Nurse Specialist (Xr06)

2. JOB PURPOSE/SUMMARY The Jobholder is responsible for the management of a defined caseload. The jobholder carries continuing responsibility for the assessment of care needs, the development, implementation and evaluation of programmes of care and the setting of standards of care. The jobholder will provide specialist nursing care and advice to a specific patient group and will contribute to the development of the speciality service.
The jobholder will ensure cost effective use of resources. The post holder will work within the Anti-Coagulation nursing team and alongside the wider anticoagulation MDT. They will be responsible for a defined caseload of patients diagnosed with coagulation disorders. The ACS team are based at St James Hospital but also provide clinics at peripheral hospital sites; host community-based clinics and provide a home visit service.
3. ORGANISATIONAL CHART 4. PRINCIPAL DUTIES & AREAS OF RESPONSIBILITY Acts in accordance with the Nursing and Midwifery Code of Conduct Clinical Clinical care delivery - Provide a clinical lead and role model to nursing staff by delivering high quality care. - Undertakes clinical procedures where dexterity and accuracy are required.

• Maintain a safe working environment Responsibilities for patient and client care - Assesses, plans, implements and evaluates care and treatments using specialist clinical knowledge and skills. - Organises own clinical workload. - Receives supervision of clinical care and outcomes from Matron. Freedom to act - Refer patients as appropriate to other members of the multi-disciplinary team - Make clinical assessments and treatment decisions within clearly defined policies and protocols Communication - Maintains accurate clinical and other records using the Leeds Teaching Hospitals Trusts documentation.
• Support patients and their families communicating sensitive condition related information and ensuring they receive required information to enable them to participate in their care delivery - Liaise with Community Services (as appropriate) to ensure seamless provision of care delivery Education and Training - Provide training and education of learners and other junior staff - Actively participate in the development of own personal development plan and performance review - Provide education and training to patients and their carers. - Keep up to date with developments, advances within the specialty Leadership and management - Investigate and respond to accidents, complaints, untoward incidents and other significant events - Work with Matron to promote the development of nurses undertaking the CNO Ten Key Roles as considered appropriate - Under the direction of Matron participates in or leads the development of specific elements of nursing practice, reflecting the CMT and Nursing Directorate business plans - Participates in the setting, monitoring and improvement of standards and the quality of patient care, including those standards defined in the National Benchmarks for Essential Care - Promote evidence based practice, wherever possible - Engages users and carers views on service delivery and development - Implement policy and practice guidelines specific to the clinical specialty, proposing changes where appropriate - Contribute to policy and protocol development for speciality area - Exercises a personal duty of care in relation to equipment, resource and stock control utilising equipment and supplies appropriately. Research and Audit - Contribute to the research agenda - Undertake audit programmes specific to client group, treatments and developments. - Participate in clinical trials as appropriate.