IBD Clinical Nurse Specialist | Chelsea and Westminster Hospital NHS Foundation Trust
| Posting date: | 18 April 2024 |
|---|---|
| Salary: | Not specified |
| Additional salary information: | £49,178 - £55,492 per annum |
| Hours: | Full time |
| Closing date: | 18 May 2024 |
| Location: | Isleworth, TW7 6AF |
| Company: | Chelsea and Westminster Hospital NHS Foundation Trust |
| Job type: | Permanent |
| Job reference: | 6220235/289-EI-1564 |
Summary
An exciting opportunity exists to join the Gastroenterology Team as a Band 7 Clinical Nurse Specialist. We are seeking an enthusiastic, forward thinking and motivated nurse to join this busy service. The nurse will have the opportunity to build upon and develop their knowledge of Inflammatory Bowel Disease, as well as being supported to gain formal qualifications such as speciality specific modules and non-medical prescribing.
Working within the Inflammatory Bowel Disease CNS team, you will support Service development and improve patient experience based on emerging and best practice models of care which is responsive to patient feedback and audit findings.
You will work collaboratively with referring GPs and all members of the extended multidisciplinary team including; imaging departments, medical and surgical consultants, clinical nurse specialists, research teams, ward nursing teams and administrative teams.
After a period of induction you will be required to provide specialist advice and assessment, implementation and evaluation of care for patients with an IBD diagnosis and support the entire team in the delivery of inpatient, day case, outpatient and virtual clinical care.
For further information, please contact Shiela Tana Endoscopy Lead Nurse via email shiela.tana@nhs.net or Dharmen Govinden ,EIC Deputy Divisional Director at dharmen.govinden@nhs.net
KEY RESPONSIBILITIES:
To provide a specialist nurse led service working autonomously in providing care for IBD patients and their families according to agreed protocols or as specified by the Consultant Gastroenterologists.
• To promote a better understanding of IBD for patients and their carers through education, providing support and counselling where necessary in order to empower patients to take a greater part in self managing their disease.
• To check and prepare patients for biological therapy according to NICE and local guidelines and take consent for patients undergoing this therapy and provide counselling.
• To offer rapid access to specialist advice and disease management through telephone support and flare up appointments in the nurse clinic.
Education, Training and Development
• To act as a resource for pre and post registration nurses.
• To demonstrate expert knowledge of the literature regarding IBD by regularly reviewing the literature and applying to practice.
• To undertake responsibility for own professional development, undertake appropriate activities, attend relevant conferences to update clinical knowledge and skills and apply to practice.
• To recognise own limitations whilst working within the Scope of Professional Practice.
• To actively participate in Research and Audits.
About the Trust
Chelsea and Westminster Hospital NHS Foundation Trust provide services from two main hospitals, Chelsea and Westminster Hospital and West Middlesex University Hospital, and a number of clinics across London and the South-East.
We have nearly 7,000 members of staff that are PROUD to Care for nearly one million people. Both hospitals provide full clinical services, including full maternity, emergency and children’s, in addition to a range of community-based services across London, such as award-winning sexual health and HIV clinics.
We’re one of the best performing Trusts in the country. We’re also one of the top trusts to work for – our staff says they’re engaged, motivated, and would recommend us as a place to work and receive treatment. Our Trust has been rated by the Care Quality Commission as ‘Good’ in all five of the main domains of safe, effective, caring, responsive and well-led, giving an us overall rating of ‘Good’. We’ve also been awarded an ‘Outstanding’ rating for ‘use of resources’ by an NHS Improvement inspection.
Our facilities are some of the best in the country. We have been investing significant Capital year on year in our estate. We have recently completed a £30m expansion of our adult and neonatal critical care facilities at Chelsea and Westminster and are planning an ambitious £60m development of an Ambulatory Diagnostics Centre at West Middlesex.
Clinical
• To provide a specialist nurse led service working autonomously in providing care for IBD patients and their families according to agreed protocols or as specified by the Consultant Gastroenterologists.
• To clinically assess patients attending for routine follow-up of IBD, to monitor and evaluate disease activity, ordering and interpreting specific haematological, endoscopic investigations or imaging as indicated.
• To recommend treatment, alter drug dosages according to management guidelines.
• To encourage adherence with recommended management plans.
• To promote a better understanding of IBD for patients and their carers through education, providing support and counselling where necessary in order to empower patients to take a greater part in self managing their disease.
• To follow-up and monitor patients taking Azathioprine and other immunosuppressive agents.
• To request and act on blood results to avoid complications and improve safety.
• To co-ordinate requests for biological therapy with Consultants, pharmacy and Community partners.
• To counsel IBD patients pre biological therapy and perform immunity screening and improve safety with biological therapy.
• To check and prepare patients for biological therapy according to NICE and local guidelines and take consent for patients undergoing this therapy.
• To offer rapid access to specialist advice and disease management through telephone support and flare up appointments in the nurse clinic.
• To maintain a comprehensive functional database of IBD patients for clinical, audit and research purposes.
• To attend the Multidisciplinary Gastroenterology Team Meetings, document recommendations and refer to other medical or surgical specialities as appropriate.
• To act as the patient advocate at all times.
Education, Training and Development
• To plan, implement and evaluate teaching sessions for ward staff involved in caring for IBD patients.
• To act as a resource for pre and post registration nurses.
• To provide opportunities to shadow the IBD CNS, e.g. student nurses, newly qualified nurses, nurses on induction, dieticians, medical students.
• To demonstrate expert knowledge of the literature regarding IBD by regularly reviewing the literature and applying to practice.
• To undertake responsibility for own professional development, undertake appropriate activities, attend relevant conferences to update clinical knowledge and skills and apply to practice.
• To recognise own limitations whilst working within the Scope of Professional Practice.
Research and Audit
• To actively participate in clinical audits and monitor clinical effectiveness of the role.
• To use audit results to promote and drive change as appropriate.
• To actively disseminate good practice.
• To participate in research projects and submit papers for publication.
Managerial Responsibilities
• To maintain accurate records to ensure patient care is appropriate and that audit can be undertaken.
• Work across boundaries with medical and surgical teams to ensure the best care for IBD patients
• To work with On Call teams to arrange medical admissions for urgent patients to avoid A&E delays.
• To deal with and record incidents/complaints involving staff, patients, visitors etc when such issues are witnessed by or involve the nurse specialist.
• To attend and actively contribute to meetings
• To help manage the IBD database and any future upgrades.
• Professional and Legal responsibilities
• Lead on developments and innovations in nursing practice throughout the Trust and primary care.
• Provide a leadership role model, developing and demonstrating expert knowledge and high standards of clinical practice.
• Act as a role model and mentor to staff, providing formal and informal education and support for them in their provision of care for the IBD patients.
• Maintain own professional development through annual/bi-annual appraisal of clinical performance and the production of a professional development plan.
• Assess own educational needs and take steps to keeps up to date with clinical and nursing developments, in line with requirements by the NMC.
COMMUNICATION
• Ensure all communication, which may be complex, contentious or sensitive, is undertaken in a responsive and inclusive manner, focusing on improvement and ways to move forward.
• Ensure all communication is presented appropriately to the different recipients, according to levels of understanding, type of communication being imparted and possible barriers such as language, culture, understanding or physical or mental health conditions.
• These duties are not exhaustive and will be reviewed with the post holder, allowing for amendments within the broad scope and band level of the role.
• All duties must be carried out under supervision or within Trust policy and procedure. You must never undertake any duties that are outside your area of skill or knowledge level. If you are unsure you must seek clarification from a more senior member of staff.
• Appointment to this post is subject to the Rehabilitation of Offenders Act and the post holder is required to undertake a Disclosure & Barring Service Check (DBS).
This advert closes on Thursday 2 May 2024