The postholder will provide a clinical role in nurse led endoscopy service for patients who are undergoing assessment and investigation for gastrointestinal disease. They will perform diagnostic and therapeutic endoscopic procedures and follow agreed protocols.
They will be responsible for and manage their own patient case load and work alongside the multi-disciplinary team to provide clinically effective and efficient care and treatment.
They will ensure that the unit provides quality standards that meet Joint Advisory Group (JAG) requirements, and the quality standards outlined in the Global Rating Scale (GRS).
The post-holder is expected to undertake 5 service lists a week, and also support the service with clinical audits.
Develop and continuously focus on improving patient centred care and overall experience within the endoscopy care pathway.
Main duties of the job
1. Perform Gastroscopy and Colonoscopy procedures as part of the weekly schedule in the endoscopy unit.
2. Undertake direct patient care, post holder expected to undertake 5 service list a week, and also contributing to review of histology clinics.
3. Undertake procedures within the agreed protocols and guidelines.
4. Manage a caseload of patients.
5. Develop protocols and guidelines for the clinical area and speciality.
About us
Whittington Health serves a richly diverse population and works hard to ensure that all our services are fair and equally accessible to everyone. Nowhere is this more obvious than in the way we look after our staff. We aim to employ a workforce which is as representative as possible of this population, so we are open to the value of differences in age, disability, gender, marital status, pregnancy and maternity, race, sexual orientation, and religion or belief. The Trust believes that as a public sector organisation we have an obligation to have recruitment, training, promotion and other formal employment policies and procedures that are sensitive to these differences. We think that by doing so, we are better able to treat our patients as well as being a better place to work.
Job description
Job responsibilities
Clinical
1. Perform Gastroscopy and Colonoscopy procedures as part of the weekly schedule in the endoscopy unit.
2. Undertake direct patient care, post holder expected to undertake 5 service list a week, and also contributing to review of histology clinics.
3. Undertake procedures within the agreed protocols and guidelines.
4. Manage a caseload of patients.
5. Obtain informed consent from patients undergoing gastrointestinal endoscopy.
6. Identify clinical abnormalities and act upon them within agreed protocols.
7. Develop protocols and guidelines for the clinical area and speciality.
8. Ensure all patients have a plan of care which has been discussed with them. The plan must include a comprehensive assessment of clinical risks.
9. Ensure that treatment and care is documented, including variances.
10. Work closely with the Endoscopy Administrators to ensure that access to diagnostic tests and treatment is coordinated.
11. Provide clinical and managerial leadership that promotes an effective multi-disciplinary contribution to the provision of service delivery.
12. Deal with highly complex clinical situations and recognize and instigate treatment in patients experiencing an adverse event or reaction.
13. Undertake the training required to operate as an independent Bowel Screen practitioner.
14. Deliver nursing care in accordance with NMC code of conduct, and hospital policy, in collaboration with medical staff and other members of the multi-disciplinary team.
15. Ensure effective multi-disciplinary team-working to achieve effective care and treatment and efficient resource use.
16. Give bad news to patients and/or their relatives and carers, e.g., informing them of a cancer or life-threatening disease.
17. Be equipped and able to respond to urgent and emergency situations, i.e., perforation, bleeding, cardiac arrest, etc.
18. Be a non-medical independent nurse prescriber/willingness to undertake to be able to prescribe IV sedation, muscle relaxants, etc.
19. Autonomously discharge or plan care for patients with benign gastric/colorectal/rectal conditions at the end of successful treatment and autonomously discharge asymptomatic patients with normal findings.
Education
1. To have highly developed specialist knowledge underpinned through theory and experience. Professional knowledge at degree level and supplemented by specialist training at Masters level.
2. Provide clinical leadership and expert nursing service within Endoscopy.
3. Develop and update educational programmes for staff, patients, and their relatives.
4. Provide expert advice to nursing and medical colleagues at all levels regarding the management of lower GI/upper GI disease.
5. Lead on developments and innovations in nursing practice throughout the Trust.
6. Provide a leadership role model, developing and demonstrating expert knowledge and high standards of clinical practice.
7. 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 colorectal patients.
8. Maintain own professional development through annual/bi-annual appraisal of clinical performance and the production of a professional development plan.
9. Establish links with key educational providers enabling maximum teaching and learning opportunities.
10. Update own education needs by attendance at courses, conferences, and study days, in addition to mandatory training.
Management
1. Co-ordinate own workload.
2. Participate in service reviews and audits of the service to ensure continued compliance with JAG accreditation.
3. Identify opportunities for service development and role redesign. Act as a change agent and innovator, planning and evaluating change within the gastro/endoscopy unit.
Research / Audit
1. Participate in the annual JAG audits.
2. To collaborate in the audit of nurse endoscopy practice across the Trust.
3. To promote and participate in nursing research within endoscopy to promote evidence-based practice at Trust and National level.
Professional Responsibilities
1. To be aware of and act in accordance with national policy procedures, legislation, and NMC standards.
2. To secure regular clinical supervision with an appropriate supervisor.
3. To adhere to Whittington Health NHS Trust policies and procedures at all times.
4. To be aware of one's own continuous professional development needs and maintain an annual personal development plan.
Person Specification
Skills
Essential
* Knowledge of gastro-intestinal disease processes.
* Willingness to extend clinical knowledge and skills and carry out research and audits of the clinical area.
* Understands physiological systems, disease processes and risks of associated medical technologies.
Knowledge
Essential
* Advanced knowledge of GI tract anatomy and physiology.
* Clinical Audit.
* Pharmacology in relation to Gastrointestinal Disease.
Experience
Essential
* 3 years post-registration experience within a relevant area.
* Experience of Nurse Led care.
* Experience of working in a multi-disciplinary team.
Qualifications
Essential
* Registered Nurse.
* Basic skills OGD/flexible endoscopy qualification (JAG accredited).
* Documented evidence of CPD.
Employer details
Employer name
Whittington Hospital NHS Trust
Address
Whittington Hospital
Magdala Avenue
London
N19 5NF
Any attachments will be accessible after you click to apply.
220-WHT-2835 #J-18808-Ljbffr