Job responsibilities
Provide
advanced, highly specialised dietetic care to patients at local and regional
level. This will include advice to patients and all healthcare staff. Provide
and lead aspects of clinical training of dietetic students. Support Clinical
dietetic Manager in co-ordinating activities of the team and providing support
and supervision to staff. Lead in research and audit within specialised
clinical area and disseminate findings.
3. JOB DIMENSIONS
The
post holder will:
3.1 Lead in a clinical specialist area.
3.2 Manage own caseload and supervise the
caseloads of the other dietetic staff.
3.3 Assist and support the Clinical Dietetic
Manager/line manager in the day to day management of the team of dietitians and
students.
3.4 Deliver and supervise training to
healthcare staff, dietitians and students at local and regional level, acting
as a resource in the specialist area.
3.5 Be a core member of the multidisciplinary
care team, liaising with other members of the team to provide integrated
dietetic care.
3.6 Initiate and co-ordinate research and
audit projects within specialised area and disseminate findings at conference
level.
3.7 Be an active member of the out of hours
service
KNOWLEDGE,
SKILLS AND EXPERIENCE REQUIRED
5.1 BSc (Hons) Nutrition & Dietetics or
equivalent
5.2 HCPC Registration as a Dietitian.
5.3 Experience of working in a senior
dietetic role.
5.4
Willing to undergo any training as
required to enable performance in the
job.
5.5 Advanced knowledge of current issues in
clinical specialist area.
5.6 Able to work within a team, demonstrating
leadership, initiative and confidence.
5.7 Good written, oral and interpersonal
communication skills.
5.8 Able to demonstrate excellent time
management and organisational skills.
5.9 Proactive in day to day clinical and
non-clinical management.
5.10 Good presentation skills in delivering
training to large multidisciplinary groups of staff or members of the public.
(this may involove groups of more than 50 people).
8. CORE BEHAVIOURS AND SKILLS
8.1 Demonstrate excellent office practice in
accordance with departmental policies and procedures.
8.2 Be a pro-active team member of the of the
Dietetic department at LTHT by participating in departmental development
projects, attending and participating in department meetings and clinical
updates.
8.3 Demonstrate the ability to communicate
highly complex specialised and sensitive information with empathy and
understanding.
8.4
Demonstrate the ability to provide
highly complex nutrition counselling to patients, requiring cognitive behaviour
therapy skills to overcome barriers to change.
8.5 Demonstrate the ability to analyse,
investigate and assess highly complex clinical and non-clinical information to
form accurate nutrition care plans in highly complex and specialist area.
8.6 Demonstrate analytical skills in
prioritising the best course of dietetic treatment in patients with highly
complex clinical conditions, where nutritional goals may conflict with other
on-going physical, emotional, psychological and medical problems and a range of
treatment options must be assessed and considered.
9. CORE KNOWLEDGE AND UNDERSTANDING
9.1 Ability to perform advanced nutritional
assessments in respective clinical area, interpret and plan relevant dietetic
care programmes for patients with highly complex nutritional and medical needs
which requires judgement and consideration of a range of treatment options.
9.2 Advanced knowledge of biochemistry,
physiology and specialised pharmacology.
9.3 Understanding of the calculations
required in dietetic assessment.
9.4 Ability to correctly interpret complex
nutritional impairments, biochemical parameters and fluid balance. This wills
involve nutritional diagnosis including interpretation of biochemistry,
anthropometrics, clinical condition, social factors and diet histories in
patients with highly specialised and complex nutritional needs.
9.5 Highly specialist knowledge in
interpreting complex clinical information to develop and monitor nutritional
care plans in a specialised dietetic area. This will include the prescription
of dietary treatment, prescribable nutritional products, enteral and total
parenteral nutrition (TPN).
9.6 Responsible for safe discharge planning,
including co-ordination of discharge of patients on home enteral feeding.
9.7 Able to evaluate, develop and implement
practice using evidence based practice and critical appraisal.
9.8 Ability to advise and suggest
nutrition-related medications.
9.9 Knowledge of clinical governance, quality
of care and evidence based practice in specialist area.
9.10
Awareness of national guidance and
driving factors in specialist area.
10. PRINCIPAL DUTIES & AREAS OF
RESPONSIBILITY
10.1 Clinical and professional
10.1.1 Be an autonomous practitioner, clinically,
legally and professionally responsible for own caseload.
10.1.2 Responsible for undertaking dietetic clinical
duties in specialised clinical area, managing and prioritising own clinical
caseload.
10.1.3
Collect analyse and record relevant patient information from clinical and
patient sources to develop effective nutritional care plans.
10.1.4 Communicate complex dietetic treatment and
advice of patients to healthcare staff, professionals and patient carers. This
will involve co-ordinating nutritional care with other Trusts and regional
centres.
10.1.5 Undertake advanced assessments of patients
with diverse and highly complex nutritional issues where investigative and
analytical skills are required to formulate accurate treatment plans.
10.1.6 Responsible for providing highly specialised
dietary advice within an in-patient and out-patient setting, to patients in a
distinct specialist area. Eg advice to renal dialysis patient on calcium and
phosphate management, oncology patients on enteral feeding, cystic fibrosis
patient on fat intake and enzyme replacement therapy.
10.1.7 Responsible for developing and maintaining
own expertise and agreed level of expertise of team members by updating own
specialised clinical knowledge and skills. This will include developing
regional networks within the specialist and attending local, regional and
national professional interest group meetings.
10.1.8 Participate in the appraisal process as an
appraiser and appraise, developing a strategy for personal and continuous
professional interest group meetings.
10.1.9 Responsible for implementing clinical
governance and risk assessment in respective specialised clinical area as part
of continuing quality improvement e.g. advise patients and staff on infection
control issues around enteral feeding.
10.1.10
Undertake research and audit within specialist area using research methodology.
This wills involve identifying, co-ordinating and evaluating research and audit
projects to measure clinical effectiveness and promote evidence based practice.
10.1.11
Expectation to attend regional and national conferences as a delegate and
presenter. This will include both verbal and poster presentations.
10.1.12
Undertake any other duties appropriate to the grade as requested by line
manager.
10.2 Education and training
10.2.1 Devise and implement specialised
nutritional care plans for inpatients and outpatients by interpreting national
guidelines, standards and National Service Frameworks for use in specialist
area. This will involve advising patients, relatives or carers, individually or
in a group setting.
10.2.2Provide
effective oral and written specialised dietetic advice and information to
patients, and their carers, to enable achievement of dietary aims.
10.2.3 Lead the development of resources used in the
education and training of patients, health professionals and the public at
local and regional level.
10.2.4
Provide postgraduate training on a range of subjects within specialist area to
multidisciplinary groups and audiences at local and regional level. This will
involve medical, dietetic, nursing staff and other healthcare professionals.
10.2.5
Train ward staff to use dietetic, nursing staff and other healthcare
professionals.
10.2.6
Use developed communication and teaching skills to educate a diverse and
multicultural population with barriers to understanding the essential, highly
complex dietary exchange systems. This may be on an individual or group basis.
10.2.7
Ba an active member of the in-service training programme through delivery of
training sessions and tutorials at staff meeting and by attending external
courses and demonstrating reflective practice.
10.2.8 Responsible for aspects of student training.
This will include liaison with training provider, allocation of student to
members of staff, involvement in programme design, clinical supervision and
acting mentor as required
10.2.9
To develop, implement and audit innovative methods of delivering education
sessions e.g. group workshops for patients and their carers.
9.3
Managerial
9.3.1 Lead and disseminate expert clinical
information to other members of the multidisciplinary team by attendance and
participation in ward rounds and case conferences as required.
9.3.2 Involved I the planning, setting and
monitoring of departmental and team objectives and standards. This will include
contributing to the adaptation of national BDA special interest group standards
for use in the local setting.
9.3.3 Undertakes research and audit. Recommends
and implements changes to practice.
9.3.4 Participate in the collection of data for
management information purposes as requested.
9.3.5. Ability to work independently within
appropriate professional and specialist guidelines.
9.3.6 Provide leadership by representing the
dietetic department on relevant groups and working parties within the Trust.
9.3.7 Provide clinical supervision to assigned
junior members of staff, including assistance in planning caseload.
