Hull University Teaching Hospitals NHS Trust
The post holder will act as a member of the multidisciplinary team providing comprehensive care for patients with Advanced Kidney Disease (AKD) who are approaching the need for Renal Replacement Therapy (RRT) and work towards achieving and maintaining British Renal Association and NICE Standards relating to preparation for RRT.
As a specialist nurse, the post holder is responsible for providing specialist knowledge, advice, support, and care to patients, carers, and other health professionals relating to AKD. The post holder will act as a point of contact for individuals who need to access the specialist service and will provide advice and ongoing support to them and also to colleagues within and external to the service and trust as required.
Main duties of the job
The Low Clearance Specialist Nurse is responsible for the co-ordination of the patients' care and journey which includes:
* Education and counselling of patients about progressive chronic kidney disease (CKD) to enable them to make any modifiable lifestyle changes to slow progression and equip them to share in the management of their health for the future.
* Education and counselling of patients regarding renal transplantation (where medically appropriate), all forms of dialysis in all settings - (home/hospital/satellite/shared care) and conservative care.
* Promoting Shared decision-making by patients and health care professionals about treatment for AKD using evidence-based aids.
* Education about self-management of AKD.
* Ensuring access to both living and deceased donor kidney transplantation prior to dialysis where possible.
* Timely establishment of vascular or peritoneal access.
* Timely initiation of dialysis either by peritoneal dialysis or haemodialysis in the setting chosen by the patient.
* Ensure patients are vaccinated against hepatitis B virus through appropriate referral pathway.
Job responsibilities
* Proactively supports patients and carers in understanding their condition, providing ongoing support and information about treatment options available for their AKD.
* Ensures information is conveyed to the patient in a timely and understandable manner, using different communication methods to clarify understanding.
* Ensures effective communication is maintained between members of the multi-disciplinary team to ensure appropriate individuals are informed of changes to the patients' condition or treatment plan.
* Ensure all staff have access to up-to-date AKD related literature and information.
* To participate in educational events/in-service training to maximize opportunities for staff to learn about AKD.
* Develop, foster, and maintain effective relationships internal and external to the Trust, especially community teams.
* Develop external networks with peers to share good practice.
* With support of clinical lead, develop specialist knowledge and expertise to assess, plan and implement care interventions for patients.
* Provide specialist advice to patients and their families on treatments and options available to them.
* Work with other key members of MDT to promote an environment conducive to high morale and staff development.
* Participate in the education and training of internal and external health professionals.
* Contribute at a local and national level to present achievements and developments within the service.
Person Specification
QUALIFICATIONS
* Educated to degree level or can evidence equivalent education.
* Evidence of leadership.
* Non-medical prescribing and Clinical Examination qualification (or willingness to work towards).
* Interest in End Of Life Care.
* Teaching Qualification.
PROFESSIONAL EXPERIENCE
* Minimum 5 years post registration and 2 years recent/current Renal experience.
* Experience of chronic disease management and understanding of renal patient journey.
* Evidence of professional development and multi-professional working.
* Evidence of excellent communication skills.
* Experience of service development, audit, and project management.
* Experience in all modes of Renal Replacement Therapy.
* Evidence of providing patient and multi-professional education and training.
* Evidence of working as a lone or independent worker.
* Evidence of change management and innovation.
* Experience of B6.
SKILLS, KNOWLEDGE AND ABILITY
* Proven ability to communicate well within a multi-disciplinary team internally and external to the trust - written, verbal, and face to face.
* Excellent interpersonal skills.
* Proven ability to mentor/preceptor junior members of staff including student nurses.
* Must have awareness of Clinical Governance, Research.
* Excellent organisational skills with ability to work as an autonomous practitioner.
* Knowledge of relevant national guidelines.
* Experience of producing and delivering presentations.
* Good analytical and problem-solving skills.
* Experience of applying research and audit to deliver the clinical governance, service, and trust agenda and negotiating and implementing change.
PERSONAL ATTRIBUTES
* Highly motivated.
* Diplomatic.
* Proven ability to work on own initiative.
* Keen interest in chronic disease management, health promotion, patient education, and shared decision making.
* Effective time manager.
* Innovative/Ability to implement new innovations and initiatives for service development.
* Ability to cope under pressure.
* Excellent interpersonal skills.
* Motivation to promote change.
OTHER REQUIREMENTS
* Must be willing to work flexibly and travel to other sites and geographical areas covered by the service for patient and service needs.
* Car owner/driver.
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.
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