Birmingham Community Healthcare NHS FT

Band 5 Bladder and Bowel Nurse

The closing date is 19 June 2025

Job summary

The Bladder and Bowel Nurse will work with the Bladder and Bowel Service and will assist in shaping the future delivery of Bladder and Bowel care and treatment across Birmingham Community Health Care NHS Foundation Trust.

They will undertake the clinical assessment, supervised diagnosis, planning, implementation and treatment of patients with bladder and bowel dysfunction and evaluate individualized programmes of care for patients with mild to moderate bladder and bowel care needs They will be clinically supported in the management of patients with complex benign and neurological bladder and bowel dysfunction.

Main duties of the job

The Bladder and Bowel specialist Clinician will be responsible and accountable for the direct delivery of a clinical caseload in either Residential homes, clinic setting or the community.

Undertake holistic assessments of patients with Bladder and Bowel dysfunction using up to date knowledge and skills- including physical examination and bladder ultrasonography and interpretation of results in planning care.

Plan, implement and evaluate care ensuring patient safety at all times.

Ensure patient/carers are provided with relevant written information regarding their plan of care.

Work flexibly with other team members to provide co-ordinated holistic care.

Provide clinical care that is evidence-based and appropriate to the needs of the patient

Refer to other professionals for any specialist support that the patient may require as appropriate

Be able to promote patient autonomy through education and support so that an individual can make informed decisions about their care

Act as the support and contact for individual patient care management between other agencies

About us

Birmingham Community Healthcare NHS Foundation Trust (BCHC) is committed to providing dignity in care for all our patients and service users across the Trust.

All staff, workers, volunteers, students and individuals undertaking work experience/shadowing, irrespective of the role they specifically undertake, are required to adhere to BCHC's vision, values and professional standards. This also involves working with and alongside colleagues and partners, demonstrating a duty of candour (i.e. honesty and straightforwardness), openness and accountability in order to achieve high quality and the best possible care outcomes for our patients, service users and the local community.

Date posted

05 June 2025

Pay scheme

Agenda for change

Band

Band 5

Salary

£29,970 to £36,483 a year pro rata

Contract

Permanent

Working pattern

Part-time

Reference number

820-7108163-COM

Job locations

BLADDER & BOWEL SERVICE

St Stephens Ninevah Road

BIRMINGHAM

B21 0SY

Job description

Job responsibilities

The Bladder and Bowel Nurse with the support of the Advanced Bladder and Bowel Clinical Lead and team will work towards developing skills in order to:

Triage patients with undiagnosed cause for their bladder or bowel dysfunction onto the caseload

Make a differential diagnoses

Assess, treat and evaluate a variety of Bladder and Bowel dysfunctions

Assess the impact of dysfunction on patients and or carers

Assimilate and interpret with support clinical findings to make appropriate decisions in relationship to diagnosis and treatment of dysfunction

Set appropriate treatment goals in collaboration with the patient

Assess the condition of skin and identify need for onward referral

Assimilate and interpret clinical findings to make appropriate decisions in relationship to bladder and or bowel dysfunction

Set appropriate treatment goals with due regard to NICE guidelines

Assess the condition of skin and refer to tissues viability team as appropriate

Accurately measure bladder volume and nature of dysfunction using recognised bladder diaries

Assess the degree and extent of bowel dysfunction using recognised tools.

Assess the symptom profile to accurately identify the type of bladder dysfunction as described by International Society for Incontinence.

Assess the degree and extent of bladder and bowel dysfunction and plan appropriate care in line with NICE approved pathways.

Identify any complex factors which may predispose the patient to the bladder and bowel problems or affect treatment outcomes

Assess the level of patient quality of life and symptom severity score using recognised tools i.e. global outcomes, ICIQ symptom specific scores.

Provide specialist intervention for patients requiring condition guided treatment.

Perform vaginal examination and teaching of pelvic floor exercises including use of biofeedback and electrostimulation.

Perform bladder sonography were required to establish presence of retention / manage side effects of drug therapy.

Teach self catheterisation to patients and carers if required

Teach and support patients and carers with rectal irrigation and bowel management regimes.

Prescribe appropriate medication to patients requiring treatment with anticholinergic therapies, antibiotic treatment.

Implement skin care measures to prevent infection and maintain integrity of the patients skin

Implement and monitor agreed protocols developed for rapid and effective treatment of acute and recurrent urinary tract infections.

Carry out female, male and suprapubic catheterisation when patient condition requires this.

Assess patients for continence aids working alongside occupation health and physiotherapy services.

Where treatment is not appropriate assess patients for containment products to ensure patients dignity and quality of life. Identify timely review and reassessment.