Job summary
- Main area
- Bladder and Bowel Care
- Grade
- NHS AfC: Band 5
- Contract
- Permanent
- Hours
- Part time - 28.5 hours per week
- Job ref
- 820-7108163-COM
- Employer
- Birmingham Community Healthcare NHS Foundation Trust
- Employer type
- NHS
- Site
- BLADDER & BOWEL SERVICE
- Town
- BIRMINGHAM
- Salary
- £29,970 - £36,483 pro rata
- Salary period
- Yearly
- Closing
- 19/06/2025 23:59
Employer heading
Band 5 Bladder and Bowel Nurse
NHS AfC: Band 5
Job overview
The Bladder and Bowel Nurse will work with the Bladder and Bowel Service and will assist in shaping the future delivery of Bladder and Bowel care and treatment across Birmingham Community Health Care NHS Foundation Trust.
They will undertake the clinical assessment, supervised diagnosis, planning, implementation and treatment of patients with bladder and bowel dysfunction and evaluate individualized programmes of care for patients with mild to moderate bladder and bowel care needs They will be clinically supported in the management of patients with complex benign and neurological bladder and bowel dysfunction.
Main duties of the job
· The Bladder and Bowel specialist Clinician will be responsible and accountable for the direct delivery of a clinical caseload in either Residential homes, clinic setting or the community.
· Undertake holistic assessments of patients with Bladder and Bowel dysfunction using up to date knowledge and skills- including physical examination and bladder ultrasonography and interpretation of results in planning care.
· Plan, implement and evaluate care ensuring patient safety at all times.
· Ensure patient/carers are provided with relevant written information regarding their plan of care.
· Work flexibly with other team members to provide co-ordinated holistic care.
· Provide clinical care that is evidence-based and appropriate to the needs of the patient
· Refer to other professionals for any specialist support that the patient may require as appropriate
· Be able to promote patient autonomy through education and support so that an individual can make informed decisions about their care
· Act as the support and contact for individual patient care management between other agencies
Working for our organisation
Birmingham Community Healthcare NHS Foundation Trust (BCHC) is committed to providing dignity in care for all our patients and service users across the Trust.
All staff, workers, volunteers, students and individuals undertaking work experience/shadowing, irrespective of the role they specifically undertake, are required to adhere to BCHC’s vision, values and professional standards. This also involves working with and alongside colleagues and partners, demonstrating a duty of candour (i.e. honesty and straightforwardness), openness and accountability in order to achieve high quality and the best possible care outcomes for our patients, service users and the local community.
Detailed job description and main responsibilities
The Bladder and Bowel Nurse with the support of the Advanced Bladder and Bowel Clinical Lead and team will work towards developing skills in order to:
· Triage patients with undiagnosed cause for their bladder or bowel dysfunction onto the caseload
· Make a differential diagnoses
· Assess, treat and evaluate a variety of Bladder and Bowel dysfunctions
· Assess the impact of dysfunction on patients and or carers
· Assimilate and interpret with support clinical findings to make appropriate decisions in relationship to diagnosis and treatment of dysfunction
· Set appropriate treatment goals in collaboration with the patient
· Assess the condition of skin and identify need for onward referral
· Assimilate and interpret clinical findings to make appropriate decisions in relationship to bladder and or bowel dysfunction
· Set appropriate treatment goals with due regard to NICE guidelines
· Assess the condition of skin and refer to tissues viability team as appropriate
· Accurately measure bladder volume and nature of dysfunction using recognised bladder diaries
· Assess the degree and extent of bowel dysfunction using recognised tools.
· Assess the symptom profile to accurately identify the type of bladder dysfunction as described by International Society for Incontinence.
· Assess the degree and extent of bladder and bowel dysfunction and plan appropriate care in line with NICE approved pathways.
· Identify any complex factors which may predispose the patient to the bladder and bowel problems or affect treatment outcomes
· Assess the level of patient quality of life and symptom severity score using recognised tools i.e. global outcomes, ICIQ symptom specific scores.
· Provide specialist intervention for patients requiring condition guided treatment.
· Perform vaginal examination and teaching of pelvic floor exercises including use of biofeedback and electrostimulation.
· Perform bladder sonography were required to establish presence of retention / manage side effects of drug therapy.
· Teach self catheterisation to patients and carers if required
· Teach and support patients and carers with rectal irrigation and bowel management regimes.
· Prescribe appropriate medication to patients requiring treatment with anticholinergic therapies, antibiotic treatment.
· Implement skin care measures to prevent infection and maintain integrity of the patient’s skin
· Implement and monitor agreed protocols developed for rapid and effective treatment of acute and recurrent urinary tract infections.
· Carry out female, male and suprapubic catheterisation when patient condition requires this.
· Assess patients for continence aids working alongside occupation health and physiotherapy services.
· Where treatment is not appropriate assess patients for containment products to ensure patients dignity and quality of life. Identify timely review and reassessment.
Person specification
Qualifications / training
Essential criteria
- Registered General Nurse 1st Level
- BSc Adult Nursing
Experience
Essential criteria
- Relevant clinical experience of working with patients experiencing bladder and or bowel issues
Skills/knowledge
Essential criteria
- Demonstrate an ability to plan, deliver and evaluate training sessions to staff
- Knowledge of up to date clinical trends and practices across all aspects of community nursing
- Knowledge of up to date clinical trends and practices in Bladder and Bowel dysfunction.
- Knowledge of current legislative changes effecting the NHS and Social Services
- Knowledge and application of NMC Code of Conduct and scope of Professional Practice
- Knowledge and ability to undertake clinical audit and the setting of standards
- Have an understanding of varying health needs within an ethnically diverse demographic
Employer certification / accreditation badges
Applicant requirements
You must have appropriate UK professional registration.
This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.
Documents to download
Further details / informal visits contact
- Name
- Liz Tyson /Jodi Carter
- Job title
- Clinical Team Leaders
- Email address
- [email protected]
- Telephone number
- 01214663700
- Additional information
Please give us a call to talk about the position, come and complete a shadow shift with us and see our service,
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