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Job summary

Main area
Gastroenterology
Grade
Band 7
Contract
Permanent
Hours
Full time - 37.5 hours per week
Job ref
213-DH-4923-A
Employer
King's College Hospital NHS Foundation Trust
Employer type
NHS
Site
Denmark Hill
Town
Camberwell
Salary
£49,036 - £55,049 pa
Salary period
Yearly
Closing
08/12/2022 23:59

Employer heading

King's College Hospital NHS Foundation Trust logo

COVID-19 Vacancy Nutrition Nurse Specialist

Band 7

Job overview

We are looking for a compassionate and inclusive nurse who is passionate and committed to nutrition. You will need to have advanced communication skills, be flexible and approachable with a positive attitude. The post holder will need to be able to quickly build rapport and positive relationships with a wide range of stakeholders, both internally and externally

Main duties of the job

We are looking to appoint a dynamic nurse in the role of Nutrition clinical nurse specialist. The post holder will assist the lead nutrition nurse to support the strategic direction of nutrition services within the trust and formulate clinical guidelines and pathways for all aspects of nutrition support. The Nutrition CNS will use skills to assess and treat patients requiring both enteral and parenteral nutrition support. The successful candidate should have some experience with the management and insertion/replacement of enteral feeding tubes

Working for our organisation

King’s College Hospital NHS Foundation Trust is one of the UK’s largest and busiest teaching Trusts with a turnover of c£1 billion, 1.5 million patient contacts a year and more than 15,000 staff based across South East London. The Trust provides a full range of local and specialist services across its five sites. The trust-wide strategy of Strong Roots, Global Reach is our Vision to be BOLD, Brilliant people, Outstanding care, Leaders in Research, Innovation and Education, Diversity, Equality and Inclusion at the heart of everything we do. By being person-centred, digitally-enabled, and focused on sustainability, we aim to take Team King’s to another level.

 

We are at a pivotal point in our history and we require individuals who are ready to join a highly professional team and make a real, lasting difference to our patients and our people.

 

King’s is committed to delivering Sustainable Healthcare for All via our Green Plan. In line with national Greener NHS ambitions, we have set net zero carbon targets of 2040 for our NHS Carbon Footprint and 2045 for our NHS Carbon Footprint Plus. Everyone’s contribution is required in order to meet the goals set out in our Green Plan and we encourage all staff to work responsibly, minimising their contributions to the Trust’s carbon emissions, waste and pollution wherever possible.

Detailed job description and main responsibilities

Job Summary:

The post holder will provide specialist nursing care for adult patients at King’s who require Artificial Nutrition Support (ANS) encompassing both Enteral and Parenteral Nutrition.  The post holder will work closely with other members of the multi-disciplinary Nutrition Team at King’s College Hospital, including the Consultant Gastroenterology Lead for Nutrition. 

 

 

Main duties and responsibilities:

 

  1. Clinical Practice

 

1. To practice autonomously and be self-directed

2. To be trained or willing to be trained in the use of CORTRAK™ electromagnetic imaging system bedside NasoJejunal (NJ) tubes

3. Attend and contribute to the Parenteral Nutrition ward round with the Multi-disciplinary Nutrition Team.

4. Provide specialist advice to nurses, doctors, dietitians, pharmacists and patients/ carers concerning both routine care, equipment and the management of complications for patients receiving ANS in hospital and occasionally at home.

5. Liaise with ward staff and the Home Enteral Nutrition (HEN) team and dietitians to ensure appropriate and timely discharge/follow-up arrangements are in place for patients.

6. Work as a key member of the Nutrition Multi-Disciplinary Team in the assessment and care of parenterally and enterally fed adults providing specialist nursing assessment, care and guidance on access routes for feeding.

7. Provide adult nasogastric (NG) and bridle securing of tubes on the wards when required.

8. Assess PEG referrals and communicate with Endoscopy Unit personnel to ensure timely and appropriate PEG placement. Be responsible for booking PEG insertions in the dedicated PEG insertion sessions.

9. Assess RIG referrals and communicate with Radiology to arrange placement

10. Provide specialist hospital-based emergency tube replacement service for hospital and home patients with balloon retained feeding tubes

 

2.   Clinical Management

 

1.    Provide support and guidance to others so that they are able to deliver a customer focused service

2.    Contribute to review of clinical notes for patients requiring imminent admission, ensuring all assessments, diagnostic investigation and test results are up-to-date and in place to ensure a smooth admission process.

3.    In the absence of other key members of the nutrition team, ensure that any patients receiving parenteral nutrition are reviewed.

4.    Actively contribute to and support colleagues in clinical risk management activities within the clinical setting.

5.    Ensure the formal reporting and recording of adverse incidents in line with Trust policy.

6.    Utilise and maintain information systems to aid audit and to provide regular actively analysis reports.

7. Recognize ethical and legal issues which have implications for nursing practice and take appropriate action.

 

8. Network with the team of clinical nurse specialists within the Trust to evaluate, develop and promote the specialist-nursing role.

 

9. To forge effective links within primary, secondary and tertiary care to ensure effective communication.

10. To practice and support compliance with the Trust’s Infection Control Standards

 

3. Training and Education

 

1.     Ensure that patients and carers receive sufficient training and supervision to become competent and confident in safely meeting their continuing care needs after transfer out of hospital.

2.     Create an environment in which clinical practice development is fostered, evaluated and disseminated.

3.     Ensure effective learning experiences and opportunity to achieve learning outcomes for students through preceptorship, mentorship, counselling, clinical supervision and provision of an educational environment.

4.     Work with academic colleagues to improve practice within a range of service/practice developments

5.     Contribute to the development of nursing practice within the specialist team. Additionally, where appropriate, to act as a practice supervisor to Trust and honorary contract employees

6.     Work with and support matrons, ward managers and other clinical staff to identify areas where changes to practice are required. Also where opportunities exist to improve treatment and support for patients.

7.      Actively participate in educational events provided by the Trust and primary care sector

8.     Attend meetings and conferences as appropriate ensuring that you are fully conversant with current issues both within the Trust and within the specialist services locally and nationally, and use the opportunities provided to liaise with nutrition nurses from other healthcare areas

9. To provide training in ANS for ward nurses and other relevant staff e.g. Nutrition Team, junior doctors, to ensure guidelines on placement and management of enteral feeding tubes and parenteral feeding lines are followed, and practices are audited accordingly

10. Plan and deliver specialist training for Gastroenterology ward nurses enabling them to routinely provide safe and timely care for ANS patients, and to provide out of hours cover for ANS emergencies

11. Ensure appropriate information and educational literature is available to help patients make informed choices as to their treatment plan and continuing management.

 

4. Research and Audit

 

1.    Contribute to clinical audit of ANS Services in hospital.

2.    Promote and facilitate research, evidence based practice and clinical audit within the Trust, raising the profile and enhancing the contribution of nursing to patient care.

3.    Contribute to nursing research initiatives and support research activity within individual Care Groups and also through collaboration with other agencies

4.    Apply and disseminate research findings relating to specialist nursing practice

5.    Ensure that the rights of patients, and others are protected at all times when involved in audit and research studies

6. Work to promote Research in Nursing

 

 

  1. Clinical leadership

 

  1. Contribute positively to the leadership of nursing within the care group acting as an effective role model.
  2. Develop effective working relationships based on trust and open co-operation
  3. Contribute to the development of nursing practice within all teams
  4. Participate in relevant fora at Care Group, Trust, Clinical Academic Group, CCG or National/International Level to represent the service perspective as appropriate ensuring that fully conversant with current issues. This includes working with the team of clinical nurse specialist within the Trust to evaluate, develop and promote the specialist-nursing role.

 

  1. Personal Professional Development

 

  1. To achieve a range of clinical competencies as required within the Trust and Care Group
  2. To keep up-to-date with current literature and research in Artificial Nutrition Support.
  3. To maintain your own personal and professional development in accordance with NMC and Trust requirements, attending mandatory study sessions as required
  4. To undergo and actively participate in your own performance appraisals
  5. To keep up to date with NMC & Trust guidelines and protocols
  6. To adhere to the NMC Code of Professional conduct working within and accepting responsibility for maintaining agreed levels of competence

 

  1. General

 

  1. The post holder has a general duty of care for their own health, safety and well-being and that of work colleagues, visitors and patients within the hospital, in addition to any specific risk management or clinical governance accountabilities associated with this post.
  2. To observe the rules, policies, procedures and standards of King's College Hospital NHS Foundation Trust together with all relevant statutory and professional obligations.
  3. 3. To observe and maintain strict confidentiality of personal information relating to patients and staff.
  4. To be responsible, with management support, for their own personal development and to actively contribute to the development of colleagues.
  5. This job description is intended as a guide to the general scope of duties and is not intended to be definitive or restrictive. It is expected that some of the duties will change over time and this description will be subject to review in consultation with the post holder.
  6. The post holder has an important responsibility for and contribution to infection control and must be familiar with the infection control and hygiene requirements of this role.
  7. These requirements are set out in the National Code of Practice on Infection Control and in local policies and procedures which will be made clear during your induction and subsequent refresher training. These standards must be strictly complied with at all times.

 

In carrying out the duties of the post, the employee is required to work in accordance with the policies and procedures of King’s College Hospital, including Health and Safety, confidentiality, data protection and equal opportunities. King’s College Hospital operates a no smoking policy.

 

This role specification is for guidance only and will change over time and according to circumstances.

 

 

Person Specification:

 

Essential

Registered Nurse

ü

Teaching qualification

ü

1st Degree before Nursing

ü

Excellent oral and written communication skills

ü

Relevant experience

ü

Ability to work independently and as part of a team

ü

Understanding of the NMC code of professional conduct

ü

Computer literacy

ü

Minimum of 18 months experience at band 6

       ü

 

Desirable

Nutrition Nurse Specialist Experience

ü

Experience of running research and audit programmes

ü

Project management skills

ü

Good presentation skills

ü

Evidence of service development

ü

Higher degree in a health related subject

ü

Experience in placement of bedside NJ tubes with CORTRAK™

ü

 

 

 

 

Person specification

Experience

Essential criteria
  • 2 years experience at band 6 and above

Employer certification / accreditation badges

Capital Nurse, LondonApprenticeships logoMindful employer.  Being positive about mental health.Age positiveDisability confident employerArmed Forces Covenant (Silver Award)

Applicant requirements

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.

Documents to download

Apply online now

Further details / informal visits contact

Name
Tracey Marshall
Job title
Nutrition Nurse Specialist
Email address
tracey.marshall6@nhs.net
Telephone number
0203 299 1312
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