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IV Access Specialist Nurse | Bolton NHS Foundation Trust
| Dyddiad hysbysebu: | 29 Gorffennaf 2024 |
|---|---|
| Cyflog: | Heb ei nodi |
| Gwybodaeth ychwanegol am y cyflog: | £35,392 - £42,618 per annum |
| Oriau: | Llawn Amser |
| Dyddiad cau: | 28 Awst 2024 |
| Lleoliad: | Bolton, BL4 0JR |
| Cwmni: | Bolton NHS Foundation Trust |
| Math o swydd: | Parhaol |
| Cyfeirnod swydd: | 6481095/241-624DS-24 |
Crynodeb
Full time 37.5 hours per week. Permanent post.
Bolton NHS Foundation Trust (BFT) are looking fora clinical nurse specialist who is a reliable, enthusiasticand motivated professional wishing tocontinue todevelop their skillsinthe insertion,careand managementof Intravenous Vascular Access Devices (VADs) as well as the specialist support of staff and trust educationwithin the BFT hospitals and community settings.
The post holder will act as a subject matter expert in relation to vascular access devices. They will insert devices such as peripherally inserted central catheters and midlines, they will offer guidance & support to facilitate care which incorporates high quality clinical practice, without supervision but accountable to and under the guidance ofthe service manager in collaboration with themulti-disciplinary teamswithin our Trustand in line with local and national guidelines.
The post holder will support the continuous development, scoping and designing of vascular access servicesthat will work across the primary and secondary care interfaces forBoltonregistered patients. The role requires autonomous practice-assessing suitability of referrals, inserting devices, reviewing patients, audit of the service anddevelopingtraining and education packages fornursesboth in the hospitals as well as within community teams. Service development isan important componentof this job to ensureoptimalbenefits forBoltonservices and our patients are realised. This wouldnecessitateworking closely with infection specialists, hospital consultants, discharge planners as well as community nursing teams. Youwill alsowork with providers to ensure anefficient and cost-effective servicethat is responsive and up to date with currentpractices.
Bolton NHS Foundation Trust is an integrated provider of acute, intermediate and community health care serving the population of Bolton. The CQC has rated us as Good with Outstanding leadership. We have good clinical performance and sound operations that are rooted in patient safety and a highly engaged workforce whose dedication to patient care creates a warm and welcoming working environment.
Clinical Practice
• Work as an autonomous clinician in a defined area to help develop and provide expert clinical advice, support and care to a defined group of patients
• Be a clinical expert in IV therapy and in the insertion and accessing of all vascular access devices
• Provide support and problem-solving advice regarding issues with vascular access devices in order to maintain the function of the devices and reduce the potential readmission of patients to hospital
• When required, deliver IV therapy treatments to patients in their own homes, intermediate care and nursing home settings
• Demonstrate clinical expertise in vascular access within acute care settings, acting as a visible cross boundary practitioner, across the acute and community footprint
• Use advanced clinical skills appropriate to role; ensuring clinical competencies are maintained
• Assess patient’s history of illness, presenting symptoms and physical findings when planning insertion of an appropriate vascular access device
• Empower patients and their families through appropriate support and education encouraging self-care to reduce avoidable hospital admissions and attendances
• Facilitate the integration of patient goals for health and social care into care plans and plan for future health needs
• Establish partnerships and networks with acute hospitals to promote the service
• Maintain accurate patient records related to all clinical care undertaken
• Work with the service manager in achieving key performance indicators to ensure cost viability of the service
• Be involved in the development of clinical protocols, procedures and guidelines (including PGD’s) within area to ensure safe and a high quality of care delivery at all times
• Regularly evaluate practice and be involved in peer review to ensure continuous improvement
• Act as an advocate for the patient negotiating and consulting with other clinicians and associated staff to ensure high quality care
• Work across professional boundaries providing expert clinical knowledge whilst developing new skills
Leadership
• Provide expert clinical knowledge within own scope of practice to colleagues and other professionals
• Contribute to professional and policy making activities that impact on the development of clinical practice
• Work with acute hospitals to develop a cross boundary and integrated line insertion service, which is available to all patients residing in Bolton localities
• Professionally challenge historical norms and influence positive change around vascular access and antimicrobial stewardship
• Develop clinical credibility at an advanced level to enable clinical debate with other professionals in the same field to promote effective change
• Report into the BFT governance group
• Train, supervise and lead by example those clinicians undertaking vascular access training
• Work with procurement to improve cost efficiency and standardise product use
• Assess clinical practice to identify and implement change to continuously improve the standards of clinical care
• Ensure the effective and efficient use of human, physical, and financial resources
• Develop strategies in vascular access trouble shooting to increase the team’s ability to avoid admission in more complex and acute patients
• Contribute to strategies of deflection of appropriate patients away from A&E and acute services
Education
• Under supervision of the BFT vascular access lead, develop education packages relevant to this clinical area
• Identify own learning needs and subsequently plan, implement and evaluate strategies to meet identified needs
• Ensure own compliance with mandatory training programmes and own ongoing professional development
• Engage in clinical supervision and self-reflection to develop own clinical standards and work practices
• With your specialist knowledge of vascular access, design, implement and manage competencies for clinicians participating in vascular access insertion/management within the Bolton Community and Acute IV teams
• Assist in the monitoring, management and reporting of competence of any staff undertaking practice related to vascular, and/or patients engaging in self-administration in developing the training programme/competency schedule for generic staff to support the delivery of IV therapy in settings in or closer to home
• Participate in pre and post registration training for staff from multi professional backgrounds
Research/ Audit
• With the help of the BFT vascular access lead, develop and use audit and research skills to examine current practice ensuring it is based on current best evidence. Ensure this is applied to development of the project
• Act as a critical thinker and able to challenge all areas of work
• Undertake clinical audit/reporting in line with pilot objectives
• Initiate research projects to improve evidence for best practice as appropriate
• Evaluate clinical practise through audit of service, developing and managing strategies to address any shortfalls
• Demonstrate knowledge of current research and advise others on the implementation of relevant research finding
• Assist in the development of research proposals with the multidisciplinary team specific to vascular access
• Implement research findings appropriate to practice
• Present at national forums/conferences in this area
• Evaluate all aspects of clinical care, identifying areas for improvement, participate in bringing about change.
Human Resources
• Participate in day to day operational management of the vascular access service
• Participate in the recruitment and selection of staff to expand the service as required
• Participate in the induction and orientation programmes for newly appointed staff including staff disciplines other than nursing.
Partnership working
• Work across professional boundaries providing expert clinical knowledge whilst developing new skills
• Develop working relationships with acute and primary care clinicians to ensure vascular access insertion and management delivery is of an exceptional quality
• Be active in the development of clinical protocols and guidelines around the different types of vascular access to ensure high quality of care at all times
• Participate in professional and policy making activities that contribute to service modernisation and the development of services
Development
• The developing and rapidly changing nature of the organisation demands considerable flexibility from the post holder and the duties and responsibilities specified in this job description are subject to change as acute services evolve. Any such changes will be made in consultation with the post holder.
• Be instrumental in further developing the continual plan to deliver a sustainable Bolton vascular access service
• Involvement of building a business case to develop the service and scope new activity
• Robust data capture and reporting to enable service growth
Performance Management
• The post holder will adhere to clear plans and objectives with key performance metrics, agreeing improvement targets and ensuring delivery through leading or taking action when performance is off trajectory.
• Use the reporting tools as required, to monitor and report progress against key targets and work streams. Provide timely concise updates of action to ensure delivery.
This advert closes on Sunday 11 Aug 2024
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