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Detailed job description and main responsibilities

• To work within the Multidisciplinary team to provide a consistently high quality specialist service for patients with Inflammatory Bowel Disease (IBD).
• To provide support, supervision and education for patients, carers and relatives.
• Participate in teaching and act as a resource for Staff and outside agencies
• To actively participate in the development of an IBD nursing service across the Trust.
• Assist in providing rapid access care via our IBD Flareline  for chronic disease patients, their carers and General Practitioners (GPs) offering advice, support and direct access to the Gastroenterology service.
• Initiate or change medication as per agreed protocols.
• Have an active role in presenting IBD pts in a Multi-disciplinary setting
• Undertake nurse-led clinics for patients with stable IBD in the outpatients department following guidelines and agreed protocols. To include assessment, monitoring and evaluation of disease activity, ordering and interpreting specific tests where indicated.

Communications and Relationships
Act as advocate for the patient, at all times and especially during the IBD multi-disciplinary team meeting and the virtual biologics meeting

Work in partnership with the patient and family and other health care professionals in care/discharge planning.

Accept responsibility; be aware and able to locate all policies relating to good working practice within the clinical area and able to adhere to both by self and colleagues.

To ensure effective two-way communication with all disciplines so that patients receive optimum care.

Recognize the legal implications of nursing documentation therefore maintaining accurate and legible records of patient care in line with Trust policies and NMC Code of Conduct.

Adhere to the NMC Code of Conduct and Trust policies pertaining to patient confidentiality/ the Data Protection Act/Caldicott Recommendations.

Participate in team building/communication exercises so as to develop and consolidate a cohesive and supportive team.

Analytical and Judgmental Skills

• As a Trust employee you are required to uphold the confidentiality of all records held by the Trust, whether patient records or trust information. This duty lasts indefinitely and will continue after you leave the trust employment.

All information which identifies individuals in whatever form (paper/pictures, electronic data/images or voice) is covered by the 1998 Data Protection Act and should be managed in accordance with this legislation.

Planning and Organisational Skills

• Time management is essential within the role
• Able to work in a structured and unstructured way, managing own case load
• Ability to plan and organise each day moving between clinics and the ward also managing the IBD Flareline on a rotational basis

Physical Skills.

• To operate within Trust policy to use all barrier precautions when exposed to body fluids, including blood and faecal matter within the outpatient setting,
• Must be able to operate a PC, as well as relevant electronic systems utilised within the department
• Long periods of telephone communication and patient assessment requiring high levels of concentration

Responsibility for Patient Care

• Provide a high standard of nursing care by assessing, planning, implementing and evaluating care for patients with IBD
• Provide sensitive and complex information to patients and carers with empathy and reassurance promoting quality care for all patients’. (Screening for Blood borne viruses and giving patients results as part of biologic therapy assessment i.e. Viral Hepatitis and HIV, with empathy and understanding.)
• Carries out all high levels of nursing care to complex patients without direct supervision, and liaison as necessary with senior team members
• Deliver complex information and advice on aspects of living with a chronic disease including the use of complex therapies, surgical interventions and health promotion (including smoking cessation and cancer
• Monitoring of patients on high cost Biologic medication

Responsibility for Policy/Service Development

Responsibilities for Financial and Physical Resources

Responsibilities for Human Resources

• The Trust operates a range of policies, e.g. Human Resources, Clinical Practice (available on the Trust intranet). All Trust employees must observe and adhere to the provisions outlined in these policies.

As a trust employee you are expected to work in accordance with the Trust’s values

Responsibility for Information Resources

• Ability to use all trust systems, ensuring Confidentiality at all times
• Ability to access and use spreadsheets, databases to monitor patient care
• Aware of your NMC code of professional conduct
  Responsibilities for Research and Development
  
  
• To actively participate in clinical audit of IBD management strategies and treatment outcomes, also continually monitor the clinical effectiveness of the role of the IBD Nurse Specialist.
• To use audit findings to promote and drive change as appropriate and to actively disseminate good practice.
• Base own nursing practice on evidence-based guidance
• Comply with all reporting requirements, systems and duties of action put in place by the Trust to deliver research governance. The Trust manages all research in accordance with the requirements of the Research Governance Framework.
• Promote user involvement in activities in the specialist area, leading to service improvement
• Promote people’s equality, diversity and rights

Freedom to Act

• To be able to work independently, decision making and self-motivational
• Always adhering to the NMC code of professional conduct

Partnership Working

• To work closely within the Multi-disciplinary team
• Liaise with the Gastroenterology ward for inpatients requiring support
• Liaise with the infusion unit regarding monitoring and overseeing commencement of high cost Biologic medication
  
  

Equality and Diversity

• The Trust provides a range of services and employment opportunities for a diverse population. As a Trust employee you are expected to treat all patients and work colleagues with dignity and respect, irrespective of their background.

Making Every Contact Count

Front line staff are in an ideal position to offer support and advice on how to improve health and wellbeing

Staff should use their interactions with the public to give them additional advice on health and wellbeing

Staff will be given training and support to help them to signpost people to other services which may improve their health and wellbeing.

Health & Safety

• To be aware of local policies with in the department and ward setting
  
  
  
  
  
  

All people (including consultants) who manage others
You are accountable for the effective deployment of activities that ensure that your department/ward/clinical team is reducing hospital acquired infection.  You will ensure that you and your staff comply with the Trust’s policies on infection, prevention and control.  You will ensure that you and your staff receive the training required to maintain competence to execute the Trusts policies on infection, prevention and control.  You have a responsibility to bring deficiencies in the deployment of such policies to the attention of your line manager.