Job overview
An interesting and rare opportunity has arisen to join a small dedicated supportive team who specialise in Enteral Nutrition across the Trust. Prior experience of feeding tubes is essential, however full training for more complex situations will be given. As well as daily troubleshooting of feeding tubes, the role includes assessment, consent and practical insertion of long-term feeding tubes including PEGs. A confident empathetic nature is required as difficult conversations feature heavily in this patient centred role. Teaching and auditing are a key part of the team’s role to improve outcomes for our diverse patient group.
Main duties of the job
This is a clinical role that encompasses the management of existing patients with feeding tubes and the assessment of new patients who may require long term feeding, working across 3 hospital sites. There is a high level of independent working where excellent communication and clinical skills are required. Complex conversations with patients, families and carers which can be emotive and challenging are common within the role. The successful candidate will, after training, be required to assist in the placement of PEG feeding tubes in the endoscopy department which does involve a scalpel to skin procedure. The team provide training to staff of all levels including doctors and a positive attitude towards training and development is required. Teaching patients to manage their tubes independently is also a key part of the position. Flexibility is crucial as we respond to feeding tube-related emergencies in a bid to avoid hospital admissions and improve patient journeys.
Detailed job description and main responsibilities
1. To ensure safe and effective clinical practice • Ensure a high standard of safe clinical care and record keeping in accordance with Nursing and Midwifery Council, national legislation and local standards. • Take personal responsibility for actions and omissions and fully recognise personal accountability. • Practise within an ethical framework based upon dignity and respect for the well-being and safety of patients and clients. • Act as a change agent, developing clinically effective practice through the effective utilisation and integration of evidence-based practice within own work area. • Contribute to the development and implementation of evidence-based protocols, standards, policies and clinical guidelines within own work area. • Ensure a culture of continuous quality improvement through the use of audit, patient feedback and reflection on practice by self and other members of the team. • Promote a clean and safe environment for staff, patients and visitors by ensuring compliance with legislation, policies and protocols including health and safety, healthcare associated infection prevention, clinical governance, including risk management and critical incident reporting and root cause analysis. • Demonstrate effective communication within the multi-professional team regarding patient care. • Undertake interventional procedures with appropriate consent. • Assess the risks involved in the care of patients and ensure utilisation of practices and protocols to minimise those risks, including safe use of medical devices. • Report incidents and near misses promptly and appropriately and take effective action to minimise future risk. • Provide specialist advice to own and other professions on therapeutic interventions and clinical practice. • Implement practices that are appropriate to patient and service need through in-depth knowledge, implications of and applying epidemiological, demographic, social, political and professional trends and developments. • Lead by example, develop self and other staff, and influence the way care is given in a manner that is innovative, open and responds to individual needs. • Provide clinical supervision to other staff. • Work harmoniously and effectively with colleagues, patients and clients and their carers, families and friends, seeking advice from senior practitioners as necessary. • Practise within the scope of personal professional competence and extend this scope as appropriate to service needs. • Delegate aspects of care to others and accept responsibility and accountability for such delegation. • Participate in peer review of own practice. • Day to day supervision/training of staff/students. • Critically appraise and synthesise the outcomes of relevant research, evaluations and audits and apply the information when seeking to improve practice. 2. To enhance the patients experience • To assess individuals holistically using a range of different assessment methods, use physical examination skills, order diagnostic tests for client group. • Incorporate health promotion and prevention into care plans, and comprehensively assess patients for risk factors and early signs of illness. • Utilise ‘making every contact count’ as an approach to change behaviour through interactions with individuals, carers, families to support them in making positive changes to their physical and mental health and wellbeing. • Plan and co-ordinate complete episodes of care, delegating and referring to other practitioners as appropriate to optimise health outcomes and resource use. • Safely use patient group directives (PGD)/ non-medical prescribing as appropriate. • Use professional judgement in managing care events and capture the learning from these experiences to improve patient care and service delivery. • Work within defined boundaries of practice. • Ensure an effective and efficient patient’s journey by planning and coordinating of the episode of care /caseload including the smooth transition to other settings, promoting safe and effective discharge from the service and optimising communication with interdisciplinary and interagency teams as required. • Within a multidisciplinary team environment, develop a culture of person-centred care. • Promote a caring and compassionate environment where equality and diversity issues are respected and patients are enabled to be partners in their care. • Contribute to the development of care and services by ascertaining patient and carer experience/feedback and ensure complaints are managed in line with organisational policy, including the dissemination of learning points. • Ensure that everyone within the sphere of care is treated with dignity and humanity, understanding individual needs, showing compassion and sensitivity, and provide care in a way that respects all people equally. • Enable patients/clients to learn about their conditions and treatment by coordinating the implementation of plans appropriate to their preferred approach to learning, motivation and developmental stage. • Be proactively involved in undertaking activities that monitor and improve the quality of healthcare and the effectiveness of own and others’ practice. • Communicate effectively across a range of circumstances and individuals. 3. To ensure effective contribution to the delivery of the organisation’s objectives • Contribute to the development of an organisational culture that supports continuous learning and development, evidence-based practice and succession planning. • Support the appraisal process by ensuing that personal development plans are developed and that they are consistent with the team’s and organisation’s objectives, succession planning and workforce development and support professional revalidation. • Network with peers across professional groups and clinical disciplines promoting the exchange of knowledge, skills and resources. Have high-level communication skills and contribute to wider development of practice by publicising and disseminating work through presentations at conferences and articles in the professional press. • Demonstrate effective use of resources in decision-making and propose appropriate strategies to enhance quality, productivity and value in own sphere of work. • Strive constantly to improve practice and health outcomes so that they are consistent with or better than national and international standards. • Take an innovative and proactive approach to the redesign of clinical services, linked to organisational priorities and in support of improved outcomes. • Support the development and implementation of the Nursing, Midwifery and Health Visiting Strategy for the organisation. • Within clinical area ensure knowledge and implementation of the organisations quality and safety agenda. • Develop and maintain a working knowledge of local, national and professional strategy and policy, ensuring that organisational goals and values are reflected in personal objectives. • Demonstrate the ability to contribute to policy and strategy development at a departmental and organisational level and, where appropriate, national level. • Demonstrate compliance to the pledges of the NHS Constitution 2012 and Trust values. • Act in a way which is consistent with the values based approach to care delivery.
For further details / informal visits contact: Liz Walker Enteral CNS
Email address: [email protected] Tel: 01902 695336
