Specialty Dietitian – Haematology/Oncology

Job description

Job responsibilities

Clinical

To work as part of a team of oncology dietitians and as an integral member of Haematology multidisciplinary teams to ensure a holistic approach to patient care. This involves attending weekly Haematology ward MDT meetings and oncology team meetings and liaising with Haematologists, specialist nurses, nursing teams, pharmacists, dietetic colleagues, dietetic and nutrition assistants.

Obtain and analyse relevant information from different sources including electronic patient records, the client, ward staff and/or carers, in order to make a comprehensive assessment of the patients condition, prognosis and treatment plans so that a decision on the most appropriate dietetic treatment to support this can be made in the short and long term.

Interpret and monitor biochemical data generally and specifically in relation to patients following stem cell transplantation or chemotherapy treatment.

Assess patients nutritional status by weight history, fluid balance, nutritional intake, stool output, vomiting and physical signs of deficiency.

Estimate nutritional requirements using specific assessment tools and calculations. To remain up to date with the literature and ensure that this is an evidence-based process and clinically relevant to haematology and oncology patients.

Advise on appropriate artificial feeding routes for patients with side-effects of chemotherapy and stem cell transplant such as oral mucositis, nausea and vomiting, lower gut mucositis.

Formulate individualised patient care plans, artificial feeding regimens, taking into consideration factors which may affect requirements or help/hinder provision of nutrition support such as: prescribed drugs, biochemical derangements, fluid balance etc. Within the care plan this could include modified-texture diets, nutritional supplements, specialist enteral tube feeds, parenteral nutrition.

Evaluate the effectiveness of nutritional goals and modify these goals and care plans as necessary based on ongoing analysis, assessment of information available and changing patient needs.

Address and monitor their changing nutritional needs over the course of their disease and advise other members of the multidisciplinary team.

Be involved in discharge planning of patients to other facilities e.g. acute hospitals outside Oxfordshire, community hospital, district general hospital, nursing home, or to their own home. Advising members of staff - nursing, dietetic and catering staff on dietary modifications or nutritional support.

Modify dietary advice according to biochemistry, lifestyle, treatment undertaken, drugs and associated medical conditions adding to complexity of dietetic management.

Use communication techniques i.e. behavioural change and motivational interviewing to work with the patient to adapt their diet.

Communicate effectively and sensitively with patients, carers and other health professionals. Skills of persuasion, motivation, explanation and gaining consent may be used in a wide variety of different, sometimes sensitive, situations. It is important to be able to communicate complex information at an appropriate level. Barriers to communication may be evident e.g. loss of sight, loss of hearing, lack of English, both written and spoken, requiring the use of translators.

Deal with patients with chronic conditions and those with poor outcomes/terminal conditions.

To be sensitive to the religious and ethnic needs of patients' dietary requirements and have an understanding of foods eaten by multicultural populations and how they impact on hospital catering.

To be actively involved with the development of evidence based, trust-wide guidelines - to be a resource to other dietitians as specialist oncology practitioners, writing and compiling diet sheets, protocols and advice.

To provide specialist training and supervision of dietetic colleagues and students using skills of reflective practice.

To cover for other dietitians when sickness or leave necessitates.

Organise own workload: prioritising and balancing patient-related and professional demands and contributing to the effectiveness of the oncology team.

To judge and determine the appropriateness of referrals made by members of the multidisciplinary team in order to ensure effective use of time and resources.

Assess patients diagnosis, medical care and biochemistry making decisions as to who needs dietary management.

Professional

Be accountable for own actions within the professional, ethical and legal framework for dietetics set out in the Health and Care Profession Councils code of practice for Dietitians and the British Dietetic Associations professional standards for Dietitians.

To take responsibility for own continuing professional development and providing evidence for this by maintaining a CPD portfolio. CPD involves critical evaluation of scientific papers, attending professional development meetings, working as a reflective practitioner and attending relevant internal/external courses.

Participate in annual appraisal, identifying own developmental and training needs and setting personal developmental objectives.

To participate in departmental audits and initiate audit within own work area in order to monitor and evaluate whether local/national/international standards are being met and make recommendations for change. To be involved with the planning of departmental clinical effectiveness and audit strategies.

Actively contribute to the dietetic student training program, facilitating the development of skills and knowledge, being involved in the assessment process and acting as a mentor to students.

To provide specialist advice, teaching and training to dietetic colleagues, students or members of the multidisciplinary team, regarding the nutritional management of patients, particularly with respect to Stem cell transplantation.

To have a detailed understanding of Stem cell transplantation, chemotherapy treatments and their side effects, Sickle cell anaemia, etc.

To take the lead on corporate departmental projects.

Organisational

To determine priorities for own work area based on clinical need and balance patient caseload with professional demands.

To collect data as required by the department, trust and outside agencies.

To maintain accurate and up to date documentation of patient interventions on electronic records. To communicate dietetic interventions to appropriate members of the multidisciplinary team by documentation within nursing/medical notes or by means of generating a letter/report.

Person Specification

Qualifications

Essential

• Registration as a Dietitian with HCPC
• BSc (Hons) Nutrition / Dietetics degree or post graduate diploma or equivalent
• Evidence of a range of CPD activities

Desirable

• Completion of relevant post registration clinical courses (e.g. PENG, clinical supervisory skills, behavioural change).
• Member of BDA & relevant BDA Interest Group

Experience

Essential

• Demonstrates knowledge, skills and experience of a wide range of clinical areas
• Experience of nutritional support
• Experience of working as part of a multidisciplinary team.

Desirable

• Experience of Oncology and/or Haematology.

Personal Skills

Essential

• Ability to communicate with compassion and respect in highly sensitive situations
• Advanced clinical reasoning skills

Desirable

• Teaching & training skills

Behavioural Skills

Essential

• Ability to work autonomously & as part of a team.
• Able to set priorities and manage own time.
• Adaptable and flexible.

Technical Skills

Essential

• IT skills (e.g. experience of working with electronic patient records, Microsoft Teams, Microsoft Office 365, preparation of audit reports and presentations, internet use)

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.

Certificate of Sponsorship

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).

Employer details

Employer name

Oxford University Hospitals NHS Foundation Trust

Address

Churchill Hospital

Old Road

Headington, Oxford

OX3 7LE

Employer's website

https://www.ouh.nhs.uk/ (Opens in a new tab)