Wirral University Teaching Hospital NHS Foundation Trust
OPAT IV Access Specialist Nurse
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Clinical Nurse Specialist Role in IV Access and OPAT
The Clinical Nurse Specialist role within IV (Intravenous) Access and OPAT (Outpatient Parenteral Antimicrobial Therapy) is a specialist hybrid role supporting trust wide service delivery.
The role supports evidence-based, holistic patient-centred care, using expert skills and knowledge attained through a substantial training programme, to ensure the postholder is competent for autonomous working.
The Clinical Nurse Specialist will undertake a minimum 6-month supernumerary period across both OPAT and IV Access to ensure they become competent in achieving set clinical competencies to facilitate independent practice in both services. Following this they will be competent in the insertion of various vascular access devices (VADs) ensuring to act as a role model, and specialist resource, supporting education and training across organisational boundaries.
Responsibilities
- Support the community nursing teams to deliver IV antibiotics in the patient’s own home within the OPAT service.
- Represent the service in MDT alongside the Consultant Microbiologist, Antimicrobial Pharmacist, Acute and Primary care to ensure optimal holistic patient management.
- Work remotely and undertake community home visits to offer emergency advice, support the initiation of new referrals, and offer IV Access support to patients and community teams.
- Co-ordinate the referral and follow up care of patients discharged onto the OPAT service, including attendance at clinical reviews as required.
- Demonstrate the use of specialist knowledge and skills in the insertion, removal and troubleshooting of various VADs, including Pilot ECG & chest x-ray (CXR) interpretation, Peripherally Inserted Central Catheter (PICC) insertion/reposition under fluoroscopy, and ordering investigations.
- Ensures thorough clinical assessment of the patient requiring IV therapy or OPAT to determine appropriate device selection.
- Competent in Ultrasound guided insertion of VADs and obtaining blood samples.
- Effectively manage complications, which may occur during and post insertion of VADs.
- Effectively manage exposure to blood and bodily fluids.
- The ability to work in challenging and unpredictable environments both within a hospital setting and a patient’s own home, remaining calm and focused, navigating multiple frequent interruptions during procedures and whilst co-ordinating care via OPAT.
- Administration of IV Dalbavancin.
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Leadership and Coordination
- Lead weekly MDT in collaboration with Consultant Microbiologist and Antimicrobial Pharmacist to raise clinical concerns and maintain optimised treatment plans, ensuring antimicrobial stewardship, to facilitate any changes to treatment plans and maintain patient safety.
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About the Trust
All new colleagues can expect to receive a warm and friendly Wirral welcome from the very first time they make contact with us. We are described as “competent and caring staff” by our patients.
Wirral University Teaching Hospital NHS Foundation Trust is situated on The Wirral peninsula which has a stunning coastline and beautiful countryside surroundings, with great activities for its residents.
We are one of the largest and busiest acute Trusts in the North West of England, comprising of the Wirral’s only Emergency Department. We provide a high quality range of acute care services and employ over 6,000 staff, who serve a population of approximately 400,000 people across Wirral, Ellesmere Port, Neston, North Wales and the wider North West footprint.
We have approximately 855 beds trust-wide and our financial turnover is in excess of £337m.
The Wirral is easily accessible with excellent transport links including motorway, train, bus or ferry and within easy reach to the major cities of Liverpool, Chester and Manchester as well as neighbouring North Wales.
Contact Information
For further details / informal visits contact:
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Name: Marie Bosworth
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Job title: Lead Nurse OPAT & IV Access
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Email address: mariebosworth@nhs.net
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Telephone number: 0151 678 5111
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Donna Hamill IV Access lead Nurse 89849
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