Gastro & Endoscopy

Gastro & Endoscopy

Gastroenterology has two outstanding Gastro wards (Liver and Luminal conditions) and the largest single site Endoscopy unit in the UK with more than 12 associated Nurse Led Specialities.

The Gastroenterology and Hepatology service includes specialist assessment, investigation and comprehensive range of treatment for a variety of disorders. The multidisciplinary team comprises of doctors, nurses, dieticians and pharmacists plus an award has been won by the Hepatitis C nurses for creating partnerships with the community.

We undertake an active role in the education of both undergraduates from the Nottingham medical school, Derby graduate entry medical school students and nursing students from Nottingham and Derby universities plus electives from non-commissioned universities.

We have an active research team and are taking part in numerous clinical trials.

 

Gastroenterology – Ward 304 / Ward 305

Ward 304 has 28 beds, split into 5 bays plus 8 side rooms. The ward has an excellent reputation in the field of Hepatology. Conditions which can include:

  • Substance Misuse
  • Cirrhosis
  • Gastro Conditions
  • Pancreatic and Liver Cancers
  • Immune Deficiency.

During your preceptorship you will be supported by the Professional Development team throughout also supported by the wider professionals who will encourage your ongoing development.

Ward 304 is led by four Consultants with a team of Doctors plus trainee Advanced Clinical Practitioners (ACP) – they are supported by a multidisciplinary team including:

  • Senior Sister
  • Sisters
  • Registered Nurses (RN)
  • Assistant Practitioner (AP)
  • Health Care Assistants (HCA)
  • Physiotherapists
  • Occupational Therapy
  • Nutrition Team
  • Dieticians
  • 2 Hepatitis C Specialist Nurses
  • 2 Liver Specialist Nurses

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Ward 305 is a 28 bedded Gastroenterology ward comprising of 5 bays each has 4 beds plus 8 en-suite side rooms. 

Conditions managed on Ward 305 include:

  • Inflammatory Bowel Disease
  • Gastrointestinal Cancers
  • Eating Disorders

Nutritional support is delivered to a range of patients via:

  • Nasogastric (NG)
  • Percutaneous Endoscopic Gastrostomy (PEG)
  • Parenteral feeding.

The team were proud to be part of a recent innovation whereby faecal transplants to treat C. Difficile patients was managed.

Preceptorship is essential to all Newly Qualified (NQ) and the ward provides ongoing support throughout this period.

We currently have ten Luminal Gastroenterologists who rotate onto the ward. We have strong links with the dieticians, the nutrition team, the Hepatology ward and the Endoscopy unit.

The nursing team on Ward 305 includes:

  • Senior Sister
  • 2 Sisters
  • Staff Nurses
  • Health Care Assistants (HCA)
  • Assistant Practitioner

Learners to the ward consist of Apprentices, Student Nurses, Medical Students, Acute Care Practitioners and Junior Doctors.

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Endoscopy

We are proud to have one of the UK’s largest single site Endoscopy units at the Royal Derby Hospital. The unit has:

  • 7 procedure rooms
  • 4 consultation rooms
  • 2 bowel preparation rooms
  • 3 bay recovery area

Registered Nursing staff are part of an out of hours on call service within General Theatres for acutely unwell patients.

The endoscopic procedures undertaken are:

  • Colonoscopy
  • Gastroscopy
  • Flexible Sigmoidoscopy
  • Endoscopic Retrograde Cholangio-Pancreatography (ERCP) – a procedure that enables an examination of the pancreatic and bile ducts
  • PEG insertion
  • Bronchoscopy
  • Thoroscopy
  • Endoscopic Ultrasound (EUS) – procedure that uses sound waves to create visual images of the digestive tract, including the pancreas
  • Specialised stenting of the Gastrointestinal Tract with the interventional radiology team

Colonoscopy, Gastroscopy and Flexible Sigmoidoscopy can include Therapeutic procedures where for example early cancers can be removed during these procedures if indicated.

The Preceptorship programme is endorsed by the team and supported the Professional Development Facilitator working in the department.

Being one of few Endoscopy units within the region to offer the nationally accredited GIN based learning tool which enables all staff to autonomously gain competencies which are signed off by a qualified mentor and are reviewed annually.

Excellent links are in place with other areas within the trust which lead to further training for staff when required.

The Endoscopy team is built up from a variety of roles:

  • Nurse Endoscopists
  • Nurse Specialists
  • Registered Nurses
  • Assistant Practitioners
  • Health care support workers
  • Decontamination room technicians.

We also have visiting professionals such as Nurse Endoscopists, Nutritional Nurse Specialists, Hepatology Nurse Specialists, Bowel Cancer Screening Practitioners, Respiratory team, Radiologists and Bariatric Team.