About this role
Job summary
Nurse Endoscopist performing both endoscopy and colonoscopy, and able to work in the scope of an advanced practitioner.
Main duties of the job
To work as a practitioner performing independent diagnostic upper and lower endoscopic procedures and some therapeutic interventions within the individual's scope of practice Nurse endoscopist specialising in colon capsule endoscopy, responsible for interpreting captured images, identifying abnormalities, and collaborating with physicians to provide accurate diagnoses and patient care. As a nurse endoscopist, your role involves running transnasal gastroscopy procedures. You will be responsible for preparing patients, administering anaesthesia or sedation, performing the transnasal gastroscopy using specialised equipment, monitoring patient comfort and vital signs, documenting findings, and collaborating with physicians to provide accurate diagnoses and appropriate treatment recommendations. To provide high quality specialist nursing care and advice to all patients requiring or undergoing endoscopic investigation who are being treated by King`s College Hospital To provide support and advice to patients and their families/carers, attending the Endoscopy Department To influence patient care through clinical practice, management, leadership, education, research, audit and professional activities Contribute to the strategic development of endoscopy services To be an active member of the multidisciplinary team Provide strong leadership for staff to keep team motivation and encourage staff development Act as a role model and provide professional leadership to unit staff
About us
The Trust provides a full range of local and specialist services across its five sites. The trust-wide strategy of Strong Roots, Global Reach is our Vision to be BOLD, Brilliant people, Outstanding care, Leaders in Research, Innovation and Education, Diversity, Equality and Inclusion at the heart of everything we do. By being person-centred, digitally enabled, and focused on sustainability, we aim to take Team King's to another level.
We are at a pivotal point in our history, and we require individuals who are ready to join a highly professional team and make a real, lasting difference to our patients and our people.
King's is committed to delivering Sustainable Healthcare for All via our Green Plan. In line with national Greener NHS ambitions, we have set net zero carbon targets of 2040 for our NHS Carbon Footprint and 2045 for our NHS Carbon Footprint Plus. Everyone's contribution is required to meet the goals set out in our Green Plan and we encourage all staff to work responsibly, minimising their contributions to the Trust's carbon emissions, waste and pollution wherever possible.
Job description Job responsibilities
Clinical Practice
To work as a nursing expert in endoscopy.
To deliver a minimum of 4 regular sessions of endoscopy per week in addition to providing backfill for dropped endoscopy sessions where clinically appropriate to do so.
To perform safe and effective, highly technical, upper and lower diagnostic endoscopic procedures within agreed protocols and guidelines.
To contribute to the reading colon capsule endoscopy
To contribute to transnasal gastroscopy performances
To run one stop rectal bleeding clinic alongside colorectal consultants in the hospital outpatient by using LumenEye technology
To contribute to train medical/nurse endoscopist
To perform some therapeutic, high risk, upper and lower endoscopic procedures within agreed protocols and guidelines.
To assess and prioritise patient care on an individual basis according to urgency of procedure and patient requirements daily
To obtain fully informed consent prior to the investigation including appropriate alternative investigations.
Utilise advanced clinical history taking skills to assess the patient including appropriateness of sedation and procedure and recognising any limitations to scope of practice.
To provide IV interventions as per Trust guidelines e.g. cannulation and IV fluids
To have the expertise to deal with the emotional demands of the role performing intimate invasive procedures on highly anxious emotional patients.
Administer local anaesthetic or conscious sedation as per Trust policy as a nurse independent prescriber
To apply highly developed assessment and diagnostic skills to recognise abnormalities and make differential diagnoses.
Demonstrate advanced clinical decision-making skills related to the necessity for therapeutic intervention during the procedure.
Adapt to changes in the patients physical status, recognising potential complications and acting on them immediately on a potential daily basis.
To provide a comprehensive report of the findings of the investigation and suggested follow up
To apply advanced skills to assess the patients level of understanding about their clinical condition taking potential barriers such as language, culture, physical or mental health conditions into consideration.
To simplify complex medical information for patients giving explanations of the possible diagnoses and negotiate with patients on the appropriate investigations required to establish and confirm a clinical diagnosis.
To use advanced interpersonal counselling skills to inform patients and their relatives of a diagnosis of cancer or other gastrointestinal disorders providing empathy and support and act as a resource for information and support to patients, relatives and carers.
Review histology for professional development and, where appropriate, inform relevant referring Consultant to ensure follow up is arranged.
To attend all relevant MDT meetings and actively contribute.
To ensure all care is given in accordance with agreed protocols.
Negotiate with the medical teams to instigate appropriate relevant haematology, endoscopy, radiology and other investigation referrals to aid diagnosis and plan care pathways based on the nursing clinical assessment of the patient.
Fast track suspected malignancies to the relevant team as per Trust policy.
Act as patients advocate and counsel when informed discussion may lead to choices being made concerning treatment options or quality of life issues.
To ensure all communication, which may be complex, contentious or sensitive, is undertaken in a professional manner.
To ensure appropriate information and educational literature is available to help patients make informed choices as to their treatment plan and continuing management.
To maintain and improve the quality of written and verbal patient information through questionnaires, review of materials and training.
To actively involve service users in providing feedback of their experience of the current service and suggestions for improvements.
To participate in relevant forum at Care Group or Trust Level to represent the service perspective.
Plan and prioritise own workload.
Maintain up to date knowledge of the function of medical devices being used to ensure the safety of the patient e.g. endoscopes, diathermy, accessories etc.
To safeguard the welfare and safety of staff, patients and visitors during working hours in accordance with the requirements of the Trusts Health and safety policy.
To act as a suitable clinical role model and mentor to all staff and as a clinical supervisor to selected professionals, offering support and professional guidance.
Motivate and empower staff to perform their roles to facilitate a competent, confident, questioning, enthusiastic workforce.
Champion change and support all staff to understand, participate and contribute confidently in an ever-changing environment to ensure innovative, positive approach to health care.
Actively contribute towards the induction process of new staff.
Ensure that through the KSF appraisal process, staff are given the opportunity to discuss their role, plan their personal objectives and receive feedback on their performance.
Work with the Endoscopy Matron and Endoscopy Practice Development Nurse to undertake an annual training needs analysis to ensure that commissioning of internal and external courses meets the needs of the workforce.
Support in conjunction with the Matron the strategic direction of training for endoscopy staff and facilitate its implementation including rolling out of the GIN Programme and the design of educational packages to meet training needs.
Ensure that all staff are competent in the use of all equipment necessary to deliver care in the clinical area. Maintain records for audit purposes.
To facilitate the learning of nursing or medical trainee endoscopists through supervision of lists, informal and formal competency-based training.
To establish links with key educational providers enabling maximum learning opportunities for all staff. Research and Audit
Initiate and conduct research to advance knowledge in own specialist field, including gathering, collating and interpreting data and information using a wide range of specialist methodology.
Keep up to date with current research, identifying how this could be translated to the service to improve care for patients.
Identify areas of good practice from other endoscopy departments and work to implement these within the Denmark Hill site.
Undertake a wide range of audits as required for JAG.
Continuously monitor standards of care and identify risks, undertaking ad-hoc audits as required in order to improve the service.
Work closely with departmental staff and the MDTs to identify strategies for risk reduction in line with the Trusts Risk Management policy.
To highlight and act upon any hazards / unsafe practices and ensure all accidents / untoward incidents are reported in accordance with the laid down procedures.
To maintain a high profile with patients and staff informing, advising and using counselling skills where required, actively promoting and demonstrating the benefits of the post.
To attend and actively participate in managerial meetings and EUG.
To utilise and maintain information systems to aid audit and to provide regular active analysis reports.
Maintain contemporaneous and accurate treatment records, submitting relevant statistics, reports and activity data that will profile the service, inform strategy development and measure clinical outcomes.
Person Specification
Education, Knowledge & Experience Essential
Proven experience of independent practice of both diagnostic and therapeutic gastroscopy, flexible sigmoidoscopy & colonoscopy NMC Level 1 Registered Nurse Non-medical independent nurse prescriber Advanced assessment skills level 7
Desirable
ACP Masters
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.
Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).
Employer details Employer name King's College Hospital NHS Foundation Trust
Address PRUH
FARNBOROUGH COMMON,
ORPINGTON
BR6 8ND
United Kingdom
Employer's website https://www.kch.nhs.uk/ (Opens in a new tab)