Job summary
An exciting opportunity has arisen for an enthusiastic and dynamic individual to apply for the role of CNS across Carmarthenshire and based at Glangwili General Hospital. As a member of the team you will work with the Anticoagulation CNS team, Consultants and the Multidisciplinary Team. Excellent communication and time management skills are essential to work collaboratively with patients, the public and professional staff across the spectrum of health and social care, to deliver and continue to develop a high standard of care for patients receiving anticoagulant therapy aiming to promote health and prevent disease.
The Anticoagulation CNS role is:
To promote a high standard of patient care in all aspects of anticoagulation nursing.
To accept new referrals for anticoagulation, conduct assessment interviews and provide on-going education of patients.
To run anticoagulation monitoring clinics and supervise the practice of support workers.
To interpret results and determine anticoagulation dosing using computer assisted decision-making software.
To assess and initiate treatment for patients referred from their GP and A&E on an ambulatory DVT Pathway.
To provide anticoagulation / thromboprophylaxis teaching on medical induction & nursing preceptorship days.
To take the lead on anticoagulation audit, and to assist with the audit of thromboprophylaxis.
Main duties of the job
Manage the delivery of nurse led anticoagulant services in the Health Board with clinical support of the Consultant direct referrals from primary and secondary health care professionals for patients needing anticoagulation therapy, avoiding the need for hospital admission and promoting early discharge.Deliver nurse-led care following agreed protocols for the initiation and maintenance of anticoagulation therapy for outpatients with atrial fibrillation.Through nurse-led clinics, utilize expert knowledge and clinical skills .Analyze, interpret, act on and communicate results sensitively to the patient and referral source.Analyze, co-ordinate, organize and monitor the treatment of patients receiving anticoagulation therapy, following agreed protocols, including dose adjustments according to blood test results and managing emergency treatment for patients at risk of thrombosis/bleeding due to under/over anticoagulation.
About us
Hywel Dda University Health Board is the planner and provider of NHS healthcare services for people in Carmarthenshire, Ceredigion, Pembrokeshire and its bordering counties. Our 12,000 members of staff provide primary, community, in-hospital, mental health and learning disabilities services to almost 400,000 people across a quarter of the landmass of Wales. We do this in partnership with our three local authorities and public, private and third sector colleagues, including our volunteers, through:
Four main hospitals: Bronglais General in Aberystwyth, Glangwili General in Carmarthen, Prince Philip in Llanelli and Withybush General in Haverfordwest.
Five community hospitals: Amman Valley Hospital and Llandovery Hospital in Carmarthenshire, Tregaron Hospital in Ceredigion and Tenby and South Pembrokeshire Hospital Health and Social Care Resource Centre in Pembrokeshire.
Two integrated care centres (Aberaeron and Cardigan, Ceredigion).Community facilities, including:
48 General Practices (GP surgeries), 49 Dental Practices, 98 Community Pharmacies (chemists), 44 General Ophthalmic Practices (including eye health and low vision services), 38 sites providing mental health and learning disability services, care within your own homes.
Highly specialised and tertiary services commissioned by the Welsh Health Specialised Services Committee, a joint committee representing seven health boards across Wales.
Job description
Job responsibilities
You will be able to find a full job description and person specification attached within the supporting documents.
The ability to speak Welsh is desirable for this post; English and/or Welsh speakers are equally welcome to apply.
Interviews to be held on 03/12/2024.
The Health Board is committed to supporting its staff to fully embrace the need for bilingualism thereby enhancing patient and service user experiences. In our commitment to increase the number of staff who are able to communicate in Welsh with patients and professionals, we welcome applications from Welsh speakers.
The ability to communicate in Welsh is desirable for this post. If you do not meet the Welsh Language requirements specified, the Health Board offers a variety of learning options and staff support to help you meet these minimal desirable requirements during the course of your employment with us.
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Person Specification
Qualifications and Knowledge
Essential
1. Registered nurse - educated to degree level
2. Live NMC Registration
3. Teaching Qualification
4. Counselling skills course or demonstrable experience
5. Evidence of post graduate training at masters level in anticoagulation
6. Independent Nurse Prescriber or evidence that working towards
Desirable
7. Master's or evidence that working towards
8. Other relevant Haematology qualification
Experience
Essential
9. Extensive post registration experience, including experience in general medicine / haematology nursing
10. Experience of leading a clinical team
11. Involvement in change management
12. Teaching and presentation
Desirable
13. Published work
14. Experience of ordering and interpreting investigations / tests
15. Experience of teaching other disciplines
Language Skills
Desirable
16. Welsh Speaker (Level 1)