Practice Nurse

Waltham Forest Federated GP Network; City Of London; On-site; GBP 60,000 - 80,000; Part time

Job summary

A community healthcare provider in London is recruiting experienced Anticoagulation Nurses for part-time roles across various boroughs. Ideal candidates will independently manage patient care, perform home visits, and collaborate with multidisciplinary teams. Successful applicants will demonstrate expertise in anticoagulation services and hold a nursing degree with relevant experience, ensuring high-quality patient treatment and compliance with clinical guidelines.

Qualifications

• Experience of working within a community service.
• Previous experience of working in an Anticoagulant service.
• Enhanced disclosure via the Disclosure and Barring Service.

Responsibilities

• Undertake clinics providing expert advice and individualized patient care.
• Manage a specific caseload without supervision.
• Participate in developing clinical guidelines.

Skills

Registered Nurse

Capillary blood sampling

Familiar with INR Star System

Clinical governance

Excellent communication skills

Flexibility

Education

Educated to Degree level

Tools

Anticoagulation software

Job description

Recruiting for Anticoagulation Clinics across specific boroughs:

Waltham Forest

Newham

Havering

Bank work - Part time - flexible - Job description not exhaustive as reasonable requests may be asked of employee/worker.

We prefer that you are able to drive as there will be home visiting required for some clinics

Thepost holder will be expected to liaise appropriately with all members of themultidisciplinary team to provide an expert service to service areas related tothe speciality.

To be responsible for allaspects of which involves assessment, planning, delivery and evaluation ofdirect patient care and function as an independent practitioner/clinical expertby virtue of their in-depth knowledge and experience.

Tosupport clinicians in the multidisciplinary team in providing clinical andmanagerial expertise in all aspects of the speciality ensuring the higheststandard of nursing care

To lead, initiate and manageprojects that will deliver enhanced patient care and inform best practicestatements.

Tomonitor and ensure a positive focused service incorporating patients' feedbackto improve patient care.

To act as aneffective role model and mentor promoting excellence through practice.

Main duties of the job

Always maintain professionalbehaviour and promote a positive image of WF Federated GP Network

To undertake clinics providingexpert advice, counselling and individualised patient focused treatment and care.

To accept & prioritisereferrals & autonomously manage a specific caseload without directsupervision, using own judgment & discretion.

Undertake such clinicalprocedures as necessary in the - management of individualised patient care,demonstrating a high standard of nursing practice.

To undertake all relevant procedures in accordance with WFFederated GP Network policies and ensure that these procedures and policies areunderstood and adhered by all staff, within own management responsibility.

To actively participate in thedevelopment of relevant evidence based clinical guidelines/policies relating tothe speciality.

About us

WF GP FedNet is a not-for-profit Federation of the 36 GP Practices in Waltham Forest. We are a private limited company that provides NHS Services based in Primary Care, pooling the skills and resources of local GPs to provide large-scale services as part of the local NHS Strategy to bring more services into the community to help people stay well and at home.

We have excellent opportunities available for enthusiastic and motivated Anticoagulation Nurses to work as part of our large team across our specific boroughs

Job responsibilities

MAINDUTIES AND RESPONSIBILITIES

CLINICALRESPONSIBILITIES

You must be an independent Nurse Prescriber and willing to complete some home visits

To accept & prioritisereferrals & autonomously manage a specific caseload without directsupervision, using own judgment & discretion.

Undertake such clinicalprocedures as necessary in the - management of individualised patient care,demonstrating a high standard of nursing practice.

To actively participate in thedevelopment of relevant evidence based clinical guidelines/policies relating tothe speciality.

To establish effective workingrelations with all members of the multi-disciplinary team topromote good communication and a multi-disciplinary approach to patient care.

To ensure accurate andcomprehensive consultation records are maintained using appropriate written andelectronic documentation.

To collect data and provideessential information in a timely and accurate manner when requested for e.g.audits or monitoring CQC standards.

To ensure that all clinicaland non-clinical incidents, including serious incidents are properly reported,- investigated and changes made to avoid recurrence.

To give expert evidence basedprofessional advice to healthcare professionals in primary and secondary patientsand relatives, other clinical and non-clinical staff of WF Federated GPNetwork

Act in accordance with TheCode - professional standards of behaviour for nurses and midwives (Nursing andMidwifery Council (NMC) 2015)

RESPONSIBILITY FOR PATIENTS

To respond to highlycomplex/demanding patient situations.

To lead clinically andprofessionally, making autonomous decisions in clinics

To attend Home Visits whererequired.

To assess and diagnosespecific symptoms within the scope of their practice, advise medical andnursing staff and /or prescribe medications according to patient's requirements,writing a record in the medical notes and reassessing according to theindividual patient needs.

Where appropriate referpatients, who need to see a Haematologist to the Anticoagulation clinic as per clinical protocol.

To ensure communication withpatients and significant others are established, ensuring empathy andreassurance regarding, assessment, care and treatment and to ensure informedconsent is obtained from patients.

Be accountable at all timesfor ensuring that safeguards are in place for patients, in particular those adultsat risk.

To respect patient'sconfidentiality, ethnic cultural and spiritual needs.

Provide relevant, highquality, up to date written and verbal patient information regarding venousAnticoagulation ensuring the patient/carers have an adequate understanding

Monitor Anticoagulant therapy,both oral, and where appropriate, injectable Anticoagulant therapy, as perguidelines and protocols.

Advise on duration of Anticoagulationas per protocol and follow appropriate patients in anticoagulation specialist- ledclinic.

Provide expert advice onprevention of venous Anticoagulation in future.

Observation and recording of vital signs

To ensure that all patientsare cared a clean and well-maintained clinical area, ensuring that-all staff areaware that they are directly responsible for cleanliness standards when incharge and escalating issues when necessary.

RESPONSIBILITYFOR LEADING AND MANAGING

To liaise, if required, withother hospital-staff and departments to promote and maintain effective workingrelationships, ensuring high standards of care and service.

To act as an appropriate andeffective role model at all times.

To act as an effective mentor,preceptor and support other staff in performing this role.

To act as a resource,supporting and motivating staff members.

To participate in trainingneeds analysis for own clinical area.

To actively participate in ownappraisal/personal development plan with the WF Federated GP Network appraiser.

RESPONSIBILITY FOR POLICY AND SERVICEDEVELOPMENT

Resolve any concerns aboutlevels of care or incidents involving patients escalating to the lead nurse andreporting via the trust's incident reporting system.

RESPONSIBILITYFOR FINANCIAL AND PHYSICAL RESOURCES WHEN ON DUTY

Accountable for generalclinical environment-needs, being alert to possible sources of cross-infection, maintaining safe and clearwalkways and patient areas, ensure fire exits remain clear and equipment andsupplies are stored correctly.

Accountable for the safecustody, storage, usage and; recording of all medication includingcontrolled drugs in accordance with WF FedNet policy.

Accountable for efficient andeconomical use of department supplies.

RESPONSIBILITYFOR INFORMATION RESOURCES

To be responsible for ensuringconfidentiality and safekeeping of patient records.

RESPONSIBILITY FOR RESEARCH, EDUCATION& DEVELOPMENT

To actively participate in thedevelopment of relevant evidence based clinical guidelines/policies relating tospeciality.

To be aware of the researchprocess and current trends.

In collaboration with the clinicallead, audit agreed clinical guidelines of practice, policies and benchmarkswithin area of clinical responsibility.

Through the appraisal system,ensures own training needs are identified and mandatory training is kept up todate.

To be responsible fordeveloping and sustaining own knowledge, clinical skills and professionalawareness.

GENERALRESPONSIBILITIES

Infection Control

Infection control is everyone's responsibility. All staff,both clinical and non-clinical, are required to adhere to the WF Federated GPNetwork Infection Prevention and Control policies and procedures and The Health and Social Care Act 2008: Codeof Practice for the prevention and control of healthcare associated infectionsand make every effort to maintain high standard of infection control at alltimes thereby reducing the risk of Healthcare Associated infections.

It is the duty of every member of staff to take personalresponsibility for the prevention and control of infection, as laid down in theWF Federated GP Network policies and procedures which reflect the statutory requirements of the Hygiene Code.

To ensure that monitoring ofclinical practice is undertaken at the agreed frequency.

To ensure that the clinicenvironments are clean and maintained to the highest standards; ensuring thatshortfalls are rectified or elevate as necessary.

To ensure that all relevantmonitoring data and issues are provided to the Directorate's Governancestructures.

HEALTH AND SAFETY AT WORK

The post holder is required to:

Take reasonable care for the health and safety ofhimself/herself and other persons who may be affected by their actions oromissions at work.

- Co-operate with the employer in ensuring that all statutoryand other requirements

The post holder has aresponsibility to comply with the Data Protection Act 1998 and maintain confidentiality of staff, patientsand Trust business.

If you are required to processinformation, you should do so in a fair and lawful way, ensuring accuracy ismaintained. You should hold information only for the specific registeredpurpose and not use or disclose it in any way incompatible with such a purpose.

You should discloseinformation only to authorised persons or organisations as instructed. Breachesof confidentiality in relation to information will result in disciplinaryaction, which may include dismissal.

Employees are expected tocomply with all WF Federated GP Network policies and procedures and to work inaccordance of the Data Protection Act 2018.

EQUALITY AND DIVERSITY

WF Federated GP Network valuesequality and diversity in employment and in the services we provide. It iscommitted to promoting equality and diversity in employment and will keep underreview our policies and procedures to ensure that job related needs of allstaff working in the WF Federated GP Network are recognised. WF Federated GPNetwork aims to ensure that all job applicants, employees or clients are

- Treated fairly and valued equally regardless of sex, maritalstatus, domestic circumstances, age, race, colour, disablement, ethnic ornational origin, social background or employment status, sexual orientation,religion, beliefs, HIV status, gender reassignment, political affiliation ortrade union membership. Selection for training and development and promotionwill be based on the individual's ability to meet the requirements for the job.

You are responsible forensuring that the WF Federated GP Network policies, procedures

andobligation in respect of promoting equality and diversity are adhered to inrelation

to both staff andservices

Person Specification

Qualifications

• Registered Nurse
• Educated to Degree level
• Experience of working within a community service
• Previous experience of working in an Anticoagulant service
• Capillary blood sampling
• Familiar with INR Star System. Familiar with Anticoagulation software
• Up to date with developments within nursing
• Basic clinical governance and risk management
• Flexible approach to working
• Clearly spoken
• Suitability to work with vulnerable adults
• Enhanced disclosure via the Disclosure and Barring Service
• Access to a suitable vehicle to be used within your role

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.