Rotational Dietitian London, England
Job description
An exciting opportunity has arisen for a newly qualified or experienced Band 5 dietitian to join our friendly and dynamic team at the NMUH for a 12 month fixed term contract to cover maternity leave. This post is rotational. You will be supported in developing your skills and knowledge with relevant competencies and supervision. We are the first Nutrition & Dietetic Department in London to commence seven day services, and you will be required to work week-ends as part of the department rota. The Dietetic Department is part of the Therapies group . You should have good communication skills, be effective in MDT working and be able to deliver group education and individual interventions. You will be required to undertake teaching/training of other health professionals. You will have the opportunity to be involved in research, audits and other service development initiatives both within and out-with the dietetic department. You will be involved in student training for your area. The dietetic department and NMUH has a robust CPD programme, and are committed to providing excellent line management, supervision/support, specialist training and other forms of continuous professional development. In order to support you in this role, you would receive training and supervision tailored to your needs. For any queries about the post, please contact Mandakini Patel on 0208 887 2405, or mobile 07816861658, or email [email protected].
To provide a comprehensive Nutrition and Dietetic Service, with supervision, to General Medicine, Medicine for Elderly (MFE), Oncology, Stroke, Surgical or a combination of these services and other areas as required. You will be required to provide a general out-patients clinicand education programmes for patients and staff within the Trust. To provide cover for other areas as and when required. You will be required to complete competencies and participate in the Trust Preceptor ship programme in the first 6 months in post to support your development. To be responsible for contributing to developing education resources and education programmes for patients, carers, and staff. To work with the Head of Nutrition & Dietetics, and contribute to producing, implementing, and updating policies and procedures. To regularly participate in research and audit within the Dietetic Service. To participate in seven day service on a rota basis. To undertake planning, organisation, allocation, and training of student training placements for this area. Multidisciplinary team working, close liaison between acute, community teams, and effective communication skills with patients, carers, and other service users is essential. Daily support and regular supervision will be provided by the Band 6/7 dietitian.
The Nutrition & Dietetic department at the North Middlesex University Hospital NHS Trust (NMUH) is part of the Therapies Department provides a service to all inpatients and outpatients on site, serving clients from Enfield, Haringey and other boroughs – particularly for oncology.
The services include General medical & surgical, Gastroenterology, Medicine for the elderly, Acute Stroke unit, Renal inpatients, Haematology, Respiratory, Dermatology, Endocrinology, Orthopaedics, Cardiology, Neurology, Urology, Intensive care, High dependency unit, HIV, Oncology including radiology and chemotherapy, Paediatric & Women’s’ services including gynaecology and maternity,
Our aim is to:
- Provide a high standard of evidence-based clinical services, to all clients who have an underlying medical condition, which requires adjustment to normal dietary intake, including those clients that require artificial nutritional support in the form of enteral (oral or tube feeding) or total parenteral nutrition
- Provide education to clients, to enable short and long-term changes to their dietary intake
2. To provide a dietetic service to your allocated wards of either: General Medicine, Medicine for Elderly (MFE), Oncology, Stroke, Surgical or a combination of these wards or other wards whilst rotating, as and when required in response to service needs.
3. The above services will include will include other wards and clinics as required by the service and Trust bed pressures.
4. To provide a service to the general adult outpatient clinics.
5. To assess, treat and provide specialist treatment and advice plans to all patients in your area, carers and clinicians, regarding the provision of nutritional support for in patients based on clinical evidence, as a vital part of the patient treatment plan.
6. To conduct complex nutritional assessments and treatments, for all patients in your area.
7. To provide dietetic advice in making decisions on initiating artificial nutritional support, analysing the range of options available.
8. To ensure effective liaison and communication with the relevant MDT and ward staff.
9. To ensure safe treatment plans are in place prior to patient discharges.
10. To provide dietetic advice in making decisions on withdrawal of treatment.
11. To use anthropometric equipment for assessment of nutritional status.
12. To be responsible for the complex and safe discharge planning and follow up for those patients requiring artificial nutritional support in the community and those requiring extended Dietetic intervention.
13. To provide a patient focused service and participate in seven day service as required by the Trust and department. You will work weekends on a rota basis with all other staff within the department.
14. To advise and liaise with the catering staff concerning the specialist dietary needs for these patients, and to assist in instructing the catering department on preparation of special meals as required.
15. To advise the MDT, patients, carers, within and out-with the Trust, on the appropriate use of nutritional supplements, vitamin and minerals, and other borderline substances.
16. To make decisions regarding referring patients to the appropriate agencies.
17. To work with the Head of Nutrition & Dietetics, and contribute towards the development and implementation of policies for this area.
18. To work with the Head of Nutrition & Dietetics, and contribute to developing, evaluating and reviewing existing resources to be used for your area of work.
19. To contribute to research and audit in your area of work.
20. To use computer skills for data entry and analysis.
21. To be an active member of the British Dietetic Association and the relevant specialist groups.
22. Support will be provided on a daily basis by the Head of Nutrition & Dietetics and Band 6/7 dietitian, including regular clinical supervision.
23. Care and compassion: to actively demonstrate and proactively to deliver effective and personal care which is safe for patients in a calm, caring and compassionate manner to every patient, every time.
24. Care and compassion: Ensure that any escalation of care concerns or safeguarding escalations are made robustly through the appropriate channel.
25. To provide dietetic advice to the MDT through attendance and participation in relevant meetings.
26. To provide, receive, and deal with complex, sensitive, and contentious information, including on conflicting issues such as ethical dilemmas, alternative nutritional therapies for treatment.
27. To provide nutritional counselling to patients and carers where use of reassurance and motivational skills is required to achieve medical and dietary targets even when there are complex barriers to change and non-compliance.
28. To communicate and liaise with the community MDT regarding nutrition related prescriptions and nutritional management of outpatients.
29. In emergency situations and as part of Trust bed pressures and during leave periods, to be the cover for other dietitians during staff shortages, and be allocated other dietetic services, as requested by the Head of Nutrition & Dietetics and as part of Trust winter contingency plans /bed pressures. To ensure timely and effective communication and handover of patient workload between dietetic colleagues before any leave is undertaken.
30. To educate the diverse and multicultural patients with significant barriers to understanding the essential, complex dietary needs and treatment plans.
31. To contribute to the training programme for student dietitians for these areas.
32. To contribute to developing and implementing education programmes for the nutritional management of patients, within and out-with the Trust.
33. To contribute to the training sessions for Doctors including the Academic sessions, and other staff, within and out-with the Trust.
34. To be responsible for the security, care and maintenance of equipment whilst in use, including shared responsibility for general building security.
