Job responsibilities
MAIN DUTIES AND RESPONSIBILITIES
Promote and monitor the appropriate and safe use of anticoagulant therapies within the service under the direction of the Contract Lead
- Works under direction of the Anticoagulant Protocol
- Perform near patient testing of all anticoagulant patients in a clinic or domiciliary setting
- Maintain anticoagulant kit and equipment, ensuring adequate supplies to carry out the clinic and domiciliary visits
- Participation in NEQAS quality assurance scheme and other routine equipment validation
- Work as part of the anticoagulant team and wider team of health care professionals, ensuring they have timely access to data from your interventions with patients to facilitate safe and effective care
- Maintain appropriate clinical and nonclinical records, in line with best practice
- Follow national and local guidance regarding anticoagulation management
- To take part in the Clinical Audit to ensure consistently high standards of anticoagulation monitoring care are maintained
- Recognise signs of bruising or bleeding or symptoms of clot (including stroke) and be able to escalate patient need in a timely fashion to the relevant clinician
- Report all adverse events and significant events in accordance with agreed procedures and participate in improvement activities to reduce reoccurrence
- General housekeeping including management of deliveries and supplies to support contracts. Some manual handling may be required, in line with our Moving and Handling policy. Mandatory training on Manual Handling is required
Communication
Communicate effectively with patients and carers, recognising their needs for alternative methods of communication
- Undertake effective communication with patients in specific clinical situations
- Communicate effectively with the others in the AMS team and more generally with primary health care teams
- Build good relationships with practices, and health care professionals (e.g. GPs, pharmacists, other prescribers, district nurses etc.) to facilitate patient care.
- With the support from the clinical team reinforce the counselling points for patients throughout their care, providing advice and written support where appropriate
Planning and Organisation
Plan and prioritise daily and weekly workload, raising concerns as needed to the Anticoagulant Contract Lead
Personal and people development
Take responsibility for own developmental learning and performance, including participating in supervision
- Take responsibility for maintaining a record of own personal development
- Work with the AMS service to access appropriate training based on identified need
- To recognise and understand the roles and responsibilities of individuals working in the AMS team and wider primary health care team
- Be aware of the legal issues pertinent to the role of a Health Care Assistant (Level 1)
Responsibility for Financial Resources
None at this level
Corporate Responsibilities
Responsible for care of work equipment e.g. anticoagulant monitoring equipment, company IT equipment, mobile phone and security of all clinical systems used
Clinical Governance and Safety
Be aware of and comply with employment legislation and codes of good practice.
- Be aware of, and comply with, all company and practice infection prevention and control policies, to include hand hygiene, personal hygiene, environmental and food hygiene.
- Report any significant events within the time frame set out in the company policy.
- Follow current BCSH, NICE, NPSA guidance and local guidance regarding anticoagulant issues and alerts.
Training and Development
Responsible to fulfil mandatory training any in house AMS update sessions
- Complete a monitoring of oral anticoagulation course aimed at HCA level
- Complete in-house annual training review including peer review and ongoing competency review
- Health and Safety
The post holder is required to take reasonable care for the health and safety of themselves and other persons who may be affected by their acts or omissions at work. The post holder is also required to co-operate with their employing body to ensure that statutory and departmental regulations are adhered to
- All Health & Safety issues to be flagged to senior staff and the post-holder must comply with the IntraHealth Health & Safety Policy as well as any additional policy requirements within the clinical contract.
Identify the risks involved in work activities and undertake them in a way that manages the risks including but not exclusively the following:
Use and encourage others to adopt appropriate infection control procedures and maintain work areas in each clinical room so that they are clean, safe and free from hazards reporting of any potential risks identified, including:
1. hand washing
2. universal hygiene procedures
3. collection and handling of laboratory specimens
4. segregation and disposal of waste materials
5. decontamination of instruments and clinical equipment
6. reporting and treatment of sharps injuries
7. dealing with blood and body fluid spillages
8. Assist patients and colleagues in adhering to infection control policies
Understand and apply the principles of the cold chain
Ensure safe storage, rotation and disposal of Quality control and quality assurance products
Know the general principles of first aid and resuscitation to be able to undertake initial actions as appropriate
Know the health and safety policies and procedures within the workplace, including fire procedures, maintaining documentation, monitoring and maintaining of equipment and furniture within your area of responsibility
Use the computer monitor safely
Be able to identify the risks to health of microbiological and chemical hazards within the working environment according to the Control of Substances Hazardous to Health
- Use and encourage others to be familiar with the personal security systems within the workplace according to practice guidelines
Service Improvement
- Be aware of and, if appropriate, assist in current patient questionnaires or clinical audit
- Contribute to the preparation of local guidelines, protocols and standards
- Work with colleagues in the team on the development of current and new services and other initiatives
- Deal with requests from patients and clinical staff for anticoagulation information leaflets
Quality
- Be aware of and, if appropriate, assist in current clinical audit
- Contribute to the preparation of local guidelines, protocols and standards
- Work with colleagues in the team on the development of current and new services and other initiatives
- Deal with requests from patients and clinical staff for health information leaflets
Clinical skills, health and well being
- Undertake, record, and follow guidelines for the tasks for which you have received appropriate training, which will predominately be INR monitoring
- Dependant upon service developments and suitable training, undertake and record other similar healthcare tasks such as
- Blood glucose monitoring
- Height and Weight
- Influenza, Pneumococcal and COVID-19 vaccinations
- Venepuncture
Prepare and maintain environments and equipment before, during and after patient care interventions
Give accurate and appropriate information to patients and groups within own competence
Where appropriate, provide support and encouragement to medication compliance, especially anticoagulants
Have a basic understanding of the common conditions requiring anticoagulation
Information process
Record information and activities undertaken with patients and carers in an accurate and timely fashion using manual or computer systems as appropriate
- Inputs accurate data about patients to ensure accurate retrieval of information for monitoring and auditing processes
- Maintain confidentiality or information relating to patients, relatives, staff, AMS service and practices
- Take the necessary precautions when transmitting information
Equality and diversity
Identify patterns of discrimination and take action to overcome this and promote diversity and equality of opportunity
Enable others to promote equality and diversity in a non-discriminatory culture
Support people who need assistance exercising their rights
Act as a role model in the observance of equality and diversity good practice
Accept the rights of individuals to choose their care providers, participate in care and refuses care
Assist patients from marginalised groups to access quality care