Aural Care Specialist Nurse

3 weeks ago

Lincoln, United Kingdom United Lincolnshire Hospitals NHS Trust Full time

Job summary

Job overview

Exciting opportunity to work within a small team providing ear care with the outpatients department at Lincoln County Hospital & occasional at other sites.

Initially a Band 5 role progressing to band 6 on completion of diploma training & competency's.

The new post holder will be required to attend a 5-day diploma course in Rotherham in Aural care if they do not already have the relevant qualification.

Aural Care Nurse is responsible for the total management of all patients over the age of 16yrs with ear problems that do not need an initial assessment by an ENT Doctor at all sites within ULHT.

New Referrals are taken directly via choose and book from GP's, Nurse Practitioners, ENT Doctors, plus taking over existing caseload of patients.

Main duties of the job

Assess patient using patient attendance sheet, examine both ears using microscope, plan care/treatment and discuss with patient. Explain risks and side effects of any treatment, ask patient to sign consent form. Answer any questions Provide treatment as discussed- micro-suction, manual wax removal, based upon clinical knowledge and expertise and patient preference/requirement, advise re: condition, discuss any follow/up and after care. Complete outcome on patient kiosk. Refer to Ent doctors as required under clinical guidelines.

Evaluation of previous care given Provide topical treatments as per PGD Guidelines to treat varying ear conditions bacterial/fungal infection, chronic otitis externa etc Provide mastoid cavity care/treatments and advise Provide education re; management of aural conditions chronic otitis externa (diffuse or localised), Eustachian tube dysfunction, middle ear effusion, management of perforated tympanic membrane etc Dictation of GP letters after each patient on Digital Bighand Clean down clinic, replace all used equipment ready for next user. Ensure all outcomes are complete by checking patient kiosk Liaise with ENT doctors regarding any problems encountered during clinic. Liaise with Audiology Department should patients require any input from them.

About us

Our Trust is situated in the beautiful county of Lincolnshire and is one of the biggest acute hospital trusts in England, serving a population of more than 700,000 people. We provide acute and specialist services to people in Lincolnshire and neighbouring counties. We have an annual income of £643 million (20/21) and we employ nearly 8,500 people.

Our Board have recently agreed a new vision statement - "Outstanding Care Personally Delivered" - stating their ambition for our Trust to be among the best.

We also have a five year Integrated Improvement Plan setting out how we will achieve our strategic objectives, for patients, services, people and partners, the last recognising that our future success depends on our ability to ensure the Lincolnshire healthcare system is successful in achieving its ambition to help people live healthier lives and provide care closer to where people live.

Our latest CQC report increased our ratings for being effective and well-led from 'Requires Improvement' to 'Good'. Our rating for caring remained as 'Good'.

This is in recognition of the huge amount of work that our amazing staff have done to improve the quality of care for our patients in recent years.

We are committed to helping our staff balance their work and home lives and ensure they feel supported, valued and appreciated

Job description

Job responsibilities

Management Skills

Take responsibility for the delivery and evaluation of specialist aural care for patients with ENT disease

Manage own caseload of patients.

Assist in the development of strategies and policies for local service development

Lead in the audit of service delivery and evaluate outcomes to improve service development

Continually monitor own and staffs performance in the provision of care ensuring professional standards are met at all times

Establish clear referral patterns, communicating and co-operating with all departments, wards and relevant professionals

Develop strategies to ensure that the ENT service benefits all service users within agreed resources

Establish and maintain effective communication with individuals and groups at all levels of the organisation, on complex potentially stressful topics in a range of situations.

Develop and improve the strong links within the ENT multi-disciplinary team across the Trust

Ensure patients and their relatives have enough information to enable the patient to make an informed choice

Communicates very sensitive condition related information, utilising verbal and non-verbal methods, to patients and relatives ensuring they are supported effectively

Develop and maintain links between the ENT nursing team across Trust

Develop and maintain links for direct referrals to audiology

Develop and maintain links between other multi-disciplinary teams

Develop and maintain links between other professionals allied to medicine

Develop and maintain links between secondary and primary health care teams

Develop and maintain links between the private sector

Develop and maintain an active working relationship with clinical effectiveness team

Develop strategies and policies for the ENT service improvement

Support the development, expansion and evaluation of nurse-led clinics for new and follow-up patients

Responsible for initiating referrals and ordering investigations arising from the protocol of the nurse-led clinics

Lead in the development ENT protocols, pathways and policies

Share areas of best practice with peers across the Trust

Enable people to exercise their rights and promote their equality and diver sity

Treat all patients as an individual

Assist patients and their relatives to form an informed choice with regards to their treatment and surgical options

Offer the facilities to review patients at outreach clinics

Information and technology

Maintain confidentiality

Process and manage data information with the use of a patient administration system, daily

Collect, collate and report patient activity to meet governmental targets

Dexterity and co-ordination for aural care.

High level of knowledge regarding ear disease and aural care.

Ability to concentrate throughout the day whilst continually prioritising the delivering a high standard of nursing care.

Ability to assess the training needs of others

Ability to teach patients, relatives/carers and health professional with varying degrees of knowledge on a day to day basis

Updating patient records

Organise own clinics and referrals

Pro-active approach to management

Ability to resolve complaints

Experience in organising, co-ordinating and delivering training

Experience in staff management

Understanding of the composition of budgets

Experience as working as part of a small team as well as working alone

Good IT skills

Ability to plan and prioritise own workload and that of others

Ability to manage change

Good written skills

Excellent communication skills

Good problem solving skills

Leadership and motivation skills

Flexibility, adaptability and the ability to deal with change

Innovative

Responsibility of post holder

Support policy and service development for nurse-led ENT care

Provision of highly specialist nursing care within the ENT department

Provision of specialist education and training within the ENT field

Responsible for information resources

Participates in research and clinical audit in own area

Person Specification

Qualifications

Essential

Registered nurse Teaching Skills ENB 998 or equivalent Commitment to own development

Desirable

Diploma in Aural Care or equivalent recognised training. Required to compete the diploma in Aural Care PAS user Big Hand user

Previous Experience

Essential

Has worked in a clinic environment Ideal ENT experience

Desirable

Experience of delivering education programmes Knowledge of clinical effectiveness and audit Experience of working in both clinic settings

Knowledge, skills, aptitudes

Essential

High level of interpersonal skills and management skills Team player Leadership and change agent skills Good time management Good networking skills Ability to empathise with specific client group Competent in basic computer skills

Desirable

Competent in nurse-led care provision

Specific Requirements

Essential

Driving licence (Full) Ability to provide a high standard of care with a flexible approach Be able to articulate their vision for the development of the ENT services within the site Demonstrate awareness of current changes in the NHS Ability to work under own initiative Commitment to multi-disciplinary working

Desirable

Manual dexterity

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