Hywel Dda University Health Board
Anticoagulation Specialist Nurse

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Job Overview
An exciting opportunity has arisen for an enthusiastic and dynamic individual to apply for the role of Anticoagulation Specialist Nurse across Carmarthenshire and based at Glangwili General Hospital.
As a member of the team you will work with the Anticoagulation CNS team, Consultants and the Multidisciplinary Team. Excellent communication and time management skills are essential to work collaboratively with patients, the public and professional staff across the spectrum of health and social care, to deliver and continue to develop a high standard of care for patients receiving anticoagulant therapy aiming to promote health and prevent disease.
The Anticoagulation CNS role is:
- To promote a high standard of patient care in all aspects of anticoagulation nursing.
- To accept new referrals for anticoagulation, conduct assessment interviews and provide on-going education of patients.
- To run anticoagulation monitoring clinics and supervise the practice of support workers.
- To interpret results and determine anticoagulation dosing using computer assisted decision-making software.
- To assess and initiate treatment for patients referred from their GP and A&E on an ambulatory DVT Pathway.
- To provide anticoagulation / thromboprophylaxis teaching on medical induction & nursing preceptorship days.
- To take the lead on anticoagulation audit, and to assist with the audit of thromboprophylaxis.
Main duties of the job
- Manage the delivery of nurse led anticoagulant services in the Health Board with clinical support of the Consultant Haematologists.
- Accept direct referrals from primary and secondary health care professionals for patients needing anticoagulation therapy, avoiding the need for hospital admission and promoting early discharge.
- Deliver nurse-led care following agreed protocols for the initiation and maintenance of anticoagulation therapy for outpatients with atrial fibrillation. Through nurse-led clinics, utilize expert knowledge and clinical skills.
- Analyze, interpret, act on and communicate results sensitively to the patient and referral source.
- Analyze, co-ordinate, organize and monitor the treatment of patients receiving anticoagulation therapy, following agreed protocols, including dose adjustments according to blood test results and managing emergency treatment for patients at risk of thrombosis/bleeding due to under/over anticoagulation.
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Working for our organisation
Hywel Dda University Health Board plans and provides NHS healthcare services for people living in Carmarthenshire, Ceredigion, Pembrokeshire, and bordering counties.
We have over 13,000 staff and together we provide primary, community, in-hospital, mental health and learning disabilities services.
We work in partnership with the three local authorities, as well as public, private and third sector colleagues, including our valued team of volunteers.
Our services are provided in:
- Four main hospitals: Bronglais Hospital in Aberystwyth; Glangwili Hospital in Carmarthen; Prince Philip Hospital in Llanelli; and Withybush Hospital in Haverfordwest
- Five community hospitals: Amman Valley and Llandovery hospitals in Carmarthenshire; Tregaron Hospital in Ceredigion; and Tenby and South Pembrokeshire hospitals in Pembrokeshire
- Two integrated care centres: Aberaeron and Cardigan in Ceredigion, and several other community settings
- 47 general practices (six of which are health board managed practices); dental practices (including four orthodontic); 97 community pharmacies; 43 general ophthalmic practices; and 8 ophthalmic domiciliary providers
- Numerous mental health and learning disabilities services
Hywel Dda University Health Board operates a bilingual policy. All applicants are invited to apply in Welsh, any application submitted in Welsh will not be treated less favourably than an application made in English.
IMPORTANT NOTE FOR APPLICANTS: Applications for our roles are carefully reviewed and shortlisted based on specific criteria, which varies from job to job. Using a generic application to apply for multiple roles or relying on automated AI application services, such as Lazy Apply or AI Apply, may not provide the necessary information, leading to your application being overlooked. To ensure your application is given full consideration, we recommend submitting a tailored application that directly addresses the criteria listed in the Person Specification section of the advert.


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By submitting your application to NHS Jobs/Trac, you are giving your consent for elements of your application data to be transferred to the NHS Electronic Staff Record (ESR) and other secure, internal NHS Workforce systems in order to support and manage your recruitment and employment within your employing organisation; to be used by Recruitment for purposes of checking your Professional Registration online (where applicable).
These processes are in line with Fair and Lawful processing in line with current Data Protection Legislation especially those in relation to your personal or sensitive personal data (sensitive personal data is defined as any declared physical or mental health conditions, racial or ethnic origin, sexual orientation, trade union membership, political opinion, religious beliefs). As an organisation, we ensure that the legislation defining confidentiality is observed such as use of data for specific, defined purposes, and use of data that is relevant and not excessive whilst practicing data accuracy and security of all held personal identifiable information (PII)
If you are successfully appointed, by completing the application form you authorise the UHB to obtain any previous NHS service details including all electronically held sickness information, via the Inter Authority Transfer process on the national Electronic Staff Record (ESR).
To work in the UK, all candidates who are not UK or Republic of Ireland (RoI) nationals require sponsorship to obtain either a Health and Care visa or Skilled Worker visa, unless you have permission to work via another route. Non UK / RoI candidates wishing to apply should self-assess the likelihood of obtaining a Certificate of Sponsorship by visiting Work in the UK . If you are eligible for the Health and Care visa, application costs are lower and you do not need to pay the annual Immigration Health Surcharge.
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