Job summary
An exciting opportunity has arisen to join the small nursing team delivering care to patients with Inflammatory Bowel Disease (IBD: Crohn's disease and ulcerative colitis).
This is an interesting and varied post involving face to face as well as remote care, primarily in the management of medications specialist immunological treatments. Your input into other areas of IBD patient management such as stable patient review and the weekly multidisciplinary meetings will give additional breadth to the role.
You will have support from the existing Nurse Practitioners and enrol on an IBD degree module within the 1 - 2 years to help underpin your practice. Regular in-house teaching and appropriate external conferences also support essential knowledge in this fast moving field.
Personal attributes you will need are excellent communication and interpersonal skills with an ability to maintain accuracy and attention to detail even when working under pressure. You must also be proactive and motivated to learn this specialist field to high standard and deliver high-quality, safe, evidence based and compassionate patient care, with excellent organisational skills.
Main duties of the job
The overall purpose of this role is to support the care of a group of patients with Inflammatory Bowel Disease who are on biologic and other advanced therapies, and manage the administration of and monitoring of these medications. The IBD Biologics Clinical Nurse Specialist role will have an overview of the management of IBD and, in time, will take on some non-biologic stable patient review also. The Biologics CNS will:
- Work as an independent practitioner alongside other members of the multidisciplinary team
- Accept patient biologic referrals to agreed criteria
- Coordinate the pre-biologics safety checks
- Support the Vedolizumab nursing team and OUH Gastroenterology Day Case Unit team, in the administration and management of all biologics
- Coordinate the appointments, alongside Day Case Unit administration team and clinic booking
- Be available for at least 4 clinical sessions a week in the Day Case Unit or Outpatient Clinics
- Liaise with the gastroenterology pharmacy team
- Work across departmental boundaries
- Contribute to the smooth running of the biologics service
About us
Dear Recruitment assistance,
Please could you put in the appropriate standard wording
Much appreciated
Job description
Job responsibilities
ROLE RESPONSIBILITIES
Clinical Practice
- Health Promotion, Protection and Prevention
-
- Assess and address patient health education needs for biological therapies
- Use well developed interpersonal skills to assess individuals level of understanding about their clinical condition and future treatment, and simplify highly complex medical information for patients providing appropriate information aids to ensure understanding via face-to-face, telephone, email and written communication.
- Demonstrate good communication skills when dealing with patients, relatives and members of the multidisciplinary team utilising sensitivity, empathy and ability to manage conflict. Demonstrate an awareness of the barriers to communication and understanding
- Assessment of Patient Illness and Clinical Decisions
- Act as patient advocate at all times.
- Support in-patient outliers if a biologic is required whilst an inpatient on a non-gastro ward
- Apply specialised history taking and assessment skills as patients come in for treatments to ensure safe and appropriate use of the medication.
- Seek support and advice from the multidisciplinary team involved in direct patient care such as the gastroenterology consultants, pharmacy department and IBD ANP to support decision making
- Record and document treatment appropriately, including to practitioners in other specialties and primary care.
- Attend virtual biologics clinic with specialist pharmacist and consultant. Ensure patient and other relevant MDT practitioners aware of decisions made.
- Attend IBD MDT meetings and receive verbal referrals for biologic therapies start the process liaising with consultants, pharmacy and with patient directly.
- With time, education and experience, will utilise and promote the use of key digital resources such as the True-colours patient self-assessment tool; utilising and integrating this tool with own clinical practice particularly in relation to non-biologic stable patient review
- Interventions and Treatment
- Work clinically on Day Case Unit administering biologics, and training patients to self administer sub-cutaneous medications Ensure safe use of specialist medication including oral treatments through timely clinical assessment.
- Be available to receive (via bleep/phone call) referrals from IBD clinics (Wednesday and Friday afternoons), in order to counsel patients and organise pre-screening checks prior to commencement of treatment.
- Implement, evaluate and modify treatment for optimal outcome considering referral to other specialists as appropriate, after discussion with consultants/IBD ANP/ pharmacy.
- Develop links with other areas within the trust and community including dieticians, GPs and district nurses, to facilitate continuity of care for patients.
- Record and document appropriately including dissemination to practitioners in other specialties and primary care.
- Leadership and Management
-
- Act as a role model to all staff, demonstrating high standards of nursing expertise and patient care.
- Develop biologics and iron infusion service alongside multidisciplinary team (consultants, pharmacists, day unit staff, infusion nurses, IBD ANPs), to keep in line with management guidelines and research.
- Provide staff education to Day Case Unit, infusion nurses, gastro ward nurses regarding new biological agents and specialised IBD medication
- Act as a link between OUH IBD nursing team and externally funded Vedolizumab (Takeda) nurses, offering them support (practical, clinical and managerial).
- Liaise with pharmaceutical companies and charitable organisations appropriately
- Remain aware of organisational goals and trust objectives when managing the biologics service
-
- Understand own accountability and responsibility working within NMC guidance and maintains professional registration.
- Undertake personal development to meet identified needs continually updating nursing practice in accordance with current research and evidence in specialist practice.
- Actively engage in peer network for collaboration and support, information and learning. Pursue opportunities for this at a local, regional and national level.
- Attend mandatory training and e-learning activities.
- Patient and Carer Education and Training
- Provide appropriate education to patients, families and carers
- Develop written education, alongside MDT members, and consider other possible communication methods such as educational programmes and support groups.
- Ensure patients understanding: empowering and encouraging involvement towards self-management and self-monitoring.
- Provide clinical advice and support regarding biological medications to other members of the MDT
- Contribute to colleague development through disseminating own knowledge and facilitating nursing student experience.
- Provide staff education to Day Case Unit and infusion staff.
- Act in an advisory and specialist clinical capacity in partnership with medical, nursing and paramedical staff within the trust, community and at a national level. This includes active involvement in appropriate professional and charitable organisations.
- Demonstrate skill in delivering presentations using multimedia tools at local and regional meetings to all members of the multi professional team to share best practice.
- Teach on a range of study days to members of the multidisciplinary team
- Publish and present research findings locally, nationally and internationally via relevant journals and conferences.
- Assist in the collection of information and maintenance of the departmental database for in/out patients.
- Demonstrate competent IT skills
- Contribute to the appraisal needs of nursing and multidisciplinary colleagues as required.
- Improving quality and the development of practice
-
- Actively promote diversity and equality
- Be willing to develop own projects with agreement of IBD ANPs according to service needs.
- Identify and appropriately respond to areas of risk through governance structures and participate in a team approach.
- Involve patients in development through discussion, survey, groups and charities such as UK Crohns and colitis local group.
- Liaise with pharmaceutical companies and charitable organisations appropriately.
- Work alongside the whole multidisciplinary team to agree and implement guidelines and protocols as they develop. Develop protocols for own projects.
- Pursue excellence and quality demonstrating this through research, audit, feedback and peer review.
Job description
Job responsibilities
ROLE RESPONSIBILITIES
Clinical Practice
- Health Promotion, Protection and Prevention
-
- Assess and address patient health education needs for biological therapies
- Use well developed interpersonal skills to assess individuals level of understanding about their clinical condition and future treatment, and simplify highly complex medical information for patients providing appropriate information aids to ensure understanding via face-to-face, telephone, email and written communication.
- Demonstrate good communication skills when dealing with patients, relatives and members of the multidisciplinary team utilising sensitivity, empathy and ability to manage conflict. Demonstrate an awareness of the barriers to communication and understanding
- Assessment of Patient Illness and Clinical Decisions
- Act as patient advocate at all times.
- Support in-patient outliers if a biologic is required whilst an inpatient on a non-gastro ward
- Apply specialised history taking and assessment skills as patients come in for treatments to ensure safe and appropriate use of the medication.
- Seek support and advice from the multidisciplinary team involved in direct patient care such as the gastroenterology consultants, pharmacy department and IBD ANP to support decision making
- Record and document treatment appropriately, including to practitioners in other specialties and primary care.
- Attend virtual biologics clinic with specialist pharmacist and consultant. Ensure patient and other relevant MDT practitioners aware of decisions made.
- Attend IBD MDT meetings and receive verbal referrals for biologic therapies start the process liaising with consultants, pharmacy and with patient directly.
- With time, education and experience, will utilise and promote the use of key digital resources such as the True-colours patient self-assessment tool; utilising and integrating this tool with own clinical practice particularly in relation to non-biologic stable patient review
- Interventions and Treatment
- Work clinically on Day Case Unit administering biologics, and training patients to self administer sub-cutaneous medications Ensure safe use of specialist medication including oral treatments through timely clinical assessment.
- Be available to receive (via bleep/phone call) referrals from IBD clinics (Wednesday and Friday afternoons), in order to counsel patients and organise pre-screening checks prior to commencement of treatment.
- Implement, evaluate and modify treatment for optimal outcome considering referral to other specialists as appropriate, after discussion with consultants/IBD ANP/ pharmacy.
- Develop links with other areas within the trust and community including dieticians, GPs and district nurses, to facilitate continuity of care for patients.
- Record and document appropriately including dissemination to practitioners in other specialties and primary care.
- Leadership and Management
-
- Act as a role model to all staff, demonstrating high standards of nursing expertise and patient care.
- Develop biologics and iron infusion service alongside multidisciplinary team (consultants, pharmacists, day unit staff, infusion nurses, IBD ANPs), to keep in line with management guidelines and research.
- Provide staff education to Day Case Unit, infusion nurses, gastro ward nurses regarding new biological agents and specialised IBD medication
- Act as a link between OUH IBD nursing team and externally funded Vedolizumab (Takeda) nurses, offering them support (practical, clinical and managerial).
- Liaise with pharmaceutical companies and charitable organisations appropriately
- Remain aware of organisational goals and trust objectives when managing the biologics service
-
- Understand own accountability and responsibility working within NMC guidance and maintains professional registration.
- Undertake personal development to meet identified needs continually updating nursing practice in accordance with current research and evidence in specialist practice.
- Actively engage in peer network for collaboration and support, information and learning. Pursue opportunities for this at a local, regional and national level.
- Attend mandatory training and e-learning activities.
- Patient and Carer Education and Training
- Provide appropriate education to patients, families and carers
- Develop written education, alongside MDT members, and consider other possible communication methods such as educational programmes and support groups.
- Ensure patients understanding: empowering and encouraging involvement towards self-management and self-monitoring.
- Provide clinical advice and support regarding biological medications to other members of the MDT
- Contribute to colleague development through disseminating own knowledge and facilitating nursing student experience.
- Provide staff education to Day Case Unit and infusion staff.
- Act in an advisory and specialist clinical capacity in partnership with medical, nursing and paramedical staff within the trust, community and at a national level. This includes active involvement in appropriate professional and charitable organisations.
- Demonstrate skill in delivering presentations using multimedia tools at local and regional meetings to all members of the multi professional team to share best practice.
- Teach on a range of study days to members of the multidisciplinary team
- Publish and present research findings locally, nationally and internationally via relevant journals and conferences.
- Assist in the collection of information and maintenance of the departmental database for in/out patients.
- Demonstrate competent IT skills
- Contribute to the appraisal needs of nursing and multidisciplinary colleagues as required.
- Improving quality and the development of practice
-
- Actively promote diversity and equality
- Be willing to develop own projects with agreement of IBD ANPs according to service needs.
- Identify and appropriately respond to areas of risk through governance structures and participate in a team approach.
- Involve patients in development through discussion, survey, groups and charities such as UK Crohns and colitis local group.
- Liaise with pharmaceutical companies and charitable organisations appropriately.
- Work alongside the whole multidisciplinary team to agree and implement guidelines and protocols as they develop. Develop protocols for own projects.
- Pursue excellence and quality demonstrating this through research, audit, feedback and peer review.
Person Specification
Essential and Desirable
Essential
- Gastroenterology experience
- Evidence of clinical assessment in acute situations
- Evidence of proactive and independent thinking
Desirable
- Started relevant MSc level education
- Evidence of working on audit or protocol development
- Evidence of leadership
Person Specification
Essential and Desirable
Essential
- Gastroenterology experience
- Evidence of clinical assessment in acute situations
- Evidence of proactive and independent thinking
Desirable
- Started relevant MSc level education
- Evidence of working on audit or protocol development
- Evidence of leadership
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).
