Oxford University Hospitals NHS Foundation Trust
Specialist Nurse working with patients on peritoneal dialysis, supporting them at home. Working in the hospital and community within the renal unit.
Main duties of the job
To work as a member of the Oxford Kidney Unit Peritoneal Dialysis Team providing support, education, training, and advice to patients requiring home treatment for chronic renal failure.
To be responsible for a caseload of home patients, ensuring that they are receiving an optimal amount of dialysis and a high standard of treatment & care, either in the community or in the hospital.
To work in conjunction with the multidisciplinary team, primary health care team, and outside agencies, i.e., suppliers of products, to provide a holistic approach to caring for home therapies.
To be a supportive team member and to develop evidence-based home therapies renal knowledge.
Job responsibilities
1. Provide advice, education, and support for patients and staff in the renal unit/other departments.
2. Deal with outpatient telephone queries and assess patients in the unit.
3. Provide nurse consultations in the clinic or at the patients' home.
4. Liaise closely with the Home Therapies/PD nurses in Network units, providing peer support.
5. Promote a culture that supports and enables self-care. Support the development of patient-focused education, including training to self-manage ongoing consequences of treatment.
6. Liaise with primary care teams regarding the care of home therapy patients, providing education and information when required. Visit patients in other hospitals as required, ensuring patients have access to and are able to do PD.
7. Contribute to the on-call rota.
8. Oversee the care and treatment of a caseload of patients working autonomously as their named nurse, including a number of pre-dialysis patients, ensuring tests/blood tests are done as per protocol.
9. Ensure patients receive optimal dialysis treatment, taking quality of life into account, making necessary changes to patients' regime as required.
10. Ensure refresher training is carried out as protocol.
11. Conduct a root cause analysis after every new episode of PD peritonitis.
12. Involvement in the day-to-day administration of the PD/home HD programme by following up new patient referrals and planning home visits.
13. Organising the delivery/collection of supplies and equipment.
14. Ensuring patients' clinical waste collections are arranged.
15. Ensuring companies have up-to-date information on patients' regimen.
16. Liaising with companies regarding patients' holiday deliveries.
17. Recording infection episodes, admission rates, reasons for patients coming off PD, etc., for audit purposes/clinical governance on the appropriate activity sheet.
18. Monitor inpatient activity for therapy costing purposes.
19. Maintaining accurate EPR patient records.
20. Use current research/best evidence to underpin clinical practice. Involvement in any research studies underway in the unit.
21. Ensure that all equipment used by staff or patients is maintained in a safe working condition and that any faults are reported to technical staff. Ensure patients/relatives are taught how to use specific machines in a structured teaching session and their competency is documented and reviewed as appropriate.
22. Ensure assessment and competency achieved to allow use of PD PGDs, be involved in audit yearly.
23. Manage complaints from relatives/patients, to prevent further escalation whilst promoting support to the manager.
Person Specification
* Car driver and access to a car
* NMC registration
* 2 years renal nursing experience
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.
Salary: £37,338 to £44,962 a year (per annum pro rata)
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