Practice Nurse

Waltham Forest Federated GP Network; Greater London; Hybrid; GBP 30,000 - 40,000; Part time

Job summary

A local healthcare federation seeking motivated Anticoagulation Nurses across boroughs in Greater London. The role includes providing clinical care, managing referrals, and home visits while liaising with multidisciplinary teams. Candidates must be registered nurses with experience in community services and anticoagulation care. A flexible approach is required, including the ability to drive. This part-time position offers the opportunity to enhance patient care within a supportive environment.

Benefits

Flexible hours

Supportive team environment

Qualifications

• Experience working within a community service.
• Previous experience in an Anticoagulant service.
• Flexibility in working hours is essential.

Responsibilities

• Liaise with multidisciplinary team members to provide patient care.
• Manage referrals and caseload autonomously.
• Create and maintain comprehensive documentation for patient care.

Skills

Capillary blood sampling

Communication with patients

Ability to work with vulnerable adults

Familiarity with INR Star System

Basic clinical governance

Education

Registered Nurse

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

The post holder will be expected to liaise appropriately with all members of the multidisciplinary team to provide an expert service to service areas related to the speciality.

To be responsible for all aspects of which involves assessment, planning, delivery and evaluation of direct patient care and function as an independent practitioner/clinical expert by virtue of their in-depth knowledge and experience.

Tosupport clinicians in the multidisciplinary team in providing clinical and managerial expertise in all aspects of the speciality ensuring the highest standard of nursing care

To lead, initiate and manage projects that will deliver enhanced patient care and inform best practice statements.

To monitor and ensure a positive focused service incorporating patients' feedback to improve patient care.

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

Main duties of the job

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

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

To accept & prioritize referrals & autonomously manage a specific caseload without direct supervision, using own judgment & discretion.

Undertake such clinical procedures 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 are understood and adhered by all staff, within own management responsibility.

To actively participate in the development of relevant evidence based clinical guidelines/policies relating to the 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

CLINICAL RESPONSIBILITIES

To accept & prioritize referrals & autonomously manage a specific caseload without direct supervision, using own judgment & discretion.

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

To actively participate in the development of relevant evidence based clinical guidelines/policies relating to the speciality.

To establish effective working relations with all members of the multi-disciplinary team to promote good communication and a multidisciplinary approach to patient care.

To ensure accurate and comprehensive consultation records are maintained using appropriate written and electronic documentation.

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

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

To give expert evidence based professional advice to healthcare professionals in primary and secondary patients and relatives, other clinical and non-clinical staff of WF Federated GP Network

Act in accordance with The Code - professional standards of behaviour for nurses and midwives (Nursing and Midwifery Council (NMC) 2015)

RESPONSIBILITY FOR PATIENTS

To respond to highly complex/demanding patient situations.

To lead clinically and professionally, making autonomous decisions in clinics

To attend Home Visits where required.

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

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

To ensure communication with patients and significant others are established, ensuring empathy and reassurance regarding assessment, care and treatment and to ensure informed consent is obtained from patients.

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

To respect patient's confidentiality, ethnic cultural and spiritual needs.

Provide relevant, high-quality, up to date written and verbal patient information regarding venous Anticoagulation ensuring the patient/carers have an adequate understanding

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

Advise on duration of Anticoagulation as per protocol and follow appropriate patients in anticoagulation specialist- led clinic.

Provide expert advice on prevention of venous Anticoagulation in future.

Observation and recording of vital signs

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

RESPONSIBILITY FOR LEADING AND MANAGING

To liaise, if required, with other hospital-staff and departments to promote and maintain effective working relationships, ensuring high standards of care and service.

To act as an appropriate and effective 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 training needs analysis for own clinical area.

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

RESPONSIBILITY FOR POLICY AND SERVICE DEVELOPMENT

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

RESPONSIBILITY FOR FINANCIAL AND PHYSICAL RESOURCES WHEN ON DUTY

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

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

Accountable for efficient and economical use of department supplies.

RESPONSIBILITY FOR INFORMATION RESOURCES

To be responsible for ensuring confidentiality and safekeeping of patient records.

RESPONSIBILITY FOR RESEARCH, EDUCATION & DEVELOPMENT

To actively participate in the development of relevant evidence based clinical guidelines/policies relating to speciality.

To be aware of the research process and current trends.

In collaboration with the clinical lead, audit agreed clinical guidelines of practice, policies and benchmarks within area of clinical responsibility.

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

To be responsible for developing and sustaining own knowledge, clinical skills and professional awareness.

GENERAL RESPONSIBILITIES

Infection Control

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

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

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

To ensure that the clinic environments are clean and maintained to the highest standards; ensuring that shortfalls are rectified or escalates as necessary.

To ensure that all relevant monitoring data and issues are provided to the Directorate's Governance structures.

HEALTH AND SAFETY AT WORK

The post holder is required to:

Take reasonable care for the health and safety of himself/herself and other persons who may be affected by their actions or omissions at work.

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

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

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

You should disclose information only to authorised persons or organisations as instructed. Breaches of confidentiality in relation to information will result in disciplinary action, which may include dismissal.

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

EQUALITY AND DIVERSITY

WF Federated GP Network values equality and diversity in employment and in the services we provide. It is committed to promoting equality and diversity in employment and will keep under review our policies and procedures to ensure that job related needs of all staff working in the WF Federated GP Network are recognised. WF Federated GP Network aims to ensure that all job applicants, employees or clients are

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

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

and obligation in respect of promoting equality and diversity are adhered to in relation

to both staff and services

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.