Job summary Provide expert care and advice within the remit of VTE and Anticoagulation for our service users, Trust professionals and external care stakeholders. Review complex Emergency Department (ED)discharges of VTE, ideally within 48 hours from ED discharge, in order to manage the safe anticoagulation and follow up of this client group.You will work closely with both the lead VTE consultant and lead Haematology Consultant for this service.Working in conjunction with the haematology consultant and anticoagulation pharmacists, the CNS provides an anticoagulation dosing and advice service for patients on Vitamin K Antagonists and direct oral anticoagulants for a variety of prothrombotic conditions. As an anticoagulation specialist you will be expected tomanage complex anticoagulation patient cases and take part in Anticoagulation and VTE MDT meetings.You will be responsible for autonomously running the bi weekly anticoagulation clinics and also running any VTE follow up clinics in theoutpatient department.Liaise with the community health professionals regarding the care of your patients and provide education on venous thromboembolism and anticoagulation for patients and other health care practitionersas required. Main duties of the job Running and maintaining a week day specialist VTE and Anticoagulationadvice service, Trust wide and to external stakeholders as required Triage and accept suitable VTE referrals into the thrombosis andanticoagulation service, evaluate their suitability for outpatient management and facilitate anticoagulant management within locally agreed protocols Review patients requiring anticoagulation in an outpatient clinic followinglocally agreed protocols and seek support from or refer to appropriateclinician if any problems are identified Provide face to face and telephone anticoagulation counselling to patients and effectively communicate anticoagulation dosing advice by telephone About us At UHSussex, diversity is our strength, and we want you to feel included to help us always put the Patient First. Your uniqueness and experiences will be part of our creative and innovative community where everyone is encouraged to succeed. We have a range of Staff Networks to help break down barriers, and can offer a buddy to help new members settle in. We're proud to be a Disability Confident Employer (Level 2) and a Veteran Aware Trust. We treat our patients and staff with the same compassion and empathy we expect for ourselves. We're here for them when they need us, and we go above and beyond to meet their needs. This can be seen in ourWellbeing Programme for staff which is extensive and designed to support you when you need it, including where possible, flexible working to support work life balance - because we know that to look after others we must first look after ourselves. As a university trust and a leader in healthcare research, we value learning, teaching and training so that we can be the best that we can be. From the moment you start with us and throughout your career we will help you to grow and develop. We hope that in choosing UHSussex you are choosing a long and happy career where you will be able to see the difference you make and feel valued for all that you do. We look forward to receiving your application and the start of your journey with UHSussex. Candidate Information Pack: https://www.uhsussex.nhs.uk/resources/candidate-information-pack/ Date posted 16 January 2025 Pay scheme Agenda for change Band Band 6 Salary £37,338 to £44,962 a year per annum pro rata Contract Permanent Working pattern Part-time Reference number 279-6922917-JAN25 Job locations RSCH Brighton BN2 5BE Job description Job responsibilities 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. Job description Job responsibilities 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. Person Specification Registered nurse Essential registered nurse substantial experience Desirable Previous anticoagulation and thrombosis experience Equality, Diversity and Inclusion Essential Evidence of having championed diversity in previous roles (as appropriate to role). Evidence of having undertaken own development to improve understanding of equalities issues. Person Specification Registered nurse Essential registered nurse substantial experience Desirable Previous anticoagulation and thrombosis experience Equality, Diversity and Inclusion Essential Evidence of having championed diversity in previous roles (as appropriate to role). Evidence of having undertaken own development to improve understanding of equalities issues. 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. Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab). From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab). UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Additional information 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. Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab). From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab). UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Employer details Employer name University Hospitals Sussex NHS Foundation Trust (279) Address RSCH Brighton BN2 5BE Employer's website https://www.uhsussex.nhs.uk/ (Opens in a new tab)