Endocrine Research Nurse Specialist
1 week ago
The Adrenal Research CNM will support the Adrenal Tumour service run by Professor Michael O'Reilly and Professor Mark Sherlock. The Adrenal Tumour service in Beaumont Hospital receives referrals from across the country on patients with complex adrenal disease, including functioning adenoma, phaeochromocytoma and adrenocortical carcinoma (ACC). A cohort of patients with ACC are treated with adjuvant mitotane therapy and require monthly blood sampling to ensure that levels are therapeutic and to avoid drug toxicity. We also provide an adrenal vein sampling service in collaboration with the Department of Radiology in Beaumont Hospital for patients with primary aldosteronism.
A large number of adrenal incidentalomas are referred to our service each month, and require a serum and urine biochemical work up to screen for adrenal hormone hypersecretion. Follow up imaging must also be coordinated for these patients, the majority of whom will have benign disease. We also have a large cohort of patients with a genetic disorder of adrenal steroidogenesis called congenital adrenal hyperplasia (CAH).
Responsibilities
The successful candidate will perform various tasks as part of the Adrenal Tumour service, including conducting blood tests for plasma levels and routine biochemistry in patients on mitotane therapy. They will also follow up mitotane levels and routine haematology and biochemistry bloods in patients reviewed in the Adrenal Clinic, as well as follow up endocrine hormone testing results in patients undergoing biochemical assessment of adrenal nodules and masses. In addition, they will close liaison with the Adrenal MDT coordinator, follow up imaging requests and results, under the supervision of the consultant, of patients in the Adrenal Tumour clinic, review of bloods in patients with CAH to guide adjustments in steroid therapy, coordination of adrenal vein sampling procedures with the Departments of Radiology and Clinical Biochemistry for patients with primary aldosteronism, consenting of patients with CAH and adrenal tumours for participation in clinical research studies approved by the Beaumont Hospital Research Ethics Committee, consenting of patients with CAH and disorders of sexual development (DSD) for inclusion in the i-CAH and i-DSD international registries as approved by the Beaumont Hospital Research Ethics Committee, report such patients promptly to the consultant/clinical leader and discuss referral, co-ordinate relevant services in preparation for treatment, attend multidisciplinary team meetings, foster good working relationships with all members of the clinical team, which are both professional and supportive, maintain accurate clinical records complying with legislation and best practice, be aware of all hospital policies and procedures and collaborate with other health care professionals to ensure that these are observed, demonstrate leadership ability and good communication skills, monitor all results and liaise and review with Endocrine Consultants.
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