Colorectal Advanced Nurse Practitioner for - CANS

Job description

Job responsibilities

Clinical:

1. Uses best evidence, advanced specialist skills, knowledge and expertise to provide expert clinical care.
2. To integrate into the existing clinical structure and to support other professionals to manage the routine care of CANS outpatients by collaborating with other principle team members.
3. The ANP will undertake routine advanced anogenital assessment of CANS patients including history taking, clinical examination, HRA and HSIL treatment in clinic, arranging relevant investigations and prescribing relevant medications.
4. Preparing the CANS MDT, discussing anal cancer patients at the colorectal MDT, booking patients for day surgery treatment in conjunction with the theatre scheduling team. Review patients progress on a daily basis, recording any changes in their condition in the medical notes/annotate on EPR. Verbally communicating changes in care to the patient and relevant members of the multidisciplinary CANS team.
5. The ANP will undertake routine management of the CANS patient including regular monitoring of these patients, communicate with relevant members of the CANS team when clinical concerns arise and be responsible for ensuring appropriate outpatient follow-up and surveillance is organised.
6. Carry out clinical procedures, e.g. blood sampling, anal swabs for cytology and HPV, digital rectal examination, genital examination, high-resolution anoscopy, taking biopsies of relevant lesions, application of relevant topical treatments to anal HSIL. Training in laser ablation of HSIL in theatre.
7. The ANP will order investigations (e.g. x rays, CT scans, blood tests) and interpret results and escalate concerns and abnormalities as appropriate to the SpR/Consultant/Outreach teams
8. To provide support and advice to nursing, medical and allied health professional therapy staff in relation to the management of the CANS patient.
9. To provide support and advice to patients and their carers relating to their condition, its management and surgical procedures.
10. Participates in the pre-admission services alongside the Pre-Admission Clinic Nurse where required, and take responsibility for organising, undertaking and interpreting investigations as appropriate to ensure patients are fit as possible for theatre
11. To liaise with ward Sisters / Charge Nurse administrative staff, and other members of the MDT to optimise the smooth transition of surgical patients through the surgical pathway to discharge home. Liaise with surgical patients medical team and ensure that Consultant Medical team aware of any major change / problems regarding their patients.
12. The ANP will be expected to play a lead role in the organization and running of the diagnostic service. This entails triage of referrals, running the diagnostic clinic with the consultant staff, covering the resultant telephone follow-up clinic, and allied major and minor operating lists.
13. Following protocol, ensure through good practice that patient care initiatives are improved and sustained. Act as a resource for expert advice to patients, relatives/carers and staff.
14. To lead the provision of care in accordance with the Trust Policies reflecting current trends and developments in practice and the NHS.
15. To comply with and participate in the Trusts framework for Clinical Governance within the Department area.
16. Under the supervision of the Lead Nurse for Clinical Nurse Specialist Services be motivated in setting goals and benchmarking standards of care.
17. Develop tools to improve the quality of the service and co-ordinate clinical services across the Department, including the anal screening programme for high-risk women.
18. Maintaining and updating Intermediate or Advanced Life Support qualification.
19. Ensure that documentation is maintained to the Trust standard (including electronic records)
20. To actively promote a healthy lifestyle for patients & staff appreciating national strategy requirements.
21. Prescribe medication within set patient group protocols and current legislation. Develop patient group directives in the administration of patients medication for the use of other staff where appropriate
22. Assist in the patients safe transition from hospital into the community with effective discharge planning. Liaises with other members of the multidisciplinary team to achieve safe and efficient discharge.
23. Contribute to outpatient clinics, initially in a supernumerary capacity, with the intention of developing an appropriate nurse-led clinic
24. Attend weekly meeting with the MDT co-ordinators, performance team and CBU management to review patients on a cancer pathway and ensure patients are seen within the expected time frames set out by cancer wait time targets.
25. To support the CANS team with development of new diagnostic pathways and clinical triage models.
26. To be involved with the management and triage of patients within the two-week rule pathway

PLEASE SEE JD/PS FOR FULL DUTIES OF THE POST

Person Specification

Education and qualification

Essential

• Registered Nurse
• Evidence of on-going professional development
• Qualification in oncology or relevant speciality
• Degree level study or equivalent
• Advanced Physical Assessment course or equivalent
• Non-medical prescribing
• Masters degree related to area of work or working towards
• Recognised teaching/mentorship qualification

Experience

Essential

• Sufficient post registration experience in oncology or related speciality
• Evidence of audit and research

Desirable

• Experience in oncology
• Experience in Clinical Management
• Knowledge and understanding of clinical trials management
• Experience in HPV related anogenital cancers and precancers

Skills and Knowledge

Essential

• Evidence of commitment to patient care initiatives
• Knowledge and understanding of quality issues
• Venepuncture and or cannulation
• Evidence of effective negotiating and influencing skills
• Evidence of effective interpersonal skills
• Evidence of working well in a team

Desirable

• Ability to lead a team
• Ability to motivate others

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.

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

Chelsea and Westminster Hospital NHS Foundation Trust

Address

Cross site: Chelsea and Isleworth

Chelsea

SW10 9NH

Employer's website

https://www.chelwest.nhs.uk/ (Opens in a new tab)