Responsibilities
* Provides expert advice, support and interventions to patients of the anticoagulation service and to healthcare professionals in primary and secondary care.
* Provides comprehensive evidence-based care for patients taking anticoagulants.
* Uses computer dosing system to monitor and adjust warfarin doses.
* Prescribes as an independent non-medical prescriber for anticoagulant patients.
* Supervises anticoagulant services support staff.
* Monitors INR and adjusts warfarin doses in face‑to‑face clinics across Calderdale and Kirklees, including some remote office work.
* Trains and supports patients who wish to self‑test.
* Ensures patient safety by considering and interpreting VTE risks, arranging bridging of low INR's and reversal of high INR's, conducting VTE risk assessments, liaising with colleagues in primary care and arranging referrals to secondary care.
* Provides support and supervision for Higher Healthcare Assistants for domiciliary visiting, including remote supervision of medicine administration.
* Provides VTE and anticoagulation advice to Trust staff for warfarin in‑patients.
* Continually monitors standards of care and participates in service improvements to ensure safe and effective care.
* Contributes to and supports departmental audits.
* Identifies clinical issues and incidents within the Trust that reduce the quality of care within the specialist service.
* Provides specialist education to members of the anticoagulation team.
* Participates in multi‑professional formal and informal teaching to update staff on evidence‑based anticoagulation practice.
* Works within the NMC Code of Professional Practice and within policies, procedures and guidelines of Calderdale and Huddersfield NHS Foundation Trust.
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