Inflammatory Bowel Disease Clinical Nurse Specialist

A band 7 Inflammatory Bowel Disease (IBD) Clinical Nurse Specialist (CNS) post has arisen within the IBD nursing team at St. Mark's Hospital. This is a full-time permanent position. This post will suit an experienced, dynamic and motivated senior nurse/nurse specialist with an interest in IBD. It is an excellent opportunity to work alongside an established IBD CNS team. Informal visits and discussions are encouraged. · Clinical nurse specialist in the defined area of Inflammatory Bowel Disease (IBD) · Provide comprehensive clinical skills, information, advice and support to patients with IBD within St Marks, Northwick Park, Central Middlesex hospital and Ealing Hospital. · Work as an independent practitioner alongside other members of the multidisciplinary team. · Undertake research and participate in clinical audits in own specialist area, ensuring maintenance of clinical excellence, underpinned by evidence-based practice. · Participate in the education and training of the multidisciplinary team within the trust, regionally, nationally and internationally. · Provide expert clinical advice and support to all members of the multidisciplinary team within the trust, locally and nationally. London North West University Healthcare NHS Trust (LNWH) cares for the people of Brent, Ealing, Harrow and beyond. Our team of more than 8,200 clinical and support staff serve a diverse population of almost one million people. We run major acute services at:

• Northwick Park Hospital: home to one of the busiest emergency departments (A&E) in the country. The hospital provides a full range of services including the country's top-rated hyper-acute stroke unit and one of only three hyper-acute rehabilitation units in the UK
• St Mark's Hospital: an internationally renowned specialist centre for bowel disease
• Ealing Hospital: a busy district general hospital providing a range of clinical services, as well as 24/7 emergency department and urgent care centre, and specialist care at Meadow House Hospice
• Central Middlesex Hospital: our planned care site, hosting a range of surgical and outpatient services and collocated with an urgent care centre.
We are a university teaching NHS trust, in recognition of the important role we play in training clinicians of the future and bringing the benefits of research to the public. 1. Working Relationships and communication requirements for your job To apply advanced clinical history taking skills to receive, analyse and interpret highly complex medical and surgical information to formulate a plan of care for patients with inflammatory bowel disease via the IBD telephone advice line, in-patients and out-patients. Provide nurse led clinics, within the out-patient department, and via the telephone and ensure responsibility for the accurate assessment utilising advanced nursing skills and ordering of appropriate clinical investigations. Highly developed interpersonal skills to communicate with all members of the multi professional healthcare team both within the trust, regionally and nationally to achieve a coordinated specialist service for patients, communicating specialist and highly complex or sensitive information verbally, formally written or electronically as appropriate. To provide a nurse led service for the administration and patient monitoring of relevant, complex, intravenous therapies within the day care setting, utilising guidelines and protocols. To apply expert skills to assess individual's level of understanding about their clinical condition and simplify highly complex medical information for patients providing appropriate information aids to ensure understanding. To deliver individualised care and psychological support to patients and families incorporating their diverse cultures, ethnic backgrounds and any disabilities they may have. Work alongside research registrar, to ensure that research studies are carried out in accordance with good clinical practice (GCP) guidelines. Liaise closely with other hospital personnel, patients, external monitors and trial co-ordinators in order to provide a consistent point of contact for all study personnel and participants. To be skilled at making presentations using multimedia tools at local and regional meetings to all members of the multi professional team to share best practice. Ensure accurate records of patient care are maintained i.e. patient notes and referral letters. To liaise with pharmaceutical companies and charitable organisations appropriately. 2. Level of clinical responsibility Clinically responsible and accountable for the assessment of, and treatment delivered to inpatients, outpatients or those accessing the service via the telephone. To apply highly specialised nursing skills to assess patients with inflammatory bowel disease, analyse symptoms and initiate appropriate clinical investigations to establish an appropriate specialised clinical management plan for individuals with complex inflammatory bowel disease. To 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. Develops protocols for the provision of care of patients with inflammatory bowel disease. Initiate changes in complex medical therapy in keeping with agreed protocols and patient group directives. To visit ward based IBD patients as required, working with ward based staff to provide continuity of care. To support the IBD nursing biologics team in the administration of complex intravenous therapies to appropriate patients within a day care setting, utilising appropriate protocols and guidelines. To carry out minor laboratory procedures as required by relevant study protocols (eg: centrifugation, sample preparation) following appropriate training. Assess and prioritise own workload on a daily basis according to patient need and urgency. Develop links with other areas within the trust and community includingdieticians,GP's and district nurses, to facilitate continuity of care for patients. Provide clinical advice and support nurse specialists within the department and other nurse specialists within the trust. 3. Leadership and staff management responsibilities Promote the role of the IBD nurse with the directorate, trust and national arena. Provide cover in absence of Lead Clinical Nurse Specialist IBD. To support and manage the band 6 IBD Biologics nurses. This includes managing annual leave, study leave and sickness. Ensuring Healthroster system has been updated. Support the appraisal process by carrying out 6 month reviews and annual reviews for the band 6 IBD Nurses, feeding back to the IBD ANP/Lead. To collaborate with other clinical nurse specialists and nurse consultants across the trust as required and act as a resource for newly appointed nurse specialists. Participate in the specialist education and training of all levels of staff within the trust in relationship to IBD Act as a role model to ward nursing staff, providing clinical support and advice and demonstrating high standards of nursing expertise and patient care. 4. Financial responsibility Economical use of resources To have an awareness of cost implication of various medication and therapeutic strategies for IBD and incorporate this awareness into day-to-day practise To be able to effectively utilise and manage available resources to meet service objectives Responsible for maintaining of stock control for the IBD service, including St. Mark's Day care unit, including the purchase of specialist supplies. Signatory responsibility for the IBD Nursing budget in the absence of the Lead IBD CNS. 5. Service Development and Improvement Developing improvements within the service of IBD specialist nursing, e.g. patient group directives, audit of the service. Development of specialist policies and protocols for the management and follow up of patients with IBD Publish and present research findings. Both trust wide and at national/international level, to include relevant journals and conferences. Assist in the collection of information and maintenance of the departmental database for in/out patients. To ensure own practice is kept up to date by attending appropriate study days and conferences Prepare specialist teaching material and submit for publication within the specialist field 6. Responsibility for dealing with difficult situations Provide informal counselling for patients with psychological or behavioural problems related to their IBD. Ability to communicate specialist and sensitive information to patients about highly complex and emotional subjects regarding IBD and long term care, including medication issues, investigations and surgery if appropriate Ability to adapt to changes in the patient's physical well-being and psychological status whilst the patient is an inpatient. Act as patients advocate in multidisciplinary discussions regarding management and care Ability to work under pressure and meet agreed deadlines. Able to deal with confrontation and deal with complaints effectively. 7. Physical Working Conditions and Environment To operate within Trust policy to use all barrier precautions when exposed to body fluids, including blood and faecal matter within the outpatient setting, and within day care during cannulation, venepuncture and intravenous drug administration and aphaeresis To operate within the trust cytotoxic policy when administering Cytotoxic medications including Methotrexate. Must be able to operate a PC Long periods of telephone communication and patient assessment requiring high levels of concentration Long periods of standing and sitting when undertaking intravenous drug administration and aphaeresis in a day care setting Long episodes of prolonged concentration in order to deliver specialised nurse led care to patients within clinic, including day-care, out-patient and telephone follow-up. Required to work across St Marks, Northwick Park, Central Middlesex & Ealing hospitals as necessary