Clinical Assessor

As a Registered Health Care Professional working in the System Vaccination and Health Improvement Team, the post holder will work as part of a dynamic team in delivering a safe and effective service. The post holder will undertake activities such as clinical assessment, dilution and drawing up of different types of vaccine along with wider disease prevention and health promotion activities in a variety of settings.

**Undertake multiple roles such as**: clinical assessment, dilution and drawing up of the vaccine from multi-dose vials and additional clinical support.
Enable the delivery of vaccinations to all eligible patients by assisting with the overall coordination of the site activity and day to day delivery of the vaccination programme.
Ensure clinic rooms and equipment are available at the start of each session.
Plan, implement, evaluate and review all disease prevention and health promotion activity, recording all interventions and escalate any issues to the clinical supervisor/ clinical lead.

Lincolnshire Community Health Services NHS Trust is in the top 25 per cent of all community trusts for overall staff engagement in the 2021 NHS National Staff Survey.

LCHS recognises the increasing demand for more flexibility in working practices in order to accommodate the personal goals and commitments that employees experience at different stages during their working lives. Flexible working opportunities such as part-time working, compressed hours, job shares, and hybrid working models can help staff to balance their personal and work commitments. Arrangements can be put in place if it can be shown that the needs of the individual can be balanced with those of the service and the impact on other team members, enabling the Trust to recruit and retain skilled staff, raise staff morale, reduce absenteeism and respond to changing service needs more effectively.
- Conduct pre-vaccination clinical assessments to confirm if the patient meets the criteria for safe vaccination, including previous vaccinations undertaken, current health condition, assessment of any clinical conditions (medical history) and allergies.
- Complete the clinical triage questionnaire based on the above, digitally or on paper.
- Ensure knowledge of conditions that affect suitability for vaccination and previous vaccination history.
- Address any potential adverse reaction risks and provide the patient with information and advice on any adverse reactions and contra indications.
- Address any concerns that may arise regarding the vaccine and contra-indications with patients.
- Ensure the patient’s understanding of the vaccination implications and get consent agreement on vaccination.
- Record the medical checklist and consent in the records system.
- Where available, direct any patients with accessibility needs to an accessible pod.

**Medicines Management**:

- Ensure vaccine preparation (drawing-up, ensuring correct storage and providing pre-prepared syringes to the vaccination station) as per the standard operating procedure (SOP).
- Ensure the reconstruction of the vaccine as per manufacturer’s instructions.
- Perform a visual check of the vaccine type, serial number and thawing/expiry date.
**o Assist with the configuration of the vaccination pod**: pod setup, recording of required vaccine stocks and consumables, PPE and sanitisation materials.
Patient Safety and Clinical Governance
- Use clinical judgement and risk assessments to keep the patients as safe as possible
- Follow the centre and national policies including Patient Group Directions (PGDs) and national protocols or standard operating procedures (SOPs) are followed. These include SOPs on the safe storage, administration and disposal of the vaccine.
- Assist in the monitoring and maintenance of the health, safety and security of self and others in work area. Assist in the identification and assessment risks in work activities.
- Practise in accordance with the professional, ethical and legal codes of the site and its protocols and guidelines
- Work with team to maintain high standards of infection control in the clinical area and a well-maintained department environment.
- Actively promote diversity and sustain relationships that promote dignity, rights and responsibilities. Identify and take action to address discrimination and oppression.
- Ensure that the practise complies with Data Protection/ Confidentiality/ Caldicott principles in addition to Statutory and Regulatory guidelines of the Professional Bodies (NMC, GPhC, HCPC).
- Safeguard people by recognising and responding when an adult or child might be at risk from abuse but also recognising their own limits and escalate concerns at all times.
- Reflect on everyday practise to identify areas where improvements in safety or quality can be made.
- Maintain compliance with staff mandatory training requirements.