Paediatric Dietetic Assistant Practioner

9 months ago

Luton, United Kingdom Bedfordshire Hospitals NHS Foundation Trust Full time

To manage a caseload of non-complex paediatric patients alongside the dietitian and support service improvement projects as directed by the clinical lead in the relevant areas. To have a good understanding of and contribute to the effective running of the paediatric dietetics service. To develop and maintain a basic knowledge of evidence-based practice, the common conditions you come across and national and local standards within your clinical areas. To accept clinical responsibility for a designated caseload of patients within your own scope of practice and organise this effectively and efficiently with regard to clinical priorities and use of time.

To work as an autonomous practitioner by planning and prioritising own workload according to locally agreed priority coding and supporting less experienced dietetic assistant practitioners to do the same. To undertake a comprehensive assessment (interpretation of biochemistry, anthropometrics, clinical condition and diet history) and use clinical reasoning skills to set nutritional goals for each patient. To negotiate and agree dietary interventions with patients and their carers, using appropriate counselling and motivational skills to optimise the nutritional intake of patients. To make recommendations for appropriate prescription of nutritional products according to local guidelines regarding the use of formula milks, nutritional supplements and other nutritional products.

To work within the international code of marketing of breast-milk substitutes in support of the baby-friendly hospital initiative. To ensure adequate monitoring and review of patients, ensuring any concerns are raised as appropriate to the dietitian. To have insight to recognise and act appropriately if children or vulnerable clients are at risk or deemed to be in need. To make appropriate follow up, discharge arrangements and outward referrals to other services in order to facilitate the safe and timely discharge/transfer of care as directed by the dietitians.

To be responsible for maintaining accurate and comprehensive patient records in line with BDA, Trust and department standards and provide statistics of patient contacts in a timely fashion. To communicate with healthcare professionals with regards to incoming referrals to ensure all the necessary information is available. To support the dietitians in discharge planning processes including making suitable arrangements for patients requiring home enteral feeding. To act as the first point of contact for patients, health/social care professionals and members of the public with queries regarding the paediatric dietetics service.

To liaise with healthcare professionals at ward level, the wider community and across the network. To liaise with catering department to ensure provision of suitable meals for inpatients on therapeutic diets. To liaise with pharmacy, nursing and milk kitchen staff to ensure the availability and provision of appropriate specialised nutritional products and formulae at all times. To communicate non-complex, specialised and sensitive information with empathy and understanding to patients and their carers or other family members where appropriate.

To plan, deliver, evaluate and develop training and education sessions to patient and multi-disciplinary staff groups following discussion with the relevant clinical lead. To work as an integral part of the paediatric team within dietetics and the wider multi-disciplinary team. To support the dietitian to attend MDT meetings, ward rounds, case conferences and child protection meetings to ensure delivery of high quality co-ordinated multi-disciplinary care. Work with colleagues to help the Trust meet the CQC standard for nutrition.

This may involve planning and implementing effective and appropriate training for paediatric staff to ensure the early identification and treatment of patients with malnutrition and other diet related conditions. To work within Trust, departmental, HCPC and BDA clinical and professional guidelines, policies and procedures. To assist with the development and updating of policies and guidelines related to paediatric dietetics as directed by the clinical lead in the relevant areas. To support the clinical lead in ensuring guidelines relating to your clinical areas are fully implemented across the department/MDT.

To participate in audit, research and service evaluations to help deliver improvement in in service delivery and clinical practice following discussion with the clinical lead in the relevant areas. To report information required for managing and monitoring the service such as referral numbers, waiting list management, prioritisation of caseloads, DNA rates, outcome measures and user satisfaction surveys. To be responsible for maintaining own development and competency to practice through CPD activities. To participate in and assist with organising and delivering the department's CPD programme in collaboration with senior staff.

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