Inflammatory Bowel Disease (IBD) Specialist Nurse
Ashford & St. Peter's Hospitals NHS Foundation Trust
To manage safe and effective communication with the patients through phone calls and emails providing evidence based advice and accurately recording outcomes.
To actively contribute to the development of the IBD Nursing Service and lead the team.
To run IBD follow up clinics that offer accurate, evidence based advice on treatment, surgery, monitoring and lifestyle and to have the ability to provide the patient's with well informed and up to date information about their disease.
To safely monitor patients on Thiopurines and Biologic medications ensuring that the results of blood tests are reviewed and acted upon according to the appropriate monitoring protocol.
Following up patients from endoscopy to ensure that patients are reviewed in a timely manner and those patients who are symptomatic are contacted as a priority and offered advice and treatment.
To lead and offer education on IBD to other departments within the hospital to encourage the best possible care for IBD patients in accordance with the IBD Standards.
As a Senior IBD Specialist Nurse, to contribute to clinical governance within the Trust in IBD care and related areas via best practice development initiatives.
Main duties of the job
Autonomously lead and support the Inflammatory Bowel Disease (IBD) nursing service.
Act as a resource for education and clinical expertise related to IBD in the wards, outpatients department and in the infusion suite.
Provide quality, evidenced-based healthcare and information for both newly diagnosed and existing IBD patients enabling the patient to make informed decisions regarding treatments and ongoing care.
Liaise effectively with all members of the multidisciplinary team to achieve a co-ordinated specialist nursing service providing excellent standards of care and access to specialist advice when patients are flaring.
Contribute to an advanced/expert specialist service that positively impacts on the experience of patients by providing high standards of clinical practice and care as appropriate across the Trusts.
Working with Gastroenterology multi-disciplinary team. The Senior Nurse specialist will support nurse led outpatient clinic sessions and providing a telephone advice service and the support of the biologic therapy service.
Job responsibilities
To provide specialist IBD advice and support to multi-professional teams to improve the way in which services are provided.
To assess IBD patients specialist health and well-being needs at all stages of their illness.
In liaison with the wider multidisciplinary team plan, deliver and evaluate treatment to address patients complex and changing health needs at all stages of their illness.
To assess when the patient may need to switch medications using Therapeutic Drug Monitoring.
Identifying patients and adding them to the appropriate MDT to discuss ongoing symptoms, imaging results or complex and changing symptoms that may require surgical intervention.
To be responsible for managing a case load safely, asking for advice where appropriate and maintain comprehensive, accurate patient records.
To assess patients needs in relation their specific IBD needs and to plan, implement and evaluate care delivery.
To develop a wide understanding of IBD and the available medical/ surgical treatments to ensure a high level of education can be offered to the patient and their relatives.
Co-ordinate and provide clear and comprehensive planned care and information to patients and the multidisciplinary team.
Provide specific dietary and health education advice for patients.
Provide advice on lifestyle issues e.g. work, sports, travel, relationships.
Provide ongoing support to patients through the telephone help-line, the IBD email service, ward visits, the bleep and nurse-led clinics.
Attend and actively contribute and lead various meetings relating to the IBD Nursing service; to enhance good communication and liaison between team members to ensure a smooth pathway of care for the patient and take forward agenda actions as required.
Attend Consultant-led Gastroenterology and surgical clinics to provide joint consultation in order to contribute to patient care programmes.
To request relevant and appropriate endoscopic and blood test investigations; to include radiological and MRI investigations following completion of IRMER training and on recommendation of the medical team.
Liaise with and advise medical colleagues regarding patient care, to include advice regarding timely admission and discharge of patients.
Maintain accurate patient records of telephone calls by documenting on Cerner and maintaining comprehensive records to ensure continuity of care.
Ensure confidentiality at all times. Comply with Data Protection and Trust policies. Deliver patient care with patients consent and co-operation, being sensitive to their need for courtesy, dignity and privacy.
Be accountable for own professional actions whilst working autonomously in the role.
Maintain networking with colleagues outside the organisation to develop knowledge and keep up to date with IBD nursing issues.
Act as advocate for IBD patients within the hospital and the wider community.
Ensure that all equipment used in your practice is in good working condition and report any defects or malfunctions appropriately.
Ensure stock items under your control are ordered and available for use.
Be aware of the cost of equipment and clinical consumables and take responsibility for safe and prudent use.
Person Specification
Education
* First Level Registered Nurse
* Post graduate diploma specialist training or equivalent
* Experience of Teaching and assessing
* Evidence of knowledge in Inflammatory Bowel Disease
* First level degree in related subject or undertaking a Degree Pathway or equivalent training or qualifications
* Specialist training and/or experience to master's equivalent level
Experience
* Substantial post registration experience in Gastroenterology at Band 6 or above
* Previous experience practicing as an IBD Specialist Nurse at Band 6 or above
* Leadership and Managerial experience
* Auditing and data entry
* Recent Gastroenterology Ward based Experience and/or Band 6 specialist Nurse
Knowledge
* Must be able to demonstrate that you have knowledge of your professional code of conduct and guidance issued by your professional body and that you adhere to these.
* Trust vision, values and strategic objectives
* Anatomy and physiology of the GI tract
* Knowledge of the IBD Standards
* Experience of multi-professional working
Skills
* You are able to communicate effectively to ensure high standards of care, treatment, service or support as appropriate to your role.
* Be able to understand an individual's communication, physical & emotional needs; recognise their needs and preferences.
* You have knowledge & awareness of diversity and human rights as appropriate to your role.
* Able to provide a customer focussed service.
* Ability to work with competing priorities.
* Basic IT skills, including the use of Word, Excel and Outlook.
* Ability to motivate self and others.
* Ability to work autonomously.
* Ability to run the IBD Helpline providing effective evidence based advice to patients.
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.
£48,270 to £54,931 a year per annum inc. HCAS
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