About this role
Job summary
To participate in the delivery of high quality, patient focused clinical care.
To support registered healthcare professionals in the provision of a safe and caring environment
To work effectively as part of the nursing team
Assist in the induction, supervision and training of HCA's band 3 and trainee Dialysis Assistants
To uphold a duty of care and clinical governance
The post holder may be required to rotate between sites to meet service needs, including rotation between the main site and satellite units where applicable and when required to do so - this may be at short notice
Main duties of the job
Be able to safely and competently connect patients to the haemodialysis system, only after all setting and programming have been verified by a Registered Nurse Measure, monitor and record the following, escalating and reporting any abnormalities to the RGN: - Blood pressure, pulse, weight pre/post dialysis
- Temperature
- Respiratory rate
- Oxygen saturation levels
- Blood sugar
- Vascular access arterial and venous pressure
- Ongoing monitoring via the EPIC flowsheet
- Patient environment for risk of falls
- Document dialysis observations
Be able to cannulate both arterial and venous sites of mature AV fistulas with minimal or no support as directed by a registered nurse Be able to undertake routine and monthly blood sampling as requested by a registered nurse Be able to competently and safely discontinue haemodialysis when treatment has been completed Be able to safely remove and dispose of AV fistula needles Be able to dispose of all HD circuit lines following infection control guidelines Be able to decontaminate dialysis equipment following infection control guidelines and document using the HD decontamination checklist.
About us
The Trust provides a full range of local and specialist services across its five sites. Transforming Healthcare is the vision at the heart of the King's Strategy - 2026 to 2031. Together, we are pursuing six strategic ambitions: delivering high-quality patient care; being a great place to work; leading pioneering research, innovation and education; building strong and successful partnerships; providing timely and efficient care; and ensuring long-term financial sustainability. Achieving these ambitions will require all of us to work as one Team King's, united by a shared commitment to our values of being caring, collaborative, inclusive and innovative. By living these values every day, we will transform healthcare for our patients, our communities and each other
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
Work within the recognised boundaries of the remit of Advanced Dialysis Assistant. Assist the nursing staff in delivering a high standard of holistic care to patients, promoting their equality, privacy, dignity and confidentiality at all times. Assist in and perform patient assessment including HD intentional rounding (under supervision and an appropriate delegation from the registered practitioner), plan and deliver high standards of HD care. Be proficient with IT systems used in the Trust for patients records Demonstrate a variety of communication skills: provide concise handovers to the nursing team, provide and receive complex sensitive information with reference to patients, carers and members of the MDT regarding all aspects of care, which may be sensitive or contentious. Obtain, relay, record and store information relating to care episode via EPIC, whilst at all times maintaining confidentiality. Demonstrate an understanding and knowledge of accurate documentation and contribution towards recording dialysis encounters via EPIC, recognising that the qualified practitioner has personal accountability for entries to patient records. Provide and promote health education to delegated patients within the unit in which they work in line with national and local policies Ensure the appropriate HD related nutritional intake and advice is provided to delegated patients, with due consideration to dietary and cultural needs. Prepare patient for and assist with specific HD related clinical procedures appropriate to the area in which they are working, for example; insertion of temporary vascular catheter. Perform and record blood glucose, and potassium levels utilising point of care monitoring equipment as per Trust policy, report adverse results to a registered nurse. Assist with basic cardio-pulmonary resuscitation procedures. Patients delegated per shift will be at the discretion of the Nurse in Charge/Unit Manager Haemodialysis specific responsibilities:
Be able to set up all models of Haemodialysis machines according to patients dialysis prescription.
Be able to safely and competently connect patients to the haemodialysis system, only after all setting and programming have been verified by a Registered Nurse
Measure, monitor and record the following, escalating and reporting any abnormalities to the RGN:
- Blood pressure, pulse, weight pre/post dialysis
- Temperature
- Respiratory rate
- Oxygen saturation levels
- Blood sugar
- Vascular access arterial and venous pressure
- Transmembrane /Dialysate Inlet pressure
- Blood flow
- Ongoing monitoring via the EPIC flowsheet
- Patient environment for risk of falls
- Assesses the patient for risk of needle dislodgement
- Litres processed
- Treatment start/stop time
- Machine number
- Document dialysis observations
Be able to cannulate both arterial and venous sites of mature AV fistulas with minimal or no support as directed by a registered nurse Be able to undertake routine and monthly blood sampling as requested by a registered nurse Able to meet the needs or care and support at the end of life as well as provide care for the deceased person respecting cultural requirements and protocols, involving families and carers. Be able to competently and safely discontinue haemodialysis when treatment has been completed Be able to safely remove and dispose of AV fistula needles Be able to dispose of all HD circuit lines following infection control guidelines Be able to decontaminate dialysis equipment following infection control guidelines and document using the HD decontamination checklist. Ensure that the HD station equipment is decontaminated accordingly depending on the shift following infection control guidelines and complete documentation via the HD station checklist
Person Specification
interview Essential
Equivalent level 3 qualification or above Care Certificate Able to use Microsoft Word to draft letters and reports
Desirable
Experience in the haemodialysis setting Successfully completed the Advanced Kidney Assistant Course and has been assessed as competent
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).
Employer details Employer name King's College Hospital NHS Foundation Trust
Address Dartford Renal Unit
Darenthwood Road
Dartford
DA2 8DA
United Kingdom
Employer's website https://www.kch.nhs.uk/ (Opens in a new tab)