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Specialty Dietitian - (Stroke)

Employer
Oxford University Hospitals NHS Foundation Trust
Location
Headington, Oxford
Salary
£35,392 to £42,618 a year pa
Closing date
28 Jun 2024

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Profession
Dietitian
Grade
Band 6
Contract Type
Permanent
Hours
Full Time
This exciting opportunity to join one of the best teaching hospitals in the UK offers the successful candidate the opportunity to gain valuable training so that they can not only advance their careers but join a team that offers the very best in nutritional care.

This post will deliver high quality care to patients treated in the 23-bedded hyper-acute stroke unit and the early supportive discharge service. The OUH stroke service has been awarded SSNAP Level A for the past 2 quarters demonstrating quality of care and commitment to excellence.

This post supports the general medical caseload, including the complex medical, respiratory, infectious diseases, specialist surgery and trauma, and is key to developing and clinically supporting our rotational Band 5s.

If you have previous experience working in stroke or medicine at a Band 5 or Band 6 level, or even a keen interest in this area, we would love to hear from you, apply now!

As a valued member of ourteam,you will receive:
  • Flexible working, including opportunities for home working
  • Clinical supervisionand support from experienced and specialist dietitians
  • Dedicated timefor professional and service development
  • Regular appraisals andpersonalised development plan
  • Access to a range ofCPD opportunities, the Oxford AHPs Research & Innovation Unit, and Bodleian Library collection.
  • Support for further academic study related to speciality and/or servicedelivery


Main duties of the job

To have responsibility for providing a dietetic service to patients treated within the OUH. This involves working as an integral member of the dietetic team to provide a flexible, prioritised service based on clinical need.

To contribute to the provision of a specialist, evidence based dietetic service to:

Hyper-acute Stroke Unit inpatients

Patients under the Early Supportive Discharge service

Complex inpatients on the general medical dietetic caseload, including patients on the complex medical unit, trauma, respiratory, infectious diseases, specialist surgery and ambulatory care.

General outpatient clinics

To contribute to the broader dietetics service provision by delivering dietetic care/cover to other clinical areas when required.

To perform nutritional assessment and consider clinical diagnoses of patients, who may have complex and/or chronic presentations, determine dietetic treatment indicated, monitor and evaluate treatment and maintain records as an autonomous practitioner.

To provide tailored dietetic advice, teaching and training for all members of the MDT, dietitians, students, healthcare providers, patients and carers in all aspects of nutrition and dietetics.

Develop and clinically supervise the band 5s on rotation, and the Stroke Dietetic and Nutritional Assistants.

About us

Oxford University Hospitals NHS Foundation Trustis one of the largest NHS teaching trusts in the country. It provides a wide range of general and specialist clinical services and is a base for medical education, training and research.

The Trust comprises four hospitals - the John Radcliffe Hospital, Churchill Hospital and Nuffield Orthopaedic Centre in Headington and the Horton General Hospital in Banbury.

Our values, standards and behaviours define the quality of clinical care we offer and the professional relationships we make with our patients, colleagues and the wider community.We call thisDelivering Compassionate Excellenceand its focus is on our values of compassion, respect, learning, delivery, improvement and excellence.These values put patients at the heart of what we do and underpin the quality healthcare we would like for ourselves or a member of our family. Watch how we set out to deliver compassionate excellence via theOUH YouTube channel.

Job description

Job responsibilities

PRINCIPLE DUTIES AND RESPONSIBILITIES

1. To provide a high quality and comprehensive nutrition and dietetic service to the acute stroke and complex medicine units (and in patients homes, where appropriate, for those under the early supportive discharge service).

2. To support the provision of General Outpatient clinic cover by triaging referrals, delivering clinics when required and supervision of the Band 5 cover for the general clinics

3. To liaise closely with other members of the multi disciplinary teams actively contributing to a coordinated, evidence based and multidisciplinary approach to patient care.

4. Contribute to the delivery of the stroke care pathway in Oxfordshire. Work closely with other dietitians working in this clinical area across the county linking in closely with other specialist stroke dietitians

5. To be a resource/contact for other dietitians/nurses in the areas of nutrition support in medicine, elderly care / frailty and stroke.

6. To contribute to the development of the nutrition policy, protocols and guidelines for this clinical area.

7. To clinically supervise the Stroke Nutritional Assistant, Therapies Assistant and Band 5 Dietitians, along with other dietitians and S& LT

8. To audit practice, produce progress reports and make recommendations for the future development of the clinical areas.

9. To be actively involved in teaching / training sessions to medical/nursing staff and other health professionals.

10. To be actively contribute to the delivery of dietetic student training

11. To actively participate in reflective practice.

12. Attend regular ward rounds, multidisciplinary team meetings and clinical governance meetings.

13. To initiate research / quality improvement projects as agreed with the Team Leader and MDT.

14. Be involved in other general cover as required for annual leave etc.

15. To participate in medical/medical student teaching programme.

16. To produce new teaching materials and update/modify diet sheets and education packages.

CLINICAL

Work as an integral member of the multidisciplinary team to ensure a holistic approach to patient care. This involves attending ward rounds, case conferences and regular team meetings.

Organise own workload: prioritising and balancing patient-related and professional demands and contributing to the effectiveness of the team.

To judge and determine the appropriateness of referrals made by members of the multidisciplinary team in order to ensure effective use of time and resources.

Assess patients diagnosis, medical care and biochemistry making decisions as to who needs dietary management.

Obtain and analyse relevant information from different sources including: electronic patient records, the client, ward staff and/or carers, in order to make a comprehensive assessment of the patients condition, prognosis and treatment plans so that a decision on the most appropriate dietetic treatment to support this can be made in the short and long term.

Interpret and monitor biochemical data.

To have a detailed understanding of medical conditions/drugs and nutritional implications.

Calculate nutritional requirements using specific assessment tools and calculations. To remain up to date with the literature and ensure that this is an evidence based process and clinically relevant to the acute stroke and complex medical patient groups.

Advise on appropriate artificial feeding routes for patients both via the enteral and parenteral routes.

Formulate individualised patient care plans, artificial feeding regimens and parenteral nutrition prescriptions, taking into consideration factors which may affect requirements or help/hinder provision of nutrition support such as: prescribed drugs, biochemical derangements etc. Within the care plan this would include nutritional supplements, specialist feeds, need for added micronutrients.

Evaluate the effectiveness of nutritional goals and modify these goals and care plans as necessary based on ongoing analysis, assessment of information available and changing patient needs.

Be involved in discharge planning of patients to other facilities e.g. acute hospitals outside Oxfordshire, community hospital, district general hospital, nursing home, or to their own home.

Advising members of staff - nursing, dietetic and catering staff on dietary modifications or nutritional support

Use communication techniques i.e. behavioural change and motivational interviewing to work with patients.

Communicate effectively and sensitively with patients, carers and other health professionals. Skills of persuasion, motivation, explanation and gaining consent may be used in a wide variety of different, sometimes sensitive, situations. It is important to be able to communicate complex information at an appropriate level. Barriers to communication may be evident e.g. loss of sight, loss of hearing, lack of English, both written and spoken, requiring the use of translators.

To be sensitive to the religious and ethnic needs of patients' dietary requirements and have an understanding of foods eaten by multicultural populations and how they impact on hospital catering.

Liaise and advise catering staff for meal and snack provision appropriate for your patient group. This can involve multicultural requirements and/or other dietary needs for example, gluten free.

To be actively involved with the development of evidence based, trust-wide guidelines - to be a resource to other dietitians, writing and compiling diet sheets, protocols and advice.

To cover for other dietitians when sickness or leave necessitates.

To be an active member of the bank holiday on-call service

Any other duties that may from time to time be allocated by the Team Leader and Acute Dietetic Service Manager, including cross-site cover, where services require.

PROFESSIONAL

To be accountable for own actions within the professional, ethical and legal framework for dietetics set out in the Health Care Professions Councils code of practice for Dietitians and the British Dietetic Associations professional standards for Dietitians, and within the scope of your own practice.

To take responsibility for own continuing professional development and providing evidence for this by maintaining a CPD portfolio. CPD involves critical evaluation of scientific papers, attending professional development meetings, working as a reflective practitioner and attending relevant internal/external courses.

Participate in annual appraisal, identifying own developmental and training needs and setting personal developmental objectives.

To participate in departmental audits and initiate audit within own work area in order to monitor and evaluate whether local/national/international standards are being met and make recommendations for change. To be involved with the planning of departmental clinical effectiveness and audit strategies.

Actively contribute to the dietetic student training program, facilitating the development of skills and knowledge, being involved in the assessment process and acting as a mentor.

To provide specialist advice, teaching and training to all members of the multidisciplinary team, regarding the nutritional management of patients. This involves participation in in-house training courses e.g. new staff nurses orientation program and advanced nursing courses. Also to participate in external training/teaching when requested.

Mentor and train qualified dietitians on rotations to further their experiences and understanding of stroke and complex medical dietetics.

ORGANISATIONAL

To determine priorities for own work area based on clinical need and balance patient caseload with professional demands.

To collect data as required by the department, trust and outside agencies.

To maintain accurate and up to date documentation of patient interventions. To communicate dietetic interventions to appropriate members of the multidisciplinary team by documentation within nursing/medical notes or by means of generating a letter/report.

To be involved with setting agenda items, chairing and taking minutes for departmental and clinical team meetings, when required.

Person Specification

Qualifications

Essential

  • BSc (Hons) Nutrition / Dietetics degree or post graduate diploma or equivalent
  • Registration with HCPC
  • Evidence of a range of CPD activities.


Desirable

  • Member of BDA & relevant BDA Interest Group


Experience

Essential

  • Demonstrates dietetic knowledge, skills and experience of a wide range of clinical areas
  • Range of experience of managing patients requiring artificial nutritional support within an acute hospital setting
  • Experience of working as part of a multidisciplinary team
  • Experience of student training including supervision, assessment and mentoring.
  • Experience teaching/training
  • Experience of audit/project work


Desirable

  • Able to demonstrate knowledge, skills and experience in this clinical area


Skills

Essential

  • Ability to work flexibly, set priorities, manage time with ability to respond to unpredictable work patterns
  • Ability to work autonomously and as part of a team
  • IT skills (e.g. word processing, power point presentations, internet & Teams use)


Desirable

  • Ability to travel efficiently between hospital sites and patient's homes across Oxfordshire, to provide a dietetics service and to support and train staff/colleagues


Employer details

Employer name

Oxford University Hospitals NHS Foundation Trust

Address

John Radcliffe Hospital

Headley Way

Headington, Oxford

OX3 9DU

Any attachments will be accessible after you click to apply.

321-MRC-6365853-B6

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