Clinical Endoscopist

Full job description attached. Take full responsibility for the clinical management of the patient during the procedure including pre procedure assessment/ the procedure and recovery. Take informed consent prior to the procedure in accordance with Trust policies and ensure adherence to annual update of consent training. Using highly specialised knowledge ensure that patients and carers receive appropriate health education pre and post procedure.

Working autonomously without clinical supervision, undertake invasive diagnostic flexible sigmoidoscopy, colonoscopy and Upper GI endoscopy. Standard Endoscopy expectations to include; polypectomy and diathermy, tattooing of mucosa with marking ink, lifting sessile polyps. There is a possibility to work towards more therapeutic procedures including; EMR etc. Administer the following in accordance to local protocols Conscious sedation, Reversal agent, Local anaesthesia, Intravenous analgesia, Entonox Upon the location of abnormal pathology, undertake biopsies, photographs and complete pathology requests as required.

Take responsibility for interpreting the outcome of investigations undertaken on patients, arranging any further necessary diagnostic procedures or staging investigations. Ensure specimens are sent to laboratory in a timely manner within agreed protocols. Review histological results, taking responsibility for escalating any significantly abnormal pathology to the referring Clinician. Refer to other professionals for more specialist support as appropriate, to ensure continuity and co-ordination of patient care along the patient pathway.

Where appropriate, interpret and present clinical information to patients and their relatives, demonstrating highest levels of interpersonal and communication skills ensure that patients and their carers have sufficient relevant verbal and written information during the patients stay. This may require communication of bad news requiring advanced communication skills. To have the knowledge and experience to be able to assess endoscopic referrals for appropriateness, following set protocols