Enterral Feed Nurse (XR07)

NHS; Leeds; On-site; GBP 38,000 - 45,000; Full time

Job summary

A leading healthcare provider in Leeds is seeking a Band 7 Clinical Nurse Specialist to provide expert guidance in adult enteral feeding. This role requires strong leadership and communication skills, as you will manage a small team and deliver training to healthcare professionals and patients. A commitment to professional development and high-quality patient care is essential. Join us in making a difference in healthcare with an inclusive and supportive team environment.

Benefits

Professional development opportunities

Flexible working arrangements

Inclusive environment

Qualifications

• Working knowledge as a specialist with enteral tube feeding.
• Evidence of obtaining and maintaining enteral tubes placement competencies.
• Post registration experience of enteral feeding at band 6 level or above.

Responsibilities

• Provide advanced, highly specialist nursing care to enterally tube fed patients.
• Coordinate trust wide implementation of enteral feeding guidelines.
• Develop, deliver and competency assess enteral feeding training.

Skills

Leadership

Communication

Team Management

Time Management

Interpersonal skills

Education

NMC registered Nurse

Recognised teaching/assessing qualification

Job description

Would youlike to work in one of the largest teaching Hospitals in the UK offering anextensive range of clinical services and a regional and national centre forsome of the countrys more complex conditions? We are pleased to advertise this rare andexciting opportunity for a Band 7 Clinical Nurse Specialist to work within thearea of Adult Enteral Feeding. Thepost holder will provide expert enteral feeding guidance and training topatients, carers and multidisciplinary health care professionals both withininpatient and outpatient settings at Leeds Teaching Hospitals NHS Trust. The postholder will be professionally and operationally responsible for a small team ofband 6 enteral feeding nurse specialists who are part of the Adult Nutritionand Dietetic Department at Leeds Teaching Hospitals NHS Trust.

Weare looking for a reliable, motivated and enthusiastic Registered Nurse witheffective leadership, communication, interpersonal skills and experiencemanaging a team. You will require postregistration experience and a working knowledge of enteral tube feeding.

Main duties of the job

Thepost holder will work closely with medical, nursing and allied healthprofessional colleagues in a variety of clinical services including endoscopy, radiology,theatres and emergency services to support enteral feeding tube placement,troubleshooting and removal.

Inaddition to the delivery of clinical work, the post holder will also berequired to develop, deliver and competency assess enteral feeding training andeducation to medical, nursing and allied health professionals in specialistskills such as the initial insertion and reinsertion of enteral feeding tubes(nasogastric, gastrostomy and jejunostomy tubes).

Thepost-holder will be responsible for trust wide audit of enteral tube feedingpractices and priority tube care training.They will lead on service development of enteral feeding care practicesas well as review and development of evidence based enteral feeding guidelines,care plans and patient information leaflets.They support safe, innovative and effective delivery of enteral tubefeeding care by contributing to the trust wide enteral nutrition steeringgroup.

About us

The Nutrition and Dietetic departmenthas a very strong ethos for promoting health and well-being in the workplacewith health and well-being champions embedded in teams. We are proud of our inclusive and welcoming environmentand we regularly celebrate successes and arrange team social events. We highly value and actively encourage psychologicalsafety and civility in the workplace The Nutrition and Dietetic department isalso supportive of flexible working arrangements.

We have a strong focus on investing in the continued professionaldevelopment of our people to ensure that they can achieve their full potential.We lead the way in providing further training and career developmentopportunities in every department and at every level of our organisation. Wehave a culture where people take a real pride in their work, respect each otherand all work together to deliver the most exceptional standards of patientcare. We have a happy, productive work environment where everyone in every roleplays their own important part in our success.

Leeds is a diverse and multicultural city and has many benefits,including good transport links and convenient access to entertainment, eventsand leisure facilities for all ages and interests.

For furtherinformation please contact: Fiona Hopkins (Clinical Dietetic Manager) [e-mail]

Job responsibilities

Provideadvanced, highly specialist nursing care to enterally tube fed patientsreceiving secondary and tertiary care at LTHT as required, reducing the risksof enteral feeding in these patients.The post holder will be the Adult clinical nurse specialist (CNS)member of the multidisciplinary team responsible for the clinical care ofpatients requiring enteral feeding within Leeds Teaching Hospital NHS Trust.Clinical input and guidance for complex enteral feeding patients within LTHTas required. Contribute to specialist enteral tube feeding education andtraining programmes for patients carers and health care professionals, forLeeds Health Economy. Specialist input into the development of LTHT enteraltube feeding guidelines (which apply in Leeds Community Healthcare i.e. citywide) and care plans. Input into research and audit within specialisedclinical area and disseminate findings as applicable to delivering prioritiesand reducing risk of enteral feeding. Coordinate trust wide implementation ofenteral feeding guidelines, care plans and directives.

3. JOB DIMENSIONS

Thejobholder:

Provide a strong directional rolefor education of nurses in the administration of safe enteral nutrition.

Provide nursing lead in area ofenteral tube feeding and role model to nursing teams, by delivering highquality care as an expert practitioner.

Further develop own specialistskills in the initial insertion and reinsertion of enteral feeding tubes(naso-gastric, naso-jejunal, gastrostomy tubes (all types) and jejunostomytubes.

Assess and advise on the managementand resolution of complications surrounding enteral feeding tubes e.g.percutaneous or radio logically inserted gastrostomy and jejunostomy tubesthat have become infected or displaced.

Be a core member of themultidisciplinary care team, liaising with other members of the team toprovide integrated nursing care to enterally fed patients.

Act as an expert autonomousresource for medical, nursing and other healthcare professionals caring forpatients receiving enteral feeding.

Use research findings as the basisof practice.

Input to research activities andundertake audit projects within specialised area as applicable to deliveringpriorities.

Be an expert resource within LTHTand the Leeds Health Economy for advising on management of enteral tubefeeding problems.

KNOWLEDGE,SKILLS AND EXPERIENCE REQUIRED

Qualifications

Recognised teachingqualification/training.

Experience

Working knowledge as a specialistwith enteral tube feeding.

Evidence of obtaining andmaintaining enteral tubes placement competencies

CPD linked to management of complexnutritional support and artificial feeding

Skills

Able to work within a team,demonstrating leadership, initiative and confidence.

Good written, oral andinterpersonal communication skills.

Able to demonstrate excellent timemanagement and organisational skills.

Good presentation skills indelivering training to large multidisciplinary groups of staff or members ofthe public.

Knowledge

Highly developed specialistknowledge acquired through first level degree in Nursing or equivalent withsignificant post registration experience and at Band 6 or above of enteralfeeding.

PersonalAttributes

Excellent interpersonal skills

Motivator

Flexibility, adaptable, capable oflateral thinking

Willing to undergo any training asrequired enabling performance in the job.

Proactive in day to day clinicaland non-clinical management.

PRINCIPALDUTIES & AREAS OF RESPONSIBILITY

Clinical and professional.

Be an autonomous practitioner,clinically, legally and professionally responsible for own caseload.

Responsible for undertaking nurseduties in specialised clinical area, managing and prioritising own clinicalwork load.

Collect, analyse and recordrelevant patient information from clinical and patient sources, to developeffective enteral tube feeding care plans.

Responsible for developing andmaintaining own expertise by updating own specialised clinical knowledge andskills. This will include attendinglocal, regional and national professional interest group meetings if appropriate.

Participate in the appraisalprocess as an appraisee, developing a strategy for personal and continuousprofessional development, encompassing a portfolio-based assessment in linewith national legislation.

Responsible for implementingclinical governance and risk assessment in respective specialised clinicalarea as part of continuing quality improvement e.g. advise patients and staffon infection control issues around enteral feeding.

Use research findings to ensureclinical effectiveness and promote evidence based practice, input to researchactivities and undertake audit projects within specialised area as applicableto delivering priorities and reducing risk of LHO Enteral Feeding Contractand disseminate findings as appropriate.

Acts in accordance with the Nursing& Midwifery code of conduct.

Undertake any other dutiesappropriate to the grade as requested by line manager.

• Provide a clinical lead and rolemodel to nursing staff by delivering high quality care.
• Undertake clinical procedures wheredexterity and accuracy are required
• Maintain a safe working environment

Responsibilitiesfor patient and client care

• Assess, plan, implement andevaluate care and treatments using specialist clinical knowledge and clinicalskills
• Organises own clinical workload.
• Receives supervision of clinicalcare and outcomes from nurse specialist team leader.

Freedomto act

• Refer patients as appropriate toother members of the multi-disciplinary team
• Make clinical assessments andtreatment decisions within clearly defined policies and protocols

Communication

• Maintains accurate clinical andother records using the Leeds Teaching Hospitals Trusts documentation.
• Support patients and theirfamilies, communicating sensitive condition related information, ensuringthey receive required information to enable them to participate in their caredelivery
• Liaise with Community Services (asappropriate) to ensure seamless provision of care deliver.

Education and Training

• Lead the development of resourcesused in the education and training of patients, health professionals and thepublic at local and regional level.
• Provide postgraduate training on arange of subjects within specialist area to multidisciplinary groups andaudiences at local and regional level.This will involve medical, dietetic, nursing staff and other healthcareprofessionals.
• Be an active member of thein-service training programme through delivery of training sessions andtutorials at staff meetings and by attending external courses anddemonstrating reflective practice.
• Develop, implement and audit,innovative methods of delivering education sessions for staff.
• Provide regular training updates,to ensure continued safety of enteral feeding management within the Trust.

Leadership and management

• Investigate and respond toaccidents, complaints, untoward incidents and other significant events
• Maintains record of workload andperformance monitoring information and reviews this on a regular basis withteam manager.
• Work with Team Leader and/or Matronto promote the development of nurses undertaking the CNO Ten Key Roles asconsidered appropriate
• Under the direction of the TeamManager participates in or lead thedevelopment of specific elements of nursing practice, reflecting the CMT andNursing Directorate business plans
• Participates in the setting,monitoring and improvement ofstandards and quality of patient care, including those standards definedin the National Benchmarks forEssential Care
• Promote evidence based practice,wherever possible
• Engage users and carers views onservice delivery and development.
• Implement policy and practiceguidelines specific to the clinical specialty, proposing changes whereappropriate
• Contribute to policy and protocoldevelopment for speciality area.
• Responsible for the day to daysupervision of junior clinical staff and students within the specialist team.
• Exercises a personal duty of carein relation to equipment, resource and stock control utilising equipment andsupplies appropriately.

Research and Audit

• Contribute to the research agenda
• Undertake audit programmes specificto client group, treatments and developments.
• Participate in clinical trials asappropriate.

Person Specification

Experience

• Experience of leading a team and supervising staff
• Working knowledge as a specialist with enteral tube feeding (e.g. enteral feeding tubes, associated complications and management)
• Experience of coordinating and delivering presentations, education and training
• Understanding of quality assurance processes
• Interest in nutrition and enteral feeding
• Post registration experience of enteral feeding at band 6 level or above
• Evidence of continual professional development linked to the management of complex nutritional support and artificial feeding
• Experience of responding to complaints and untoward incidents
• Development of policies/procedures/care plans
• Evidence of audit/research
• Experience of presenting/teaching at Trust/national/regional events

Skills and Behaviours

• Willing to undergo training as necessary
• Ability to be a safe and autonomous practitioner
• Demonstrate effective team working skills
• Demonstrate effective leadership skills
• Demonstrate effective time management and organisation skills
• Demonstration of supervisory skills
• Ability to prioritise own and others workload safely
• Ability to effectively communicate (verbal & written)
• Awareness of current issues relating to healthcare and enteral feeding
• Evidence of obtaining and maintaining enteral tube placement competencies
• Proactive in management of a clinical and non-clinical work

Qualifications

• NMC registered Nurse (provide PIN number)
• Specialist Knowledge enteral experience at band 6 or above
• Recognised teaching/assessing qualification
• Extended supplementary prescribing qualification

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.