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King's College Hospital NHS Foundation Trust

About

We are one of London's largest and busiest teaching Trusts, with a strong profile of local services primarily serving the boroughs of Lambeth, Southwark and Lewisham.

Our specialist services are available to patients across a wider catchment area, providing nationally and internationally recognised work in liver disease and transplantation, neurosciences, haemato-oncology and foetal medicine.

Source - Trust Website

Contact

Address: King's College Hospital; Denmark Hill; London; SE5 9RS
Contact Number: 0203 299 9000

Find out more

Jobs Website

Closed

COVID-19 Vacancy

Ref: 213-DH-4923-A Vacancy ID: 4813090

Nutrition Nurse Specialist

Closed for applications on: 9-Dec-2022 00:00

Vacancy status: Closed COVID-19 Vacancy

Closed for applications on: 9-Dec-2022 00:00

Location

Site: Denmark Hill
Town: Camberwell
Postcode: SE5 9RS
Major / Minor Region: London

Contract type & working pattern

Contract: Permanent
Hours: Full time - 37.5 hours per week

Salary

Salary: £49,036 - £55,049 pa
Salary period: Yearly
Grade: (Band 7)

Specialty

Main area: Gastroenterology

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:

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

Clinical leadership

Contribute positively to the leadership of nursing within the care group acting as an effective role model.
Develop effective working relationships based on trust and open co-operation
Contribute to the development of nursing practice within all teams
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.

Personal Professional Development

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

General

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.
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. To observe and maintain strict confidentiality of personal information relating to patients and staff.
To be responsible, with management support, for their own personal development and to actively contribute to the development of colleagues.
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.
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.
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
1^st 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

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.