Clinical Endoscopist

Detailed job description and main responsibilities

1. 1. Take full responsibility for the clinical management of the patient during the procedure including pre procedure assessment/ the procedure and recovery.
2. Take informed consent prior to the procedure in accordance with Trust policies and ensure adherence to annual update of consent training
3. Using highly specialised knowledge ensure that patients and carers receive appropriate health education pre and post procedure
4. Working autonomously without clinical supervision, undertake invasive diagnostic flexible sigmoidoscopy, colonoscopy and Upper GI endoscopy. Standard Endoscopy expectations to include; polypectomy and diathermy, tattooing of mucosa with marking ink, lifting sessile polyps. There is a possibility to work towards more therapeutic procedures including; EMR etc.
5. Administer the following in accordance to local protocols

• Conscious sedation
• Reversal agent
• Local anaesthesia
• Intravenous analgesia
• Entonox

6. Upon the location of abnormal pathology, undertake biopsies, photographs and complete pathology requests as required.
7. Take responsibility for interpreting the outcome of investigations undertaken on patients, arranging any further necessary diagnostic procedures or staging investigations.
8. Ensure specimens are sent to laboratory in a timely manner within agreed protocols.
9. Review histological results, taking responsibility for escalating any significantly abnormal pathology to the referring Clinician.
10. Refer to other professionals for more specialist support as appropriate, to ensure continuity and co-ordination of patient care along the patient pathway.
11. Where appropriate, interpret and present clinical information to patients and their relatives, demonstrating highest levels of interpersonal and communication skills ensure that patients and their carers have sufficient relevant verbal and written information during the patient’s stay. This may require communication of bad news requiring advanced communication skills.
12. To have the knowledge and experience to be able to assess endoscopic referrals for appropriateness, following set protocols
13. To participate in the non-endoscopic GI service as service need requires (ie outpatient clinic, ward liaison, Non endoscopic investigations) and within own area of expertise.
14. Undertake up to 6 Endoscopy lists a week.

Managerial

1. In collaboration with Clinical Director, Clinical lead, Endoscopy clinical operation manager and other Advanced Practitioners , contribute to strategy for the development of non- Medical Endoscopists to support the Trust performance in achieving all national and local wait times targets and develop guidelines for investigations, drug interventions and the administration of therapies which may be instigated and initiated by non-Medical Endoscopists
2. Be responsible for the validation of surveillance endoscopy waiting lists and initiation of bowel preparation in accordance with clinical guidance and GRS standards for clinical quality.
3. Maintain accurate and up-to-date confidential and timely patient records ensuring that all patient documentation (both written and electronic) is in line with agreed Trust Standards and NMC guidance.
4. Take responsibility for inputting clinical information for individual patient reports following examination to ensure National Endoscopy database is kept up to date.
5. Take responsibility for checking own data on the JETs National Endoscopy database to record own clinical outcomes.
6. In collaboration with the Endoscopy Team support the preparation of evidence for any external reviews.
7. Organise time effectively to ensure effective management of workload, prioritising work as necessary
8. In collaboration with the Endoscopy leads support the development of patient information leaflets