Lead for the NNMN; Nurse Consultant, King’s Thrombosis Centre
After completing her nurse training at the Royal Victoria Hospital, Belfast, in 1992, Lynda moved to London and specialised in coronary care management until 1999 when she worked within industry, promoting the use of evidence-based mechanical products, used for VTE thromboprophylaxis. In 2001, Lynda joined the Haematology department at Kings College Hospital and now leads a nursing team of seven Coagulation Nurse Specialists and a Coagulation Administrator. She provides leadership in the promotion and delivery of evidence-based nursing care for patients who are at risk of, or who have developed venous thromboembolism (VTE). This includes, playing a leading role in the prevention, diagnosis, treatment and aftercare of VTE, and in anticoagulation management. Lynda comments that recent academic study on ‘Leadership’ and ‘Project Management’ at Masters Level and past study on ‘Evidence Based Care in Clinical Practice’ has enhanced her knowledge base and skills needed to implement VTE risk assessment and thromboprophylaxis trust-wide.
Service improvement enquiries
Thromboprophylaxis Nurse Specialist, Norfolk and Norwich University Hospitals NHS Foundation Trust
Liz has been working in the anticoagulation and haemostasis service at the Norfolk and Norwich University Hospital for 8 years and has been the lead thromboprophlaxis nurse for the last 2 years. Liz trained at Frimley Park Hospital before gaining experience in acute medical emergencies and haematology in Lewisham, and cardiology and cardiothoracic surgery at St Mary’s Hospital in London. She then gained further experience in acute coronary care and general cardiology after moving to Norwich. She successfully completed the independent prescriber course and was awarded her MSc in Advanced Practitioner Nursing in 2010. During the studies for this she was able to develop her interests in anticoagulation and thromboprophylaxis. In her current role Liz combines thromboprophylaxis work (including audit, root-cause analysis, protocol development, education), working closely with the other members of the multi-disciplinary team, with anticoagulation clinic work. During this time the team has developed several thromboprophylaxis pathways for the Trust. For the last 5 years Liz has helped organised and facilitate a highly regarded “Anti-coagulation” study day attended by Nurses from all over East Anglia.
VTE Nurse Specialist, South Tyneside Foundation Healthcare Trust
Shelley’s current position is a full time dual role as Senior Sister in Theatre at South Tyneside Foundation Healthcare Trust (STFHCT) and VTE Nurse Specialist for the Trust. This is quite an unusual combined role and one that has gradually developed over the past 16 years. With the support of Management, Medical staff and colleagues, Shelley initiated and led the introduction of a Thrombosis Risk Assessment within the Trust. Initially this was only in the surgical directorate, but was then communicated across the Trust. This roll out involved introducing a risk assessment document, teaching staff members and raising the profile of prevention. It also involved completing audits and working to increase resources with the aim of improving VTE prevention and patient outcome on a local and national level. This work was recognised in 2008, when the Trust was amongst the first wave to be awarded the status of Exemplar Site. Shelley’s VTE role responsibilities include developing, setting and maintaining guidelines and policies. She is also required to investigate incidents of VTE within the Trust. She regularly participate in teaching formally and informally throughout the Trust, as well as preceptorship and medical staff induction days, audits, advancing practice and reviewing the latest VTE prevention equipment. Shelley networks with other Trusts and represents South Tyneside Foundation Healthcare Trust nationally as a member of the NNMN. She also attends meetings for the National VTE prevention England Programme. A large part of her role is in education. For six years she taught on the National Thromboprophylaxis course at Hertfordshire University. She also regularly teaches on the post-graduation course for nurses at Northumbria University and the Operating Department practitioners’ course. In order to further spread awareness, Shelley has presented at several National and Regional Conferences for a variety of companies involved in VTE prevention, along with charities such as CLOT and the Lifeblood Charity. While working within this area Shelley has had work published by a national journal and has received both national and local awards for the innovations she has introduced and led. In 2014she was also recognised as an ambassador for Lifeblood, the Thrombosis Charity.
Independent VTE Education Advisor
Carol has worked in nurse education since 1986. Her main focus has been respiratory medicine and more recently anticoagulation and thromboprophylaxis. She has considerable experience in developing and delivering courses for qualified health care professionals in a wide range of clinical and professional areas. She has recently run a series of courses for VTE champions within the East of England SHA and is currently working as a VTE Education Advisor. She has worked closely with the National VTE Exemplar Network as well as the National Nursing and Midwifery Network and has co-authored a VTE prevention research article published in the Nursing Times.
VTE Clinical Nurse Specialist, Plymouth Hospitals NHS Trust
Huw entered into nursing late, following 6 years of working for Barclays. He qualified as a nursing diploma student in 1997 after training at London Hammersmith Hospital and St. Mary’s in Paddington. Since then he has worked at St. Marys respiratory HDU and University College Hospital ICU before relocating to Plymouth in 1999. He completed his nursing degree whilst working as an HDU charge nurse at Plymouth Hospitals NHS Trust and then spent some time working for Hospital at Night at Derriford Hospital, Plymouth. He decided to move off of night-shifts in October 2009 after a successful application for a VTE Clinical Nurse Specialist post at Derriford Hospital, just before the Trust were given VTE Exemplar Centre status. His role centres around VTE education and training for healthcare professionals, audit of thromboprophylaxis (TP) and risk assessment, and undertaking root cause analysis of VTE events including providing feedback to clinicians. He has been involved locally in looking at mechanical TP for surgery, in particular looking at the evidence supporting use of foot pumps intermittent pneumatic compression over anti-embolism stockings. He has given oral presentations at the European Haematology Association, International Society of Thrombosis and the British Society for Haematology on outcome VTE data around hospital acquired thrombosis, mortality associated with VTE and improvements in patients outcomes over the last four years. He is currently writing up outcome data on community acquired thrombosis and whether the mode of admission planned or emergency impacts upon VTE rates in surgery. He is the current secretary for CLOT and was runner up in the Thrombus awards in 2012 for work around radiology data to give real time clinician feedback.
CLINICAL PRACTICE ENQUIRIES
Thromboprophylaxis Nurse Specialist, Southampton University Hospitals NHS Trust
Judith currently works as a Thromboprophylaxis Nurse Specialist. This is a developing role alongside the Anticoagulation Nurse Specialist. It is aimed at supporting the Trust in all areas of VTE from teaching nurses and junior doctors to CQUINN and implementation of NICE Quality Standards.
Judith has twenty years’ experience working in all areas of surgery including vascular, ENT and Neuro Surgery. Currently, she also works as Surgical Pre-assessment Sister two days a week. She has been involved in the launch of the Department of Health Risk Assessment and NICE Guidance released in 2010. The Trust has recently changed their stocking and IPC contract and she has helped implement these changes. Judith is particularly interested in mechanical prophylaxis and how well it is used on patients. She is also concerned with the quality of information given to patients in all clinical settings from the community through to the hospital setting.
Anticoagulation/ Thrombophilia Nurse Specialist, Southampton University Hospitals NHS Trust
Tracy’s nursing career history spans more than twenty years, covering high care, acute and non-acute settings. Thromboprophylaxis has always been one of her priorities and interests. Whilst at Southampton she has contributed to a working party that looked at patient safety issues relating to anticoagulation management. She is a founder member of the Thrombosis Committee and involved in developing risk assessment tools, and guidelines. She has played a key role in developing tools to improve patient and staff VTE education. She is Chair of the VTE root cause analysis panel and plays a key role in driving changes to patient care based on learning from the panel. She has written patient information leaflets and developed and launched the thromboprophylaxis education programme for Southampton. She continues to provide education to junior doctors and to nurses in the Trust. In 2011 Tracy led the team that won the Thrombus Innovation Award for producing a DVD aimed at educating patients taking warfarin. Under her current role at Southampton she provides a nurse-led anticoagulation service which involves thrombophilia screening and counselling of patients and families who have suffered from thrombosis and who have risk factors for recurrent thrombosis. She has a particular interest in the standardisation and best clinical practice of mechanical thromboprophylaxis and has successfully negotiated and implemented a change to the stocking and intermittent pneumatic compression contract at Southampton. In 2013 she shared the British Journal of Nursing” Thrombosis Nurse of the Year” award with her colleague Judith Effeny for their work with the NNMN.
Thrombosis/Anticoagulation Nurse Specialist, Course Tutor, University of Hertfordshire
Rebecca has worked as an anticoagulation/thrombosis nurse specialist for 18 years and is course tutor at the University of Hertfordshire for the Anticoagulation Practitioners course. She was the nurse representative on the Department of Health independent expert working group on VTE and contributed to the guidance issued in 2007. She has considerable experience in delivering professional development courses aimed at promoting best practice in the fields of Anticoagulation and Thromboprophylaxis and is currently a Lifeblood Ambassador and member of the UK thrombosis forum. In 2013 she delivered a talk on behalf of the NNMN regarding patient education at the ISTH in Amsterdam and has published several papers and presented at a number of conferences over the course of her career.
Antenatal/postnatal Ward Manager, King’s College Hospital NHS Trust
Shereen is a senior midwife at King’s College Hospital. She trained in Scotland and has worked at King’s College Hospital since 2006. She is currently the Ward Manager of a large mixed Antenatal and Postnatal Ward. She has played a lead role in developing and implementing VTE Risk Assessment processes in Maternity at KCH.
Specialised Midwife in Haematology, University Hospitals of Leicester NHS Trust
Pauline has been a midwife for 20 years working in all areas of midwifery. At the moment she works within the antenatal assessment area/foetal medicine unit at the University Hospitals of Leicester NHS Trust. She also works two days a week as a midwife with an interest in haematology. Prior to this she was a nurse working on a surgical ward.
Nurse Consultant, King’s College Hospital NHS Trust
Emma graduated from Brighton University with an Adult Nursing Degree in 2001 and undertook a cross speciality rotation at Addenbrookes Hospital. After working in Perth, Australia as a surgical nurse for a year she worked in High Dependency Care for several years in Watford General and King’s College Hospitals. In 2007 she joined King’s College Hospital as a Coagulation Clinical Nurse Specialist rotating through DVT, anticoagulation and VTE prevention roles. Since obtaining qualification she has undertaken several post-registration courses, most recently completing the independent prescribing course to enhance nursing autonomy in our clinics. Emma is now the nurse consultant for anticoagulation and thrombosis and leads a team of Anticoagulation, DVT and VTE CNS’s at Denmark Hill and Princess Royal University Hospital sites.
Kim Carter, MBE
Health Visitor, Solent NHS Trust
Kim’s background is adult nursing. She worked in the fields of acute medicine and haematology before setting up and running the DVT Service and then going on to become the Venous Thromboembolism (VTE) Nurse Specialist at Portsmouth Hospitals NHS Trust. She was a guideline development group member for two NICE VTE guidelines (2007 2010) and on the topic expert group for the NICE VTE prevention quality standard (2010). Kim is a trustee and the nursing director for Lifeblood the Thrombosis Charity and and is joint education lead for the National Nursing and Midwifery Network (NNMN). She has a special interest in patient information in VTE. In 2012 Kim decided on a new career path and trained as a specialist community public health nurse (health visiting). She is currently a health visitor working for Solent NHS Trust in Portsmouth. Kim is passionate about both VTE and health visiting and is currently aiming to highlight the importance of VTE to health visiting education and practice both at a national and local level.