Detailed job description and main responsibilities

• Works autonomously to support the management of the Transition caseload of patients whilst working as part of a multidisciplinary team

• Leads the Preparation for Transition nursing clinic

• In absence of the team leader manages the diabetes nursing team
• Provide a non-medical prescribing role, or working towards
• Facilitates good communication links between the child or young person with diabetes and carers/others involved in the management of the condition.
• Deals with calls/queries and communicate any plans to the child/young person with diabetes, their carer or other professionals as appropriate.
• Provides education and information to the child/young person with diabetes, their family and/or carers around diabetes related issues eg management of diabetes, lifestyle and recreation, safety, schools etcetera in order to prevent hospital admission
• Provides clinical advice, support and training to community health care professionals, education and social care teams.
• Provide training for schools and support with ongoing Educations and Health care plans for individual children
  • Provide advice and help to families and initiate early help referral to social services as needed
  • Enables the child or young person and carers choice and involvement in decisions about Transition care
  • Co-ordinates patient care Transition pathway and liaises across organisational boundaries.
  • Plans specialised programmes of transition care and provides specialised age-appropriate advice to the child or young person, relatives and carers contents
  • Provides clinical advice in accordance with current evidence-based practice.
  • Participates in nurse/consultant-led clinics and multidisciplinary team meetings.
  • Participates in case conferences/MDTs in relation to future management or transition arrangements.
  • Ensures the child or young person and their families are given appropriate verbal and written information regarding planned transition.
  • Maintains accurate patient records and ensures all relevant information is documented in the patients’ medical and nursing records.
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Managerial/Leadership:

• Manages own caseload and co-ordinates patient transition journey across divisions and organisational boundaries.
• Supports the diabetes lead nurse and manages the team in his/her absence
• Works in close collaboration with other health care professionals across organisational boundaries to ensure the service meets patients’ transition needs.
• Acts as a mentor to pre- and post-registration nurses, assisting in meeting their learning needs.
• Develops local policies, protocols and procedures in accordance with local and national standards in relation to specialist area of expertise particularly Transition
• Fulfils a non-medical prescribing role or working towards

Education and Development:

• Participates in training and education of the child or young person, their carer and health and social care professionals involved in the management of the condition to prepare for Transition
• • Supports in the teaching and development of the child or young person and carers – particularly education and social care carers
  • Provides clinical supervision and mentorship to junior or new clinical nurse specialists/practitioners/nurses/therapists
  • Maintains and updates hospital staff education and training packages
  • Maintains and updates patient education and training packages
  • Maintains own professional development, skills and competencies through participation in training and development activities.
  • Maintains and updates evidence-based knowledge and skills.
  • Fulfils all mandatory training requirements for the trust and assists others within the department to do so.
  • Undertakes health promotion within the specialist area
  • to attend the DUK and National conferences and relevant workshops.

   

   

  Clinical Governance:

  • Ensure compliance with policies, procedures and clinical guidelines for self and others  and  participate in the development of same.
  • Continually monitor standards of care and participate in the improvement of care, through   benchmarking, audit and research.

   

   

   

   

   

  • Promote patient and public involvement activities in the specialist area, leading to service improvement.
  • Promote people’s equality, diversity and rights