Job overview
The anticoagulant clinic provides specialist care for patients taking anti-clotting medication to treat and prevent blood clots by offering a monitoring and advisory service.
The anticoagulation team at The North Middlesex University Hospital is made up of specialist Nurses, health care assistants (HCA’s), administrators, and a lead Hematologist consultant.
In our clinic we provide service for patients who are diagnosed with Deep Vein Thrombosis (DVT), pulmonary embolism (PE), cancer associated thrombosis, stroke prevention for atrial fibrillation and anticoagulation for patients with mechanical heart valves. Patients will be referred into the service by their GP or by a hospital A&E or inpatient ward.
Main duties of the job
The CNS for anticoagulation services will be required to provide specialist advice, education and nursing care for patients, carers and their families. To advise members of the multidisciplinary team, community nurses and GP’s with regards to the management of anticoagulation therapy treatment.
Provide thrombosis and anticoagulation nurse led clinics in conjunction with specialist nurses and the lead nurse. To undertake administration of specialist medicines within ‘Patient Group Directions’ framework. To safely, monitor and evaluate the effectiveness of the specialized treatment and act upon findings.
Promote evidence based practice and educational support to nursing colleagues. Participate in audit and contribute to research studies where applicable. To develop and maintain skills in the appropriate clinical area through education and training.
To be responsible for Medicines management used within the specialty with regard to commence treatment and review of patients receiving treatment and compliance with NICE Guidelines.
To support the anticoagulation and Thrombosis team in providing high standard, safe and effective service.
The post holder will cross over both the anticoagulant and VTE monitoring service and will support with the collection of VTE data required for NHS England, to ensure information is collected in a timely manner.
Ensure the Trust maintains the 95% of all patients risk assessed target set by NHS London.
Working for our organisation
North Mid is part of North Central London integrated care system – consisting of the NHS and Local authority organizations in Camden, Islington, Barnet, Enfield and Haringey. As with other ICS’s, we are working increasingly closely with partners and indeed many of our financial and performance objectives are measured at this system level. Whilst all organizations remain as standalone, statutory bodies we have an ICS infrastructure for making shared decisions and agreeing shared approaches.
We are proud of our staff and want to ensure their training allows them to provide excellent clinical care. We are also a training unit for medical students from UCL and St George’s University Grenada, and for nursing and midwifery students from Middlesex and City Universities.
Take a tour of our hospital
Detailed job description and main responsibilities
To provide a holistic, autonomous nursing service by attending to physical, psychological and social needs of patients and where necessary implementation an agreed management plan for optimum care and treatment of their complex problems or potential problems.
To effectively run nurse led outpatient’s clinics alongside the specialist nurse.
To initiate and follow up patients with DOACs and discharge safely to GP care.
To health promote prevention of VTE and treatment. (Root cause analysis, HAT and safety thermometer)
Supported by a Lead nurse or independently in the absence of a Lead nurse within clinical competency.
To work alongside specialist nurses and the Lead nurse to undertake rescue work through direct access to patients to provide advise with regards to side effects and symptom management to prevent admissions.
To provide patient centered care supporting adherence to treatment.
To undertake teaching of patient’s (carers if appropriate) in the treatment and management of the anticoagulation therapy medicines.
Assist nurse in developing effective links with GP’s and Practice.
Nurse’s to support the continuing care and treatment of patients, including monitoring and sharing of information.
To provide a telephone help line within working hours, to provide direct access for patients and outside agencies including GP’s.
Responsible for patient’s safety and high standard of specialist care for all patients on anticoagulation therapy within the service.
Be responsible for appropriate action and medical referral for patients in the management of thrombosis and anticoagulation therapy.
To liaise closely with specialist nurses and consultant nurses to ensure the effective triage of referrals to enable patients to access the appropriate element of the anticoagulation service.
To assist specialist nurses and be responsible for making appropriate referrals to hematologist, respiratory consultant, vascular surgeon and other specialist teams as required.
To assist anticoagulation specialist nurse and consultant nurse in the ongoing specialist care of patients both in hospital and outpatient settings, acting as a central point of contact.
Participate in national benchmarking of the anticoagulation service, carry out audits in line with NPSA alert, NICE in conjunction with the Clinical Lead and Pharmacist.
In conjunction with consultant and various members of the multidisciplinary team, responsible for development of protocols for investigations, treatment for the management of patients with thrombosis and anticoagulation therapy.
Responsible for contributing to specialty clinical governance group.
Able to act independently within agreed protocols in collaboration with consultant colleagues.
Being a resource to patients, relatives, GP practice and colleagues on aspects of thrombosis and anticoagulation therapy management.
To manage physical resources ordering stock, non-stock and specialist medication and equipment and consumables.
To implement strategies to facilitate succession planning and retention of motivated staff.
To set up clinics, maintain equipment and be responsible for clients and staff as laid down by Health and Safety regulations.
Act as a role model for junior members of staff.
Involving in helping in initiating DOACs and prevention of VTE (HAT).
Work as part of the team.
To be competent in the anticoagulation therapy software DAWN AC maintain accurate records of all patient encounters in line trust record keeping policy NMC.
To initiate and maintain up to date spreadsheet (computerized) of all patient encounters in line with the NPSA alert audit.
To be a resource to GP practices and staff with detailed and monitoring information.
To ensure information leaflets are available to patients and GP practices as needed.
Promote and create a climate of clinical enquiry through practice.
Liaise with company representatives to keep abreast of current treatments and products. To act as a resource for providing advice on choice and use of specialist products to the MDT.
Inputting data onto an appropriate database to ensure quality data records.
Undertake research projects in line with research skills and knowledge with view to presentation and publication.
Person specification
Education and qualifications
Essential criteria
1. Current registration with NMC Evidence of ongoing professional development qualification in Health Care Teaching Qualification or equivalent Degree level in related specialty or nursing degree
Desirable criteria
2. Anticoagulation Therapy course qualification, Experience with working with DAWN AC software.
Skills and abilities
Essential criteria
3. Flexible Clear, concise written English skills. Good Numeracy skills. Punctual Self-motivated Ability to work effectively under pressure. Ability to problem solve and demonstrate critical thinking skills. Ability to perform clinical activities specific to anticoagulation. Presentation skills Full driving licence/ to be able to travel between sites in a timely manner. Effective communicator both verbally and non-verbally as well as demonstrating good written and listening skills. Effective motivator. Ability to manage own workload. Computer Literacy
Experience
Essential criteria
4. Experience teaching colleagues and patients. Experience of establishing and using audit processes. Experience of working within a ward environment as a qualified nurse. Experience with access databases. Experience with Excel spreadsheets and patient database systems. Knowledge and experience of clinical governance and risk management within an acute trust.
Desirable criteria
5. Experience of working with DAWN AC anticoagulation software Previous post registration experience within anticoagulation Experience of Anticoagulation Nursing within an outpatient environment.
Personal qualities
Essential criteria
6. Ability to reflect on practice. Ability to demonstrate awareness of cultural and organisational issues. Ability to develop and utilise teaching materials in the development of both staff internally and externally. Understand their responsibilities when delegating tasks to others.
We reserve the right to expire vacancies prior to the advertised closing date once a sufficient number of applications have been received.
You will only be contacted by the Recruitment Team via email if you are shortlisted for this post. Please ensure therefore that you check your e-mail account regularly.
Please note in order to progress your application, your data will be processed by our 3rd party recruitment providers – North London Partners Shared Service, (NLPSS) who conduct recruitment activities on behalf of NMUH.
If you are offered a role with one of the NLPSS partner trusts, as part of pre-employment checks your identity and right to work documentation will be verified remotely (in most circumstances), using a certified identity verification service provider TrustID. You will be asked to capture an image of the relevant documents as well as a “selfie” using your smartphone/tablet (if available) for facial matching. TrustID will also perform a digital address check using Trunarrative and Equifax, which is a soft check and does not leave a footprint on your credit rating. For more information, visit
NMUH uses identification scanning technology to confirm the authenticity of documents; all prospective employees of NMUH will have their original documents verified using this technology.
By applying for this post you are agreeing to NMUH transferring the information contained in this application to its preferred applicant management system. All subsequent information regarding your application will be generated from apps.trac.jobs. You will not be able to track the progress of your application or receive messages through the NHS Jobs website, and as an employer, we will not be able to respond to any e-mails sent to us via the NHS Jobs website. If you are offered a job, information will also be transferred into the national NHS Electronic Staff Record (ESR) system and other secure, internal NHS workforce systems.
By applying for this role, you accept in the event you are successful that your personal data may be transferred from the Trust to another NHS organisation where your employment transfers within the NHS. This is in accordance with the streamlining programme which is aimed at saving you time and improving efficiencies within the NHS when your employment transfers. Therefore we want you to complete your e-learning modules prior to joining our organisation.
If you are an EU/EEA citizen who does not have EU Settlement or Pre-Settled status, you will require a visa to work in the UK.
If you require sponsorship for a visa to work in the UK, to avoid disappointment, please check to ensure you are eligible under the