Job summary
We are seeking for an experienced and highly motivated Registered Nurse/OPD to join the Vascular Access (CNS) Team. You will have a key role in setting the standards and contribute to improving IV care for both in-patients and out-patients cross site. We are looking for individuals who are well organised, able to use their initiative and can challenge poor practice. You will support the Lead VA CNS in promoting King's values at the PRUH & South Sites. Although this post is PRUH based, you will be expected to work cross site (Denmark Hill) when required. You will be working under the direction of the Lead VA CNS. You will ensure that high standards of care are delivered in relation to vascular access within the Trust by implementing an overall strategy of evidence-based practice and education programmes. The post holder will also undertake regular audits to assess the impact of educational interventions. The successful applicant must therefore be highly motivated, show a sound clinical grounding, enthusiastic, have excellent communication skills and demonstrate the ability to support and educate others coupled with experience in people and financial management. An excellent working knowledge of infection control and vascular access device management is essential.
Main duties of the job
- Clinical practice
- Education
- Research & Audit
- Management
- Personal development
- General staff development
- Colleagues development
About us
King's College Hospital NHS Foundation Trust is one of the UK's largest and busiest teaching Trusts with a turnover of c£1 billion, 1.5 million patient contacts a year and more than 15,000 staff based across South East London. The Trust provides a full range of local and specialist services across its five sites. The trust-wide strategy of Strong Roots, Global Reach is our Vision to be BOLD, Brilliant people, Outstanding care, Leaders in Research, Innovation and Education, Diversity, Equality and Inclusion at the heart of everything we do. By being person-centred, digitally-enabled, and focused on sustainability, we aim to take Team King's to another level.
We are at a pivotal point in our history and we require individuals who are ready to join a highly professional team and make a real, lasting difference to our patients and our people.
King's is committed to delivering Sustainable Healthcare for All via our Green Plan. In line with national Greener NHS ambitions, we have set net zero carbon targets of 2040 for our NHS Carbon Footprint and 2045 for our NHS Carbon Footprint Plus. Everyone's contribution is required in order to meet the goals set out in our Green Plan and we encourage all staff to work responsibly, minimising their contributions to the Trust's carbon emissions, waste and pollution wherever possible.
Job description
Job responsibilities
JOB DESCRIPTION
POST TITLE:
Vascular Access Clinical Nurse Specialist
GRADE:
Band 7
DEPARTMENT:
Infection Prevention and Control
RESPONSIBLE TO:
Lead vascular Access CNS
ACCOUNTABLE TO:
DEPUTY CHIEF NURSE
Job Description
- To create and maintain a safe therapeutic clinical environment for all patients who receive intravascular support therapy via an IV device
- To provide clinical leadership and expertise within scope of responsibility
- With support of the Lead Vascular Access CNS, to develop and coordinate a support service that assesses and benchmark clinical practice to ensure high standards of care are given in relation to intravascular access practice in accordance with Trust policy and national best practice standards
- To provide best practice advice in clinical settings and act as expert resource for all members of the multi-disciplinary teams throughout KCH in relation to intravascular access in accordance with clinical governance
- With the support of Lead Vascular Access CNS, to provide, as part of nurse led vascular access devise placement team who will insert medium/long-term intravenous devices including but not limited to Midlines and Peripheral Inserted Central Catheters (PICC)
- To deliver educational and practice development programmes for practitioners to ensure the delivery of the highest standards of care in relation to intravascular support therapy and patient care
- To review and coordinate, or where necessary establish appropriate training is in place for all healthcare professionals involved in vascular access management
- To provide specialist support to nurses, healthcare professionals, other trust staff, patients, their families/careers in relation to vascular access management
MAIN DUTIES AND RESPONSIBILITIES
- CLINICAL PRACTICE
- In the context of the Academic Health Sciences Centre, working in partnership to standardise protocols and procedures across the Trusts
- Insert medium/ long-term intravenous devices including but not limited to midlines and PICCs.
- Develop knowledge and practice in an area of work regarding IV access, insertion and management. This will include the use of specialist equipment (e.g. ultrasound, ECG guidance) and interpretation of CXR in relation to tip location
- Maintain sound knowledge of Infection Prevention and Control, to reduce risks of IV device related bacteraemia
- Provide and supervise ongoing care and education of midlines and PICC lines
- Perform comprehensive assessment of patient nursing needs, plan, implement and evaluate care delivery according to changing health care needs in relation to IV management and access.
- To participate in the development of research based practices. To assess, plan and with clinical teams, implement, evaluate and improve standards of care within the sphere of responsibility.
- To advise clinical areas in respect of care and standardisation of intravascular equipment, having due regard for both safety and financial constraints. To ensure any deficiencies are communicated to appropriate personnel and when necessary to the Infection Control Committees.
- Establish and maintain effective communication with patients and carers/ relatives, and professional across health and social services
- In conjunction with other specialist clinical staff, undertake monitoring and evaluation of standards of care of patients.
- Perform comprehensive assessment of patient nursing needs, plan, implement and evaluate care delivery according to changing health care needs in relation to IV management and access
- Work collaboratively with other professionals and agencies to ensure patient needs are met, especially in relation to ongoing care needs and discharge arrangements
- To attend all relevant MDT meetings and actively contribute to assist in the delivery of a seamless service through Multidisciplinary Team processes and communication
- To follow up patients under supervision as appropriate and ensure all relevant information is available to enable patients to make an informed choice about their treatment.
- Contribute to the development of Vascular Access Services and aseptic non-touch technique (ANTT) including insertion under ultrasound guidance, education, competency assessment and audit
- Contribute to quality improvement around vascular access management
- Promote peoples equality, diversity and rights
- To organise own specialist workload, and prioritise workload for self and others (as required), assess performance and provide clear constructive feedback to team members
- EDUCATION
- To work with the Lead Vascular Access CNS in the determination of the need for, and provision of, appropriate intravascular training to all members of the multidisciplinary team in accordance with national guidance.
- To work with the Lead Vascular Access CNS in the development and maintenance of close links with managers and Practice Development Nurses for the staff groups being trained to ensure minimum disruption to the service concerned.
- To keep accurate records using a standard format for the staff trained in vascular access and delivery skills, and to work with the Lead Vascular Access CNS in reporting on this to the relevant managers
- To perform other administrative tasks related to vascular access training as needed.
- To teach in the clinical area as required and participate in clinical supervision
- In partnership with other members of the Vascular Access CNS and based on analysis of the relevant Saving Lives High Impact Interventions, determine educational needs to support the vascular access service
- In partnership with members of the Infection Prevention and Control team, utilise root cause analysis of bacteraemia to identify areas of poor practice and training needs with respect to vascular access
- To participate in specialist IV education and training programmes
- RESEARCH AND AUDIT
- To participate in clinical research and an audit programme of vascular access device care and management, and contribute to the development of knowledge within our field of expertise
- Identify need for, and undertake research, clinical audit, benchmarking and equipment trials, in order to improve effectiveness of patient care in relation to IV management and access
- Disseminate research and audit findings through presentation to professional groups, feedback, update and publication
- MANAGEMENT
- Provide specialist, expert clinical knowledge to clinical colleagues, patients and carer/relatives in relation to IV management and access
- To inform managers when changes in circumstances occur which affect safe and competent practice.
- To participate in review of the service to determine its value for improving patient outcomes, including consideration of continued worth of the service and its potential development.
- To participate in the induction of new members of staff of the Infection Prevention and Control Department.
- Undertake clinical supervision of nursing colleagues on an individual or group basis in relation to vascular access management and access.
- To encourage others to seek advice and solutions to problems in relation to vascular access management and access.
- To provide support to nursing and non-nursing managerial staff as required.
- To identify and manage challenging behaviours which may create a barrier to optimal vascular access management
- To ensure that resources are utilised effectively and efficiently.
- To identify any problem with resource use/availability and make recommendations for corrective action which are consistent with objectives and organisational policies.
- To exercise a cost-effective, service provision approach to patient care.
- To utilise and maintain information systems to aid audit and to provide regular actively analysis reports.
- To maintain contemporaneous and accurate treatment records, submitting relevant statistics, reports and activity data as requested
- To maintain regular staff meeting to ensure effective communication, information dissemination and proactive approach
- PERSONAL DEVELOPMENT
- To practice in accordance with the NMC Code of Professional Conduct, AODP Code of Professional Conduct and other appropriate Trust and statutory guidelines
- To take responsibility for own professional development and clinical update in conjunction with the units performance appraisal initiative
- To act as an effective role model model the way - to colleagues; lead by example by inspiring others and display leadership that motivates
- GENERAL
- The post holder has a general duty of care for their own health, safety and well-being and that of work colleagues, visitors and patients within the hospital, in addition to any specific risk management or clinical governance accountabilities associated with this post.
- To observe the rules, policies, procedures and standards of Kings College Hospital NHS Foundation Trust together with all relevant statutory and professional obligations
- To observe and maintain strict confidentiality of personal information relating to patients and staff.
- To be responsible, with management support, for their own personal development and to actively contribute to the development of colleagues.
- The job description is intended as a guide to the general scope of duties and is not intended to be definitive or restrictive. It is expected that some of the duties will change over time and this description will be subject to review in consultation with the post holder
- The post holder has an important responsibility for and contribution to infection control and must be familiar with the infection control and hygiene requirements of this role.These requirements are set out in the National Code of Practice on Infection Control and in local policies and procedures which will be made clear during your induction and subsequent refresher training. These standards must be strictly complied with at all times
Job description
Job responsibilities
JOB DESCRIPTION
POST TITLE:
Vascular Access Clinical Nurse Specialist
GRADE:
Band 7
DEPARTMENT:
Infection Prevention and Control
RESPONSIBLE TO:
Lead vascular Access CNS
ACCOUNTABLE TO:
DEPUTY CHIEF NURSE
Job Description
- To create and maintain a safe therapeutic clinical environment for all patients who receive intravascular support therapy via an IV device
- To provide clinical leadership and expertise within scope of responsibility
- With support of the Lead Vascular Access CNS, to develop and coordinate a support service that assesses and benchmark clinical practice to ensure high standards of care are given in relation to intravascular access practice in accordance with Trust policy and national best practice standards
- To provide best practice advice in clinical settings and act as expert resource for all members of the multi-disciplinary teams throughout KCH in relation to intravascular access in accordance with clinical governance
- With the support of Lead Vascular Access CNS, to provide, as part of nurse led vascular access devise placement team who will insert medium/long-term intravenous devices including but not limited to Midlines and Peripheral Inserted Central Catheters (PICC)
- To deliver educational and practice development programmes for practitioners to ensure the delivery of the highest standards of care in relation to intravascular support therapy and patient care
- To review and coordinate, or where necessary establish appropriate training is in place for all healthcare professionals involved in vascular access management
- To provide specialist support to nurses, healthcare professionals, other trust staff, patients, their families/careers in relation to vascular access management
MAIN DUTIES AND RESPONSIBILITIES
- CLINICAL PRACTICE
- In the context of the Academic Health Sciences Centre, working in partnership to standardise protocols and procedures across the Trusts
- Insert medium/ long-term intravenous devices including but not limited to midlines and PICCs.
- Develop knowledge and practice in an area of work regarding IV access, insertion and management. This will include the use of specialist equipment (e.g. ultrasound, ECG guidance) and interpretation of CXR in relation to tip location
- Maintain sound knowledge of Infection Prevention and Control, to reduce risks of IV device related bacteraemia
- Provide and supervise ongoing care and education of midlines and PICC lines
- Perform comprehensive assessment of patient nursing needs, plan, implement and evaluate care delivery according to changing health care needs in relation to IV management and access.
- To participate in the development of research based practices. To assess, plan and with clinical teams, implement, evaluate and improve standards of care within the sphere of responsibility.
- To advise clinical areas in respect of care and standardisation of intravascular equipment, having due regard for both safety and financial constraints. To ensure any deficiencies are communicated to appropriate personnel and when necessary to the Infection Control Committees.
- Establish and maintain effective communication with patients and carers/ relatives, and professional across health and social services
- In conjunction with other specialist clinical staff, undertake monitoring and evaluation of standards of care of patients.
- Perform comprehensive assessment of patient nursing needs, plan, implement and evaluate care delivery according to changing health care needs in relation to IV management and access
- Work collaboratively with other professionals and agencies to ensure patient needs are met, especially in relation to ongoing care needs and discharge arrangements
- To attend all relevant MDT meetings and actively contribute to assist in the delivery of a seamless service through Multidisciplinary Team processes and communication
- To follow up patients under supervision as appropriate and ensure all relevant information is available to enable patients to make an informed choice about their treatment.
- Contribute to the development of Vascular Access Services and aseptic non-touch technique (ANTT) including insertion under ultrasound guidance, education, competency assessment and audit
- Contribute to quality improvement around vascular access management
- Promote peoples equality, diversity and rights
- To organise own specialist workload, and prioritise workload for self and others (as required), assess performance and provide clear constructive feedback to team members
- EDUCATION
- To work with the Lead Vascular Access CNS in the determination of the need for, and provision of, appropriate intravascular training to all members of the multidisciplinary team in accordance with national guidance.
- To work with the Lead Vascular Access CNS in the development and maintenance of close links with managers and Practice Development Nurses for the staff groups being trained to ensure minimum disruption to the service concerned.
- To keep accurate records using a standard format for the staff trained in vascular access and delivery skills, and to work with the Lead Vascular Access CNS in reporting on this to the relevant managers
- To perform other administrative tasks related to vascular access training as needed.
- To teach in the clinical area as required and participate in clinical supervision
- In partnership with other members of the Vascular Access CNS and based on analysis of the relevant Saving Lives High Impact Interventions, determine educational needs to support the vascular access service
- In partnership with members of the Infection Prevention and Control team, utilise root cause analysis of bacteraemia to identify areas of poor practice and training needs with respect to vascular access
- To participate in specialist IV education and training programmes
- RESEARCH AND AUDIT
- To participate in clinical research and an audit programme of vascular access device care and management, and contribute to the development of knowledge within our field of expertise
- Identify need for, and undertake research, clinical audit, benchmarking and equipment trials, in order to improve effectiveness of patient care in relation to IV management and access
- Disseminate research and audit findings through presentation to professional groups, feedback, update and publication
- MANAGEMENT
- Provide specialist, expert clinical knowledge to clinical colleagues, patients and carer/relatives in relation to IV management and access
- To inform managers when changes in circumstances occur which affect safe and competent practice.
- To participate in review of the service to determine its value for improving patient outcomes, including consideration of continued worth of the service and its potential development.
- To participate in the induction of new members of staff of the Infection Prevention and Control Department.
- Undertake clinical supervision of nursing colleagues on an individual or group basis in relation to vascular access management and access.
- To encourage others to seek advice and solutions to problems in relation to vascular access management and access.
- To provide support to nursing and non-nursing managerial staff as required.
- To identify and manage challenging behaviours which may create a barrier to optimal vascular access management
- To ensure that resources are utilised effectively and efficiently.
- To identify any problem with resource use/availability and make recommendations for corrective action which are consistent with objectives and organisational policies.
- To exercise a cost-effective, service provision approach to patient care.
- To utilise and maintain information systems to aid audit and to provide regular actively analysis reports.
- To maintain contemporaneous and accurate treatment records, submitting relevant statistics, reports and activity data as requested
- To maintain regular staff meeting to ensure effective communication, information dissemination and proactive approach
- PERSONAL DEVELOPMENT
- To practice in accordance with the NMC Code of Professional Conduct, AODP Code of Professional Conduct and other appropriate Trust and statutory guidelines
- To take responsibility for own professional development and clinical update in conjunction with the units performance appraisal initiative
- To act as an effective role model model the way - to colleagues; lead by example by inspiring others and display leadership that motivates
- GENERAL
- The post holder has a general duty of care for their own health, safety and well-being and that of work colleagues, visitors and patients within the hospital, in addition to any specific risk management or clinical governance accountabilities associated with this post.
- To observe the rules, policies, procedures and standards of Kings College Hospital NHS Foundation Trust together with all relevant statutory and professional obligations
- To observe and maintain strict confidentiality of personal information relating to patients and staff.
- To be responsible, with management support, for their own personal development and to actively contribute to the development of colleagues.
- The job description is intended as a guide to the general scope of duties and is not intended to be definitive or restrictive. It is expected that some of the duties will change over time and this description will be subject to review in consultation with the post holder
- The post holder has an important responsibility for and contribution to infection control and must be familiar with the infection control and hygiene requirements of this role.These requirements are set out in the National Code of Practice on Infection Control and in local policies and procedures which will be made clear during your induction and subsequent refresher training. These standards must be strictly complied with at all times
Person Specification
Qualifications
Essential
- RGN Level 1 /Registered ODP
- Teaching or assessing qualification
- Educated to degree level
- Experience
Desirable
- knowledge
- skill
- Research
- Personal
Person Specification
Qualifications
Essential
- RGN Level 1 /Registered ODP
- Teaching or assessing qualification
- Educated to degree level
- Experience
Desirable
- knowledge
- skill
- Research
- Personal
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.
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).
Additional information
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.
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).
