Nurse Endoscopist

Job responsibilities

Key Responsibilities

• To be competent in the assessment and treatment of patients presenting with a range of undifferentiated and undiagnosed illnesses underpinned by extensive knowledge of a range of chronic and acute conditions.
• To be competent in providing an initial clinical diagnosis and in the decision to refer to an appropriate speciality.
• To be competent in the ability to discharge patients following appropriate assessment and treatment.
• To be competent in the initial immediate assessment and treatment of patients with a range of life threatening presentations such as cardiac arrest and acute major illness.
• To be able to see, treat and refer appropriately, a broad range of patients with acute and chronic illnesses as an autonomous practitioner.
• Administration of medicines, e.g. in line with NMC Guidance and Trust Policy.
• Demonstrate own personal development with self-directed learning and identifying and accessing internal and external development opportunities, as per individual advanced practice portfolio.
• Autonomous decision making including judgments involving complex facts or situations which require the analysis, interpretation, and comparison of a range of options in relation to the care/ management needs of the patients on a day to day basis within the clinical environment.
• Conduct physical assessments, examinations, and investigations to identify abnormalities and make diagnoses and administer a comprehensive and appropriate level of care.
• Use of advanced clinical skills and autonomous judgement to prescribe drug treatments for patients following interpretation of clinical findings through requested bloods and investigations across several broad and varied clinical fields.
• Use best practice, analyse evidence based practice, use of benchmarking to inform clinical practice.
• Provide detailed and transparent reports of workload, outcomes, and recommendations for future developments; demonstrated in advanced practice portfolio this should include case based discussions, multi-source feedback, etc.
• Be accountable for the direct delivery and implementation of clinical care on a day to day basis across the full spectrum of illnesses and therapy management.
• Provide personal care plans to patients and develop, implement and evaluate care including independently prescribed medications, monitoring therapeutic programmes and providing health education and promotion.
• Be proactive in developing new ways of working, such as ACP / Nurse Endoscopist led initiatives to increase the quality of the patient journey and the ward efficiency.
• Provide health education and advice to patients.
• Be a safe and competent non-Medical Prescriber-providing responsible prescribing and adapting medication therapies to meet the needs of patients.

Communication

• Demonstrate the skills required to communicate, establish and maintain therapeutic and professional relationships and gain cooperation from others.
• Demonstrate the ability to provide information that requires detailed or involved explanation including the balanced communication of risk and benefits of tests and alternatives.
• Utilise skills to persuade, influence, negotiate, motivate, emphasise and communicate unpleasant or bad news sensitively and provide counselling and reassurance.
• Use tact and diplomacy while communicating and influencing change.
• Give advice, instruction, training and present formally.
• Advise and support colleagues, where standard protocols do not apply, draw upon advanced knowledge and skills make appropriate judgements and decisions to deliver high standards of care.
• Responsible for recording, processing, and storage of information that is personally generated.
• Ability to use relevant networks and clinical programs e.g. SystmOne, Endoscopy reporting system, Vital Pack and email.

Person Specification

Qualifications

Essential

• RGN Level 1
• Teaching Qualification
• Non-Medical Prescriber qualification
• Endoscopy training certification
• Recent and relevant continuous professional development

Desirable

• ALS/APLS/NLS/ARNI provider
• Management / Leadership qualification

Experience

Essential

• Extensive post registration senior nursing experience in an acute care setting
• Experience of working autonomously as an advanced clinical practitioner
• Evidence of audit and evidence based care
• Evidence of multi-disciplinary team working
• Demonstrable experience as a practising clinical nurse endoscopist meeting JAG standards of practice

Skills and Abilities

Essential

• Teaching, mentoring and assessment skills
• Management and organisational skills
• Excellent interpersonal and communication skills
• Highly developed oral and written communication skills with patients and the MDT; confidence to discuss sensitive, complex patient management and to liaise and negotiate with other members of the MDT
• Highly developed ...