blood products transfusions to name a few.
Main duties of the job
As an apheresis nurse you will work closely with the apheresis lead clinical nurse specialist to provide all aspects of clinical care for patients and stem cell donors. This involves working as part of a highly skilled specialist team, acting as a source of clinical expertise. Most importantly it means maintaining high standards of care and ensuring best practice and clinical effectiveness is achieved. You will be trained to perform a wide range of apheresis procedures including stem cell collections, red cell exchanges, plasma exchanges and extracorporeal photopheresis. Participation in our 24 hour on call service in addition to your contracted hours is required. The post holder will be based at City Campus, NUH. Core working hours are Monday to Friday 08:00 – 18:00, on call hours are from 18:00 – 08:00 weekday nights and 24hours on weekends.
Detailed job description and main responsibilities
Key job responsibilities
1. Clinical
1. Taking responsibility for the care of a caseload of patients requiring specialist Apheresis procedures under the guidance of the Apheresis Lead Clinical Nurse Specialist.
2. To be a highly competent, knowledgeable and visible practitioner within the speciality ensuring the provision of excellent, evidence-based nursing care for patients and their families.
3. Take direct referrals, in accordance with apheresis service guidelines as appropriate and assess, treat and refer patients to other members of the clinical team as required.
4. To work alongside all members of the team to identify new ways of working that ensure high quality of care is delivered.
5. Be a visible point of contact for patients, visitors, relatives and staff, acting as a resource for information and provide information and support.
6. Ensure pre-collection patient/donor evaluation is complete for autologous and allogeneic stem cell collections.
7. In conjunction with the ward/referral hospital, provide advice and support to colleagues and patients to ensure the mobilisation regime is carried out as per protocol.
8. Develop skill in care of the central venous catheter, venepuncture, cannulation, intravenous drugs, chemotherapy and venesection, apheresis and blood product administration in accordance with the hospital’s guidelines for clinical practice.
9. Participate in applying and understanding the principles of cytotoxic handling and disposal as stipulated in local departmental policies and national legislation.
10. Be a role model and example, ensuring that the dignity, rights and confidentiality of the patient and individual team members are protected and maintained in accordance with national standards and guidelines.
11. In conjunction with the MDT, ensure that patient care plans are regularly reviewed and evaluated. Ensure nursing records and documentation is maintained and current. Be a key member of the MDT in supporting patients and their carers during the delivery of bad news, caring for terminally ill patients and the event of death.
2. Managerial
1. Take charge and lead the apheresis unit in the absence of the Apheresis Lead Clinical Nurse Specialist.
2. Take an active role in influencing service development through specific research and audit projects.
3. Responsible for supporting the Apheresis lead Clinical Nurse Specialist to help gain both the JACIE and Human Tissue Authority accreditation for the Apheresis department as required to practice as a transplant centre.
4. In collaboration with the transplant programme director and senior nurses, the post holder will ensure compliance with pre-established specifications/standards (JACIE/HTA) that underpin the quality of the transplant service with a specific focus on our apheresis service.
5. Work with the Haematology Quality Manager to maintain and update Standard Operational Procedures (SOP’S) for all aspects of apheresis.
6. Assist with the establishment, motivation and development of the team.
7. Contribute to the creation of a positive team and working environment, promoting flexible working. Encourage all team members to demonstrate initiative in their application to practice. Identify and minimize interpersonal conflicts that may affect team or individual performance.
8. Convey and present information, written or verbal, formally or informally, as appropriate. Ensure confidentiality is maintained at all times in-line with Trust policy and procedure.
9. Maintain and support the unit with accurate incident reporting, ensuring the appropriate action is taken where required.
10. Apply the Directorate and Trust clinical governance strategies to clinical area.
11. To support the Apheresis lead Clinical Nurse Specialist with an annual audit plan to help develop and implement new processes within the apheresis
12. To become competent at handling and investigating incidents using Datix and receive the training to do so.
13. Improve and maintain standards in nursing care by working with the ward manager using tools such as benchmarking and audit.
3. On call service
You will be responsible for working autonomously and accountable for the prescribing of emergency nursing care whilst working out of hours/on-call. This will be for emergency apheresis procedures including plasma exchange, red blood exchange and out of hours stem cell harvesting.
4. Audit and research
As a member of the quality management team, review current standards of care delivery through audit projects, undertaking audit and research projects where required and encourage team members to be involved. Encourage and facilitate evidence-based practice in all aspects of care delivery
5. Professional
1. Take an active role in self-development, by reviewing performance, identifying own development needs and taking the appropriate action in order to meet those needs and help to take the lead on the development of apheresis team objectives.
2. Create a positive learning environment within clinical settings, to encourage and facilitate individual and shared learning and professional development.
3. Ensure you attend any relevant training or Apheresis study days, chemotherapy and
4. Help support the Clinical Nurse Specialist by implementing change in response to clinical, organisational and national demands, in agreement with appropriate others in the unit.
Working Conditions
The post holder must be able to:
* Work within unpleasant clinical working conditions (for example exposure to body fluids)
* Concentrate in an intense and sometimes noisy environment
* Cope with potentially violent and threatening situations
* Fulfil Trust health and safety policies and procedures when performing risk associated procedures including dealing with hazardous substances
* Physically be able to push an apheresis machine around the hospital when lone working on call
Person specification
Commitment to Trust Values and Behaviours
* Must be able to demonstrate behaviours consistent with the Trust’s “We are here for you” behavioural standards
Training & Qualifications
* Current level one NMC registration
* Intravenous medication package
* Blood transfusion trained
* Venepuncture and cannulation skills
* Evidence of continuing professional development
* Trained in apheresis procedures
* Chemotherapy trained
* Teaching and assessing qualification
* Research experience
Experience
* Experience in a haematology setting
* Ability to convey sensitive information in an empathetic manner to patients / carers and staff.
* Supervision of non-registered staff and students
* Demonstrate an involvement in link nurse or project work
* Experience using ICT systems
* Apheresis experience
* Experience of service development / service improvement
* Teaching and assessing experience
* Audit or research experience
* Experience of developing policies and procedures
* Evidence of data collection and analysis
Communication and Relationship Skills
* Demonstrate effective written and verbal communication skills
* Produce timely and accurate written / electronic documents
* Can minimise interpersonal conflict and barriers to communication
* Demonstration of team working and ability to work within a team
* Evidence of negotiation and influencing skills
* Experience of giving presentations / providing formal teaching sessions
Analytical and Judgement Skills
* Recognition of own level of competence and limitations and is able to communicate these to appropriate staff
* Ability to identify own learning needs
* Demonstrate an ability to assess, plan, deliver, prioritise and evaluate patient care
* Evidence of making autonomous decisions around patients care in high pressure situations.
* Able to recognise gaps in service provision
Planning and Organisation Skills
* Demonstrate an ability to prioritise own workload
* Demonstrate an ability to supervise and support others
* Demonstrate the ability to manage emergency situations and respond appropriately
* Able to contribute to the development, implementation and monitoring of local objectives and action plans
Physical Skills
* Physically able to perform the full range of nursing duties
* Dexterity and accuracy in undertaking clinical skills
* Competent and capable of using medical equipment
* Able to undertake manual handling manoeuvres
Other requirements
* Flexible and adaptable
* Enthusiastic and well-motivated
* Ability to work on call during evenings and weekends
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Come and join our wonderful team at NUH. We are big believers in diversity and welcome new ideas to help develop our team in order to deliver world class healthcare to the vast patient populations we serve. With endless personal development opportunities available, at the NUH we will endeavour to turn your job into a career!
We particularly welcome applications from people who identify as Black, Asian and Minority Ethnic, or Disabled, as we are striving to be better represented at NUH.
Closing Dates: Please submit your application form as soon as possible to avoid disappointment; we reserve the right to close vacancies prior to the published closing date if we receive a sufficient number of completed application forms.
Communication: All communication related to your application will be via the email address you have provided. Please ensure you check your email account including your junk email regularly.
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If you are aged 16 or 17 and applying for a role that is more than 20 hours a week, please be aware that you will be asked to commence an Apprenticeship within the Trust alongside your role, as long as there is a suitable apprenticeship standard available.
Salary: The quoted salary will be on a pro rata basis for part time workers.
Disability Confidence: All applicants who have declared a disability and who meet the essential criteria for the post will be shortlisted.
At Risk of redundancy: NHS employees within the East Midlands who are ‘at risk’ of redundancy will be given a preferential interview where they meet the essential criteria of the person specification.
ID and Right to work checks : NUH authenticate ID and right to work documentation including passports and driving licenses through a system called Trust ID. NUH will scan your ID and right to work documentation in to the Trust ID system at your face to face ID appointment. The system will run a check against the key security features within your documentation. The system will provide us with an outcome of your check which will be stored securely on your personal file along with all other pre-employment check documentation.
Consent:
* Transfer of information: If I have previous NHS service - I consent to the transfer of my Electronic Staff Record (ESR) data between this and other NHS Trusts. I also consent to the Occupational Health Departmentconfidentially accessing my occupational health records from my current or previous employer in order to check the status of my vaccinations, immunisations s and screening tests as relevant to the post. I understand this is an automated process and the information will only be used for these purposes prior to me taking up the position at NUH.
* Disclosure and Barring Service: Your post maybe subject to a DBS check which incur a cost dependent on the level of check required (£42.90 for enhanced and £22.90 for standard). I agree to reimburse Nottingham University Hospitals NHS Trust the cost of a Disclosure and Barring Service (DBS) check if it is required (by deduction from first month’s pay). Should I decide to withdraw from my job offer, I agree to reimburse Nottingham University Hospitals NHS Trust the cost of the DBS check undertaken by cheque or other agreed method.
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Employer certification / accreditation badges
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.
Name Robyn Clurow Job title Apheresis lead clinical nurse specialist Email address robyn.clurow@nhs.net Telephone number 0115 9691169 Additional information
Extension 77054
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