Endocrine Specialist Nurse

Clinical Responsibilities/Key Responsibilities

• - Provide specialist assessment, treatment, monitoring and ongoing management of patients withendocrine disorders.
• - Manage a complex specialist caseload autonomously, prioritising workload according to clinicalneed.
• - Establish and deliver nurse-led endocrinology clinics, both face-to-face and virtual.
• - Act as the key worker for patients with complex endocrine conditions, providing continuity of carethroughout the patient pathway.
• - Provide specialist advice and support for endocrine inpatients and support safe discharge planning.
• - Undertake endocrine dynamic function testing in accordance with national guidance and local protocols.
• - Interpret investigation results and implement agreed management plans within scope of practice.
• - Initiate, monitor and review specialist endocrine treatments, referring appropriately where medical review is required.
• - Provide education relating to adrenal insufficiency, steroid replacement therapy, hypopituitarism, steroid sick day rules and emergency hydrocortisone administration.
• - Administer and monitor specialist endocrine medications including injectable therapies.
• - Promote self-management and personalised care planning to optimise patient outcomes and quality of life.

Professional Development, Education and Training

• - Lead the establishment and development of the Endocrine Clinical Nurse Specialist Service across Gloucestershire Hospitals NHS Foundation Trust.
• - Develop endocrine nursing pathways, clinical guidelines, protocols and patient information resources.
• - Act as the Trust expert nursing resource for endocrinology.
• - Support delivery of national endocrine standards, recommendations and quality indicators.
• - Work collaboratively with primary care, community services and tertiary referral centres to ensure seamless patient pathways.

Management and Leadership

• - Contribute to business planning and future service development within endocrinology.
• - Participate in multidisciplinary team meetings and service improvement initiatives.
• - Comply with Trust and Departmental policies and procedures e.g. Health and Safety at Work Act (1974), Manual Handling, clinical equipment competency, risk management, Data Protection Acts and patient confidentiality at all times. This will include demonstrating compliance with the terms of all safeguarding policies and processes relevant to the safeguarding of adults and children in the care of GHNHSFT and undergoing regular mandatory training concerned with safeguarding matters
• - Report personal sickness to Matron
• - Report near misses and untoward incidents, complaints, clinical emergencies, injury or medicine administration errors as detailed in the departmental and Trust protocols.
• - Assist lead staff in investigating incidents as required
• - Maintain and contribute to the development of standards of practice
• - Ensure a smart, professional image that adheres to Trust policy

Planning and Organisation

• - Deliver specialist education and training programmes for nursing, medical and allied health professional staff.
• - Develop educational resources for patients, carers and healthcare professionals.
• - Provide mentorship and clinical supervision to staff and learners.
• - Maintain specialist endocrine competencies and professional development through continuing education.

Research and Development

• - Lead and participate in clinical audit, service evaluation and quality improvement projects.
• - Contribute to endocrine registry data collection and national audit requirements.
• - Develop and implement evidence-based practice within endocrinology services.
• - Participate in policy development and review.
• - Support incident investigation, learning and risk management activities.
• - Ensure accurate and timely documentation in accordance with NMC and Trust standards.

Communications and Working Relationships

• - Will work closely with the Consultant team to develop the role, reporting to DDERM Matron.
• - Will work cohesively with all members of the multi-disciplinary team
• - The ability to communicate with patients and their relatives with sensitivity and empathy, acting as a strong patient advocate at all times
• - Be able to work under pressure
• - Be pro‑active and take initiative
• - Act as a Professional & motivated role model for others to aspire to
• - Communicate effective with managers and senior leaders regarding service performance, risks, and improvement needs
• - Maintain high standards of patient safety, dignity, privacy and confidentiality at all times.
• - Comply with Trust policies, procedures, clinical guidelines and professional standards.
• - Follow infection prevention and control requirements and contribute to maintaining a clean and safe clinical environment.
• - Report incidents, near misses, hazards and safeguarding concerns appropriately.
• - Maintain professional boundaries and demonstrate respect for equality, diversity and inclusion.
• - Use Trust resources responsibly and contribute to reducing waste and unnecessaryexpenditure.
• - Maintain personal clinical competence and inform the line manager of any training or support needs.
• - Be flexible and willing to adapt to changes in the service, including new treatments, pathways and ways of working.
• - Support the development of a positive workplace culture based on kindness, teamwork, respect and accountability.
• - Undertake any other reasonable duties appropriate to the level and responsibilities of the post.

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