Job summary
Are you an experienced nurse endoscopist looking toprovide world class and compassionate care to our community as an opportunityhas arisen within the Endoscopy Team. We are looking for a hardworking,flexible and committed individual to join the team. With a base at Worcestershire Acute Hospital, thesuccessful candidate will undertake endoscopy lists at KidderminsterHospital, Alexandra Hospital Redditch and Malvern Community Hospital.
Main duties of the job
The nurse endoscopist will work independently as an expert practitioner performing endoscopic procedures (gastroscopy, flexible sigmoidoscopy/ Colonoscopy) with or without sedation on a selected patient group.
This new post currently will cover 1 set list for Bowel Cancer Screening Programme and 1 set list for symptomatic per week. The remaining timetable to be worked flexibly to ensure maximum use of funded lists.
As you will be required to work across different sites a full driving license and access to a car is essential.
Please note interview date is Monday 16th December.
About us
Our purpose is simple - Putting Patients First. We are looking for exceptional colleagues who can help us achieve this.
Worcestershire Acute Hospitals NHS Trust is a large acute and specialised hospital trust that provides a range of local acute services to the residents of Worcestershire and more specialised services to a larger population in Herefordshire and beyond.
The Trust operates hospital-based services from three sites in Kidderminster, Redditch and Worcester
Our workforce is over 7,000 strong, and our caring staff are recognised as providing good and outstanding patient-centred care. You could be one of them.
We are committed to recruiting the best people to work with us to achieve our Vision - working in partnership to provide the best healthcare for our communities, leading and supporting our teams to move 4ward. Our 4ward behaviours, which we ask all staff to demonstrate, underpin our everyday work and remain firmly at the heart of all we do.
Our objectives are simple:
1. Best services for local people
2. Best experience of care and best outcomes for our patients
3. Best use of resources
4. Best people
Better never stops, and our Clinical Services Strategy provides a clear future vision for our Trust, our hospitals, our services and our role in the wider health and care system.
We are proud to have achieved Timewise accreditation - this means we are committed to embedding flexible working within our organisation as a flex positive employer.
Job description
Job responsibilities
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:
5. To undertake unsupervised endoscopic procedures such as colonoscopy, flexible sigmoidoscopy and gastroscopy with associated appropriate therapeutic procedures.
6. To provide conscious sedation as appropriate using informed consent according to recognised training programmes and where appropriate administer reversal agents according to protocol.
7. To act as independent prescriber for Endoscopy.
8. 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
9. To use knowledge and developed skills ensure that patients and carers receive appropriate health education pre and post procedure
10. To offer psychological support to patients with cancer and their families at diagnosis and in conjunction with other healthcare professionals, as appropriate.
11. 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.
12. To promote a patient focused approach to care in collaboration with all relevant health professionals.
13. To provide information which enables patients to make choices about adopting a healthier lifestyle.
14. To complete patient documentation correctly.
15. To work with the Directorate Management Team and Unit Managers in establishing and monitoring protocols / policies/care pathways.
16. To participate in the promotion and maintenance of effective communication with patients, relatives and other staff.
17. To support peoples equality, diversity and rights at all times.
18. To safe guard vulnerable adults in accordance with agreed policies and procedures.
19. 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.
20. To promote a patient focused approach to care in collaboration with all relevant health professionals.
General Duties:
21. To develop own teaching skills and participate in staff / student education programmes.
22. Ensure minimal procedure numbers required for JAG accreditation are performed, ensure JAG and GRS key performance indicators are in line with recommended minimum standards.
23. Ensure accreditation achieved and maintained for Bowel Cancer Screening KPIs.
24. To help maintain a suitable learning environment for staff and act as a facilitator in the supervision and teaching of less experienced staff.
25. To attend Trust / local orientation programmes and mandatory training sessions.
26. 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.
27. To contribute to annual appraisal and be responsible for own Personal Development Programme
28. Attend courses and conferences to keep up to date with recent research and practice changes.
29. 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.
30. 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.
31. Acts as an ambassador/role model for the organisation and the nursing profession
32. Maintains their NMC registration, ensuring that own work and the work of other staff always adhere to the NMC code of conduct
33. Act as a role model and clinical expert, demonstrating high standards of care and clinical leadership within the speciality.
34. To promote and deliver Health Education within the clinical area and advise patients, relatives and others in Health Promotion issues where necessary
35. Ensure that high standards of care are maintained within the department and where necessary address issues with the Unit Manager/BCSP Programme Manager.
36. Maintain a clinical portfolio and log in accordance with standards and guidelines of the Joint Advisory Group on Gastrointestinal Endoscopy (subgroup of the Committees on Higher Medical Education of the Royal College of Surgeons & Other medical Royal Colleges).
37. To monitor the safe and effective use of all equipment and the economic use of supplies.
38. To inform and discuss any nursing issues with Matron/BCSP Programme Manager/Directorate Manager.
39. Actively assists in the investigation of complaints/serious incident and draft responses as required.
40. To promote nursing practice in line with relevant research.
41. To maintain an awareness of evidence-based practice.
42. To attend courses and conferences to keep up to date with research and practice changes
43. To contribute to research and development programmes within the ward / department.
44. Understand the importance of the role of clinical audit in developing practice and support the team be actively involved in the audit programme, including quality, patient experience, GRS, JAG, BSG etc.
45. 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.
46. Monitor feedback of care delivery and provide feedback within own caseload and contribute to the Directorates and Trusts audit programme.
47. To contribute to the setting and monitoring of measurable standards of care and be accountable for maintaining standards.
48. To maintain awareness of the national, professional and local quality issue relevant to the delivery of nursing services, Clinical Governance.
49. To uphold quality initiatives that improve customer care and enhance the interface between staff, patients, and visitors.
50. To participate in maintaining a clean environment.
51. 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.
52. The post holder will familiarise themselves with relevant Trust policies and procedures and comply with these at all times.
53. To identify own training needs, to ensure individual competence in the use of all equipment provided for use.
Person Specification
Experience
Essential
54. Previous recent experience working as a Nurse Endoscopist
55. Significant experience in an appropriate clinical environment
56. Experience of independent practice in upper and lower GI endoscopy
57. Experience undertaking audit
58. Experience and evidence of working collaboratively in a multi-disciplinary environment
Desirable
59. Experience undertaking research
Qualifications
Essential
60. NMC Registered Nurse
61. Recognised Teaching and Assessing Course
62. Fully trained and accredited nurse Endoscopist and JAG accredited Nurse Endoscopist
63. Post Basic GI training qualification
64. Independent Nurse Prescriber
Desirable
65. Masters Level education in relevant subject or equivalent experience
66. Bowel Cancer Screening accredited Nurse Endoscopist or willingness to undertake or maintain Bowel Cancer Screening accreditation
Personal Qualities
Essential
67. Conscientious, hardworking, reliable and committed
68. Ability to establish credibility with a wide range of clinical and managerial staff
69. Advanced Communication skills
70. Demonstrates the ability to organise self and team members
71. Ability to provide leadership and support to junior members of the team
72. Able to deal with the emotional aspects of the post Calm, motivated, enthusiastic, positive approach to work and ability to motivate others
73. Flexibility
74. Able to work under own initiative
75. Ability to travel between all sites where Worcestershire Acute Hospitals NHS Trust provides endoscopy services
Knowledge and skills
Essential
76. Advance knowledge of the GI tract anatomy and physiology
77. Expert clinical practice skills and willingness to develop further
78. Evidence of analytical skills
79. Effective problem solver ability to negotiate and communicate with patients and all members of the MDT
80. Good communication and interpersonal skills, ability to work under pressure, flexibly and as part of a team
81. Able to manage time effectively and efficiently
82. Can demonstrate practical application of quality standards within the clinical setting Care Quality Commission, NICE guidance
83. Competent in the use of Microsoft Office products, including word, excel and outlook
84. Good organisational and time management skills
85. Flexible to demands of the service
86. Proven management skills
87. Able to promote equality, diversity and rights
88. Fully aware of the principles of infection control
89. Fully aware of Health and Safety issues
Desirable
90. Teaching expertise
91. Complaints Management
92. Investigation training
93. Advanced Communication skills
94. Counselling skills