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Job Overview
The formation of a stoma is a life-changing event. Therefore, expert specialist stoma care support is required not just in the acute post-operative period but in the long term to enable full rehabilitation and independence.
The Stoma Team cares for patients before and after emergency/elective colorectal and urology surgery. This is a diverse role involving a significant amount of clinical care, which is delivered within acute/community hospitals, nurse led clinics, patient’s homes and nursing/residential homes. Advice is also provided by telephone to patient, carers and GPs.
We have a commitment to working within the multidisciplinary setting with strong links to colorectal and uro-oncology teams and supporting the enhanced recovery protocol.
The successful applicant must show a significant experience in the speciality, and wound care, possess good communication and interpersonal skills and enjoy teaching, which is a major focus of this role. Previous experience in stoma care and the willingness/ability to prescribe is essential.
The role offers funded specialist training opportunities such as Masterclasses and practical study. Key board skills are essential.
Main duties of the job
The post holder will work as part of a team in providing specialist advice and nursing care for patients in the acute/community setting and nurse led clinics.
Provide support for patients undergoing stoma surgery for both benign and malignant disease and to assist in the adjustment to altered body image and function.
Promote patient independence in stoma care, optimising potential for recovery and rehabilitation to as near normal lifestyle as possible.
Acts as a resource for health care professionals, participating in teaching of patients and staff in clinical areas, aiming to improve and maintain quality standards of care for all stoma patients.
Management of all Stoma Team members (nursing and administrative) including performance review, revalidation, sickness management, annual reviews, training and development needs.
In collaboration with the Lead Clinical Nurse Specialist, collaborate in the formulation of long term business and strategic plans for the service.
As a Stoma Nurse Prescriber, to prescribe and administer products and drugs within your area of expertise, reflecting on relevance, effectiveness, cost and BNSSG Stoma Prescribing Guidelines and Formulary.
Working for our organisation
North Bristol NHS Trust employs over 12,000 staff providing healthcare to the residents of Bristol, South Gloucestershire and North Somerset from our award-winning hospital building at Southmead. We are the regional Major Trauma Centre, and an internationally recognised centre of excellence in a range of services and major specialities. Our vision is that by enabling our teams to be the best that they can be, we will provide exceptional healthcare, personally delivered.
North Bristol NHS Trust values all people as individuals. We aim to be an anti-discriminatory organisation and are committed to building a team that represents a variety of backgrounds, perspectives, and skills. We welcome applicants from all underrepresented groups.
Detailed Job Description And Main Responsibilities
Clinical/Professional
- Expert Clinical Practice to ensure that the stoma care delivered has patients, their families and carers at its centre, is evidence based and supports patients to make informed decisions regarding their pathway of care through the provision of specialist advice
- With this expert Clinical knowledge and experience, empowering others though effective role modelling, teaching and team working
- To manage nurse led Clinics across the Trust
- Develop effective working relationships and liaise closely with MDT members to ensure that patients with colorectal or urological disease experience a seamless, high-quality service
- To provide strong professional leadership within the clinical setting demonstrating expert knowledge and high standard of clinical practice.
- Management of all Stoma Team members (nursing and administrative) including performance review, Revalidation, sickness management, annual reviews, training and development needs.
- As a Stoma Nurse Prescriber, to prescribe and administer products and drugs within your area of expertise, reflecting on relevance, effectiveness, cost, and BNSSG Stoma Prescribing Guidelines and Formulary
- Promote the provision and evaluation of seamless care for patients and their carers across Primary and Secondary Care by providing inpatient education and support, home visits and outpatient reviews as appropriate
- Pre-Operative counselling and support – to meet with elective patients, and those undergoing emergency surgery where possible pre-operatively to give information and education regarding the proposed surgery and stoma formation. Mark an appropriate site preoperatively, understanding the potential surgical challenges in addition to the patient’s body habitus and physical/psychological wellbeing.
- To act as the patient’s advocate – when required, and support the individual to make informed choices about their own care
- To work independently and as part of the stoma and wider team, maintaining effective working relationships with MDT members, including surgeons, colorectal and urology nurse teams, Pre-Operative assessment, ward managers and Hospital at Home service
- To provide diagnosis and treatment of stomal complications, provide clinical oversight to ileo-anal pouch patients (in conjunction with LGI Nurse Practitioners), and support in management of patients with complex abdominal wounds/fistulae
- To set, monitor and review standards
- To prescribe and administer products and drugs within your area of expertise, reflecting on relevance, effectiveness, cost, and quality of life. Use of EMIS GP electronic prescribing and work closely alongside dispensing chemists and appliance contractors.
Management
- To recognise opportunities within the Stoma Care Service for further development and innovative progression, yet manage change within defined clinical and organisational boundaries
- Management of all Stoma Team members (nursing and administrative) including performance review, Revalidation, sickness management, annual reviews, specialist training and development needs.
- In collaboration with the Lead Clinical Nurse Specialist, collaborate in the formulation of long term business and strategic plans for the service
Demonstrate a leadership style that creates a culture of enabling others to act, promotes practice development and encourages effective team working
- Establish clear, positive and credible leadership within the clinical team, promoting and supporting maintenance of a cohesive MDT
- Be aware of, and follow, Financial Regulations, budgetary constraints and practice effective resource management
- Manage clinical data ensuring confidentiality
- To develop Guidelines, Policies and Protocols to deliver comprehensive, evidenced based care for patients
- Undertake a research/audit role – demonstrate a good understanding of the value of quality research to improve patient care, and utilise this research, disseminating this knowledge to all members of the team. Be aware and participate in current research and product trials within the specialist area. Identify areas of practice within the speciality that would benefit from research and utilise study evidence. Audit the Stoma Service on a regular basis so that patient care is continuously reviewed and improved
- Maintain strong links with Manufacturing representatives to ensure up to date knowledge of product developments.
- To be aware and comply with the NMC and NHSE recommendations on commercial sponsorship standards within the NHS, and support the Lead to be the Patient, Trust’s and Manufacturer’s advocate in the negotiations regarding sponsorship contracts
- Act timeously in resolving complaints effectively through investigating and responding at local level and escalate as appropriate.
- Effective networking with colleagues within the Bristol and greater region, representing the Stoma Service at Divisional and Trust meetings. To deputise for the Lead Clinical Nurse Stoma Specialist in their absence
Education
- To work collaboratively on educational strategies which support Stoma Care Services and service development. Develop and deliver formal and informal teaching programmes for patients and carers plus study days/education programmes for health professionals.
- Develop and deliver education programmes on wards and community settings
- Act as a Preceptor/mentor to nurses undertaking further studies in Stoma Care.
- Be regarded as an expert resource.
Person specification
Education
Essential criteria
- RGN
- Stoma Care Qualification or prepared to undertake
- Evidence of continuing professional development
- Prescribing qualification or willingness to work towards
Desirable criteria
Work Experience
Essential criteria
- Stoma nurse experience for 4 years (at band 6 or above)
- Evidence of multi-professional working
- Experience caring for patients with urostomy/ileostomy/colostomy/enterocutaneous fistula/complex wounds
- Evidence of developing practice in others through teaching and by example
- Experience of prescribing as per clinical formulary
Desirable criteria
- Experience working in a surgical speciality
- Experience in a management role
Knowledge and Skills
Essential criteria
- Excellent interpersonal skills
- Commitment to deliver high quality nursing care
- Ability to problem solve/show innovative ways of working
- Ability to manage own workload using showing excellent organisational skills and prioritisation
Personal Qualities
Essential criteria
- Ability to cope under pressure and with difficult, emotional situations
- Desire to effectively work as part of a small clinical team
- Confident and professional when dealing with patients, carers and other Healthcare Professionals
Desirable criteria
- Promoting cost effective use of clinical resources
- Transport of stoma equipment to and from community setting and travel between acute hospital and patients homes
If you apply for this vacancy and have not received a communication from North Bristol NHS Trust within three weeks of the closing date, please assume that on this occasion your application has been unsuccessful.
Please note that North Bristol NHS Trust does not reimburse travel expenses relating to interview attendance.
If you feel you meet the requirements of the Disability Act / Two Ticks scheme and require further support/advice, please contact us on tel 0117 414 1151.
North Bristol NHS Trust are committed to safeguarding and promoting the welfare of children and young people and expects all staff and volunteers to share this commitment.
The successful applicant(s) will normally commence at the minimum of the scale unless they have previous NHS service at the same band. Progression through the scale is by annual increments.
At North Bristol Trust (NBT), we know diverse and inclusive environments lead to happier and healthier teams and improved patient care and outcomes. We are committed to equality of opportunity, to being fair and inclusive, and to being a place where we all belong. We therefore particularly encourage applications from candidates who are currently underrepresented in NBT’s workforce at Band 8a and above. These include people from Black, Asian and minority ethnic backgrounds, disabled people and LGBTQIA+ people.
Please note that stringent pre-employment checks are undertaken on all successful applicants prior to commencement in post.
