Childrens Continence Nurse

Job Purpose? To support the clinical lead in developing a paediatric community continence team in the Dudley locality? To help children and young people achieve complete continence or to manage the condition discreetly and effectively if full control is clinically not possible. To treat children and young people with both bladder and bowel problems. Prevent unplanned hospitalisation for constipation and urinary infections. Responsible for assessing, developing and implementing specialist continence care programmes in community and clinic settings for children and young people, 5-19 years, within Dudley Support with the promotion of continence and management of incontinence with this defined age group? Develop and implement education and training programmes for defined age group, carers and relevant community staff - School Nurses, Health Visitors, gps

1. Responsibility for Patient Care (including monitoring, diagnostics + investigations)2. To work with children who are slow to acquire faecal and urinary incontinence3. Have a moderate degree of global delay4. Have a physical condition which hinders continence5. Work autonomously within continence clinics without supervision, accountable for own professional actions6. Have secondary enuresis or encopresis as a behavioural response to emotional difficulties7. Ensure that all patient records are completed and maintained in line with Trust policy, observing patient confidentiality at all times8. Provide specialist assessment, support and treatment for children aged 0 -19 years who have more complex continence needs9. Enhance quality of life for people with long term conditions10. Ensuring that people have a positive experience of care11. Understanding of child anatomy and physiology12. Clear understanding of bowel conditions and faecal impaction13. Use a varied array of skills to devise continence packages for children with learning disabilities, physical disabilities, communication difficulties, complex health care.14. Refer children and young people to other specialists and agencies as appropriate15. Refer to the Continence Lead if any issues require more specialist advice and intervention, thereby maintaining high service standards16. Deal with patient complaints in a positive and sensitive way in accordance with Trust policy17. Uphold a professional approach and maintain professional integrity at all times18. Practice competencies developed, upholding the NMC Code of Professional Conduct19. Be aware of Dudley Safeguarding/Child Protection policy and requirements20. Gather information to provide specialist advice to assist child protection investigations21. To promote a patient focused approach to care in collaboration with all relevant health professionals22. To act as an advisor to primary health care staff on matters relating to the patients management and to provide clinical, professional advice. Promote the development of clinically effective care that is seamless between primary and secondary care settings.23. Demonstrate and utilise specialist skills and knowledge to provide innovative practice in paediatric continence24. To support the transition of young people from paediatric to adult care, liaising with the adult Urology and Gastroenterology team and in-reach to adult wards as appropriate, for young people in the process of transition25. Deal expertly and confidently with distressing and emotional issues in the knowledge that other support services are available to assist To undertake any other duties of a similar nature consistent with the responsibilities of this post in order to provide a quality (insert) service.26. Act as a role model of excellence in childrens continence care27. Provide professional advice, support and leadership to colleagues28. Attend, as appropriate, regional and national events to enable Black Country Partnership to be identified as a service provider of childrens continence best practice29. Develop and maintain good working relationships with staff supporting the needs of children with disabilities, school nurses, health visitors, occupational therapists and physiotherapists30. Provide clinical advice in relation to home delivery service enquiries31. To liaise with continence service (continence products)32. Work with other services for peer support and good practice33. Policy and Service Development34. Support the implementation of an integrated continence strategy in line with Department of Health guidance and National Service Framework for Children35. Support assessors of children and young people with bowel/bladder problems to be aware of, and comply with, related service guidelines and protocols36. Contribute to the development of service guidelines and protocols37. Contribute to service reviews and development work as appropriate to grade in collaboration with the Service manager and clinical lead38. Ensure that clients and service users views are central to the development of the service39. To ensure evidence based service through regular review and updating Trust guidelines in conjunction with the Lead Urology Nurse Specialist40. Planning and organising41. Maintain and deliver nurse-led community childrens continence clinics42. Manage a clinical caseload ensuring effective relationships with other health, education and social care professionals43. Assume an active role in self-development by undertaking training and updating programmes/courses44. Maintain awareness of current development in nursing and medical practice by attending lectures, conferences and seminars as appropriate and by reading available literature45. Attend professional meetings as requested by the Team Leader46. Analysis and data management47. Maintain patient records and clinical activity recordings to monitor patient contacts and clinical outcomes48. Liaise with the service manager to maintain and accurately update information on the disability database regarding the service49. Develop audit tools to assure quality care is paramount

Our Trust Values are: Honest and Transparent? Empowerment? Dignity and Respect? Integrity? Compassion and KindnessOur Trust Behaviours are: Be caring and demonstrate compassion? Have the courage to take action? Communicate effectively? Treat everyone as an individual? Be competent and professional

Essential and Desirable