Anticoagulant Clinical Nurse Specialist


Company:	NHS Jobs
Salary:	£39,959 to £48,117 a year
Hours:	Full-time
Location:	Swindon, SN3 6BB
Job type:	Permanent
Posting date:	11 Sept 2026
Closing date:	24 Sept 2026

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Summary

To provide a practitioner-led Anticoagulation Service working within the Integrated Care and Community Directorate team working autonomously making independent clinical decisions (a Training program to reflect the achievements required will be commenced with the expectation that all competencies are signed off within 6 months) To collate and store information and statistics for all anticoagulated patients To maintain accurate records in line with Trust policy and NMC records and record keeping guidelines To work within and promote Trust protocols for Anticoagulation To run daily weekday outpatient anticoagulant clinics utilising point of care testing device Counselling and education of new anticoagulant patients To provide a telephone advisory service to answer patients, medical staff and primary healthcare providers enquiries regarding anticoagulation To assist in the running of daily weekday outpatient postal clinics accurately adjusting warfarin doses according to protocol with the support of the specialised computer database (this requires working independently and also requires a high level of IT competency) To assist in the treatment of over-anticoagulated patients in line with established protocols To work to relevant PGDs relating to anticoagulation until NMP course achieved Together with team members ensure accurate maintenance of the Anticoagulation computer database To dose adjust oral anticoagulation for inpatients within SwICC To liaise with medical and nursing teams regarding anticoagulant related clinical problems with inpatients To support and facilitate early discharge of anticoagulant inpatients to maximize patient flow Together with team members run the Outpatient DVT clinic facilitating outpatient management, teaching patients/carers to administer low molecular weight heparin injections if appropriate In collaboration with the Obstetric Department initiate and monitor anticoagulation for obstetric patients under the direction of the Consultants Haematologists and Obstetricians according to protocol To actively participate in the arrangements pre-operative surgical patients receiving anticoagulation within established protocols providing advice to Day Surgery and other areas undertaking surgical procedures To comply with and support the Trust complaints procedures To assist in research and clinical trials as approved by the Trust To communicate urgent results and give appropriate advice to patients and GPs according to protocol To work in a professional manner with external agencies to promote good working relationships To work within a multidisciplinary team and have an understanding of the role of each member within the team

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