Trainee/Senior Colorectal Specialist Nurse

Job summary The colorectal team are looking for a trainee band 6 or experienced band 7 nurse to join their highly regarded, innovative Pelvic Floor Team.Contacting the department for an informal visit or initial conversation is essential when applying as this is a specialised role that will require role specific training.Trainee Specialist Nurse applicants would be working towards becoming a Senior Specialist Nurse in this developmental role and the key result areas outlined in the Band 7 job description.
The role is supervised and clearly linked to competencies that require completion within a pre-arranged and designated time frame.
The focus will be on developing autonomous practice.
Demonstrated proficiency and successful completion of Accredited Scientific Practice (ASP) training programme will advance this role form Band 6 as a Trainee Senior Specialist Nurse to a Band 7 Senior Specialist Nurse.This role will have a specific focus on supporting patients with complex pelvic floor issues.
The role will also incorporate diagnostic testing of the ano-rectum.
Main duties of the job Provide exceptional patient care which is underpinned by evidence based practice and OUH valuesWork in partnership with the patient's family and friends to be actively involved in the caring process on behalf of the patientManage, direct and evaluate the care for a defined caseload of patientsCommunicate effective information to patients/relatives/carers and all members of the multidisciplinary team, making use of digital technology and telemed clinics as required.Demonstrate high standards of nursing care, reflecting the beliefs about professional practice and patient careDevelop and maintain highly specialist knowledge required relevant to the clinical areaUndertake the responsibilities associated with being a mentor and preceptorDemonstrably contribute towards the continuing development of professional practice in the departmentConduct oneself in a professional manner and be a role model to others at all times commensurate with the Code (NMC 2015)Work proactively to ensure every hospital visit meets the needs of the patient, ensuring effective communication with the patient/family and other agencies About us Oxford University Hospitals NHS Foundation Trust is one of the largest NHS teaching trusts in the country.
It provides a wide range of general and specialist clinical services and is a base for medical education, training and research.
The Trust comprises four hospitals - the John Radcliffe Hospital, Churchill Hospital and Nuffield Orthopaedic Centre in Headington and the Horton General Hospital in Banbury.
For more information on OUH please view OUH At a Glance by OUHospitals - Issuu Our values, standards and behaviours define the quality of clinical care we offer and the professional relationships we make with our patients, colleagues and the wider community.
We call this Delivering Compassionate Excellence and its focus is on our values of compassion, respect, learning, delivery, improvement and excellence.
These values put patients at the heart of what we do and underpin the quality healthcare we would like for ourselves or a member of our family.
Watch how we set out to deliver compassionate excellence via theOUH YouTube channel.
Job description Job responsibilities The Specialist Practitioner will contribute to the care of a patient group by leading on defined aspects of care, following a period of training.
Accept patient referrals to agreed criteria and be identified as the key worker for an agreed patient/client caseload.
Ability to perform a variety of pelvic floor centred therapeutics, which include but are not exclusive to pelvic floor retraining, rectal irrigation and percutaneous sacral nerve evaluation.
Organisation of the Percutaneous Nerve Evaluation and Permanent Sacral Nerve Stimulation lists in Radiology intervention.
Co-ordinating the Pelvic Floor Multi-disciplinary Team meeting.
To support the colorectal inpatient service with complex patient care as requested.
Ability to perform high resolution anorectal manometry and endoanal ultrasound.
Provide specialist advice, education and support to patients, their carers and other health care professionals.
Practice clinically in agreed care settings according to approved protocols or guidance Clinical Practice: Be a defined point of contact for patients/carers for defined episodes/pathways of care and provide clinical care, specialist clinical advice and psychological support.
Demonstrate and promote a patient and family centred style of clinical practice.
Be responsible for the assessment, planning, implementation and evaluation of patient care, demonstrating a collaborative approach through effective communication and decision making between the multi-professional team, patients and significant others.
Draw on a diverse range of knowledge in their clinical decision making to actively monitor diagnostic investigations, therapeutic procedures and advise on lifestyle management Work collaboratively and in partnership with other health care professionals, offering advice to colleagues.
Accurately document and report to other members of the multidisciplinary team information regarding the care given to patients, communicating changes as they occur.
Identify and discuss patient needs with the team, patients, carers and the multi- disciplinary team.
Be able to plan own workload and those of others as required.
Assess health and psychological needs of individual patients and provide care to meet these needs, through a process of shared decision making.
Communicate complex and sensitive information effectively to patients, carers and other staff, overcoming barriers to understanding and providing support during distressing or emotional events Maintain patient dignity and confidentiality at all times.
Professional Practice Ensure clinical practice is evidence based or peer reviewed best practice Develop and maintain clinical skills and knowledge necessary to provide person centred, evidence based clinical care.
Lead in colorectal nursing as agreed, making recommendations, coordinating projects and developing practice guidelines and policies based upon robust evidence gained from risk assessment, audit and literature review.
Be able to plan own workload and those of others as required.
As negotiated with the multidisciplinary team, set and maintain standards of practice, conduct and decision making.
Be competent in the use of all relevant Trust information technology ( IT) systems including the use of electronic patient records, (EPR), email and associated professional media ensuring that data is entered in an accurate and timely fashion, in accordance with Trust policy and procedure.
Engage in and promote a paper light approach to information management.
Maintain the use of email and other modes of communication in order to keep abreast of information disseminated across the Trust.
Demonstrate an awareness and understanding of Accountability, Responsibility and Duty of Care and work towards the provision of support and education for less experienced and non-registered staff on the implications for practice.
Management and leadership Adhere to NMC Code of Conduct, maintaining patient confidentiality at all times Promote effective interpersonal relationships with all members of the multi-professional team thereby ensuring a good team spirit and collaborative and person centred working practices.
Be involved in developing standards of care, practice guidelines and where appropriate Care Pathways for the colorectal patient/client group.
Be proactive in undertaking specific responsibilities as delegated by the Senior Specialist Nurses and Principal Clinical Scientist.
Demonstrate and share clinical practice developments to provide evidence based care and contribute of the service improvement in accordance with local policy initiatives.
Contribute appropriately to clinical governance activities that relate to own area of practice and patient/client group.
Demonstrate knowledge of budgetary restrictions and their implications.
Ensure compliance with the Health and Social Care Act regulations 2010 by adhering to the Care Quality Commission standards at all times raising concerns to the Lead Specialist Nurse or an appropriate senior person.
(CQC 2010 Guidance about compliance: Summary of regulations, outcomes and judgement framework).
Ensure the appropriate management of clinical and general waste.
Be aware of and adhere to all Trust and locally agreed policies and collaborate with other healthcare professionals to ensure these are observed Act as an expert resource, supporting and motivating staff members with special reference to the colorectal service Report near misses and untoward incidents, complaints, clinical emergencies or injuries as detailed in departmental and Trust protocols and procedures, assist the colleagues in investigating incidents as required.
Be proactive in seeking a response to the issues raised in order to disseminate the actions identified and provide own account of events if asked to support an investigation.
Demonstrate an awareness of and compliance with Health and Safety Regulations that apply to staff and patients.
To escalate concerns to senior staff in an appropriate and timely manner.
Maintain and contribute to the development of standards of practice, conduct or decision making in conjunction with members of the GI Physiology department and clinical lead.
Discuss personal and professional development needs during an annual appraisal, developing, agreeing and documenting action points in the electronic recording and personal development plan.
Education Be actively involved in the development, delivery and support of departmental education programmes.
Maintain, advance and develop personal theoretical knowledge, high standards of clinical competence and professional development through self education and attendance at relevant courses of study.
Create an environment that support and encourages personal and professional growth within the department of GI Physiology.
Contribute to the development of specialist knowledge and skills to enhance and extend the practice of other nurses and health care professionals within the service.
Identify and address the educational needs of patients, families, carers and staff involved in the delivery of this service.
Provide specialist clinical support, information and education for patients, families and carers who use the service.
Contribute to the teaching and support of students from the multidisciplinary team within relevant educational programmes Organise and contribute to relevant educational programmes and in house study days.
Develop and maintain a peer network of support, information and learning with other specialist practitioners at al local and national level.
Maintain ones own professional portfolio and development in line with NMC.
Participate in multidisciplinary education and training.
Supervise, teach and support the nursing and non-nursing staff involved in direct patient care, ensuring they have the necessary knowledge and skills to undertake the planned care, within a conducive learning environment.
Undertake all relevant Statutory and Mandatory (SM) training using the Trust E-Learning packages and study opportunities.
Improving Quality and Developing Practice Comply with post registration education and practice (Prep) requirements for NMC Revalidation identifying own learning needs and ensuring own professional development is maintained by keeping up to date with practice developments.
Demonstrate a commitment to evidence based practice and clinical excellence.
Using these skills works collegiately to promote innovation and work within the clinical team in the provision of an excellent standard of patient Develop and share own clinical knowledge with other members of the multi-disciplinary team and as relevant with practitioners locally.
Act as a role model for the clinical team, promoting consistent professional and clinical excellence.
Provide guidance for junior and less experienced staff to improve quality and develop practice.
Identify own development needs, aligning these to service requirements and personal aspirations.
Proactively develop and improve on own practice through appraisal, the Trusts clinical development ladder and other available resources.
Understand and contribute to the development, implementation, monitoring and evaluation of policies/protocols/guidelines relevant to the specialist area.
Participate in the OUH culture of audit and research in practice.
Keep up to date with professional issues that influence clinical practice relating to the area of clinical practice, management education and research.
Promote and practice, evidence based clinical care, embracing new ideas and changes for the benefit of patient care.
Openly question and challenge clinical practice in a constructive way so that standards of patient care are continually evaluated and improved.
Person Specification Education, training, qualifications and experience Essential Registered Nurse (Part 1.
8.
12 or 15 of the Nursing and Midwifery Council Register depending on area of practice) or National Certification in area of Practice.
UK recognised degree relevant to post Evidence of on-going professional development through maintenance of an NMC revalidation or equivalent.
Minimum of 3 years experience in a related area Desirable Evidence of a career development plan Clinical practice Essential Able to demonstrate excellent verbal and written communication Able to demonstrate up to date knowledge of clinical practice relating to colorectal Ability to work under own initiative and within boundaries of the role Ability to facilitate professional growth in self and colleagues Commitment to developing evidence based practice by research awareness Leadership and management Essential Able to prioritise own workload and that of others as appropriate.
Able to supervise non-registered and less experienced staff to ensure effective care delivery.
Demonstrates ability to maintain and contribute to the development of standards of practice, conduct or decision making in conjunction with their line manager Desirable Previous experience of managing clinical incidents and complaints Previous management experience of a clinical area Values, behavious and improving quality Essential Able to demonstrate the ability to put patients and their families and carers at the heart of what they do and recognising different needs by encouraging support, integrity, respect and teamwork Shows pride in the quality of care they provide for patients and learning from successes and setbacks Able to deliver a high standard of care for patients and always striving to improve through change and innovation Able to identify own learning needs and ensure professional development is maintained by keeping up to date with practice developments Desirable Demonstrates an ability to question and challenge nursing practice in a constructive way so that standards of patient care are continually evaluated and improved