Inflammatory Bowel Disease (IBD) Specialist Nurse

1. Demonstrate a senior level of autonomy and clinical expertise in the assessment and management of patients with IBD. 2. Exercise responsibility and accountability for care of patients on different pathways including clinical assessment, symptom analysis and triage of patients via a telephone / email advice line and in nurse led clinics. 3. Participate in risk management, by counselling and screening of patients and ensuring that communication regarding monitoring is explicitly understood by patient and community care partners for patients undergoing advanced therapy. 4. Deliver holistic patient care improving patient empowerment through health promotion/education to promote supported self-management of long-term conditions. 5. Work closely with members of the multi-professional team to ensure pro-active communication to provide effective care management for patients. 6. Maintain and develop standards of care in line with national recommendations, current best practice and research. 7. Provide a telephone advice line for patients, their carers and General Practitioners (GPs.) offering expert clinical advice, support and direct access to the IBD service. 8. Provide appropriate advice for patients with IBD experiencing an exacerbation of their disease initiating or changing medication as per protocols, requesting first line investigations and expediting for medical review as appropriate, demonstrating a senior level of responsibility and accountability. 9. Assess patients response to medical treatment by telephone, demonstrating an analytical approach to assessment and recommending the appropriate management. 10. Undertake nurse led clinics for follow up of patients with IBD, either in the outpatient setting or via telephone as appropriate according to department protocols. 11. Provide patients with written and verbal information on immunosuppressant and biologic therapies to promote both their understanding and involvement in the decision-making process and on-going management. 12. Participate in the monitoring of patients on immunosuppressant and biologic therapies as per protocols and maintaining relevant databases, ensuring accurate documentation in patients records and communication with primary care as necessary to ensure patient safety. 13. Communicate appropriately and support patients and their relatives during distressing emotional episodes following consultation and diagnosis. 14. Advise and counsel patients in line with British Society of Gastroenterology (BSG) guidelines on the role and necessity of colorectal cancer screening. 15. Provide support for ward staff and junior medical staff in the assessment and care of patients with IBD during admission. 16. Promote and develop pathways of care for patients with IBD to facilitate prompt referral and investigation and effective long-term care. 17. There is a need to manage complex and demanding tasks relating to patient care and pathways that requires advanced decision making and communication skills and flexibility.