Job Description 1337

8/2/2019 Job Description 1337

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Dear Sir/Madam

POST REFERENCE: HH694/01/10CLOSING DATE: 12 NOON ON 22ND JANUARY 2010

Thank you very much for your interest in the above post. I have pleasure in enclosing an applicationpack which includes, a job description, application form, terms and conditions, person specification andprocedure for the disclosures of criminal records. Please be advised that the application form must becompleted in full as unfortunately we cannot accept a CV enclosure .

When providing referees on the application form please be aware we require references to cover aminimum of a three year period. If the period of time both referees have known you is less than threeyears you will be required to provide additional referees. This can be indicated on an additional sheet ofpaper and where possible please give us email addresses for contact.

Should you wish to make an enquiry to the Recruitment Team regarding a vacancy please ensure thatyou quote the reference number.

Please be advised that if you do not hear from us within 4 weeks of the closing date then you have beenunsuccessful in your application.

May I take this opportunity to thank you for the interest that you have shown in NHS Fife.

Yours faithfully

Recruitment Team

Recruitment TeamEnc.

Directorate of Human ResourcesRecruitment TeamFlat 3Willow DriveKirkcaldyFife, KY1 2LSTel 01592 643355Fax 01592 204611www.show.scot.nhs.uk/faht

DateYour RefOur Ref

Enquiries toExtensionDirect LineEmail:

As per postmark

Please see below

Recruitment7906

[email protected]


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TERMS AND CONDITIONS OF SERVICE

Post: Clinical Nurse Specialist in Gastroenterology/Nurse Endoscopist

Reference Number: HH694/01/10

Pay Banding: BAND 7 - 29,789 - 39,273

Hours of Duty : 37.5

Contract Type: Permanent

Annual Leave: 27 days on commencement29 days after 5 years service

33 days after 10 years service

Public Holidays: 8 fixed public holidays.

The leave year extends from 1 April to 31 March.

Part time staff will receive a pro-rata entitlement for annual leave and public holidays combinedas per the Agenda For Change agreement.

Reckonable service may be credited for annual leave purposes in accordance with the Agendafor Change Agreement.

Sick PayEntitlements to Statutory Sick Pay and Occupational Sick Pay will be determined in accordancewith the Agenda for Change Agreement. Reckonable service may be credited for Sick Paypurposes providing there has been no break in service of 12 months or more at time ofappointment in accordance with Agenda for Change Agreement.

SuperannuationOn commencement with the organisation staff will be asked if they wish to join the schemealthough they may choose to join or leave the scheme at any time. Contribution rates will varyfrom 5% to 8.5% depending on pensionable earnings.

If an employee opts not to join the scheme they will automatically contribute to the StateEarnings Related Pension Scheme (SERPS) unless excluded from doing so or have arranged aPersonal Pension.

Occupational Health ClearanceAny offer of employment is subject to satisfactory Occupational Health clearance. Should yoube invited to interview you will be asked to complete a Pre-Employment Health Questionnairewhich you should bring to interview. The Occupational Health Service (OHSAS) will make anassessment on your fitness to carry out the post based on the information contained within thequestionnaire. In certain circumstances further information is required before clearance can be

given and OHSAS may contact you by telephone or request that you attend for an appointment.Clearance must be obtained before any new employee commences employment within NHSFife. Clearance may be subject to you attending for a Post-Employment appointment and it isvital that you attend this appointment if required to do so.


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Rehabilitation of Offenders Act 1974Under the terms of the Rehabilitation of Offenders Act 1974, many people need not refer toprevious convictions which, after a certain period of time, are regarded as spent. Certain postswithin the National Health Service, however, are excluded from the provisions of this Act. Allpotential employees must disclose on the application form any unspent convictions and certainpotential employees are required to inform us of any previous convictions which, for otherpurposes, are spent under the provisions of this Act. Failure to disclose such informationcould result in dismissal or disciplinary action by the organisation. Any information given will betreated in the strictest confidence. Please refer to the NHS Fife Procedure for the Declaration ofCriminal Convictions for further information.

No Smoking PolicyNHS Fife operates a No Smoking Policy and it is the case that staff are not permitted to smokeon the premises or during working hours. It is a condition of employment that you comply withthese requirements.

Agenda for Change Implementation and Variations to Contract of EmploymentAgenda for Change is a nationally agreed remuneration, job evaluation, personal developmentand terms and conditions framework which will apply to all NHS Scotland staff (except verysenior managers and staff within the remit of the Doctors and Dentists Review Body). Thismeans that you will be subject to the terms and conditions contained within this agreement andalso any subsequent national or local agreements or variations made in respect of Agenda forChange. Such changes will automatically be applied to you and your contract of employmentwill be deemed to have been amended on this basis.

Work PermitsIf a candidate who requires a work permit is appointed to a post a work permit application willbe made by NHS Fife. However, current Home Office regulations dictate that employers are notin a position to offer employment to candidates requiring a work permit where it can bedemonstrated that EEA candidates meet the minimum requirements for the post.

Job ShareUnless otherwise stated within the job advert applications for this post may be considered on ajob share basis. Should you wish to apply on a job share basis please indicate this on acovering letter attached to the application form.


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Guidance for completing the NHSScotlandapplication form

If you need this, or any of the attached forms in large print or other

formats please call our recruitment office on 01592 643355 ext 8706

or 7906.

An electronic version is available at www.jobs.scot.nhs.uk

General guidance

If you have any questions or need some help with completing the form, please call 01592643355 ext 8706 or 7906 or email recruitment @faht.scot.nhs.uk. Please have the job

reference number handy if possible

If you are using the hard copy version of our application form, please use black ink andwrite clearly in BLOCK CAPITALS. This makes the form much easier to read and clearerwhen we photocopy it

The job reference number can be copied from the job advert or the application pack

The job location will be on the job advert

The candidate number will be written in by us once you have returned the form to our

office

The people who look through your completed form (short listing or short leeting team) tosee if you have the skills and abilities needed for the job, will only see Part C of the form.They will only see your candidate number and all personal details will be anonymous

Please do not send in a CV instead of, or as well as, the application form. We do notconsider CVs during the selection process

Please fill in all sections of the application form. If some parts are not relevant, write notapplicable or N/A in that space

If you need more space to complete any section, please use extra sheets of paper. Donot put your name or any identifying information on it as it needs to remain anonymous.
http://www.jobs.scot.nhs.uk/http://www.jobs.scot.nhs.uk/


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Secure it to the relevant section, and we will add a candidate number to it when wereceive it

When you have completed all of the form, please send it to:

Recruitment SectionNHS FifeFlat 3Willow DriveKirkcaldyFifeKY1 2LS

Personal Details section

This gives us your contact details such as name and address. Under title you would puteither Mr, Mrs, Ms, Dr or just leave blank if you prefer

We may need to contact you at some time throughout the recruitment process. Pleaselet us know the most suitable method of contacting you, for example email or phone calland the most convenient time

Sickness

Please list in this section the number of occasions you were off work in the past yearbecause of illness. If you would like to discuss this for further clarification please call ourrecruitment office.

Declarations

Please refer to the enclosed Procedure for the Disclosure of Criminal Convictions.For certain posts you must tell us about all convictions and cautions regardless of howlong ago the offence may have occurred. Convictions from other countries must also benotified. If in doubt please call our office at the help line number on page one of thisguidance

Please note that having a conviction will not automatically disqualify you from getting ajob with us. Careful consideration will be given to the relevance of the offence to theparticular post in question. However, if you are appointed, and it is found that you did notreveal a previous conviction your employment may be terminated

Remember to read, consider and sign the declaration at the bottom of page 2

Qualifications section

Please tell us of any qualifications you have. This can include school standard grades,GCSEs highers, or work based qualifications such as SVQs or NVQs


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Remember to write down any non formal qualifications or certificates that you think arerelevant to the job you are applying for

Present (or most recent) post section

If you are currently out of work, please write this in the job title space

Please write your start date in month/year format MM/YYYY

Please tell us briefly about your duties (what you do or did in your job). You couldtell us your role, the main tasks, and any responsibility for supervising others. There isnot a lot of space here so continue on a separate sheet if you need to

Employment History section

This is where you write down all the jobs you have done previously

Remember that if a job you have done in the past supports or is similar to the job youare applying for, please tell us more about it in your support of application statement onpage 6 of the application form use a separate sheet if you need more space

References section

Referees are people who know you at work. Please give the full names andaddresses of 2 referees, one of whom must be your present or most recent employer andcan confirm your job details

You should check that the people you have put on your form are happy to be referees

Your referees will not be contacted unless you are a preferred candidate afterinterview. A preferred candidate is someone who is the preferred choice for the job,subject to satisfactory checks where appropriate

Driving Licence

You only need to complete this if the job requires you to drive. Please check the jobdescription or person specification. For example, some jobs with the Ambulance Servicerequire you to be able to drive class C1 and D1 vehicles

Statement in support of your application

This is one of the most important parts of the form. In here you say why it is you wantthis job, and can list all your skills and abilities that you think help to match up youagainst the person specification. In here you could describe how something you havedone in a non work setting (for example, planning and leading a group outing) showsplanning skill and some leadership qualities

Where did you see the advert section

Please try to remember where you heard about this job, and tick the relevant box. The

information you give will help us find out how good our advertising is

Equal opportunities monitoring


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Please note that all details on this section (Part D) will remain totally anonymous. It willbe detached from the rest of the form as soon as we get it and remain anonymous

We want to ensure that there are no barriers to joining our workforce. As an employer,NHSScotland is as fully inclusive as possible. One way we can ensure this is to analyseall the data provided in this section and ensure that job opportunities are being accessedby as wide a community as possible.

Please send the completed form to the following address:

[email protected]

or post your hard copy to:

Recruitment SectionNHS FifeFlat 3Willow DriveKirkcaldyFifeKY1 2LS
mailto:[email protected]:[email protected]


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Support into Work

Have you experience of a mental health problem?

Want help with the application process for a post with NHS Fife or FifeCouncil?

Would you benefit from some support even after you start work?

Are you unemployed and live in Fife?

Then Support into Work can provide free, independent and confidential support through thewhole process of applying for a job with either NHS Fife or Fife Council and, if successful, forthe first few weeks after starting work.

Support into Work is a two-year pilot funded by the Scottish Executive to increase access toemployment for unemployed people experiencing mental health difficulties who live within Fife.

The service is provided by Fife Employment Access Trust (FEAT) a well-respected voluntaryorganisation with 10years experience or supporting people with mental health problems intoemployment.

FEAT is independent of both NHS Fife and Fife Council and the fact that someone has receivedsupport will not adversely affect the recruitment outcome.

For more information on the support available or if you would like to take advantage of the

service contact:

Fife Employment Access Trust

Collydean CottagePitmedden Loan

Glenrothes KY7 6UG

Tel: 01592 749880

Email: [email protected]

Please do not send completed application form to this address
mailto:[email protected]:[email protected]


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PROCEDURE FOR THE DISCLOSURE OF CRIMINAL RECORDS

1. Introduction

NHS Fife complies fully with the Code of Practice, issued by Scottish Ministers, in connectionwith the use of information provided to the registered person and other recipients of informationby Disclosure Scotland Part V of the Police Act 1997, for the purposes of assessing applicantssuitability for positions of trust.

We undertake to treat all applicants for positions fairly and not to discriminate unfairly againstthe subject of a disclosure on the basis of conviction or other information revealed.

2. Spent Convictions

The Rehabilitation of Offenders Act 1974 enables some criminal convictions to become spentafter a rehabilitation period. The length of the rehabilitation period depends on the sentencegiven and not the offence committed. For custodial sentences the rehabilitation period isdecided by the original sentence and the length of time actually served is irrelevant. Custodialsentences of more than 2.5 years can never become spent.

3. Disclosing Spent and Unspent Convictions

In line with the Rehabilitation of Offenders Act 1974 for any post within NHS Fife you arerequired to disclose any unspent convictions.

If you are applying for any posts listed below you are also required to provide us with any

information in relation to all spent convictions.

Clinical Posts (including Nursing, Medical, Dental and AHP posts) Director of Finance & Heads of Finance Department Ward Clerks Public Health Posts Health Promotion Posts Porters Volunteers

Hairdressers Catering & Domestic Posts within Inpatient Areas

4. Disclosure Scotland (SCRO)


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The aim of the Disclosure Scotland Service is to enhance public safety and to help employersnd voluntary organisations in Scotland to make safer recruitment decisions. Any offer ofemployment to a post identified as requiring spent convictions to be disclosed will be subjectto a satisfactory Disclosure Scotland check.

5. Procedure for Disclosing Convictions

If you have an unspent or spent conviction and you are required to disclose this to NHS Fife youshould do this by completing the section Convictions within Part B of the application formgiving details of the following:-

The Nature of the offence The Sentence given

The Date of the Offence

6. Interview

If you are selected for interview, members of the interview panel will not be aware of anydeclaration you have made. Should you be selected as the preferred candidate followinginterview we will undertake to ensure an open and measured discussion on the subject of anyoffences or other matters that might be considered relevant for the position concerned. Weguarantee that only those who need to see it as part of the recruitment process will only see this

information.

7. Failure to reveal information

Failure to reveal information that is directly relevant to the position sought could lead towithdrawal of an offer of employment. If you are offered employment such a failure may resultin dismissal or disciplinary action.

Having a criminal record will not necessarily debar you from working with NHS Fife. This willdepend on the nature of the position, together with the circumstances and background of your

offences.

8. Queries

If you have any queries on this matter then please contact our recruitment office who will beable to assist you.


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JOB DESCRIPTION

1. JOB IDENTIFICATION

Job Title: Clinical Nurse Specialist In Gastroenterology/Nurse Endoscopist.

Responsible to: Directorate Nurse Manager for Medicine.

Department(s): Endoscopy Unit, Victoria Hospital, Kirkcaldy and Queen Margaret HospitalDunfermline

Directorate: Medical Directorate.

Operating Division: Job Reference:

No of Job Holders: 2

Last Update (insert date): 17.02.05

2. JOB PURPOSE

To develop and provide a high quality, patient centred, evidence based specialist nurse service for

Gastroenterology patients. This would include ward and outpatient care and also communitybased care on occasion.

To provide professional and clinical leadership in the speciality of gastroenterology managementand act as a resource for education and clinical expertise.

To be familiar with current research in the field of Gastroenterology. To further develop the nursing service in partnership with relevant health care professionals to

benefit patient care.

3. DIMENSIONS

Fife Acute Hospitals Trust provides care to a population of approximately 350,000 in Fife.

This post is hospital based, working within the Endoscopy Unit, Out-patients department and thewards at times working across the three sites of Victoria Hospital, Queen Margaret Hospital and StAndrews Memorial Hospital in response to service demand to promote cross cover across the Trustand to provide cover for colleagues as required.


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4. ORGANISATIONAL POSITION

Directorate Nurse Manager(Professionally accountable)

Clinical Director

Directorate Manager

Accountant/Business Manager Endoscopy Services Manager

Colleague (VHK) Clinical Nurse Specialist in Gastroenterology Colleague (QMH)

5. ROLE OF DEPARTMENT

To have a strategic role in delivering improved outcomes for Gastroenterology patients and provide a co-ordinated service which

optimises patient focused, quality health care within Fife Acute Trust.

6. KEY RESULT AREAS

Professional

1. Practice autonomously within NMC guidelines using professional knowledge, experience and

acknowledging limitations.2. Be accountable for own practice in accordance with NMC Code of Professional Conduct.3. To have professional self-regulation with a positive approach to professional development and life-long learning.4. Identify and maintain supportive networks for self and colleagues.

Clinical Role

1. Working autonomously, assess, plan, implement and evaluate patient care on attendance forendoscopic procedures via a direct access GP referral system, responsible for and managing thepatients pathway from admission to discharge.

2. Development of nurse-led assessment of direct access GP referrals for endoscopy procedures.3. Provide accurate and appropriate information to obtain written informed consent from the patient to

perform endoscopic procedures.4. Holistic assessment of patients suitability to undergo endoscopic procedure on the day of the

appointment, taking into account current medication and physical well-being i.e. anti-coagulant therapyand potential need for biopsy.

5. Administer intravenous sedation independently to patients having endoscopic procedures within

agreed local policy and also administer intravenous reversal agents if required based on clinicaljudgement.

6. Perform independently diagnostic/therapeutic endoscopic procedures and interpret endoscopic findingsusing specialist endoscopy knowledge acquired through in depth experience in a broad range oftechniques relating to knowledge area. Recommend medications and further investigations or


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treatment following discussion with the Consultant Gastroenterologist, while working within agreedevidence based practice protocols of care and supervision of practice criteria.

7. Utilise Endoscopy Unisoft reporting system effectively to produce accurate endoscopy reports todisseminate results to appropriate medical staff.

8. Provide endoscopic results and follow up information to patients on discharge, using effective verbalexplanation and written information if appropriate.

9. Effective interpretation of biopsy/radiological results and initiating further investigations or treatmentrecommendations following discussion with Consultant Gastroenterologist.

10. Development of a nurse-led colonoscopy service, performing supervised colonoscopy procedures

following the Joint Advisory Group national guidelines for endoscopic training.11. Development of guidelines and protocol for independent administration of intravenous opiates for

colonoscopy.12. Effectively pre-assess patients referred for Percutaneous Endoscopic Gastrostomy (PEG) in the

community and within the Trust.13. Act as first assistant for insertion of PEG tubes working within agreed Trust protocols administration

of local anaesthetic and abdominal incision and pull through of PEG tube.14. Act as an expert clinical resource to other health care professionals, patients and carers by providing

advice regarding insertion and removal, usage, care of and problems with all Gastrostomy Tubes.15. Demonstrate the ability to make clinical decisions regarding insertion of replacement PEG and removal

of PEG.16. Adhere to Infection Control Policies pertinent to manual cleaning and decontamination of endoscopes

and the Oesophageal Manometry Catheter.

17. Adhere to Infection Control Policies regarding all endoscopic procedures.18. Provide an Oesophageal Manometry and 24 hour pH study service across Fife. Working autonomously

to perform insertion and removal of Manometry and pH catheters, utilising specialised equipment,skills, knowledge and understanding of software to carry out investigation. Effectively detail patientssymptoms pre-procedure and obtain informed consent for patients undergoing this investigation.

19. Provide a nurse led out patient service for patients with gastroenterological disorders in conjunctionwith the medical Gastroenterology clinics. Ensure accurate clinical history taking, providinginformation, education and emotional support as required and ensure appropriate investigations arerequested, also ensure appropriate referral to other members of the multi-disciplinary team, workingwithin agreed protocols of practice.

20. Effectively dictate the clinic visit of each patient to appropriate medical staff.21. Review results of outpatient investigations i.e. blood results, DEXA scan reports and discuss any

abnormalities with consultant Gastroenterologist.

22. Monitor, review and act upon Gastroenterology patients blood results who are on Immuno-suppresantdrug therapy either on a weekly, two weekly or monthly basis.23. Referral to other disciplines e.g. dieticians, Surgeons, Radiology.24. Supportive role for all patients with GI cancer at initial diagnosis, providing information and emotional

support as necessary.25. Co-ordination of staging investigations and referral to other members of the Multi-disciplinary team as

and when required.26. Frequently required to make clinical judgements involving a range of facts that require analysis and a

comparison of a range of options.27. Daily planning and organisation of workload that frequently requires adjustment due to service

demands.28. Frequently provide sensitive information in a highly emotive atmosphere when providing patients with

results and diagnosis.29. Routinely provide highly specialised clinical technical services (Endoscopy and Oesophageal

Manometry and pH Studies.)30. Routinely provide specialised advice in relation to patient care.31. Accountable for direct delivery of a clinical technical service as agreed within local Trust policy.32. Involved in the development of policies and protocols for service changes within our own area, but

which also may impact beyond our own department.33. Responsible for personal duty of care in relation to equipment and resources used in the endoscopy

department.

Management and Leadership

1. Promote and develop good working relationships with other health care professionals.2. The GI Specialist Nurse will be a recognised expert in the field of Gastroenterological nursing and will

provide professional leadership which will support and inspire colleagues and enhance thedevelopment of clinical practice.


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3. Responsible for organisation and management of own workload/caseload and clinic commitments.Working practices can vary on a daily basis to meet the needs of the patients and organisationalrequirements, therefore the ability to prioritise and adapt is required.

4. Identify requirements to carry out this specialist role, to implement and to develop the role according topatients needs within the resources available.

5. Establish effective working relationships with hospital, multidisciplinary and community professionalsto facilitate optimum, continuing care for patients and to maintain a recognised source of expertise forthese groups.

6. To provide leadership, act as a role model and demonstrate expert knowledge and high standard of

specialist clinical practice.7. Monitor the provision of the service advising the Consultant Gastroenterologist of any developments or

deficiencies.8. Provide an annual report of the service to the Directorate Manager.9. Participate and attend relevant Trust meetings, Specialist Nurse Forum, Multidisciplinary Team

Meeting and Specialist Gastroenterology Meeting, Endoscopy Users Meeting.10. Membership and participation with local and national Clinical Nurse Specialists e.g. Scottish Nurse

Endoscopy Group and GI nurses Fife and Tayside Group to develop professionally, enhanceknowledge and ensure best practice methods are made available to the Trust as appropriate.

11. Maintain accurate documentation and ensure confidentiality of patient information. Provide auditrecords and written reports as necessary.

12. Membership of professional bodies e.g. British Society of Gastroenterology (BSG), Scottish Society ofGastroenterology, National Association of Crohns and Colitis, Coeliac UK, British Liver Trust and

Association of GI Physiologists (sub group of BSG.)13. Adhere to all Trust Operational policies and procedures.14. Develop local policies/guidelines in relation to all aspects of Gastroenterology and adapt regional and

national guidelines for local use.15. Contribute to Directorate and Trust issues including policy and guidelines development and identify

opportunities whereby the post may be enhanced.

Education

1. Leads, plans, develops and participates in and evaluates Multidisciplinary Education Programmes forhealth care staff based on evidence based practice in relation to Gastroenterology.

2. Educate patients, their families/carers (when appropriate), regarding their disease, including advice on

treatments, outcomes and preventative measures to help them adapt and manage their condition.3. Act as an expert clinical resource to other healthcare professionals. Advise colleagues and other

healthcare staff of relevant research findings and best practice methods.4. Maintain a high level of awareness and up to date knowledge of all relevant research and other

evidence based findings: recommending and processing change where considered necessary.5. Demonstrate a commitment to further learning opportunities and professional development in

Gastroenterology, ensuring PREP requirements are met.6. Promote and advise on health and life style activities for patients, carers, health care professionals and

the general public.7. Develop training and development strategies to meet the needs of professionals within the organisation

and across organisational and professional boundaries.8. Develop and improve own competence in structured ways, including accessing clinical supervision.9. Teaching of student nurses in relation to basis Gastroenterology nursing care.

10. Frequently provide teaching and education to staff in nursing homes and specialised care homes inrelation to the care of for PEG tube.

Research and Audit

1. Leads, plans, develops and implements audit activity related to Gastroenterology, including trainingand supervising staff.

2. Critically evaluates research and audit finding and disseminates these findings to healthcareprofessionals and senior management as appropriate. Identifying and initiating change across theTrust as requires.

3. Participation in clinical trials as initiated by Consultant Gastroenterologists and Drug Companies.

7a. EQUIPMENT AND MACHINERY

Generic

Personal computer Photocopier & Fax Bed trolleys


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Oxygen systems Manual handling equipment Fire equipment Standard/electric beds Urinary catheter equipment Patient hoists Laboratory specimen equipment Vacutainer/Cannulation systems Intravenous infusion fluids, giving sets & stands

Suction equipment Resuscitation equipment Pressure relieving equipment Syringes/needles & scalpels Sharps boxes Clinimatic Wheelchairs & Walking aids Fridge Cordless telephone Dictaphone Dynamap & Thermometer Sphygmomanometer Resuscitation Trolley & equipment

Infection control equipment X-rays boxes

Specialised

Pulse oximeter Enteral feeding equipment PEG/Buttons feeding tubes Naso-gastric tubes Defibrillator Infusion devices

Very Specialised

Gastroscope, flexible and rigid sigmoidoscope, colonoscope Light source Processor Television monitor

Diathermy equipment Hot biopsy forceps and polypectomy snares and graspers Cold biopsy forceps Video and photographic equipment Needle injectors Oesophageal banding equipment Dilatation equipment and balloons Oesophageal and rectal stents Clipping device Sengstaken tube

7b. SYSTEMS

Computer literate using Microsoft PowerPoint, Excel, Access, E-mail.

Completion of timesheets/annual leave/study leave request forms.

Use of Microsoft Excel spreadsheet for off-duty.

Unisoft Endoscopy reporting system

Oasis

Master labs


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Datix intranet

Internet and intranet

Gastroenterology Microsoft Excel GI cancer database

Microsoft GI Nurse database

8. ASSIGNMENT AND REVIEW OF WORK

Workload is determined by needs of the service. The post holder acts as an autonomous practitioner who plans,manages and prioritises own caseload without supervision.Caseload can be generated from various sources such as patient telephone calls, Consultant Gastroenterologist,ward and endoscopy staff, secretarial staff, community staff and members of the Multi-disciplinary team within theTrust.Requires yearly Personal/Professional Development Plan Review by the Directorate Nurse Manager.

9. DECISIONS AND JUDGEMENTS

The post holder acts as an autonomous practitioner, acting on own initiative who plans, manages andprioritises own caseload and can make judgements based on individual patient needs. This would includeanticipation and resolution of potential problems or concerns involving gastroenterological disorders management. Is consulted and consults in clinical decision making regarding treatment changes, discharge and follow

up arrangements for both in-patient and out-patients. Ensure assessment of needs and care provided is accurately and systematically documented forprofessional and legal reasons. Challenges inappropriate care/interventions related to Gastroenterology. As a Nurse Endoscopist working autonomously a Consultant Gastroenterologist is available on site duringthe times of the nurses endoscopy list and can be contacted if the Nurse Endoscopist deems this necessary. The Nurse Endoscopic is accountable for her own actions, uses her own initiative and acts independentlywhen carrying out endoscopic procedures e.g. dose of intravenous sedation or therapeutic procedures requiredduring endoscopy.

10. MOST CHALLENGING/DIFFICULT PARTS OF THE JOB

Carrying out technically difficult and physical and mentally demanding endoscopic procedures. Caring for patient and relatives when breaking bad news in a highly emotive atmosphere. Working autonomously, maintaining a high degree of personal motivation. To develop and maintain effective communications with the primary and secondary care teams to ensure

the patient receives optimum continuity of care. Balancing the needs of the patient with other demands of the service. Prioritising the patients needs within the strategic needs of the service. Making complex, informed and independent decision appropriate to Gastroenterology nursing.


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11. COMMUNICATIONS AND RELATIONSHIPS

The post holder must possess effective verbal and written communication skills.

Establish goods working relationships with medics, nursing staff and other agencies as appropriate

across all boundaries in a specialist role.

In a specialist capacity act as the pivotal link between primary and secondary care.

Act as a resource person for information and education.

Develop and maintain a clinical network with other Gastroenterology nurses and other disciplines

at local and national level.Internal:Patient and their relatives involved in provision of their care and treatment planning.

Consultant Gastroenterologist for clinical advice and service delivery.Other Gastroenterology Specialist Nurses/Nurse Endoscopists.Nursing staff of all levels in provision of care.Medical staff of all levels To advise and provide information in the effective provision of Gastroenterology care.Colorectal cancer Specialist Nurse for referral of Cancer patients and service collaboration.Upper GI Cancer Specialist Nurse (Tayside) for referral of Cancer patients and service collaboration.Stoma Care Nurse Specialists for referral of patients undergoing bowel surgery (Non- Cancer) and servicecollaboration.Other Nurse specialists within the Trust for advice on provision on patient care.Dieticians To provide effective nutritional care.Speech and Language Therapists Referral to prior to PEG insertion.Pharmacists advice on drugs and drug therapy.Stores Stock and non-stock issues.

Estates Maintenance and repair of equipment.IT Department Maintenance and advice regarding computer equipment.Health & Safety Actioning of safety action notices.Infection Control Issues related to endoscopic procedures and aftercare of PEG sites.Medical Records Staff for case note requests and organisation of clinics.Departmental Areas e.g. A&E, X-Ray, outpatients, Theatre, Pathology, Labs, Medical Physics, Mortuary, MedicalPhotography.Medical Secretaries accessing notes, appointments and organisation of patient care.Audit Department On-going audit projects.Moving & Handling Advice on moving and handling patients in endoscopy.Transport/Ambulance desk arranging transport for patients for clinic review, endoscopy or admission.Complaints Officer/patient Liaison dealing with statements and complaints.Directorate Nurse Manager professional issues/advice.

Student Nurses teaching and education in Gastroenterology Care.

External:G.P. Liaise with to provide effective ongoing care for GI patients in the community.District Nurses/Treatment Room/Practice Nurses Liaise with to provide effective ongoing care for GI Patients inthe community.Nursing Homes To provide information and education regarding PEG Tubes.

Palliative care nurses referral to for terminal care for GI patients.National Association for Crohns and Colitis (NACC) committee members medical advisory capacity.Local Coeliac Group medical advisory capacity.Upper GI Cancer Group development of a streamline service for patients with upper GI cancer between Fife andTayside.Scottish Nurse Endoscopists Networking and developing national links.


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Medical Representatives for drug therapy advice.

12. PHYSICAL, MENTAL, EMOTIONAL AND ENVIRONMENTAL DEMANDS OF THE JOB

Physical Skills/Demands:

1. Administration of intravenous sedation, reversal agents, controlled drugs and antibiotics.2. High degree of precision and hand, eye and sensory co-ordination are essential during endoscopic

procedures both diagnostic (manoeuvring of scope) and therapeutic (polypectomy) also required in

role of first assistant in PEG tube placement (administration of local anaesthetic and abdominal

incision in conjunction with endoscopic view)

3. Positioning of patients for endoscopic procedures.

4. Standing/walking for the majority of the shift.

5. Handling of endoscopes can put strain on arms, neck, shoulder, back, wrists, elbows and knees.

6. Manoeuvring of trolleys.

7. Use of hoists for immobile patients.

8. Traction removal of PEG tubes.9. Driving skills to cover across Fife sites.

10. Sensory skills to assess patients.

11. Keyboard skills.

12. Ability to carry out vital signs and observations.

13. Venepuncture and cannulation and removal of cannulae.

14. To have the expertise to handle and operate highly specialised and expensive endoscopy

equipment.

There is a need for frequent intense effort over several long periods during the working week.

Mental Demands:

1. Retention and communication of knowledge and information.

2. Concentration required when checking documents/patient notes and calculating drug dosages.

3. Concentration required when observing patient behaviours which may be unpredictable due to

sedation.

4. Recognition of abnormal pathology.

5. Concentration required during therapeutic procedures e.g. hot biopsy, polypectomy, biopsy of

tumour and PEG insertion.6. Concentration required during passing of oesophageal Manometry and pH catheters for correct

positioning.

7. Concenetration required as frequent interruptions from telephone enquires.

8. Unpredictable day-to-day workload, ability to adapt to any situation presented from a variety of

disciplines and the patient group.

9. Ability to educate and communicate sensitive, unwelcome, unpleasant information to patients and

their relatives.

10. Communicate complicated information verbally and written to patients regarding individualised

treatment and care plans.

11. Tact and diplomacy required when discussing bowel problems with patient group.12. Frequent intense concentration required for recording clinical history in medical notes.

13. Ability to direct care for patient caseload in conjunction with Gastroenterologist.

14. Exposure to verbal/physical aggression in clinic and endoscopy setting.


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15. Concentration required when observing patient behaviour that may be unpredictable due to

sedation and distress of endoscopic procedure.

16. Educating patient regarding informed choice.

17. Act upon and initiate tests as necessary for individualised care.

18. Working autonomously.

19. Accountability for own actions.

20. Time management skills.

21. Concentration required when completing pathology forms, X-ray referrals.22. Identifying and managing cardio/respiratory arrests.

There is a frequent requirement for intense concentration.

Emotional Demands:

1. Communicating with distressed/anxious/worried patients/relatives.

2. Caring for patients following receipt of bad news i.e. diagnosis of GI cancer or incurable chronic

disease.

3. Communicating complex issues within the multidisciplinary team.

4. Personal/interpersonal stressors.5. Ethical considerations of inserting a PEG tube to provide nutrition for the patient who is unable to

swallow.

6. Supporting staff in the work environment.

Frequent exposure to highly distressing and emotional circumstances.

Working Conditions:

1. Exposure to body fluids i.e. faeces, blood, vomit, sputum, saliva, urine, stoma site exudate.

(Frequently each working day)

2. Exposure to verbal/physical aggression. (Occasionally during planned endoscopic procedures)3. Working constantly in artificial lighting with no natural light. (Constantly)

4. Exposure to Peracetic acid (Nu-Cidex, disinfectant used for endoscopes) (Frequently)

Considerable exposure to hazards.

13. KNOWLEDGE, TRAINING AND EXPERIENCE REQUIRED TO DO THE JOB

First level registered nurse on part one/twelve of the NMC register At least five years post registration experience. Senior nursing experience in Gastroenterology. Educated to degree level. Ability to travel. Basic IT skills. Completion of ENB or equivalent certificate in upper/lower GI endoscopy. Evidence of further education or development in relation to Gastroenterology nursing. A willingness to undertake further studies as appropriate. Inter-personal skills, including negotiation and management skills. Ability to assess information and make recommendations. Ability to develop protocols which influence and change practice. Effective written and verbal communication skills. Technical ability to perform endoscopic GI procedures. Effective time management skills. The post holder will possess team-working skills and have the ability to motivate others and work

using own initiative.


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An advanced theoretical and practical knowledge of a range of work procedures and practices arerequired. The post holder requires to undergo several formal courses of study to obtain anadvanced level of theoretical and practical knowledge. Successful completion of these coursesresult in the acquisition of the necessary skills to carry out a range of endoscopic procedures. TheNurse Endoscopist is expected to undergo the same training as, and in practice is compared to,the Medical Endoscopist as set down by the Joint Advisory Group on Gastro-Intestinal endoscopyand the British Society of Gastroenterology working party report entitled The Nurse Endoscopist

1994.

14. JOB DESCRIPTION AGREEMENT

A separate job description will need to be signed off by each jobholder to whom

the job description applies.

Job Holders Signature:

Head of Department Signature:

Date:

Date:

RECRUITMENT AND SELECTION STANDARDS

PERSON SPECIFICATION FORM

Post Title/Grade: Clinical Nurse specialist in Gastroenterology/NurseEndoscopist Band 7

Department/Ward: Endoscopy

ESSENTIAL DESIRABLE MEASURE

Experience Post registrationexperience

Senior Nursingexperience inGastroenterology

Application form andinterview

Qualifications/Training

1st

Level Registration Educated to degree

level or workingtowards degree

Evidence of ongoing

Evidence ofclinicalgovernance.

Infection controlchampion.



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professionaldevelopment.

Completion of ENBor equivalentcertificate in upperlower GI endoscopy

Knowledge A sound knowledgeof acute medicalnursing.

Research/Audit Application form andinterview

Skills Venepuncture

Organisational skills

Teaching / I.T andpresentation skills

Good communicationand interpersonalskills

A level of Englishlanguage competencyand communicationskills necessary to

perform this rolesafely and effectively

Cannulation

Counselling skills

Male / Femalecatherisation skills



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ESSENTIAL DESIRABLE MEASURE

Aptitude Innovative

Enthusiastic Demonstrate

leadership ability Able to work on own

initiative

Calm under pressure Must regard the

patient and family aspartners in care.

Interview

Othere.g. Team Player,Be able to travel

MultidisciplinaryTeam player

Ability to travelacross sites

Interview

Job Description 1337

Documents

Transcript of Job Description 1337