As a Children's Gastroenterology Clinical Nurse Specialist, the post holder will act as an expert nurse and role model in the care of children and young people and their families.

The post holder will demonstrate a good understanding and proficiency in the highly specialist nursing care and management of children and young people in both the hospital and community setting.

The service manages a comprehensive range of Gastrointestinal- Nutritional disorders the caseload will include children with inflammatory bowel disease, liver, coeliac and oesophageal disease including, feeding problems and functional bowel disorders.

Main duties of the job

A key role and interest in care of patients with inflammatory bowel disease ( IBD) .

Co-ordination and care of the young people having biologics treatments

The post holder will also participate in clinical work and coordination of tests within the new clinical investigations unit in liaison with the Gastroenterology team.

They will make recommendations and identify areas for development and present these to the gastroenterology team for discussion prior to implementation.

They will be responsible for the development, implementation and evaluation of programmes of care, with support from the Consultant Paediatric Gastroenterologists and Matron as the service dictates and ensuring all activity is recorded as required.

The level of clinical judgment and autonomous decision making will depend on the individual post holder's level of experience in specific areas.

Nurse led clinics for children and families

Part of the role will be transitioning young people to adult services

About us

Mission and values

The mission of University Hospitals Sussex - what we are striving to achieve - is to provide:

' excellent care every time'

All our efforts to do this put the interests of our patients first and foremost, and are underpinned by our values:

• Compassion
• Communication
• Teamwork
• Respect
• Professionalism
• Inclusion

These values were selected by our staff, patients and public when we were talking about the merger and the sort of organisation we want University Hospitals Sussex to be.

Our mission and values are extremely important to us and we expect everyone who works at University Hospitals Sussex in any capacity to share and uphold them.

Patient First

• Patient First is our Trust-wide approach to improving the quality of care for patients and to build and embed a culture where staff can be confident that their views matter and will be heard.

Job description

Job responsibilities

• To promote a safe clean clinical environment for all patients, visitors and staff.
• To maintain the patients respect, dignity and privacy and to act with kindness and courtesy to all members of the public.
• To understand and adhere to the Nursing and Midwifery Council (NMC) Code of Conduct and other NMC Standards.
• To take personal responsibility for maintaining professional registration with the Nursing and Midwifery Council, and ensuring the line manager is informed immediately if this registration is compromised.
• To be responsible for ensuring patient safety, taking proactive steps to ensure patients come to no harm.
• To be responsible for the assessment, planning, implementation and evaluation of care, and be able to carry out all relevant care without direct supervision.
• To take personal responsibility for identifying own training needs for mandatory and statutory training and discussing these with the line manager ensuring that training sessions are attended.
• To take personal responsibility for ensuring that personal objectives are agreed with the line manager and that annual appraisal takes place.
• To actively contribute to the teaching and learning of others.
• To actively contribute to the Trusts Strategy for Nursing and Midwifery.
• To adhere to the Trusts Uniform policy and Dress Code policy.
• To be aware of and take appropriate action in the event of cardiac arrest, fire and major incident.
• To contribute positively to the effectiveness and efficiency of teams in which you work.
• To undertake any other duties at the request of the line manager commensurate with the role, including absence cover.
• To ensure practice is evidence based and is in line with local policies and procedures.
• To maintain accurate records of care, treatment and observations.
• To participate in the control, storage and competent administration of medications according to Trust policies and NMC Guidance.
• To act as an ambassador for the Trust and for the nursing and midwifery professions.

Communication

Develop and initiate strategies to effectively communicate highly sensitive and complex condition related information to children/young people and their families to enable informed choices (e.g. life-long nature of condition and long term complications).

Promote effective communication with children where age or disability are barriers to communication and require particular skills for this to be achieved.

Implement and evaluate support given to families who may be distressed, shocked, grieving or occasionally aggressive as a consequence of childs illness, social circumstances, e.g. new diagnosis, safeguarding children.

Articulate status of children to the multi-disciplinary and multi-agency teams as the childs status dictates.

Report child protection concerns to the appropriate agencies.

Demonstrate use of IT skills to complete details of admission/discharge/ visits of patients using a computerized record system

Write precise, accurate and timely nursing records, reports, statements, referrals and letters.

Listen actively and respond appropriately to information given.

Promote and develop effective communication with members of multi-disciplinary/multi-agency teams, identifying options and actions for co-ordinated packages of care.

Provide detailed telephone consultations and initiate action as needed.

Provide constructive feedback to individuals and the team.

Participate in case conferences and discharge planning meetings.

Recognise when own and others behaviour is not acceptable and initiate action to resolve effectively.

Initiate and provide support/advice to parent carers over the phone. (eg. Inflammatory bowel disease patients liaison about Azathioprine blood monitoring tests )

Develop effective communication with Adult Gastroenterology Teams responsible for young adult care and contribute to effective transitional care from child to adult services.

Service Delivery and Improvement

Manage and co-ordinate caseload autonomously.

Interpret and analyse information from a range of sources to underpin decision making, reporting to gastroenterology team as required.

Identify needs, review and participate in the ongoing developments of the Childrens Gastroenterology team.

Work within agreed resources as part of the paediatric gastroenterology team

Act as a role model for junior members of the Team and non-specialist staff

Participate in mandatory and other audit.

Facilitate the cascading of information from other sources to junior and senior staff.

Have awareness of organisational structure, the function of the Directorate within the organization and Trust objectives.

Participate in and promote others participation in Trust wide forums.

Provide supervision and mentorship as appropriate, identifying development needs and implementing strategies for individuals personal development

Contribute to recruitment decisions, team objectives, performance standards and plans of action

Maintain and raise awareness in others of the efficient use of all resources within the specialist area.

Facilitate the admission/discharge of patients to and from hospital making appropriate referrals when necessary in accordance with Trust policy.

Liaise effectively with colleagues, the multi-disciplinary and multi-agency teams and other departments to allow the timely management of the patient caseload.

Prioritise own work and others and reorganise continuously in the presence of unpredictable work pattern and frequent highly unpredictable interruptions e.g. responding to frequent bleep/telephone requests.

Be able to work alone in clients home.

Work within the code of professional conduct and all other professional policies. Interpret principles of such policies and take action where necessary.

Adhere to Trust Core values.

People Management and Development

Recommends and participates in the service development and evaluation of specific childrens gastroenterology innovations across the Trust in order to meet national standards, e.g. NSF recommendations, NICE, Royal College. Monitor activities against policy standards

Support peoples equality, diversity and right in accordance with Trust policy.

Complete locally agreed competency programme.

Apply clinical governance and recommendations to specialist area as designated.

Participate in the development of local and regionally agreed policies, protocols, guidelines and integrated clinical care pathways.

Promote Service provision to others e.g. local health economy and to the regional Paediatric Gastroenterology-Nutrition clinical network

Identify opportunities for and undertake clinical audit and research, promoting a culture of research awareness within specialist area of practice. It is anticipated that the post holder in collaboration with the Gastroenterology team will help submit work for presentation at scientific meetings and publication.

Patient Care Delivery

Model excellent practice through effective assessment, planning, implementation and evaluation of evidence based specialist programmes of nursing care for children/young people and their families working alone flexibly in both hospital and community setting.

Deliver patient care autonomously, consistent with their level of expertise, using available technology, clinical judgment, childs records and parent/carers knowledge to identify changes.

Participate proactively in multi-disciplinary outpatient clinics (including peripatetic clinics), Day case unit activities (eg. endoscopy patients, biologics therapy infusions, clinical investigation unit tests ) and inpatients (eg. Gastro- Nutrition ward rounds). Undertake baseline physiological assessments. Adjust treatments as appropriate and following appropriate training.

Act as a source of specialist advice for professionals and children/young people and families on the specialist nursing care and holistic management of paediatric gastroenterology within BSUH and the regional Paediatric Gastroenterology-Nutrition clinical network

Initiate and implement counselling strategies and provide support and advice to children/young people and families to promote emotional well being.

Develop and sustain effective partnership working, co-ordinating and contributing to packages of care for children, young people, parents and carers. Initiate referral to multi-disciplinary/multi agency teams autonomously.

Articulate the decision making process underlying the management of own and others time and the patient workload.

Recognise organisational and clinical needs that may affect the area in which they work. Respond to these needs

Identify health promotion needs and develop specific strategies to meet the needs of the individual.

Articulate, critique and discuss evidence base for care delivered.

Person Specification

Experience

Essential

• Experience of Children's gastroenterological nutritional care including enteral and intravenous feeding routes

Qualifications and Experience

Essential

• RN Child
• Degree in Nursing
• Mentorship course
• Physical Assessment module
• Extensive post registration experience including some experience or specific interest within paediatric gastroenterology & nutrition.
• Experience of Children's gastroenterological nutritional care including enteral and intravenous feeding routes
• Proven management of patient caseload (ward/community)

Desirable

• Non medical prescriber
• previous experience as Gastron CNS
• Teaching qualification
• Experience participating in research.
• Evidence of proficient knowledge and clinical experience in specified and/or broad range of aspects of the specialist care of children with a gastroenterological & nutritional diagnoses.

Any attachments will be accessible after you click to apply.

279-E5348289-JUN23