Specialist Dietitian Antenatal Diabetes

Swydd ddisgrifiad a phrif gyfrifoldebau manwl

Main Duties and Responsibilities

 

Clinical Responsibilities

 

1. To be professionally and legally accountable for all aspects of work in compliance with the ethical code of practice set out by the Health and Care Professions Council (HCPC).

 

2. To work with the dietetic and multidisciplinary diabetes teams to formulate and deliver individual diabetes dietetic and education treatment plans for patients based on a sound knowledge of evidence-based practice and treatment options using clinical assessment, critical thinking, reasoning skills and knowledge of a wide range of dietetic treatments.

 

3. To act as an expert resource involved in the development and provision of evidence based dietetic diabetes nutrition services.

 

4. To provide high quality specialist clinical advice and educational support to others involved in providing care for people with diabetes in the local community.

 

5. To work both as an independent practitioner and within a multidisciplinary team to effectively communicate and demonstrate specialist dietetic skills and knowledge in diabetes care.

 

6. To be responsible and accountable for managing and prioritising a varied patient caseload including patients with complex needs in a range of settings, predominantly in an outpatient setting.

 

7. Lead our antenatal diabetes Dietetic service including 1:1 and group education for pregnant women with existing diabetes (type1 & type 2) and gestational diabetes.

 

8. Assess patient understanding of treatment proposals, gain valid informed consent and have the capacity to work within a legal framework with patients who lack capacity to consent to treatment.

 

9. Evaluate patient progress, reassess and alter treatment regimens as required.

 

10. To manage clinical risk within own patient caseload.

 

11. Work within Trust clinical guidelines and to have good working knowledge of national and local standards and monitor quality of practice as appropriate.

 

12. To be responsible for maintaining accurate and comprehensive patient treatment records in line with British Dietetic Association (BDA) and Health and Care Professions Council (HCPC) standards of practice.

 

13. Represent the dietetics service and/or individual patients at multidisciplinary team meetings, to ensure the delivery of a coordinated multidisciplinary service, and integrate dietetic therapy into the treatment programme. This will include discussion of patient care and patient progress.

14. Use a broad range of counselling techniques including cognitive behavioural therapy and motivational interviewing to support people living with diabetes (and their carers) to engage and manage their diabetes on a daily basis. To listen non-judgmentally and empathetically to provide a safe environment to explore current diabetes self-management behaviours and address any barriers and facilitators for change.

15. To provide expert dietary advice to patients, carers and clinicians regarding provision of nutrition and dietetic support for patients based on clinical evidence. This requires detailed nutritional and lifestyle assessment; to include the calculation of nutritional requirements based on the interpretation of biochemistry, anthropometrics, clinical condition and other physical parameters.

 

16. To complement nursing and medical teams with dietary and diabetes medications (including insulin) management decisions by review of self-management behaviours and interpretation of diabetes data (self-reported and via downloaded diabetes technologies: blood glucose meters, sensors and insulin pumps).

17. Liaise with the catering department to promote optimal nutrition for inpatients and outpatient education groups with diabetes if/when needed.

 

18. To demonstrate flexibility in providing cover in times of staff shortage within clinical areas.

 

19. To undertake any other duties appropriate to the grade as requested by the Head of Nutrition and Dietetics.