Emergency Department BBV Testing Project Nurse

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Clinical Practice

·         To work with the multidisciplinary team in ED and HIV to promote the universal HIV and BBV testing across all hospital sites.

·         To maintain good working relationships with medical, nursing and administration staff within the Trust in particular Emergency Department and Acute Medical Unit.

·         To monitor failsafe mechanisms within the Trust to ensure that reactive and indeterminate HIV results are highlighted for follow up

·         To engage with patients who have positive or indeterminate HIV, Hepatitis B or C tests via ED to provide information and arrange follow up.

·         To maintain and regularly audit a database of HIV testing rates, results, actions and outcomes and ensure timely reporting with action taken in regard to discrepancies, errors or anomalies.

·         To work closely with the project board, clinical leads and the sexual health intervention and prevention team (SHIP Team), to ensure that obstacles and problems associated with the project are identified in a timely fashion and support changes to overcome these.

·         To work with SH/HIV CNS teams, both acute and community, to develop robust pathways for patients to receive HIV results in a timely manner and have immediate access to the specialist HIV teams for follow up, treatment and care.

·         To deliver a high standard of evidence-based care to a specified group of patients.

·         To be responsible for the nursing care and management of service users according to national Trust and local policies, guidelines and proformas.

·         To maintain patient confidentiality at all times.

·         To deliver positive HIV results.

·         To provide health promotion, risk management/reduction, behavioural intervention and focussed psychological support for identified patients attending Sexual Health and HIV services.

·         To be involved in the health education of patients and relatives, identifying each opportunity to promote a healthy lifestyle.

·         To liaise effectively with all members of the multi-disciplinary team (MDT) in order to ensure that patients’ needs are met and that services are delivered in accordance with National Service Frameworks and agreed Clinical Care Guidelines.

·         To ensure that relevant information regarding the patients’ needs / condition are communicated to the MDT and that any instructions are acted upon.

·         To be aware of the need to adhere to the Trust’s policy on valuing equality and diversity in the workplace, this incorporates the patients’ / visitors’ and staff perspective.

·         To have due regard for each patient’s cultural and religious beliefs and to respect each patient’s privacy, dignity, gender and sexuality.

·         To acknowledge personal limitations in patient care and seek advice from senior staff members.

·         To rotate to other departments within the speciality as required or as identified     as a personal development need in the appraisal process.

·         To be involved with nursing audit.

·         To report adverse incidents which occur in the department as per policy.  To assist in the investigation of such incidences.

·         To ensure contemporaneous record keeping at all times and in line with the Trust policy on documentation.

·         Ensure clear and accurate written and verbal information is given at all times.

·         To be able to take a sexual history, arrange appropriate tests including microscopy and diagnose and treat common STIs.

·         To be able to perform venepuncture in line with Trust policies.

·         To contribute to adult and child safeguarding processes and to ensure clinical staff are supported in managing complex cases.

·         To maintain clinical credibility by acting as a clinical practitioner within the HIV service, undertaking patient assessment, delivering results, leading partner notification, facilitating access to care, and providing specialist support, health promotion and risk-reduction advice. The post holder will be expected to manage patients' sexual health needs as appropriate or refer/signpost to relevant services where required.

·         To supply and administer medication as required via PGD’s.