About this role
Job summary
Nottingham therapeutic apheresis service is a rapidly growing service based within clinical haematology at Nottingham city hospital. The apheresis service provides a range of procedures including stem cell harvesting for both patients and donors, T-Cell collection, plasma exchange, red blood cell exchange and therapeutic photopheresis. The apheresis service provides treatment for patients who are referred from Derbyshire, Lincolnshire, Leicestershire, Northamptonshire and Staffordshire. We are also closely linked with our Haematology Daycase unit where we deliver different treatments such as chemotherapy, immunotherapy and blood products transfusions to name a few.
Main duties of the job
As the apheresis unit deputy manager you will work closely with the apheresis unit manager to:
Complete managerial duties such as return to work discussions, sickness monitoring and rota completion.
Support the implementation of both clinical and non-clinical governance through audits and change management projects.
Ensure high quality, evidence-based care is offered to patients and, in collaboration with the ward manager identify the common issues which affect the quality of care, devising clear action plans to address any shortcomings ensuring agreed action is undertaken.
Improve and maintain standards of essential (basic) nursing care by using tools such as clinical audits.
You will provide all aspects of clinical care for patients and stem cell donors. This involves working as part of a highly skilled specialist team, acting as a source of clinical expertise.
You will be trained to perform a wide range of apheresis procedures including stem cell collections, red cell exchanges, plasma exchanges and extracorporeal photopheresis.
Participation in our 24 hour on call service in addition to your contracted hours is required. The post holder will be based at City Campus, NUH. Core working hours are Monday to Friday 08:00 - 18:00, on call hours are from 18:00 - 08:00 weekday nights and 24hours on weekends.
About us
With over 19,000 staff, we are one of the biggest employers in the city with a central role in supporting the health and wellbeing of our local population. We play a leading role in research, education and innovation.
Come and join our wonderful team at NUH. We are big believers in diversity and welcome new ideas to help develop our team in order to deliver world class healthcare to the vast patient populations we serve. With endless personal development opportunities available, at NUH we will endeavour to turn your job into a career!
We particularly welcome applications from people who identify as Black, Asian and Minority Ethnic, or Disabled, as we are striving to be better represented at NUH.
Job description Job responsibilities
Key job responsibilities
Clinical
Taking responsibility for the care of a caseload of patients requiring specialist Apheresis procedures under the guidance of the Apheresis Lead Nurse.
To be a highly competent, knowledgeable and visible practitioner within the speciality ensuring the provision of excellent, evidence-based nursing care for patients and their families.
Take direct referrals, in accordance with apheresis service guidelines as appropriate and assess, treat and refer patients to other members of the clinical team as required.
To work alongside all members of the team to identify new ways of working that ensure high quality of care is delivered.
Be a visible point of contact for patients, visitors, relatives and staff, acting as a resource for information and provide information and support.
Ensure pre-collection patient/donor evaluation is complete for autologous and allogeneic stem cell collections.
Develop skill in care of the central venous catheter, venepuncture, cannulation, intravenous drugs, chemotherapy and venesection, apheresis and blood product administration in accordance with the hospitals guidelines for clinical practice
In conjunction with the MDT, ensure that patient care plans are regularly reviewed and evaluated. Ensure nursing records and documentation is maintained and current. Be a key member of the MDT in supporting patients and their carers during the delivery of bad news, caring for terminally ill patients and the event of death.
Managerial
Take charge and lead the apheresis unit in the absence of the Apheresis Lead Clinical Nurse Specialist.
Take an active role in influencing service development through specific research and audit projects.
Be responsible for supporting the Apheresis lead Nurse to help maintain both the JACIE and Human Tissue Authority accreditation for the Apheresis department as required to practice as a transplant centre.
In collaboration with the transplant programme director and senior nurses, the post holder will ensure compliance with pre-established specifications/standards (JACIE/HTA) that underpin the quality of the transplant service with a specific focus on our apheresis service.
Work with the Haematology Quality Manager to maintain and update Standard Operational Procedures (SOPS) for all aspects of apheresis.
Assist with the establishment, motivation and development of the team.
Contribute to the creation of a positive team and working environment, promoting flexible working. Encourage all team members to demonstrate initiative in their application to practice. Identify and minimize interpersonal conflicts that may affect team or individual performance.
Manage sickness and absence in collaboration with the unit manager.
Maintain and support the unit with accurate incident reporting, ensuring the appropriate action is taken where required.
Investigate and resolve incident reports with appropriate action plans put in place.
Apply the Directorate and Trust clinical governance strategies to clinical area.
To support the Apheresis lead Nurse with an annual audit plan to help develop and implement new processes within the apheresis.
Plan the apheresis rota including on call rota in conjunction with the apheresis unit manager.
Improve and maintain standards in nursing care by working with the unit manager using tools such as benchmarking and audit.
On call service
You will be responsible for working autonomously and accountable for the prescribing of emergency nursing care whilst working out of hours/on-call. This will be for emergency apheresis procedures including plasma exchange, red blood exchange and out of hours stem cell harvesting.
Audit and research
As a member of the quality management team, review current standards of care delivery through audit projects, undertaking audit and research projects where required and encourage team members to be involved. Encourage and facilitate evidence-based practice in all aspects of care delivery
Professional
Take an active role in self-development, by reviewing performance, identifying own development needs and taking the appropriate action in order to meet those needs and help to take the lead on the development of apheresis team objectives
Create a positive learning environment within clinical settings, to encourage and facilitate individual and shared learning and professional development.
Ensure you attend any relevant training or Apheresis study days.
Support the apheresis manager by implementing change in response to clinical, organisational and national demands, in agreement with appropriate others in the unit
Working Conditions
The post holder must be able to:
Work within unpleasant clinical working conditions (for example exposure to body fluids)
Concentrate in an intense and sometimes noisy environment
Cope with potentially violent and threatening situations
Fulfil Trust health and safety policies and procedures when performing risk associated procedures including dealing with hazardous substances
Physically be able to push an apheresis machine around the hospital when lone working on call
Person Specification
Commitment to Trust Values and Behaviours Essential
Must be able to demonstrate behaviours consistent with the Trust's "We are here for you" behavioural standards
Training & Qualifications Essential
Current level one NMC registration Degree / equivalent diploma Intravenous medication package Blood transfusion trained Venepuncture and cannulation skills Evidence of continuing professional development
Desirable
Trained in apheresis procedures Teaching and assessing qualification SSSA mentorship course Research experience Leadership training
Experience Essential
Significant post registration experience Experience in a haematology setting Ability to convey sensitive information in an empathetic manner to patients / carers and staff. Supervision of non-registered staff and students Demonstrate an involvement in link nurse or project work Experience using ICT systems Can demonstrate professional autonomy and effective decision making skills Ability to manage clinical area/ward efficiently and effectively Undestanding of clinical governance Management / leadership experience
Desirable
Apheresis experience Experience of service development / service improvement Teaching and assessing experience Audit or research experience Experience of developing policies and procedures Evidence of data collection and analysis
Communication and Relationship Skills Essential
Demonstrate effective written and verbal communication skills Produce timely and accurate written / electronic documents Can minimise interpersonal conflict and barriers to communication Demonstration of team working and ability to work within a team Evidence of negotiation and influencing skills
Desirable
Experience of giving presentations / providing formal teaching sessions
Analytical and Judgement Skills Essential
Recognition of own level of competence and limitations and is able to communicate these to appropriate staff Ability to identify own learning needs Demonstrate an ability to assess, plan, deliver, prioritise and evaluate patient care Able to respond to problem situations and ensure that effective interventions are put in place Take a leading role in the successful implementation and management of a nursing change process
Desirable
Evidence of making autonomous decisions around patients care in high pressure situations. Able to recognise gaps in service provision Demonstrate a knowledge of current issues related to the NHS and specialty Able to critically analyse and evaluate research findings and apply these to clinical practice
Planning and Organisation Skills Essential
Demonstrate an ability to prioritise own workload Demonstrate an ability to supervise and support others Demonstrate the ability to manage emergency situations and respond appropriately Able to contribute to the development, implementation and monitoring of local objectives and action plans Demonstrate leadership skills and ability to effectively lead a team
Desirable
Demonstrate effective resource management Demonstrate effective time management skills
Physical Skills Essential
Physically able to perform the full range of nursing duties Dexterity and accuracy in undertaking clinical skills Competent and capable of using medical equipment Able to undertake manual handling manoeuvres Ability to work within a variety of different settings o Physically able to push an apheresis machine around the hospital.
Other requirements Essential
Flexible and adaptable Enthusiastic and well-motivated Ability to work on call during evenings and weekends
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).
UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).
Employer details Employer name Nottingham University Hospitals NHS Trusts
Address Nottingham City hospital NUH
Hucknall Road
Nottingham
NG5 1PB
United Kingdom
Employer's website https://www.nuh.nhs.uk/ (Opens in a new tab)