(IBD) Clinical Nurse Specialist

Job description

Job responsibilities

A clinical expert required to work autonomously exercising high levels of judgement, discretion and decision making in clinical care, monitoring and improving standards of care through clinical audit, leading the development of practice through research, teaching and the support of professional colleagues.

Work with clinical teams to develop a comprehensive pathway for assessment of patient needs in early detection of IBD.

Work towards achieving Advanced Clinical skills in assessment and treatment for IBD patients.

Liaise and work closely with all members of the multidisciplinary team, gastroenterology wards and departments, outpatient departments and community teams as well as with consultant physicians, GP’s and other care providers. Acting as first point of contact maintaining and forging links between primary and secondary care teams so ensuring a high-quality collaborative approach to patient care.

Working within defined parameters, liaising effectively with patients, carers, GPs, Consultants and other appropriate members of the multidisciplinary team both pre and post discharge to and from hospital.

Involve patients and carers / relatives to clinical judgement to plan, implement and evaluate care for patients with inflammatory bowel disease.

To provide, develop and manage nurse-led specialist IBD clinics and telephone advice line for patients with IBD, identifying problems and initiating treatment pathways in line with local and national guidelines.

To manage own caseload of patients within defined parameters, providing specialist intervention, care and support.

To support admission and discharge of IBD patients.

Monitor investigation results, initiating further assessment / review of treatment pathways as required.

Pre-assess, monitor, counsel and manage patients on treatment

Work with the Specialist Gastroenterology Pharmacist to support patients requiring immunosuppressant therapy, biologics

Liaise with the Pharmacy Homecare team and Pharmacy TSU for the provision of biologic drugs.

Participate in the Trusts Patient Safety and Quality process.

To actively facilitate the patients’ journey, ensuring timely and appropriate referral of patients to other disciplines and out-patient settings

Progress the development and interaction of the IBD patient panel, encouraging patients and carers to be involved with the service.

To deal with referrals about patients with IBD from members of the Gastroenterology teams and primary care teams, both medical and nursing.

Practice as, or being willing to work towards practicing as, a registered non- medical prescriber according to NMC standards of practice and Trust non- medical prescribing policy.

Work with the dietetic service to refer patients as required.

Ensuring that all communication, (which may be complex, contentious or sensitive) is undertaken in a responsive and inclusive manner, focusing on improvements and ways to move forward.

Ensuring 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 conditions.

Participate in multidisciplinary case reviews and clinical teaching.

Triage clinical calls from hospital and community teams effectively prioritising clinical tasks that are required.

To act as a point of contact for professional and specialist clinical advice, supporting nursing/medical staff in caring for patients both in an in-patient and community setting.

To lead the review and re-design of patient pathways and services to ensure that these meet the changing needs of patients whilst optimising resources.

Working closely with the IBD team supporting one another to provide a seamless service.

Working closely with Pharmacy and other Allied Healthcare workers to ensure best use of resources in line with National guidance.

Following consultant guidance; applying for funding for high cost medicines. Responsibility for Implementation of policy and / or service Developments.

Provide expert advice working collaboratively with clinical colleagues to develop services and ensure that quality of care is delivered in line with National guidance.

To contribute to the development, implementation and promotion of policies, protocols and guidelines for managing patients with IBD in collaboration with other health care professionals.

To perform patient satisfaction surveys to ensure that the service is assessed and monitored regularly. Provide feedback and ensure that service deficiencies are identified and managed appropriately to effect change.

Promote effective communication and liaison with the multidisciplinary team, primary care and the Clinical Research Organisation.

Show commitment to clinical excellence and maintain standard of practice.

Carry out regular audit and review of the inflammatory bowel disease service and produce outcomes in an annual report ensuring user involvement.

To ensure the service is evidence based, through regular literature review and updating Trust guidelines accordingly.

To develop nursing research skills and contribute to the development of nursing research within the specialty.

The post holder must exercise initiative and discretion in accordance with the Data Protection Act (2018) and local Trust policies. The post holder will be expected to establish and maintain effective communication and working relationships.

To document all care given using the Trust guidelines.

To ensure the Trust IBD registry is up to date.

Demonstrate competent I.T. skills.

Provide accurate record keeping of Case Records.

To be proficient at using all hospital IT software packages, e.g. AlexHealth Unisoft tool, Kris, Infoflex, Blue Tech

Person Specification

Qualifications

Essential

• Relevant degree or equivalent experience
• ECDL or equivalent experience

Desirable

• Relevant Masters or equivalent experience

Experience

Essential

• Experience of working in an Acute environment
• Experience of working alongside project managers

Desirable

• Experience of working in the NHS or equivalent organisation
• Evidence of deputising for senior managers

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Employer details

Employer name

The Princess Alexandra Hospital NHS Trust

Address

The Princess Alexandra Hospital

Harlow

Essex

CM20 1QX

United Kingdom

Employer's website

https://www.pah.nhs.uk