Bladder and Bowel Specialist Nurse

Job responsibilities

Clinical

Assessment and management of a clinical caseload of complex bladder and bowel continence care patients, maintaining accurate clinical records and data required by the service.

Ensure delivery of a high standard of specialist of bladder and bowel clinal care for the patients under your management working to the principles required by your governing body.

Formulate individualised, evidence based, management plans, using advanced clinical reasoning and evidence-based practice.

Organise own time effectively regarding clinical priorities.

Provide specialised advice, teaching and training to other members of the Primary and Secondary Care Team regarding bladder and bowel continence management.

Lead on training and supervision of less experienced staff and students.

To have the ability to gain valid informed consent and to identify through assessment patients who lack capacity and work within a legal framework with patients who lack the capacity to consent to treatment.

Work as an autonomous practitioner with supervision from the team manager and peers.

Provide spontaneous and planned advice, teaching and instruction to patients, carers and other professionals to promote understanding of specialist bladder and bowel continence treatment and management, to ensure a consistent approach to patient care.

Jointly lead on the development of bladder and bowel clinical policies and standard operating procedures for the service and or organisation. Assist with the implementation of national standards and guidance regarding bladder and bowel continence.

Within the scope of the service prescribe approved medication and appliances for patients with bladder and bowel continence problems.

Professional

Jointly lead with clinical decisions required to ensure efficient, cost-effective provision of the Home Delivery Service and prescription service.

Liaise with clinical service managers on issues relating to continence promotion, bladder and bowel continence management and service improvement.

Utilise information technology and participate in data collection and statistics.

Maintain clear, concise and timely records in line with the service policy.

Contribute and support involvement with organisational audit where required.

Attend, and chair, when necessary, professional meetings and forums.

Support and encourage reflective practice in bladder and bowel continence care, promoting a culture of continuous improvement.

Be jointly responsible for continuing professional development within the specialist service.

Contribute to the maintenance of clinical competency and participating in professional networks.

Attend relevant study days and internal /external training courses jointly responsible for the facilitation and promotions of a learning culture in the service, enabling other specialist practitioners to develop their skills.

Actively participate in training by attendance and presentation at team meetings and training sessions.

When appropriate plan, develop, implement, and evaluate educational programmes and training.

Contribute to the national professional development within bladder and bowel continence care through the appropriate Clinical Interest Groups e.g.: RCN Continence Forum, ACP and the bladder and bowel community.

Participate in the recruitment and selection of clinical staff within the department.

Lead the induction, supervision, and individual performance management of clinical staff within the department

Demonstrate a sound understanding of quality, safety and risk management and apply to the work situation.

Organisational

Support the clinical service manager in implementing targets and objectives to assist in the ongoing development of the Bladder and Bowel specialist service.

Participate in service evaluation and advise the clinical services manager on the service needs of the client population.

Be responsible for management duties as when delegated by the clinical services manager.

Liaise effectively with other professionals and agencies to enhance bladder and bowel continence care within Nottingham CityCare Partnership.

Manage day to day delivery of own caseload within the Bladder and Bowel specialist service including prioritisation of support staff duties. Also organise own diary and time management.

Always ensure the health and safety of staff and patients in accordance with PSIRF, Health and safety legislation and organisation policy and procedures.

Experience

Essential

• Broad post graduate clinical experience working with adults.
• At least 12 months post graduate experience working in a relevant clinical area at band 6 level.
• Experience of managing complex bladder and or bowel dysfunction.
• Evidence of leadership experience or qualification.
• Experience of multi-disciplinary working.
• Significant experience working as an autonomous practitioner
• Experience of clinical supervision.

Desirable

• Evidence of delivering health promotion activities.
• Experience of direct classroom teaching
• Experience in the use of digital examination for assessment of pelvic floor muscle tone including use of electronic biofeedback, Neuro muscular electrical stimulation.
• Experience of catheterisation.
• Evidence of working with diverse or disadvantaged groups.
• Relevant post grad experience.

Qualifications

Essential

• 1st level Registration with NMC or BSC(Hons) Physiotherapy or equivalent HCP registration.
• B72/73 Promotion of continence or similar equivalent qualification.
• Experience of working within specialist bladder and or bowel clinical service.
• Evidence of experiential learning within Bladder and/or bowel continence services, Gynaecology, Colorectal or Urology.

Desirable

• Mentorship Programme, e.g. supporting practice learning or equivalent
• Non-medical prescribing (V300) or willingness to working towards
• Evidence of further professional development
• Clinical educator course i.e. ENB 998 or C&G 730 or equivalent qualification / experience.
• Full membership of POGP
• Masters level modules in relevant subjects

Skills and Atributes

Essential

• Advanced clinical reasoning skills.
• Complex bladder and/or bowel dysfunction diagnosis, assessment and treatment skills.
• Competence in individual caseload and time management.
• Excellent communication and interpersonal skills, both written and verbal.
• Teaching, supervision and clinical education experience.
• Ability to create and maintain effective working relationships within the team and externally.
• Prioritisation and time management skills.
• Awareness of current and National policy developments.
• Awareness, understanding and commitment to the pursuit of equality and diversity in terms of service delivery and employment practice.
• Competence use of information technology appropriate to role.
• Ability to work under pressure and manage caseload and team priorities in terms of risk and service performance priorities.
• Able to work effectively in a team, supporting others and challenging colleagues views and attitudes when necessary.
• Enthusiastic, motivated, flexible, adaptable, innovative, self-reliant and with a positive attitude.
• Able assess a situation, set priorities and problem solve quickly and effectively

Desirable

• Evidence of instigating change within the work environment.
• Advanced computer skills.
• Evidence of audit and/or organisational projects.

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).