An exciting opportunity has arisen to join our dedicated and friendly Paediatric Endocrinology Team at QMC. Working as a band 6 Clinical Nurse Specialist alongside the multi-disciplinary team.
The successful applicant will join the current CNS team and be given a full induction into Paediatric Endocrinology.
The post holder is a key contact for patients, providing face to face and telephone contact, support and education. The CNS team are responsible for managing and undertaking a number of stimulation tests to help diagnose endocrine conditions. These stimulation tests involve direct nursing care and the successful candidate would need to undertake a phlebotomy and cannulation course.
This role involves supporting endocrine clinics, including specialist combined clinics and outreach clinics. We currently do outreach clinics in Lincoln, Boston, Newark and Mansfield and the candidate would be required to travel to support these clinics on a monthly basis.
The role will also involve developing the existing role of the CNS and helping to set up more nurse led clinic activities.
We are looking for a highly motivated and enthusiastic nurse with good communication skills and experience in paediatrics.
You must be registered with the NMC and be willing to undertake further study and development.
Experience of working with endocrine patients is desirable.
• Be responsible for the management of a caseload of patients working collaboratively and significantly within the children’s multidisciplinary Endocrinology team.
• To deputise for the Lead Nurse as required.
• Have a directorate wide responsibility to promote clinical excellence providing advice and support to professionals and agencies, both in primary and secondary care, including the development, updating and monitoring of practice guidelines regarding paediatric endocrinology.
• Assess the care needs of children, young people, and their families with endocrine and associated conditions. Advise accordingly and implement programmes of care which are designed, evaluated and amended as appropriate.
• when required attend clinics in Lincoln, Newark, Boston and Mansfield.
• Support and guide the inpatient team when endocrine patients are admitted.
• Educate ward based staff on the specialist aspects of clinical care related to this patient group and guide them in educating the children and their families.
• Provide guidance and support to families at home on specialist care associated with long term endocrine needs
• Undertake telephone consultations and attend/lead clinic sessions to maintain continuity of treatment and offer support and guidance to families.
• Undertake dynamic function testing according to evidence based guidelines and co-ordinate resulting treatment plans.
• Provide information and training to schools with children and young people who have endocrine conditions.
With over 19,000 staff, we are one of the biggest employers in the city with a central role in supporting the health and wellbeing of our local population. We play a leading role in research, education and innovation.
Come and join our wonderful team at NUH. We are big believers in diversity and welcome new ideas to help develop our team in order to deliver world class healthcare to the vast patient populations we serve. With endless personal development opportunities available, at NUH we will endeavour to turn your job into a career!
We particularly welcome applications from people who identify as Black, Asian and Minority Ethnic, or Disabled, as we are striving to be better represented at NUH.
1. Clinical and Leadership Responsibilities
1.1. Work as part of a team of nurse specialists; this may involve leading on particular aspects of care with the support of senior colleagues. This will include covering the work of others in their absence.
1.2. Maintain and ensure accurate patient records in accordance with Trust policies and procedures. For example; at all times to comply with the Information Governance Code.
1.3. Lead on some programmes of care and manage a caseload of patients as part of the team ensuring these are quality assured, evaluated and improved as appropriate.
1.4. Document the condition and progress of children and young people and liaise with senior staff re any areas of concern
1.5. Manage data collection and inputting of data for commercial growth hormone study. 1.6. When required, and as agreed, with other senior staff deliver care within community settings for example at the child’s/young person’s home or at school.
1.7. Work within the Medicines Code of Practice and comply with all Trust policies with particular regard to those maintaining patient and staff safety.
1.8. Liaise with other clinical areas providing appropriate policies, education and clinical expertise in order to facilitate the management of patients with special requirements.
1.9. Co-ordinate care for children and young people with an endocrine diagnosis as part of the team, including those who may not have a definitive endocrine condition but are being managed by the endocrine team.
1.10. Support children young people and their families / carers through their care pathway including diagnosis, treatment induction, and liaison with community professionals for example: GP, School Nurse, Health Visitor, teacher, or social care. Including provision of ongoing management and disease monitoring.
1.11. Have a detailed understanding of the medications used in paediatric endocrinology.
1.12. Gain the relevant knowledge and be competent in the process for blood monitoring for patients; understanding and advising re normal / abnormal values. Undertake any actions required if abnormal results received.
1.13. Plan care and facilitate ward staff to manage patients requiring care within the acute health settings: Outpatients, Day Care, Wards and the Medical Investigations Unit.
1.14. Plan, as part of the team, the discharge procedure for children and young people admitted to hospital with endocrine conditions. Liaise as appropriate with community nursing teams regarding care within the community.
1.15. Involvement in the orchestration of medications and care via the Trusts preferred Home Care Company. To facilitate the delivery of endocrine therapies directly to the family. This involves; registering patients, monitoring supplies, facilitating prescriptions, as appropriate requesting medical devices, together with discussing the delivery options open to families. Being mindful to involve families in the process.
1.16. Manage patient enquiries and concerns; seeking support and advice from members of the team as needed, whilst ensuring effective communication and documentation.
1.17. Provide support and explanation for children / young people during
transition. This includes liaising with teams in nursery, school and into adult care.
1.18. Lead teaching sessions, including demonstrations of clinical procedures, for nurses and other members of the multi-disciplinary team.
1.19. Act as an advocate for the child/young person and share good practice and innovation with colleagues across the service.
1.20. Comply with all Trust policies and risk assessments and be able to conduct clinical supervision of junior colleagues
1.21. Become competent at phlebotomy and cannulation.
2. Research and Development
2.1. Promote and practice evidence based nursing care.
2.2. Promote professional practice in line with relevant research.
2.3. Maintain a detailed awareness of the developments in the care and treatment of patients in order, to be able to carry out duties competently and efficiently
2.4. Actively participate in research studies that are being undertaken by the paediatric endocrine service, ensuring that the nursing input is in accordance with International Good Clinical Practice guidelines
3. Communication and Relationships
3.1. Maintain communication with service managers and other stakeholders in facilitating the service offered to this patient group.
3.2. Be a role model for others to emulate, working alongside colleagues and exhibiting high standards of professional behaviour and dress.
3.3. Liaise with ward staff offering placements to students and insight visits to newly appointed staff.
3.4. Collect data relating to patients referred to the nursing service and support the collation of that data into the development of an annual report.
3.5. Be aware of the need for confidentiality both within the written and
spoken word and ensure correct storage of patients’ records at all times to comply with the Information Governance Code.
3.6. Support the information and education of children, young people and their families / carers about their endocrine condition and its management
3.7. Be able to explain reasons for various treatment options to children, young people and their families including preparation prior to procedures and follow up care and drug regimens
4. Management Responsibilities
4.1. Ensure delivery of care in accordance with policies, procedures, guidelines and practices of Nottingham University Hospital Trust and ensure all junior staff and medical staff are up to date with such procedures.
4.2. Seek the views and monitor the needs of the client group in order to formulate the strategic development of services for children and young people with endocrine conditions.
4.3. Work with the Children’s Services shared governance framework to introduce agreed procedures and practices to improve the care of children with endocrine and associated conditions.
4.4. To demonstrate a sound awareness of practise within a framework of Clinical Governance and Risk Management
4.5. Report complaints, incidents and accidents in line with the Trust incident reporting process.
4.6. Ensure that the clinical environment is safe and adequately equipped and maintained, take any immediate necessary action and report any deficiencies accordingly.
4.7. Report feedback from parents on their experiences including medical equipment and action as appropriate ensuring patient safety is maintained.
4.8. Use resources effectively in order to provide quality patient care whist having an awareness of budgetary issues.
5. Education Responsibilities
5.1. Demonstrate the skills and knowledge to act as a specialist resource to
other members of the multi-disciplinary team.
5.2. Develop and maintain nursing guidelines, care plans, parent information and information relevant to this patient group.
5.3. Be competent in the administration of intramuscular, sub-cutaneous and intravenous therapies and maintain competence.
5.4. Comply with the Trust’s training and development policies and procedures
6. Key Result Areas
6.1. Be aware of the need for own personal development and be prepared to attend and undertake any necessary training.
6.2. Contribute towards and when necessary lead the development of the clinical environment conducive to continuous improvement and development and help to ensure all members of the team are included; able to discuss ideas and actions and showing initiative.
6.3. Assist in the regional development of the service working with senior colleagues as required
6.4. If required represent the service nationally and in publications
6.5. Actively facilitate “Patient Partnership”, in service evaluation, development, design and communication which involves children, young people and their parents/carers
This advert closes on Sunday 23 Feb 2025