Job summary
Specialist NurseBand 7Full time 37.5 hours per weekPermanent ContractWe are looking for an autonomous practitioner to join us as parental and enteral nurse expert. This is a new and exciting role for the organisation and applications are welcome from nurse specialist with expert knowledge and skills in the the management of patients with parental and enteral feeding regimes. The post holder will form part of expert MDT.
This is your chance to work in a forward thinking organisation, in a role which supports the challenging and life-changing impact of patients who require parental and enteral nutrition and hydration support
Whatever you're looking for in your next career move, you'll find it all at Tameside and Glossop Integrated Care NHS Foundation Trust (ICFT). We currently provide both community and hospital-based services and are implementing new models of integrated care working with partners. Our belief is 'that Everyone Matters'. Our values are clear. We only want to attract applicants whose values and behaviours match ours and that demands respect for everyone; the motivation to learn; the ability to be a professional role model, caring and compassionate; with a communication style which is open and honest.
Main duties of the job
Support for enteral and parenteral nutrition. The post holder will be an expert clinician who will provide training and demonstrate clinical excellence in the areas of enteral and parenteral nutrition to nurses, doctors and other health care professionals. They will guide, supervise & advise to ensure the highest standard of care for our patients. To engage in audit and research activity to measure effectiveness of care & to provide assurance to continue reduction in nutrition related incidents
To prevent avoidable admissions related to enteral nutrition. To be a conduit between the acute and community to develop clinical pathways to decrease and prevent avoidable admissions e.g. tube related problems.
To provide evidence based highly specialist nursing advice and input for patients with complex nutritional needs and those requiring artificial feeding
About us
Tameside and Glossop Integrated Care NHS Foundation Trust serves a community of 250,000 people across Tameside & Glossop. We provide a range of services both within the hospital and across our community for both adults and children.Our vision is to improve health outcomes for our population and influence wider determinants of health through collaboration with our health & care partners.
We have a clear set of values & behaviours which we expect all of our staff to demonstrate:
- Safety
- Care
- Respect
- Communication
- Learning
We believe that the best organisations are those that reflect the communities they serve. We are therefore seeking to improve the diversity of our workforce to make it truly representative of our local population.
We actively encourage applications irrespective of race, age, disability, sex, gender reassignment, gender identity or expression, sexual orientation, religion or belief, marriage & civil partnership, or pregnancy or maternity. Recognising those communities that are underrepresented within our workforce, we would particularly welcome applications from Black, Asian & minority ethnic candidates, LGBTQ+& Disabled people.
Benefits include; flexible working, 27-33 days annual leave plus bank holidays, sick pay, NHS Pension Scheme, free eye tests and health checks, gym discount, free bicycle loan scheme, salary sacrifice car scheme, support with stress, bereavement, relationships, finance, and much more.
Job description
Job responsibilities
Main Duties and ResponsibilitiesDuties of the role include: Work with education, training & supervision of staff to reduce line infections across the trust (including parenteral nutrition lines). Develop a culture of good practice, regular audits, development of standard operating procedures, policies and protocols with medics, nurses & other health professionals. This will be across divisions. To prevent avoidable admissions related to enteral nutrition.To be a conduit between the acute and community to develop clinical pathways to decrease and prevent avoidable admissions e.g. tube relatedproblems. The post holder will be required to link with district nursing teams and community matrons. Support for enteral and parenteral nutrition. The post holder will be an expert clinician who will provide training and demonstrate clinical excellence in the areas of enteral and parenteral nutrition to nurses, doctors and other health care professionals. They will guide,supervise & advise to ensure the highest standard of care for our patients. To engage in audit and research activity to measure effectiveness of care & to provide assurance to continue our 0 score in relation to never events.
Responsibilities of the role: To provide evidence based highly specialist nursing advice and input for patients with complex nutritional needs and those requiring artificial feeding. To work with the infection control team to reduce line infection rate by delivering high quality line care training package and auditing practice. To support patients requiring complex nutritional treatments; to navigate their pathway of care from referral through treatment to discharge and follow up, where appropriate for the following conditions: suffering from intestinal failure on Parenteral Nutrition (PN) requiring Enteral nutritional support within the hospital support the discharge process for patients receiving Enteral Nutrition Working alongside the existing clinical education structures to ensure an adequate skill mix of Healthcare Professionals competent in: passing nasogastric tubes caring for the patient on Enteral Nutrition caring for the patient on Parenteral Nutrition (linking in with Infection control to ensure safe practice with central venous access) Support the hospital in meeting the following standards and recommendations: NICE CG32 Nutrition Support in Adults NCEPOD- A mixed bag 2010 Promote audit and research Report to governance on issues relating to nutrition. Attend cross divisional groups, forums and boards to highlight nutritional issues.
The role demands the commitment to provide nutritional clinical support to patients, their families/carers and health professionals involved in the patient journey.Communications Maintain confidentiality of staff and patients. Maintain accurate records. Attend regular meetings with the divisional matron/Head of Nursing. Ensure patients receive appropriate information and support in relation to their cancer and treatment. Facilitate open and effective communication within the specialist team and external organisations, both verbal and written, often at a senior level. Ensure patient pathways are supported by appropriate documentation e.g. key worker handover. Develop links with clinical networks and other specialist services to facilitate the sharing of good practice as required. Lead and manage change within a complex environment in response to emerging knowledge and national cancer initiatives, using persuasion and influencing skills. Work collaboratively with other professionals, MDTs, SMDTs, and other organisations to ensure that patient and carer needs are met, ensuring the involvement of the multi professional team as appropriate. Work collaboratively as a member of the MDT, communicating and leading on issues relating to specialist nursing care and management of the patient pathway, ensuring patients needs are effectively represented and addressed. Ensure timely and effective communication with patients, staff, relatives and carers in relation to care issues, often managing complex and sensitive information. Proactively manage patient, relative and staff concerns, liaising with the relevant departments as necessary. Seek support and advice on matters outside experience and authority.Clinical responsibilities As part of the Nutrition MDT supporting the assessment of inpatients referred for complex enteral / parenteral nutrition, providing guidance to the clinical team. Attend weekly nutritional support team meetings where applicable Be called upon to assess patients coming into A&E/AMU/SAU & SDEC with tube related problems Be called upon to insert nasogastric tubes when ward staff are unsuccessful or are having difficulties. ENT provide support to patients who have had a PEG placed & ensure follow up on the ENT ward post PEG insertion to avoid complications.Provide support to the ward nurses in post PEG care and with any tube related problems that occur with patients with existing tubes. Assess patients who require nasal bridles to secure nasogastric tubes and insert nasal bridles as appropriate / required. Place peripheral feeding cannulas & place PICC lines, gaining consent as per trust guidelines.Responsibility for Patient Care Establish contact with patients/ carers from point of initial referral/identification to providehighly specialist nursing advice and practical /psychosocial support. Communicate with patients in order that they are empowered to make informed choices about their health and health care. Act as advocate for individual patients and client group. Works alone or in collaboration with medical staff to provide expert knowledge in the assessment, care planning, education and advise for people with complex nutritional needs Assess, plan, implement and evaluate programmes of care for patients to meet identified nutritional needs, in partnership with patients/carers and health professional colleagues. Receive referrals from other health professionals within the health service. Liaise with primary care and other agencies to provide continuity of holistic patient centred care. Work closely with the home enteral feeding dietitians to provide appropriate support and prevent hospital admissions.Planning and organising As part of the Nutrition Team assess in-patients referred to Endoscopy for a PEG, provide direction to the managing clinical team and work with Endoscopy to prioritize PEG insertions according to scheduled lists. Develop a nurse led PEG services in conjunction with the MDT In conjunction with MDT monitor the appropriateness of parenteral nutrition. To be involved in decisions regarding purchase of enteraland parenteral associated feeding equipment to ensure the best priced & best evaluated equipment is used. Organise own personal development with regard to mandatory training and revalidationrequirements. Planning own annual leave considering and planning around the needs of the service. Arranging Integrated Trust multi-site activity considering the travelling time. Being contactable via a bleep or by using answer phone facility and responding to any necessary changes in priorities.Responsibility for Policy and Service Development and Implementation Report and investigate any adverse incidents relating to the nutrition as directed by the MDT, making recommendations as appropriate and taking actions to avoid the adverse incident in the future Support the MDT as required to collate qualitative and quantitative information and lead appropriate analysis to develop robust business cases and contribute to development of the service Lead, propose and implement policy/service change which may impact beyond own area of work Support the MDT to design policies and guidelines relevant to the role.Responsibilities for Human Resources and Leadership Support the MDT to ensuring effective leadership and management of the Nutrition arm of the Gastroenterology Service, working in partnership with the Clinicians and linking with key stakeholders and deputising where required
Job description
Job responsibilities
Main Duties and ResponsibilitiesDuties of the role include: Work with education, training & supervision of staff to reduce line infections across the trust (including parenteral nutrition lines). Develop a culture of good practice, regular audits, development of standard operating procedures, policies and protocols with medics, nurses & other health professionals. This will be across divisions. To prevent avoidable admissions related to enteral nutrition.To be a conduit between the acute and community to develop clinical pathways to decrease and prevent avoidable admissions e.g. tube relatedproblems. The post holder will be required to link with district nursing teams and community matrons. Support for enteral and parenteral nutrition. The post holder will be an expert clinician who will provide training and demonstrate clinical excellence in the areas of enteral and parenteral nutrition to nurses, doctors and other health care professionals. They will guide,supervise & advise to ensure the highest standard of care for our patients. To engage in audit and research activity to measure effectiveness of care & to provide assurance to continue our 0 score in relation to never events.
Responsibilities of the role: To provide evidence based highly specialist nursing advice and input for patients with complex nutritional needs and those requiring artificial feeding. To work with the infection control team to reduce line infection rate by delivering high quality line care training package and auditing practice. To support patients requiring complex nutritional treatments; to navigate their pathway of care from referral through treatment to discharge and follow up, where appropriate for the following conditions: suffering from intestinal failure on Parenteral Nutrition (PN) requiring Enteral nutritional support within the hospital support the discharge process for patients receiving Enteral Nutrition Working alongside the existing clinical education structures to ensure an adequate skill mix of Healthcare Professionals competent in: passing nasogastric tubes caring for the patient on Enteral Nutrition caring for the patient on Parenteral Nutrition (linking in with Infection control to ensure safe practice with central venous access) Support the hospital in meeting the following standards and recommendations: NICE CG32 Nutrition Support in Adults NCEPOD- A mixed bag 2010 Promote audit and research Report to governance on issues relating to nutrition. Attend cross divisional groups, forums and boards to highlight nutritional issues.
The role demands the commitment to provide nutritional clinical support to patients, their families/carers and health professionals involved in the patient journey.Communications Maintain confidentiality of staff and patients. Maintain accurate records. Attend regular meetings with the divisional matron/Head of Nursing. Ensure patients receive appropriate information and support in relation to their cancer and treatment. Facilitate open and effective communication within the specialist team and external organisations, both verbal and written, often at a senior level. Ensure patient pathways are supported by appropriate documentation e.g. key worker handover. Develop links with clinical networks and other specialist services to facilitate the sharing of good practice as required. Lead and manage change within a complex environment in response to emerging knowledge and national cancer initiatives, using persuasion and influencing skills. Work collaboratively with other professionals, MDTs, SMDTs, and other organisations to ensure that patient and carer needs are met, ensuring the involvement of the multi professional team as appropriate. Work collaboratively as a member of the MDT, communicating and leading on issues relating to specialist nursing care and management of the patient pathway, ensuring patients needs are effectively represented and addressed. Ensure timely and effective communication with patients, staff, relatives and carers in relation to care issues, often managing complex and sensitive information. Proactively manage patient, relative and staff concerns, liaising with the relevant departments as necessary. Seek support and advice on matters outside experience and authority.Clinical responsibilities As part of the Nutrition MDT supporting the assessment of inpatients referred for complex enteral / parenteral nutrition, providing guidance to the clinical team. Attend weekly nutritional support team meetings where applicable Be called upon to assess patients coming into A&E/AMU/SAU & SDEC with tube related problems Be called upon to insert nasogastric tubes when ward staff are unsuccessful or are having difficulties. ENT provide support to patients who have had a PEG placed & ensure follow up on the ENT ward post PEG insertion to avoid complications.Provide support to the ward nurses in post PEG care and with any tube related problems that occur with patients with existing tubes. Assess patients who require nasal bridles to secure nasogastric tubes and insert nasal bridles as appropriate / required. Place peripheral feeding cannulas & place PICC lines, gaining consent as per trust guidelines.Responsibility for Patient Care Establish contact with patients/ carers from point of initial referral/identification to providehighly specialist nursing advice and practical /psychosocial support. Communicate with patients in order that they are empowered to make informed choices about their health and health care. Act as advocate for individual patients and client group. Works alone or in collaboration with medical staff to provide expert knowledge in the assessment, care planning, education and advise for people with complex nutritional needs Assess, plan, implement and evaluate programmes of care for patients to meet identified nutritional needs, in partnership with patients/carers and health professional colleagues. Receive referrals from other health professionals within the health service. Liaise with primary care and other agencies to provide continuity of holistic patient centred care. Work closely with the home enteral feeding dietitians to provide appropriate support and prevent hospital admissions.Planning and organising As part of the Nutrition Team assess in-patients referred to Endoscopy for a PEG, provide direction to the managing clinical team and work with Endoscopy to prioritize PEG insertions according to scheduled lists. Develop a nurse led PEG services in conjunction with the MDT In conjunction with MDT monitor the appropriateness of parenteral nutrition. To be involved in decisions regarding purchase of enteraland parenteral associated feeding equipment to ensure the best priced & best evaluated equipment is used. Organise own personal development with regard to mandatory training and revalidationrequirements. Planning own annual leave considering and planning around the needs of the service. Arranging Integrated Trust multi-site activity considering the travelling time. Being contactable via a bleep or by using answer phone facility and responding to any necessary changes in priorities.Responsibility for Policy and Service Development and Implementation Report and investigate any adverse incidents relating to the nutrition as directed by the MDT, making recommendations as appropriate and taking actions to avoid the adverse incident in the future Support the MDT as required to collate qualitative and quantitative information and lead appropriate analysis to develop robust business cases and contribute to development of the service Lead, propose and implement policy/service change which may impact beyond own area of work Support the MDT to design policies and guidelines relevant to the role.Responsibilities for Human Resources and Leadership Support the MDT to ensuring effective leadership and management of the Nutrition arm of the Gastroenterology Service, working in partnership with the Clinicians and linking with key stakeholders and deputising where required
Person Specification
Qualifications/Skills/Experience
Essential
- Expertise in Management of nutritional assessment and care
- First level registered nurse, current registration with NMC
- Health related degree or on a degree pathway
- Clinical examinations course (or willingness to undertake)
- Relevant post registration Programme(s)
- Non-medical prescribing or willingness to undertake training
Desirable
- Leadership development programme/modules
Person Specification
Qualifications/Skills/Experience
Essential
- Expertise in Management of nutritional assessment and care
- First level registered nurse, current registration with NMC
- Health related degree or on a degree pathway
- Clinical examinations course (or willingness to undertake)
- Relevant post registration Programme(s)
- Non-medical prescribing or willingness to undertake training
Desirable
- Leadership development programme/modules
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Additional information
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
