Anticoagulation Clinical Nurse Specialist

University Hospitals Of North Midlands Nhs Trust; Stoke-on-Trent; On-site; GBP 40,000 - 48,000; Full time

Job summary

The University Hospitals of North Midlands NHS Trust is seeking an Anticoagulation Clinical Nurse Specialist to lead safe, evidence-based management of patients on anticoagulation therapy across inpatient and outpatient settings.

You will initiate and monitor warfarin and DOACs, provide complex case management, and work with multidisciplinary teams to optimise patient care, including escalation during high-risk scenarios.

Qualifications

• Registered Nurse on NMC register.
• Degree or Diploma in Nursing.
• Mentorship or equivalent teaching experience.
• Non-Medical prescribing qualification.
• Minimum 3 years post-registration experience.
• Evidence of ongoing professional education in a specialist area.
• 1 year of management or leadership experience.
• Excellent communication and interpersonal skills.
• Clinical reasoning and problem solving abilities.
• Ability to work independently and as part of a team.

Responsibilities

• Communicate with clinical and non-clinical staff to ensure caring, empathetic patient interactions.
• Deputise for the Lead Anticoagulation Nurse at meetings and drive improvements in patient care.
• Provide leadership to the clinical team and develop specialist care protocols.
• Maintain accurate patient records and contribute to audits and potential research.
• Manage initiation and monitoring of anticoagulation therapy and high-risk cases.

Skills

NMC registration

Nursing degree

Mentorship/teaching

Non-Medical prescribing

Leadership experience

Clinical governance

Communication skills

Education

Degree/Diploma in Nursing

Mentorship or teaching experience

Non-Medical prescribing

Minimum 3 years post registration experience

Job description

Job summary

The Anticoagulation clinical Nurse Specialist is a critical role, responsible for the safe, effective, and evidence-based management of patients requiring anticoagulation therapy. This includes both initiation and ongoing monitoring of oral and injectable anticoagulants (Warfarin, direct oral anticoagulants, low molecular weight heparin) across a variety of settings, including inpatient admissions and outpatient clinics, to provide support to inpatient teams, community services and primary care. This clinical role involves the assessment, initiation, monitoring and ongoing management of patients on anticoagulation therapy. They will be responsible for the complex case management of anticoagulation planning, bridging therapy, and management in cases of complexity in high-risk patients.

Main duties of the job

• Responsible for the safe management and review of patients on oral anticoagulants
• Administration of low molecular weight heparin to patients
• Lone working at Weekends and Bank holidays
• Current Nursing and Midwifery Council (NMC) registration.

About us

University Hospitals of North Midlands NHS Trust is one of the largest and most modern in the country. Based across two sites, Royal Stoke in Stoke-on-Trent and County Hospital in Stafford, we are proud to serve around three million people and we're highly regarded for our facilities, teaching and research. We are the specialist centre for major trauma for the North Midlands and North Wales. All of our employees make a valuable contribution regardless of role here at UHNM and we are proud of our wide range of development packages aimed at ensuring that everyone has the opportunity to fulfil their true potential. UHNM create and encourage a culture of inclusion, providing equal opportunities for career development that are fair and transparent. We are committed to being a diverse and inclusive employer and foster a culture in which all staff feel valued and respected. In return we ask all of our employees to make a commitment to the values, co-created by or staff, patients and carers, and that unite us as a Trust. At University Hospitals of North Midlands NHS Trust we know that investing in, supporting and developing our staff has a direct impact on the quality of care that we deliver. Our employees are as important as our patients and the population that we serve.

Job responsibilities

Communication with a range of clinical and non-clinical staff. Communicate using a range of methods to ensure a caring, sensitive and empathetic manner to patients and relatives. Communicate sensitive information about patients to other members of the healthcare team and with the consent of the patient. To exchange verbal and written information with patients, staff and carers requiring tact and diplomacy. The post holder needs to ensure that all barriers to understanding are overcome by using differing strategies to meet individual need. Deputise for the Lead Anticoagulation Nurse at Directorate/Divisional meetings and working groups in relation to improvement in patient care. Ensure that patient concerns are addressed and work with the Patient Advice and Liaison Service (PALS) and patient forums. Participate in the resolution of complaints/adverse incidents and support the Lead Anticoagulation Nurse/Anticoagulation Service Manager in the development and implementation of actions plans to prevent re-occurrence. To co-ordinate the patients journey, acting as a key worker, and lead on patient communication issues. It is expected that ALL employees of the Trust will take part in the appraisal process each year with the first appraisal taking place within the first 6 months from appointment. Current Nursing and Midwifery Council (NMC) registration. Evidence of study at degree level in Health/Nursing Related Studies. Mentorship module or have experience of teaching and assessing. Non-medical prescriber evidenced through NMC register (or working towards non-medical prescriber). Formal leadership and management training. Minimum of 3 years post registration experience to include at 1 year experience of taking charge of an area. Ability to lead change and lead new ways of working. The post holder will be responsible for the assessment of needs, development, implementation and evaluation of programmes of care in line with the NMC and reflect the Trusts policies, procedures, standards and guidelines The post holder will demonstrate the skills for assessing and interpreting specialist acute and other patient conditions, taking actions as appropriate. Excellent time management skills. Contribute to the principles of clinical governance ensuring that quality standards are set and monitored and to ensure adherence to relevant local and national policy and guidelines. To assist in the development of specialist information booklets and leaflets for the care of the patient. The post holder will be required to have the dexterity and accuracy required for procedure such as venepuncture and the administration of subcutaneous injections and is able to demonstrate clinical skills. The post holder will be required to have standard keyboard skills, use of presentation, projection/multimedia equipment and e-learning resources. To act in accordance with the NMC Code of Professional Conduct for Nurses, Midwives and Health Visitors and to always be accountable for own clinical practice and professional actions. Ensure continued and effective registration with the NMC. Prescribe medications within locally agreed formulary for Anticoagulation Management. Implements policies and procedures, and proposes changes to practices for own area, contributing to the development of specialist protocols. Support the development and implementation of local standard operating procedures, patient information and policies. Demonstrate safe working practices in the use of equipment and resources in the clinical areas. Working with the Lead Anticoagulation Nurse, provide leadership to the clinical team and identify innovation in clinical practice. Contribute to the formal induction of all new staff. Updates and maintains patient records. Participate as an individual in surveys. May participate in clinical research, audits and trials. Accountable for own professional actions: not directly supervised. Leads in the development of care in specific element of care as directed by the Lead Anticoagulation Nurse. Combination of sitting, standing, walking; occasional moderate effort for several short periods. Concentration on patient assessments / procedures May deal with distressed relatives and patients. The post holder will have exposure to bodily fluids. The post holder will be a lone worker at times (weekends / bank holidays).

Person Specification

Education and qualifications

Essential

• Registered Nurse on NMC register
• Degree/Diploma in Nursing
• Mentorship or equivalent experience of teaching
• Non-Medical prescribing
• Minimum 3 years post registration experience
• Evidence of on going professional education in a specialist area
• 1 year of management/leadership experience
• Effective interpersonal skills
• Clinical reasoning
• Problem solving and independent decision making skills
• Formal teaching to groups of staff
• Ability to work as part of a team
• Able to use own initiative

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. 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). Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Anticoagulation Clinical Nurse Specialist • Stoke on Trent, United Kingdom