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Colorectal Specialist Nurse

4 months ago

Oxford, United Kingdom Oxford University Hospitals NHS Foundation Trust Full time

Job summary

Provide exceptional patient care which is underpinned by evidence based practice and OUH values Work in partnership with the patient's family and friends to be actively involved in the caring process on behalf of the patient Manage, direct and evaluate the nursing care for a defined caseload of patients Communicate effective information to patients/relatives/carers and all members of the multidisciplinary team Demonstrate high standards of nursing care, reflecting the beliefs about professional nursing practice and patient care commensurate with the Oxford Model for Exemplary Professional Nursing and Midwifery Practice Develop and maintain specialist knowledge of nursing practice relevant to the clinical area Undertake the responsibilities associated with being a mentor and preceptor reflecting the Oxford Model for Exemplary Professional Nursing and Midwifery Practice Demonstrably contribute towards the continuing development of professional nursing practice in the department Conduct 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

Main duties of the job

Be a defined point of contact for patients/carers for defined episodes/pathways of care and provide clinical care, specialist nursing advice and psychological support.

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.

Work collaboratively and in partnership with other health care professionals, offering advice to colleagues.

Accurately document and report to other members of the nursing team and 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.

Demonstrate a problem solving approach to effectively execute planning, implementation and evaluation of individualised plans of care based on a person centred model of care.

Communicate complex and sensitive information effectively to patients, carers and other staff, overcoming barriers to understanding and providing support during distressing or emotional events

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 Trust comprises four hospitals - the John Radcliffe Hospital, Churchill Hospital and Nuffield Orthopaedic Centre in Headington and the Horton General Hospital in Banbury.

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 the OUH YouTube channel.

Job description

Job responsibilities

Scope of the role

Provide exceptional patient care which is underpinned by evidence based practice and OUH values Work in partnership with the patients family and friends to be actively involved in the caring process on behalf of the patient Manage, direct and evaluate the nursing care for a defined caseload of patients Communicate effective information to patients/relatives/carers and all members of the multidisciplinary team Demonstrate high standards of nursing care, reflecting the beliefs about professional nursing practice and patient care commensurate with the Oxford Model for Exemplary Professional Nursing and Midwifery Practice Develop and maintain specialist knowledge of nursing practice relevant to the clinical area Undertake the responsibilities associated with being a mentor and preceptor reflecting the Oxford Model for Exemplary Professional Nursing and Midwifery Practice Demonstrably contribute towards the continuing development of professional nursing practice in the department Conduct 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

OVERALL OBJECTIVES

Accept patient referrals to agreed criteria and be identified as the key worker for an agreed patient/client caseload. Provide advice, education and support to patients, their carers and other health care professionals. Contribute to the smooth running of the colorectal service. Work across departmental boundaries. Liaise with other hospital and community teams along an agreed pathway to support the delivery of patient and family centred seamless care. Contribute to the on going development of the colorectal service.

Maintain and continually develop specialist knowledge of nursing practice

KEY RESULT AREAS:

Clinical

Be a defined point of contact for patients/carers for defined episodes/pathways of care and provide clinical care, specialist nursing advice and psychological support.

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.

Work collaboratively and in partnership with other health care professionals, offering advice to colleagues.

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 nursing care.

As negotiated with Senior Specialist Nurses, 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.

Contribute to the development and delivery of nurse led initiatives for the benefit of colorectal patients, in conjunction with medical and nursing/AHP colleagues.

Demonstrate and share clinical practice developments to provide evidence based care and contribute o 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.

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 nursing team. Contribute to the development of specialist nursing 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 nursing 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.

Undertake the responsibilities of a mentor participating in induction and orientation programmes, guiding practice, assessing competence, enabling and supporting learning

Improving Quality and Developing Practice

Comply with post registration education and practice (Prep) requirements for NMC Revalidation or equivalent, 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 nursing team in the provision of an excellent standard of patient care in line with Oxford University Hospitals (OUH) values and The Oxford Model of Exemplary Nursing and Midwifery Practice.

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 nursing team, promoting consistent professional and clinical excellence.

Provide guidance for junior and less experienced staff to improve quality and develop practice.

Engage in and promote Clinical Supervision in order to enhance ones own practice and that of others.

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 nursing practice relating to the area of clinical practice, management education and research.

Promote and practice, evidence based nursing care, embracing new ideas and changes for the benefit of patient care.

Openly question and challenge nursing practice in a constructive way so that standards of patient care are continually evaluated and improved.

Person Specification

Education, training and qualifications

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 in Nursing relevant to post. Evidence of on-going professional development through maintenance of an NMC revalidation or equivalent. Minimum 3 years experience in a related area

Desirable

Evidence of a career development plan including higher level Nursing Qualification

Experience/Clinical practice

Essential

Able to demonstrate up to date knowledge of nursing practice on issues relating to colorectal nursing Ability to work under own initiative and within boundaries of the role Good interpersonal, organisational & management skills. Demonstrate ability to work independently Evidence of a commitment to team working and staff support

Desirable

Experience of working with colorectal cancer/stoma patients

Personal skills/qualities

Essential

Able to demonstrate the ability to put patients and their families and carers at the heart of what you do and recognising different needs by encouraging a spirit of support, integrity, respect and teamwork. Motivated and able to articulate reasons for desire to work in the specific practice area Positive enthusiastic character Able to undertake specific procedures involving physical skills commensurate with practice area.

Desirable

Previous management experience of specific clinical area

Leadership

Essential

Able to prioritise own workload and that of others as appropriate. Excellent communication skills. Able to supervise non-registered and less experienced staff to ensure effective care delivery. Understanding of professional and current issues related to area of practice. Able to identify own learning needs and ensure own professional development is maintained by keeping up to date with practice developments