The geographical area covered is the Southwest Peninsula, covering a population of 2.2 million, covering the areas of Dorset, Cornwall, Plymouth and North Devon and parts of Exeter referring centres. Provides specialist nursing advice and psychological support to patients, carers, and health care professionals. Acts as an expert resource, and facilitator to educate and train other health care professionals as required. Develop and manage the delivery of educational strategies and the clinical initiatives to raise and maintain the profile awareness of the living donor programme. Job responsibilities
Responsible for his/her own caseload of patients entering the live donor program while working as part of the Multidisciplinary team. To provide information and support to people coming forward as potential living kidney donors identifying their psychological, physiological, emotional, spiritual and cultural needs. To conduct initial health screening of potential donors and facilitate recruitment and triage of referrals. To provide education about the donation process including compatibility testing, investigations/screening, the surgical procedure, the legal approval and aftercare involved to enable the donor to make an informed choice. To undertake social and physical assessment of the potential donor maintaining appropriate documentation on vitaldata and in the hospital records. To request relevant investigations following the living donor pathway, coordinating and facilitating the one-stop live donor clinic to streamline the work-up process. To undertake venepuncture, cannulation, weight, blood pressure, urinalysis documenting all information on vitaldata. Liaising with the H&I lab to test samples of DNA for tissue typing between donors and recipients. Discussing any complex matching with the wider MDT. To triage referrals coming in from the different referral centres and continuing the assessment process. Allocating a local nephrologist to these potential donors and arranging for a desktop notes review. To present potential donors to the multidisciplinary team for review, presenting their medical history, relevant results and details of the assessment. To follow up on any further information required and/or referral to other specialties. Responsible for communicating highly sensitive and emotive condition-related information to patients and relatives, e.g. unsuitability to donate. Informing potential donors of the outcomes of multidisciplinary discussions. Coordinates timely referral to surgical colleagues for assessment, including facilitation of pre-operative assessments and anaesthetic reviews. Refers to the human tissue authority to ensure that appropriate legal approval is gained for living donor transplants to take place. Follows guidance set by the human tissue authority. Liaises with surgeons and theatre to ensure theatre dates are planned in a timely manner. Liaises with donors and recipients to book in these dates for the potential transplant to go ahead. Facilitates donors and recipients matched within the kidney sharing scheme. Liaising with other transplant centres to facilitate transportation of blood samples and information relating to these potential donors/recipients. Agreeing potential dates for surgery and once established coordinating the donation on the planned surgical date. Ensure that the transplant team, donor, recipient, ward and relevant consultants are fully informed of the planned transplant. Coordination on the day of theatre to include liaising with ward and theatre staff, patients and their relatives. Support the retrieval and transplant process as required through the organisation of appropriate theatre times and personnel available. Liaison with surgical team and medical staff. Completing relevant paperwork to notify NHSBT of donation and transplant and to keep them informed of any complications that arise post donation. To arrange appropriate follow up of live donors post donation in the live donor follow up clinic ensuring that donors are seen no less than annually. Assessing these donors in clinic to review any potential risk factors following on from donation, e.g. hypertension. Ensure discharge information is sent to referring centres following donor discharge to aid communication. To facilitate the national reimbursement/loss of earnings policy for all living donors who either go on to donate or who are deemed medically unsuitable to proceed. Liaise with the commissioner within NHS England where required. Increase the number of potential live donors by liaising and visiting regional centres to identify patients suitable for renal transplantation and provide education to ensure that all potential transplant recipients and families are offered the option of living donor transplantation. Person Specification
Knowledge and experience
Continuous personal, professional and academic development In-depth proven knowledge of recent NHSBT strategies, legislation and recommendations Advanced communication skills Cannulation/venepunction Qualifications
Registered Nurse with NMC Counselling course Possess a graduate degree in related area, working towards or be prepared to study at MSc level Aptitude and abilities
Able to prioritise workload, achieving a balance between clinical and other aspects of the role. Excellent leadership skills Excellent interpersonal skills Able to handle difficult/distressed patients and relatives in a sensitive empathetic manner 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.
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