Keyworker - Paediatric Radiation Oncology
5 months ago
DUTIES AND RESPONSIBILITIES Work with the clinical team to formulate clinical decisions and complex treatment plans to manage acute radiotherapy toxicity and psychosocial issues by responding to actual and potential health problems appropriately. Triage of patient cases referred for PBT to ensure suitability of referral in line with commissioning guidance Oversee and coordinate the referral and treatment pathway for patients referred for radiotherapy and PBT. Manage the referral and treatment pathway for patients who require general anaesthetic alongside PBT Lead ODP Serve as the named key worker for paediatric proton therapy patients at the point of eligibility at the paediatric radiation oncology MDT meeting. Manage the transition of care of paediatric patients between care settings.
Act as a knowledgeable expert who understands the process and stages of the paediatric radiation oncology pathway. Ensure efficient use of available capacity and promote an integrated team approach across the service. Contribute to the development of national paediatric radiation oncology pathways through the clinical site groups. Lead on developing and updating patient and carer information Assist in the development of relevant protocols within the radiotherapy quality system.
Review current paediatric protocols in the Trust and develop new protocols/policies where appropriate. Accept and make appropriate referrals from/to other professional colleagues. Communicate with the patients referring specialist, GP and other community and hospice based services at regular intervals as appropriate. Contribute to the clinical governance process, including adverse incident reporting/investigation and the management of complaints, as appropriate.
Attend meetings at managerial, Trust committee and local Trust partnership level, acting as advocate for area of work and profession Participate in national oncology/radiotherapy advisory boards and relevant working groups as invited. Assist in the development of integrated patient pathways (e.g. NICE Guidance on Cancer Services, NHS Guidance etc.) Identify gaps in service provision and work with the MDT and cancer network to implement the changes required to improve service provision. CLINICAL DUTIES/RESPONSIBILITIES Participate in the direct clinical management of patients.
This includes history taking, systematic physical examination and requisition of appropriate clinical investigations, formulation of clinical management plans and re-evaluation of implemented treatment plans as appropriate. Contribute to the coordination and effective management of the admission and discharge process. PATIENT CARE Develop a relationship that recognises the person (patient/family member/carer) as an individual. Give information, at an appropriate level of understanding, to ensure a patient is fully informed along all stages of the patient pathway.
Develop and update patient specific information which is age appropriate. Co-ordinate the patient journey ensuring appointments and information is communicated to the patient in a timely fashion Act as a patient advocate with clear feedback systems in place to the MDT and referring hospitals. Communicate highly complex, sensitive or contentious information to patients and carers. This may include diagnosis, results of scans or other investigations, management options and details of prognosis.
Asses on a regular basis whether more support or advice is needed and offered where appropriate. Provide an important point of contact for the patient and those around them both during and after completion of treatment, ensuring continuation of care. To identify vulnerable children and children of vulnerable adults and work with Trust named nurse for safeguarding Cover other appropriate disease groups as required. TRAINING AND EDUCATION To develop and maintain competencies relevant to professional title and role Be present and involved in training days and conferences.
Participate in the education of pre/post registration students. Contribute to educational programmes within the Trust and referring/associated centres. Educate patients and their carers on issues surrounding health promotion and illness prevention. RESEARCH AND AUDIT Facilitate relevant paediatric radiation oncology research and audit maintaining relevant competencies to record and contribute to research and trials Keep up to date with current research and publications.
Initiate and support clinical audit with respect to evaluating service effectiveness and future developments within the role, developing and managing strategies to address any shortfalls. Disseminate relevant research findings to colleagues and members of the health professions via presentation and publication.
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