Clinical Nurse Specialist in TTP and haemostasis disorders

Job responsibilities

The Sheffield Haemophilia & Thrombosis Centre at Sheffield Teaching Hospitals Foundation Trust offers:

• World class expertise within Haemophilia, TTP and related haemostasis disorders
• A dynamic and motivated multi-disciplinary team
• Support for education and the development of specialist skills
• Opportunities to network at local, National and International Conferences
• Involvement in clinical trials, audit and research activity

The successful candidate will be confident, motivated and flexible and have excellent communication skills. There will be an opportunity to further develop expert knowledge and a specialist level of practice in a service which is world renowned and respected.

KEY RESPONSIBILITIES

Professional/Clinical

Promote specialist nursing interventions to meet the complex needs of patients and families/carers.

To undertake thorough assessment of patients newly referred to the service. This will involve advanced assessment skills and interpretation of complex pathology findings.

Provide support, advice, counselling and treatment to patients and their families/carers.

Provide education and support to promote autonomy and healthy living, reducing the need for hospital admissions.

To communicate highly sensitive information regarding genetic diagnosis and viral infections.

To act as the patients advocate, respecting diverse cultural needs.

Develop effective working relationships, to provide coordinated care with other departments and organisations.

To work autonomously and as per of the multi-disciplinary team.

To prescribe and administer a number of drugs in accordance with trust and department policies and guidelines.

To lead multi-disciplinary clinics in conjunction with the consultant haematologist and provide a nurse led service in their absence.

To offer advice and support to facilitate independence and to reduce the need for hospital admission as appropriate.

To lead and facilitate a smooth transition from the paediatric service through adolescence into the adult service.

To coordinate and monitor an effective home delivery service, liaising with data management team, drug companies, central home care pharmacy team, home delivery companies and patients.

To liaise with laboratories across the STHFT & wider TTP region.

To implement the Trust's infection control policy to minimise risks associated with daily exposure to blood and blood products through phlebotomy and treatment administration.

To maintain accurate, contemporaneous and timely care records, both written and electronic.

Quality

To act within a framework of Healthcare governance and understand responsibilities to patients for assessing risk, health and safety legislation including the use and decontamination of clinical equipment, information governance and assuring quality.

To assess and manage risk and proactively challenge others about risk.

To facilitate a high quality, cost effective specialist service through monitoring, audit and other quality initiatives agreed by the Trust, Networks and TTP Network & Forum.

To utilise a range of data, tools and techniques to improve practice and health outcomes and can demonstrate their impact and value.

To set, monitor and review standards on a regular basis in accordance with national/local guidelines.

To identify and intervene where circumstances contribute to an unsafe environment for patients and staff. To bring instances of clinical risk or health and safety issues to the attention of the relevant responsible person for the area.

To develop integrated care pathways in conjunction with other members of the multi-disciplinary team and referral protocols.

Support the appraisal process for junior staff in the department as delegated by the Matron.

Education

To participate and initiate specialist educational programmes contributing towards educational needs across the health economy and linking with external educational institutes.

To contribute to the education and training of appropriate healthcare professionals and to develop Nurses skills to facilitate safe, effective, evidence based care.

To teach members of the relevant multi-disciplinary teams as required across STHFT & the TTP region.

Present data at relevant professional conferences/seminars.

To develop appropriate resource and teaching packs for use by patients and/or staff in the clinical and educational settings.

To identify, assess and meet the educational needs of the patient and their family.

To communicate with GPs and community staff, providing information and advice on the management of TTP and related disorders.

To assess one's own educational needs and to identify and utilise appropriate resources to meet these needs via appraisal process.

Consider and plan educational needs of regional services relevant to caseload.

Research and development

To promote and undertake where appropriate, nursing research and to publish the outcome, updating own knowledge to promote excellence in clinical practice.

To utilise research findings or nationally agreed standards in the delivery of specialist patient care and to disseminate relevant information to staff.

To identify areas of nursing practice within the speciality needing to be researched. To advise clinical/managerial colleagues of the implications of any research study underway or to be established, and advise on nursing and other resource implications.

To participate in and be aware of clinical research trials for patients with TTP and related disorders.

Management and leadership

To provide a leadership role model and demonstrate expert knowledge and high standards of clinical practice.

To recognise opportunities for service development according to patients' needs.

To maintain accurate records of the clinical service and ensuring that confidentiality of information is adhered to in keeping with NMC standards for record keeping.

To work autonomously, managing own caseload.

Identifying and maintaining supportive networks for self and relevant staff members.

To run a cost effective service, implementing new initiatives within available resources.

To participate in local service delivery meetings and across the TTP Network, and in a national level with the newly establishing TTP Nursing Network

To participate in clinical governance.

Contribute to development of clinical services across the trust, through liaison with the trust management.

General

In the absence of the Haemophilia lead nurse take charge of the department including the management of daily activities, work allocation and supervision of staff.

Ensure compliance with the NMC post registration education and re-registration standards

To have responsibility for the health, safety and welfare of self and others and to comply at all times with the requirements of the health and safety regulations.

To ensure confidentiality at all times, only releasing confidential information obtained during the course of employment to those acting in an official capacity. Adhering to the Data Protection Act.

Promote equal opportunities for staff and clients in accordance with STHFT policies, to ensure that no person receives less favourable treatment than another on the grounds of sex, marital status, race, religion, colour, creed, nationality, ethnic or national origin or sexual orientation.

Work within Trust guidelines, policies and procedures and the NMC codes of conduct seeking advice as necessary from the Healthcare team.

Promote a professional and happy environment conducive to high patient and staff morale, achieved by leadership, personal example and direct involvement in the activities of the working environment

FINANCIAL MANAGEMENT RESPONSIBILITIES (including estimated size of budget)

Adhere to the Trust Policy for handling recording and safekeeping patients cash/valuables

HUMAN RESOURCES MANAGEMENT RESPONSIBILITIES (including numbers and grades of staff)

Supervise the work of Staff nurses, Clinical Support Workers and Students on a daily basis

Provide advice as the nurse in charge of the department on a daily basis to the team ofadministration and clerical staff.

ASSET MANAGEMENT RESPONSIBILITIES (i.e. stock, equipment, buildings)

Ensure the safe use of equipment, utilising resources effectively and efficiently.

Responsible for ensuring that equipment is appropriately cleaned, stored and maintained (i.e. Coaguchek).

WORKING RELATIONSHIPS (please identify the main personnel with whom the postholder will be required to communicate with and advise internally and externally)

Sister/Charge Nurse and Nurse Specialists

Matrons Lead Nurse and Nurse Director

The Multi-disciplinary team including Doctors, pharmacists, therapists, Ancillary Staff

Patients, Relatives and Visitors

External Agencies

All disciplines of staff across the Trust

Provide advice to:

Health care professionals in Primary and secondary care

Patients and relatives

Other Clinical and Non clinical Trust departments

The job description is not meant to be finite and may be changed subject to the exigencies if the service. Similarly the postholder may be requested to undertake such other duties not mentioned in the job description which are commensurate with the grade.

Education and Qualifications

Essential

• First Level Registration with the Nursing and Midwifery Council (NMC)
• Degree in nursing studies or equivalent
• Master's degree or evidence of Master level working
• Teaching, assessment, and mentoring qualification
• Non Medical Prescribing qualification

Desirable

• APACs or willingness to undertake course
• Completion of Non-Medical Authorisation of blood products course or willing ness to undertake

Knowledge & Experience

Essential

• Experience of working at Band 6 level
• Extensive clinical experience in the care of TTP and bleeding disorder patients or associated clinical area e.g. apheresis, critical care or haematology
• Extensive teaching experience
• Awareness and understanding of current national and local strategies for this speciality
• Evidence of being able to work across organisational boundaries
• Evidence of developing practice and improving standards
• Clinical governance and risk management experience
• Proven ability to effectively manage change
• Experience of dealing with complex issues in a large organisation
• Experience of participating in clinical audit
• Good understanding of the national strategic context of the NHS
• Experience of team leadership
• Evidence of Management and Leadership development

Skills & Competence

Essential

• Excellent Communication skills with excellent interpersonal skills - ability to form positive relationships at all levels
• Excellent report writing and presentation skills
• Knowledge of the key professional issues and guidelines relating to professional practice
• Ability to work independently and as part of a team
• Experience of applying research evidence to clinical practice
• Full range of IT skills
• Strong organisational skills with ability to meet deadlines
• Ability to manage complex workload under pressure and prioritise to meet deadlines
• Thorough understanding of equality and diversity and its application to managing self, staff and patients within own area.

Personal Attributes

Essential

• Motivated to be genuinely kind and caring
• Self-motivating and able to act on own initiative

Values and Behaviours (PROUD)

Essential

• Provides outstanding service, by putting patients first, ensuring patients are cared for with courtesy, compassion, dignity and empathy
• Respectful to patients, staff colleagues and all internal and external contacts whilst valuing diversity.
• Takes ownership for own actions and areas of responsibility.
• Demonstrates unity by working in partnership with all colleagues and committing to team goals.
• Proven track record of delivery of professional, efficient and effective services.

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.

Certificate of Sponsorship

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).

UK Registration

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