Job summary
- Main area
- Maternity
- Grade
- Band 7
- Contract
- Permanent
- Hours
- Full time
- Part time
- Job ref
- 164-6200609
- Employer
- Nottingham University Hospitals NHS Trust
- Employer type
- NHS
- Site
- Cross site
- Town
- Nottingham
- Salary
- £43,742 - £50,056 per annum pro rata
- Salary period
- Yearly
- Closing
- Today at 23:59
Employer heading
Diabetes Specialist Nurse Maternity Cross Site
Band 7
Job overview
The Band 7 Diabetes Specialist Nurse for maternity will be a highly specialised, autonomous practitioner with a vision for developing the service women with diabetes receive during their pregnancy journey. This will span from pre-conception diabetes counselling advise through to antenatal care and beyond into the immediate postnatal period, where required.
Main duties of the job
They will be a key member of the Diabetes in Pregnancy Service, working closely with the multidisciplinary team to maintain and develop the service.
They will:
- Provide specialist care for a caseload of patients requiring specialist diabetes input during pregnancy and immediately postpartum
- Act as a source of expertise on Diabetes for women, their families and staff, including the provision of education and training.
- Have a desire to develop the service further in new areas e.g. pre-conception care
They will work without direct supervision but within the multidisciplinary team and comply with Trust policies and guidelines. The post holder will work across site – both QMC/City campuses and solely within the maternity care pathway.
Line management will be from the Lead Midwife for Diabetes. Input from the Ambulatory Care Division will also be gained, to ensure the Diabetes Specialist Nurse is fully supported to further develop new skills and access training opportunities.
Working for our organisation
With over 20,000 staff, we are one of the biggest employers in the city with a central role in supporting the health and wellbeing of our local population. We play a leading role in research, education and innovation.
Come and join our wonderful team at NUH. We are big believers in diversity and welcome new ideas to help develop our team in order to deliver world class healthcare to the vast patient populations we serve. With endless personal development opportunities available, at NUH we will endeavour to turn your job into a career!
We particularly welcome applications from people who identify as Black, Asian and Minority Ethnic, or Disabled, as we are striving to be better represented at NUH.
Detailed job description and main responsibilities
Clinical
- Works as an autonomous, advanced specialist practitioner, providing up-to-date, evidenced based care in line with National and Local Guidelines and NMC standards
- Plans and prioritises own work load, organises own patient caseload and has full responsibility and accountability for diabetic management decisions made.
- Facilitates and maintains effective communication within the multi-disciplinary team in order to promote effective patient care.
- Works as part of an MDT, providing face to face and remote patient reviews for women with pre-existing diabetes or women with Gestational Diabetes requiring insulin; using monitoring systems like GDM Health care App, Libreview, Dexcom and a variety of insulin pumps used in Nottingham University Hospitals NHS Trust.
- Is a Non-Medical Prescriber (or willing to work towards it) and works within national and local guidelines for NMP’s.
- Initiates and adjusts diabetes medications appropriate for pregnancy, in accordance with Trust Protocols
- Reviews the diabetes of women with pre-existing diabetes or complex gestational diabetes referred for review whilst inpatients.
- Provides expert knowledge and support to women with pre-existing diabetes wishing to optimise their glycaemic control pre-pregnancy.
- Relates blood glucose results, urine results, HbA1C results to make informed adjustment in medication and insulin doses.
- Responds to ‘call back’ requests from patients and staff e.g. left on team voicemail or GDm- Health.
- Ensures service delivery is sensitive to cultural differences and that treatment planning and educational activities meet this need i.e. insulin adjustment during Ramadan.
- Has excellent counselling, motivational and negotiating skills to work with patients, promoting self-management and engendering patient empowerment
- Assists the Lead Midwife for Diabetes to identify service gaps and the need for further knowledge in health care professionals and plan strategies within each setting to meet these needs.
- Acts as a professional role model and provides and facilitates effective clinical leadership.
- Acts as a core member of the multidisciplinary Diabetes in Pregnancy team.
Education
- Identify learning needs and support and assist in the development, implementation, teaching and evaluating of training programmes in diabetes for a range of health care professionals e.g. on Maternity Forum
- To act as a mentor for diabetes care for newly appointed members of the Diabetes in Pregnancy Service or for students shadowing the clinic.
- Support and assist in the development, implementation, teaching and evaluating of training programmes, as required within the service
- Show commitment to research, audit and education to improve clinical practice and strategic development
Leadership/Research
- Contribute to the development of policies and clinical guidelines in support of the diabetes service within maternity.
- Lead on agreed QI projects for the service
- Identify need for, interpret and undertake research, surveillance and clinical audit in order to improve effectiveness and equality of patient care (both national and local audits)
Personal and Professional Conduct
- Work within NMC professional code of conduct at all times
- Ensure Trust Policy and Procedure adhered to including Health and Safety legislation, administration and storage of drugs, clinical incident reporting, infection control, child protection etc.
- Be responsible for maintaining and enhancing personal and professional development and providing evidence of competency to enable the formulation of a PDP.
- Act as role model and support professional development of all students and junior staff. Contribute to a positive learning environment.
Undertakes any other duties relevant to this position deemed necessary in line with changing practice and service needs
Person specification
Training and Qualifications
Essential criteria
- NMC Registered Adult Nurse (active registration) Evidence of continued professional development
Desirable criteria
- Non-medical prescriber or willing to work towards
Experience
Essential criteria
- Currently working within the specialty of diabetes for at least 1 year Knowledge of commencing patients on monitoring technology including Freestyle Libre and starting a patient on insulin. Knowledge of Gestational, type 1 and type 2 diabetes
- Interpreting and working NICE guidelines
- Competent in diabetes medication management and insulin adjustment Able to demonstrate commitment to continual improvement.
Desirable criteria
- Experience of autonomous history taking, diagnosis, referral and discharge. Experience of commencing Dexcom and insulin pumps.
- Experience of working as specialist nurse in antenatal clinics
- Knowledge of current protocols for managing patients diabetes during pregnancy
- Experience of developing and implementing quality strategies
Communication and Relationship Skills
Essential criteria
- Able to present and receive relevant clinical information to a multi- professional audience
- Able to convey sensitive information in an empathic manner to staff and patients / clients
- Can produce timely, accurate written / electronic records and documents.
- Can minimize interpersonal conflict and barriers to communication
Analytical and Judgement Skills
Essential criteria
- Able to respond to problems / situations and to ensure that effective interventions are put in place
- Able to critically analyze and evaluate research and audit findings and to apply these to clinical practice
- Able to independently assess and diagnose common conditions within remit of professional practice
Desirable criteria
- Experience of writing audit / research reports for a multi-professional audience.
- Evidence of data collection, evaluation and analysis.
Planning and Organisational skills
Essential criteria
- Able to organise own workload and prioritize actions
Desirable criteria
- Evidence of leading local projects.
- Able to develop, implement and monitor local protocols and objectives.
- Evidence of leadership experience
Physical Skills
Essential criteria
- Able to undertake clinical duties
- Able to walk or stand for long periods of time, during a shift
- Able to maneuver patients
Employer certification / accreditation badges
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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
Further details / informal visits contact
- Name
- Ceinwyn Hogarth
- Job title
- Lead Midwife for Diabetes
- Email address
- [email protected]
- Telephone number
- 07812268062
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