Speciality Dietitian – Adult Critical Care | Oxford University Hospitals NHS Foundation Trust
| Posting date: | 30 April 2024 |
|---|---|
| Salary: | Not specified |
| Additional salary information: | £43,742 - £50,056 pa pro rata |
| Hours: | Part time |
| Closing date: | 30 May 2024 |
| Location: | Headington, Oxford, OX3 9DU |
| Company: | Oxford University Hospitals NHS Foundation Trust |
| Job type: | Contract |
| Job reference: | 6228689/321-MRC-6228689-B7 |
Summary
Would you like to advance your career by working for and learn from one of the largest acute teaching Trusts in the UK?
This one year fixed Term contract is to back fill Maternity leave. This part time Band 7 ICU role is an exciting opportunity to join one of the best teaching hospitals in the UK and offers the successful candidates the opportunity to gain valuable training so that they can not only advance their careers but join a team that offers the very best in nutritional care.
This post will have a job plan that covers ICU units across OUH. You will be working within the ICU team which covers not only a brand new, bespoke critical care unit which is a tertiary referral centre for critical care, regional vascular and major trauma, and supports one of the largest transplant departments in Europe, but also two specialist ICU’s: Neuro ICU and Cardio Thoracic ICU. There may also be some cover to the Surgical Emergency Unit.
You will work alongside a team of experienced Band 7 Dietitians with support from Band 6 Dietitians and undertake supervision of B5 rotational Dietitians and students. You will be supported by the Critical Care MDT who highly respect and value dietitians.
To be responsible for the development and provision of a highly specialist, evidence based dietetic service to the patients treated within the adult intensive care units within OUH. This involves working as an integral member of both the Dietetic team and the multidisciplinary team to provide a flexible, prioritised service based on clinical need. To offer some cover to Surgical emergency unit when required.
Along with the Team Lead, to be responsible for the dietetic service development provided to the adult critical care units.
To initiate, lead and participate in audits, project work and research within Critical Care.
To monitor and evaluate whether local/ national standards are being met and make recommendations for change to protocols and guidelines within critical care.
To act as a source of expertise for dietetic, nursing and medical colleagues locally and nationally regarding the nutritional management of ICU patients.
To educate, train, supervise and disseminate information to healthcare professionals including clinicians, nurses, AHPs, dietetic colleagues and students about the dietetic management of critical care patients.
To cover the leadership responsibilities of the Team Lead in their absence, when required.
To be an integrated member of the Dietetic team, providing help, support and cover to the team where appropriate. Participate in and contribute to the development of the OUH Dietetic Department and attend staff meetings.
Oxford University Hospitals NHS Foundation Trust is one of the largest NHS teaching trusts in the country. It provides a wide range of general and specialist clinical services and is a base for medical education, training and research.
The Trust comprises four hospitals - the John Radcliffe Hospital, Churchill Hospital and Nuffield Orthopaedic Centre in Headington and the Horton General Hospital in Banbury.
Our values, standards and behaviours define the quality of clinical care we offer and the professional relationships we make with our patients, colleagues and the wider community. We call this Delivering Compassionate Excellence and its focus is on our values of compassion, respect, learning, delivery, improvement and excellence. These values put patients at the heart of what we do and underpin the quality healthcare we would like for ourselves or a member of our family. Watch how we set out to deliver compassionate excellence via the OUH YouTube channel.
CLINICAL
Be professionally and legally accountable for own work and caseload.
Work autonomously as a lead clinical specialist, in the provision of a comprehensive nutrition and dietetic service to the adult critical care units within the OUH.
Contribute to the provision of a comprehensive specialised dietetic service to critical care units. This will include:
- Providing a highly specialised clinical service to the adult critical care and high dependency units at the John Radcliffe and Churchill Hospitals and the critical care unit at the Horton Hospital
- There may be a requirement to provide some cover to the Surgical Emergency unit.
- Help co-ordinate the dietetic service provided by other staff to the adult critical care unit at the John Radcliffe and Churchill Hospitals and the critical care unit at the Horton Hospital
- Train other dietitians in this speciality (band 6s and band 5s on rotation and TPN dietitians)
- Help co-ordinate professional development, development of standards / protocols / guidelines for all critical care areas across the Trust (i.e. inclusive of cardiac and neuro ITUs)
To assess the nutritional status of individual patients based on anthropometric measurements e.g. weight, height, weight history as well as biochemical parameters, diet history and other validated methods of nutritional assessment as appropriate.
Obtain and analyse relevant information from different sources including: electronic patient records, medical notes, nursing notes, the patient and their carers, ward staff etc, in order to make a comprehensive assessment of the patients needs.
Provide hands on care to support nutrition as required, within scope of practice and clinical competency.
Attend regular critical care team meetings when patient care is reviewed, liaison meetings with other multi-disciplinary teams where patients joint care is planned and reviewed, case conferences, ward rounds and governance meetings.
Along with the team lead and Band 7 colleagues to have responsibility for all organisation, liaison and monitoring of the dietetic aspect of this service.
To communicate effectively with patients, carers, family and other health professionals. Skills of negotiation, motivation, explanation and gaining consent will be used in a wide variety of and sometimes sensitive situations. The ability to communicate complex information at an appropriate level to allow understanding is essential. Barriers to communication may be evident e.g. loss of hearing, receptive and expressive problems with the formulation and understanding of language or difficulties with speaking. The use of communication aids such as letter/picture boards or games may be necessary.
Participate in research and audit undertaken by the adult critical care and/or Dietetic team. Presentation of audit or research results at national or international conferences to promote practise and share expertise with colleagues.
To provide specialist advice, teaching and training to all members of the multidisciplinary team, regarding the nutritional management of critical care patients. This involves regular participation in in-house training of clinicians and both specialist and ward nursing staff
Organisational
To collect data as required by the department, trust and outside agencies.
Collation of audit data on the outcomes of critical care patients managed in the dietetic service
To determine priorities for own work area based on clinical need and balance patient caseload with professional demands.
To maintain accurate and up-to-date documentation of patient interventions on electronic patient records. To communicate any changes in day to day management and dietetic interventions to appropriate members of the multidisciplinary team. This is achieved by documenting within nursing/medical notes or by means of generating a letter/report and/or updating any patient database.
Management and professional responsibilities:
Be accountable for own actions working within the professional, ethical and legal framework for dietetics set out in the Health Profession Councils Dietitians’ Standards of Conduct, Performance and Ethics and the British Dietetic Association’s Professional Standards for Dietitians and Code of Professional Conduct.
To participate in departmental audits and initiate/lead audits within own work area in order to monitor and evaluate whether local/ national standards are being met and make recommendations for change.
To remain up to date with the relevant literature and ensure that this informs evidence based practice which will optimise the long term outcomes for each individual patient.
Clinically supervise less experienced dietitians (e.g. Band 5 Dietitians on rotation), and student dietitians during clinical placement.
PROFESSIONAL
To initiate and lead discussions on organisational, professional and clinical issues relevant to the service area. Along with the Service Managers, to be responsible for the dietetic service provided to their clinical area and its development.
To continue to develop own knowledge and skills and contribute to the development of colleagues within the MDT and the Dietetic Service. This involves:
a) taking responsibility for own continuing professional development (CPD) and provide evidence for this by maintaining a CPD portfolio. CPD involves critical evaluation of scientific papers, attending professional development meetings, working as a reflective practitioner and attending relevant internal/external courses.
b) Participating in own annual appraisal, identifying own development and training needs and setting personal development objectives with line manager.
c) Undertaking all relevant statutory and mandatory training
d) Involvement in the dietetic student training programme
e) Providing specialist education and advice to dietetic colleagues in their clinical specialist area via regular departmental professional update meetings
f) Attending and representing the department and lead area of work at the regional and national meetings as appropriate.
To be responsible for communicating effectively and working collaboratively with the Dietetic team, line managers, other health professionals within the MDT and other organisations to ensure a co-ordinated and evidence based approach to the delivery of dietetic care.
To have responsibility for and lead the development, promotion and delivery of the specialist dietetic service for patients in adult critical care units. This involves
a) Developing dietetic practice to ensure evidence based practice and an equitable service delivery
b) Applying legislation, policies and procedures and making appropriate recommendations for service delivery
c) Managing development projects relevant to the clinical area, the dietetic service and the NHS organisations involved
d) Making recommendations and managing service improvement
e) Evaluating own work and that of the team, including clinical audit
f) Recognising the need to seek appropriate support
g) Active involvement in multidisciplinary team meetings, dietetic departmental meetings and discussions
To demonstrate risk management skills and a sound understanding of clinical governance and apply to the work situation.
Education and professional development responsibility:
To keep a portfolio providing evidence of continual professional development (C.P.D.). This may include critical evaluation of scientific papers, attending professional development meetings, working as a reflective practitioner and attending relevant internal/external courses.
Participate in annual appraisal, identifying own development and training needs and setting personal development objectives within an Annual Report
Actively participate in the dietetic student training program, facilitating the development of skills and knowledge, being involved in the assessment process and acting as a mentor.
This advert closes on Tuesday 14 May 2024