Job Summary
The post holder will be expected to liaise with medical, nursing, imaging and pharmacy staff to ensure all clinical measures are delivered ensuring appropriate care making use of a number of pathways and care bundles.

The post holder will support the increase in awareness and understanding across the Trust by sharing their specialist knowledge during day to day interaction with individuals and teams across the Trust as well as providing dedicated education sessions regarding AKI and fluid management.

Applicants are desired to have an existing knowledge of acute kidney injury and chronic kidney disease management.

We are looking for an enthusiastic, innovative candidate who would have the energy and drive to deliver a 1st class service.

The AKI Team provide a 7 day service from 8am - 8pm Monday to Friday, and 9-5pm during the weekend.

Main duties of the job
KEY DUTIES
To work autonomously, managing a caseload of patients within the specialty whilst working as part of the multidisciplinary team, delivering individualised and personalised direct patient care.

Ensure key measures (AQ) are implemented for all patients with AKI that intend to improve patient outcomes such as length of stay, mortality and re-admissions. They are:

• Urine dipstick test carried out within 24 hours of first AKI alert
• Pharmacist Review of Medication
• Cessation of any medication that lowers blood pressure (ACE inhibitors and ARBs)
• Blood test (Serum Creatinine) to check kidney function within 24 hours of first AKI alert
• Ultrasound Scan within 24 hours of first AKI alert
• Discussion by specialists (Renal or Critical Care) within 12 hours of first AKI 3 alert
• Self-management information/patient information leaflet given to patient

Be responsible for ensuring medical staff complete the following (CQUIN) information in discharge summaries for patients with all levels of AKI:

• Stage of AKI (1,2,3)
• Evidence of Medicines Review
• Type of Blood Tests required on discharge for monitoring
• Frequency of blood tests required on discharge for monitoring

About us
Mersey and West Lancashire Teaching Hospitals NHS Trust serves a population of over 600,000 with a workforce of over 10,500 dedicated and skilled staff across 21 sites.

Our services:
Acute Care
Providing emergency and maternity services at Whiston, Southport and Ormskirk hospitals, and medical and surgical specialties across all our sites.

Primary Care
Providing primary care services at Marshalls Cross Medical Centre situated in St Helens Hospital.

Community Services
Providing adult community services for St Helens and a wheelchair service in Chorley, South Ribble, and West Lancashire. Our inpatient unit at Newton Community Hospital is where patients needing acute hospital beds can continue rehabilitation. We also provide urgent care at our Urgent Treatment Centre located in St Helens town centre.

Specialist Regional Services
We provide the Mersey Regional Burns & Plastic Surgery Unit at Whiston Hospital and the Spinal Injuries Unit at Southport Hospital to more than 4 million people across the whole of Merseyside, West Lancashire, Cheshire, Isle of Man and North Wales.

Achievements:

• Rated Outstanding by CQC Inspection August 2018
• Top 100 places to work in the NHS (NHS Employers & Health Service Journal)
• National Preceptorship Accreditation (2023) for Nursing & AHP Preceptorship Programme.

You will be expected to undertake the Trusts' commitment to safeguarding and promoting the welfare of children, young people and vulnerable adults.

Person Specification
Qualifications
Essential

• Registered Nurse with current NMC Registration
• Evidence of continued professional development

Desirable

• Speciality Related Course / ENB
• Degree/Masters Level Qualification, or willing to work towards

Knowledge and Experience
Essential

• Substantial years post registration experience
• Experience working with speciality specific patients
• Knowledge and understanding of the National agenda for the speciality, knowledge of quality standards, NICE Guidance, NHFD, CQC, NHSLA and Best practice
• Knowledge of current clinical and nursing research
• Knowledge of current clinical and professional issues

Desirable

• Nephrology or Critical Care experience
• Clinical and Nursing Research experience
• Root Cause Analysis experience
• Experience in developing clinical pathways or protocols

Skills
Essential

• Teaching skills
• Excellent communication skills
• Excellent time management and organisational skills
• Good IT skills
• Presentation skills
• Ability to work autonomously and as part of a Multi-Disciplinary Team

Other
Essential

• Flexible approach to working pattern

Desirable

• Car owner/supported driver

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).