Location / Department: Symptomatic & Bowel Cancer Screening Programme (BCSP) This post currently will cover 1 set list for BCSP and 1 set list for symptomatic per week. The remaining timetable to be worked flexibly to ensure maximum use of funded lists.
Accountable to: Matron
Reports to: Advanced Practitioner Endoscopy
Key Working Relationships: Endoscopy Matron, Directorate Manager, Clinical Lead Consultants and other Medical staff, Bowel Cancer Screening Clinical Director, Nurse Endoscopists within the Directorate, Endoscopy Unit Managers and Endoscopy Nursing staff, Bowel Cancer Screening Programme Manager, Bowel Cancer Screening Lead Specialist Screening Practitioner and Team, Endoscopy Directorate Support Manager, Endoscopy Booking Team, Key Members of MDT
Risk Assessment: The post involves manual handling activities and exposure to body fluids and chemicals. The role involves VDU work and individuals may be / are exposed to violence and aggression.
Job Purpose: To carry out endoscopy procedures for both symptomatic and Bowel Cancer Screening Programme, using informed consent and with due regard to patient safety and safe use of equipment. Identify abnormalities, assessing, initiating and reviewing treatment in accordance with agreed policies and individuals scope of practice.
Key Duties:
1. To undertake unsupervised endoscopic procedures such as colonoscopy, flexible sigmoidoscopy and gastroscopy with associated appropriate therapeutic procedures.
2. To provide conscious sedation as appropriate using informed consent according to recognised training programmes and where appropriate administer reversal agents according to protocol.
3. To act as independent prescriber for Endoscopy.
4. To assist in the delivery and development of the specialist service through the use of effective evidence based practice in line with agreed national standards for patient safety and monitoring.
5. To use knowledge and developed skills ensure that patients and carers receive appropriate health education pre and post procedure.
6. To offer psychological support to patients with cancer and their families at diagnosis and in conjunction with other healthcare professionals, as appropriate.
7. Participate in data inputting and produce endoscopy reports on individual patients, after each procedure, providing the diagnosis, suggested treatment, medical follow-up and referral, as necessary to medical specialists, as required for the treatment of each patient.
8. To promote a patient focused approach to care in collaboration with all relevant health professionals.
9. To provide information which enables patients to make choices about adopting a healthier lifestyle.
10. To complete patient documentation correctly.
11. To work with the Directorate Management Team and Unit Managers in establishing and monitoring protocols / policies/care pathways.
12. To participate in the promotion and maintenance of effective communication with patients, relatives and other staff.
13. To support peoples equality, diversity and rights at all times.
14. To safeguard vulnerable adults in accordance with agreed policies and procedures.
15. To ensure that patient safety is maintained by the delegation of patient care to nurses with appropriate level of skill at all times and report any accidents / incidents to the Departmental Manager.
General Duties:
1. To develop own teaching skills and participate in staff / student education programmes.
2. Ensure minimal procedure numbers required for JAG accreditation are performed, ensure JAG and GRS key performance indicators are in line with recommended minimum standards.
3. Ensure accreditation achieved and maintained for Bowel Cancer Screening KPIs.
4. To help maintain a suitable learning environment for staff and act as a facilitator in the supervision and teaching of less experienced staff.
5. To attend Trust / local orientation programmes and mandatory training sessions.
6. To be responsible for developing and sustaining own knowledge, clinical skills and professional awareness in accordance with PREP / Revalidation requirements and to maintain a professional portfolio with evidence of reflective practice.
7. To contribute to annual appraisal and be responsible for own Personal Development Programme.
8. Attend courses and conferences to keep up to date with recent research and practice changes.
9. To provide training and development of the junior staff, student nurses and health care assistants to ensure a high level of nursing care is provided to patients.
10. To maintain a professional attitude at all times, developing the role of the Nurse Endoscopist in the best interest of the patient / profession in accordance with the MNC Code of Conduct and Scope of Professional Practice.
11. Acts as an ambassador/role model for the organisation and the nursing profession.
12. Maintains their NMC registration, ensuring that own work and the work of other staff always adhere to the NMC code of conduct.
13. Act as a role model and clinical expert, demonstrating high standards of care and clinical leadership within the speciality.
14. To promote and deliver Health Education within the clinical area and advise patients, relatives and others in Health Promotion issues where necessary.
15. Ensure that high standards of care are maintained within the department and where necessary address issues with the Unit Manager/BCSP Programme Manager.
16. Maintain a clinical portfolio and log in accordance with standards and guidelines of the Joint Advisory Group on Gastrointestinal Endoscopy.
17. To monitor the safe and effective use of all equipment and the economic use of supplies.
18. To inform and discuss any nursing issues with Matron/BCSP Programme Manager/Directorate Manager.
19. Actively assists in the investigation of complaints/serious incidents and draft responses as required.
20. To promote nursing practice in line with relevant research.
21. To maintain an awareness of evidence-based practice.
22. To attend courses and conferences to keep up to date with research and practice changes.
23. To contribute to research and development programmes within the ward / department.
24. Understand the importance of the role of clinical audit in developing practice and support the team be actively involved in the audit programme.
25. To be actively involved in GRS audit and keenly involve service users in providing feedback of their experiences of current services and suggestions for improvement.
26. Monitor feedback of care delivery and provide feedback within own caseload and contribute to the Directorates and Trusts audit programme.
27. To contribute to the setting and monitoring of measurable standards of care and be accountable for maintaining standards.
28. To maintain awareness of the national, professional and local quality issue relevant to the delivery of nursing services.
29. To uphold quality initiatives that improve customer care and enhance the interface between staff, patients, and visitors.
30. To participate in maintaining a clean environment.
31. To have a responsibility for the use of equipment for all lists, being mindful of infection control, COSHH and Health and Safety policies and procedures.
32. The post holder will familiarise themselves with relevant Trust policies and procedures and comply with these at all times.
33. To identify own training needs, to ensure individual competence in the use of all equipment provided for use.
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