Clinical Nurse Specialist Stoma Therapy, Colorectal Surgery (Relocation)
Professional Connections (Profco) - Toronto, ON

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The King Faisal Specialist Hospital and Research Centre is a 936-bed tertiary care facility. It will expand to 1300 beds by 2014

Some quotes from King Faisal Specialist Hospital and Research Centres significant achievements most recent publication.

King Faisal Specialist Hospital and Research Centre is the " Diamond of Healthcare in Saudi Arabia"

One of King Faisal Specialist Hospital and Research Centre's signature service is in the area of transplants, performing on average, three transplants every 48 hours. Latest figures are published for 2010. 312 Bone Marrow transplants were carried out and this held King Faisal Specialist Hospital and Research Centre's position among the eop ranking institutions internationally with respect to the number of paediatric bone marrow transplants. The total number of transplants conducted in 2010 was 529 which included 145 kidney, 46 Liver, 19 Heart and 7 Lung transplants.

During the first quarter of 2011 there were 71 BMT a 43% increase from 2010, 48 Kidney (33% increase from 2010) and 4 Lung transplants.

KFSH & RC treats approximately 30% of cancer patients in the Kingdom of Saudi Arabia as well as 70% of Paediatric cases.

KFSH & RC is ranked among the top three (3) centres in the world by the number of cases; as it relates to Medical genetics

In the area of Neurosciences, they have established comphrensive Epiplepsy programme.

KFSH & RC is also at the forefront of interventional radiology.

IT has successfully implemented the second phase of the Comphrensive Patient Informatics System which includes OR; Pharmacy, Emergency Room,Mammography, and Medical Records.


Technological advancement:

Surginet and Cerenet documentation systems implemented hospital wide

Implemented Cerner phase 11 - First module in The Emergency Services Department

Implementation of of ANSOS One Staff Scheduling System

Introduction of Brain Lab ( Neuro Tumor tracking device) in the operating room.

Quality Outcome

Nursing Quality indicators are measured quarterly comparing their results with an international benchmark with a National database for Nursing Quality Indicators (NDNQ1). Results above the median line have been achieved for most of the units for Falls and Hospital Acquired Pressure Ulcers.

Evidence based practise projects included: decrease infections/rashes in all neonatal and paediatric patients. Neonatal conjuctivitis and diaper dermatitis

Increased utilisation of best practise findings at nursing unit level.

Clinical research projects initated to improve patient outcomes

The use of best available evidence to guide practise changes has been a focus hospital wide

Implementation of Shared Governance structure throughout Nursing Affairs with continued development of unit councils in all nursing units and strengthening of divisional and central council's functioning.

Magnet hospital accreditation due to be assessed.

Daisy award

Patient Care

There are 18 Medical Departments, each with its own Chairman. The names of these departments are set out in the accompanying Organizational Structure.


The Hospital and Research Centre has a total staff of 6,946, comprising 63 different nationalities.

The Medical Staff

including Saudi Residents and Fellows, totals 703, 46% of whom are expatriates (including 16% U.S./Canadian and 11% European) and 54% of whom are Saudis.

The Medical Staff consists of the following categories :

The Nursing Staff

Totals 1,942 and 18% from Canada and 11% from the United States. The other Nursing staff are from the United Kingdom, Europe, Australia, New Zealand, the Philippines, Saudi Arabia, and other countries. Nursing Affairs includes the following departments:

Critical Care Nursing, Maternal Child

Nursing, Surgical Nursing, Oncology/

Medical Nursing, Infection Control,

Ambulatory Care Nursing, Nursing

Systems, Nursing Recruitment, Products

Coordination, I.V. Therapy, Discharge

Planning, Quality Improvement and Nursing Education & Research.

Clinical Services Staff

1,235 employees

Some statistics

Average daily inpatient census 552

Average bed occupancy rate 88%

Average length of bed stay 9.0 days

Total number of operating cases per year 8,981

Average number of operating cases per workday 36

Average annual open-heart surgeries 1,120

Average annual cardiac catheterization 2,920

Average annual renal transplants 44

Average annual bone marrow transplants 96

Total number of deliveries per year 1,357 - High risk deliveries 40% - Normal deliveries 60%

Total radiological examinations per year 185,823

Total laboratory tests per year (clinical and anatomical) 5,759,526

Average Outpatient encounters per year (excluding Emergency Room visits) 516,875

Average Emergency Room encounters per calendar day 124

Consultants 389

Associate Consultants 14

Assistants 97

Clinical Assistants 3

Fellows 101

Residents 88


The Health Sciences Library

is one of the most comprehensive and modern medical libraries in the region. It has 620 active subscription journals and over 23,000 medical books. In addition, linkage is available to various world libraries through the Internet and other

Information Technology Affairs

Subsequent to many years of searching and preparation a contract was signed in May 2000 for the implementation of the Cerner Health Network Architecture Millennium product. The implementation of the Integrated Clinical Information System (ICIS) will be a two year plus project and the ICIS will improve communication and information sharing, create improved operational efficiencies and improve patient safety. This system will introduce the Computer-based Patient Record (CPR), paving the way for a paperless chart in the future. The CPR, a longitudinal record of the patient's medical history, will provide more complete information and ease accessibility to that information that will increase continuity of care, and improve efficiency through the process of patient care.

The ICIS will improve the quality of care patients receive, reduce the cost of patient care and improve the utilization of resources, making available comprehensive data for analysis and research.

Scope of Service:
The Colorectal Therapy Unit provides specialized holistic patient centered services for paediatrics and adults with stomas, enterocutaneous fistula, defaecatory disorders, and adults referred to the Section of Colorectal Surgery, throughout inpatient, outpatient, and home health care settings including nurse led clinics.
Colorectal Therapists are privileged to assess diagnose and treat patients with conditions related to their stoma or wound and patients requiring non-surgical treatment for defaecatory disorders, including:

  • Expert specialist holistic practice at an advanced practice level
  • Leadership including consultation services for nurses, physicians, and nursing administration at a local and national level; performance improvement; the development of guidelines and standards of care; the sourcing, trial, and acquisition of specialized products and supplies
  • Educational initiatives and programs both local and national for patients and their families, nurses and physicians including the Saudi National Enterostomal Therapy Diploma Nursing

Program, the Saudi Colorectal Fellowship Program and related symposia

  • Research activities

The unit also undertakes:

  • Registration of hereditary colorectal diseases
  • Coordination of care
  • Tumour board coordination
  • Counseling for patients and their families

The care offered by the unit is of an holistic nature and includes practical management, psychosocial,
psychosexual, and emotional support, advice and counseling, and patient and family education including the development and provision of educational materials.
Frequent procedures/services/functions:
A. Holistic assessment, diagnosis and treatment of individuals with stoma, colorectal wound conditions and defaecatory disorders.
B. Anorectal physiology, retraining and biofeedback treatment for patients with defaecatory disorders.
C. Identification of intrinsic and extrinsic factors that may delay the patient’s progress.
D. Collaboration with the multidisciplinary team.
E. Providing expert advice, and assisting with the plan of care for patients with stomas, enterocutaneous fistula, defaecatory disorders, and patients undergoing colorectal surgery.
F. Providing assistance with specialist supplies as necessary.
G. Patient and family education, counseling and support.
H. Assisting with discharge planning and home supply issues.
I. Providing and updating patient education material.
J. Provision of an email and telephone patient helpline.
K. Provision of a one week postoperative follow-up telephone service.
L. Provision of a virtual defecatory disorder follow-up clinic
M. Provision of a patient advocacy service for stoma patients as requested.
N. Provision of a biannual ostomy patient news letter.
O. Identifying educational needs of nursing staff and providing classes and materials for staff development.
P. Development and provision of workshops and courses to aid advancement of skills and knowledge within the Kingdom.
Q. Sourcing, reviewing, trialing and assisting in the maintenance of specialist ostomy and incontinence supplies in the hospital.
R. Collection and dissemination of data on patient visits.
S. Involvement in research related to specialty.
T. Identifying areas for performance improvement in program area, and planning, implementing and reviewing projects.
U. Collection of data for the registration of patients with hereditary colorectal conditions
V. Organisation and communication of investigations and appointments for colorectal cancer and
familial adenomatous polyposis patients and their families
W. Planning and organizing the colorectal tumour board activities
X. Submission of tumour board and registry reports
Hours of operations:
0700 – 1700 Saturday to Tuesday
0700 – 1600 Wednesday

Patients with complicated issues related to their stoma or fistula, or needing advice, support, or
counselling related to their stoma are referred by both medical and nursing staff. All other referrals,
including patients with defaecatory disorders should be referred by the colorectal surgeons.
1 Clinical Specialist Director (Grade 12)
1 Advanced Colorectal Therapist (Grade 11, line to be filled)
1 Senior Colorectal Therapist (Grade 10)
1 Colorectal Therapist (Grade 9)
1 Colorectal Patient Advisor
1 Colorectal Registrar
1 Tumour Board Coordinator
1 Clinical Unit Assistant
Method of adjusting to staffing variances:
Leaves or absences:

  • The Colorectal Therapy Director is covered by one of the Colorectal Therapists
  • The Colorectal Therapists provide coverage for each other or in their absence the Colorectal Therapy

Director will cover

  • The Colorectal Registrar and Tumour Board Coordinator provide coverage for each other
  • The Tumour Board Coordinator provides coverage for the Colorectal Patient Advisor
  • Colorectal/Gastro outpatient staff provide interpreter coverage for the Clinical Unit Assistant in the

outpatient area and this is undertaken by Ward Clerks in the inpatients areas; the remaining duties of
the Clinical Unit Assistant are performed by the various members of the Colorectal Therapy Unit.
QUALIFICATIONS OF STAFF: Qualifications/Licenses/Certifications Required
Clinical Specialist Director:
1. Masters degree in nursing or related health discipline
2. Specialist certification
3. Registered nurse with licensure from country of origin
4. Seven years acute hospital experience, 4 years of specialty experience
Advanced Clinical Specialist Therapist:
1. Masters degree with clinical focus
2. Specialist certification
3. Registered Nurse licensure from country of origin
4. Six years hospital experience as registered nurse, 2 years of specialty experience
Senior Clinical Specialist:
1. Bachelors Degree in Nursing or Registered Nurse with country specific post registration program
Scope of Service
Scope of Service – Colerectal Unit- Jan.2012 Page 4 of 6
2. Specialist certification
3. Registered Nurse licensure from country of origin
4. Six years hospital experience as registered nurse, 2 years within specialty
Junior Clinical Specialist:
1. Bachelors Degree in Nursing or Registered Nurse with country specific post registration program
2. Registered Nurse licensure from country of origin
3. Four years hospital experience as registered nurse, 1 year within specialty
Colorectal Patient Advisor:
1. Bachelors Degree in Nursing or Registered Nurse with country specific post registration program
2. Registered Nurse licensure from country of origin
3. Six years hospital experience as registered nurse, 2 years within specialty
4. Bilingual English and Arabic, spoken and written
Colorectal Registrar:
1. Bachelors Degree in hospital administration
2. Six years hospital experience, experience in patient education preferred
3. Bilingual English and Arabic, spoken and written
Tumour Board Coordinator:
1. Bachelors Degree in Nursing or Registered Nurse with country specific post registration program
2. Registered Nurse licensure from country of origin
3. Four years hospital experience as registered nurse, 1 year within specialty
Clinical Unit Assistants:
1. 2 years diploma in hospital administration or related discipline or High School education required
2. Bilingual in Arabic and English
3. Saudi Nationals required
Journal and organisation subscriptions for gastrointestinal, wound and ostomy specialty.
Colorectal therapy journal club activities.
Colorectal surgery fellows lectures.
Surgical grand rounds.
Symposia attendance.
Self-study/use of library.
Hospital provided courses and presentations.
Scope of Service
Scope of Service – Colerectal Unit- Jan.2012 Page 5 of 6
Please see “Competency Based Practice Orientation and Ongoing Education”
Review of education includes:

  • Fire and Electrical Safety (all staff)
  • Infection Control and prevention online modules (all staff)
  • Adult and pediatric age specific competency (All Colorectal Therapists)
  • Nursing medication safety (All Colorectal Therapists)
  • Physician medication safety (All Colorectal Therapist Prescribers)

Internal and external methods:
Communication with other departments is by direct verbal communication, telephone, email or memo;
and during collaborative practice meetings, tumour board meetings and on unit rounds with nursing and
medical staff.
Collaborative relationships with other departments:

  • Multidisciplinary team meetings.
  • Committee meetings.
  • Patient rounds.
  • Task forces looking at performance improvement issues.
  • Colorectal surgical rounds
  • Colorectal business meeting
  • Tumour board meetings
  • Physical therapy and occupational therapy as necessary.
  • Health educators related to patient education including materials.
  • Social workers regarding patient home background or discharge plans.
  • Dietary regarding the patient’s nutritional status.
  • Outpatient and Home Health Care areas.
  • Nurse Products Coordinator regarding issues related to supplies
  • Medical and other disciplines that may be involved in the patients care and recovery, including

the patient, family and sitters.

  • QI department on performance improvement issues and data collection.

DISCHARGE CRITERIA: The staff of the Colorectal Therapy unit work very closely with other health
disciplines to facilitate discharge planning. Patients with stomas are discharged from the service when
they no longer have a stoma.
Scope of Service
Scope of Service – Colerectal Unit- Jan.2012


Married status contract negotiable. Below is single status benefits

Tax free salary. Advised on application.

Sign on Bonus
5000 USD, two year contract
2500 USD, one year contract

Relocation Allowance:
As an International employee of the King Faisal Specialist Hospital & Research Centre a relocation allowance will be offered to you upon both initial hire and repatriation (some restrictions apply). The amount of this relocation allowance depends upon your point of origin and your contract status. Re-hire candidates coming back to KFSH within a calendar year don't get this.

Service year bonus:
Only Medical & Allied Health Professionals are eligible for service year bonus upon the completion of their initial two year contract equal to one month basic salary. Such a bonus will be paid at the end of the second year and thereafter, subsequent each year of service.
Inability to complete the two year contract will result in forfeiting of the whole service year bonus and this will not be paid pro rata

Severance Pay:
As an International employee of King Faisal Specialist Hospital & Research Centre you are entitled to receive severance pay upon completion of your initial contract and subsequent repatriation. This is a one-time payment made upon your final departure from the Hospital and is accrued throughout your tenure within the Hospital. Severance pay accrues at a rate of 15 days’ pay for each of your first four years and 30 days’ pay for the fifth and subsequent years.

Airline Tickets:
As an International employee of the King Faisal Specialist Hospital & Research Centre, you will be entitled to both Initial Hire and Repatriation tickets to and from your point of origin. In addition, each year if you are there for more than 1 year you will be entitled to a free round-trip annual leave ticket to your point of origin.

Leave Time:
As an employee at the King Faisal Specialist Hospital & Research Centre, you are entitled to receive total paid leave entitlement of 54 days/year is divided as follows:
36 days paid annual leave (accrued 3 days/month); can be utilized after the completion of probationary period depending on the department's scheduled leave plan.
17 days annual paid holidays (07 Eid AI-ftr & 10 Haj Holiday), normally to be taken on their occasion. Based on the operational requirements, and in coordination with the department such holidays may be rescheduled.
1 day paid National holiday.

Emergency Leave:
In the event of death of an employee’s natural parent, spouse or child:
All employees will be eligible for 7 days leave with pay, if travelling and 3 days if in the Kingdom.
If the employee travels he/she will be reimbursed in cash for the ticket purchased by the employee.

Sick Leave:
In the event of on-work related disability, injury or illness:
An employee shall be granted full pay for a maximum of 30 calendar days and 75% of full pay for an additional 60 calendar days in each service year.
Any sickness in excess of two (2) days shall require an acceptable medical verification of illness; otherwise such absence will be treated as leave without pay.

Probationary period:
The first 90 days is your probation period. You will be expected to undertake basic competencies and unit based competencies during this time. The competencies are outlined in the Job Description. After the 90 days there still will be unit specific competencies as you reach skills level..

Free Hospital Housing:
You are entitled to receive either free fully furnished shared hospital housing or a housing allowance (some restrictions apply). All utilities are paid by the hospital with the exception of your personal telephone calls, cable TV and internet access in the home. All female employees will be in the hospital housing located inside the hospital compound and male single employees will be in the hospital housing outside the hospital compound.

Medical and Dental Treatment:
You are entitled to Medical Care through the Family Medicine Department. Dental Treatment is on an emergency basis only.

Recreational Facilities:
The King Faisal Specialist Hospital & Research Centre has a number of recreational facilities open to you, including swimming pools, tennis courts, a bowling alley and amenities centre. In addition, the Employee Social Club & Recreation Services offer a number of recreational courses, exercise programs and trips and a variety of other benefits to the employees. There are numerous Western companies in Riyadh with thousands of expats. Read what our nurses say on our web pages and well as FQA to see all the things you can do on your time off in Saudi Arabia.

Further Education opportunities:
As well as offering an excellent orientation, the Nursing Staff at KFSH&RC have many opportunities to further their education.

1. Position of Colorectal CNS:
Experienced clinician (stoma therapy, colorectal surgery), independent practitioner within the field of stoma therapy including nurse led clinics
Experience in developing and providing educational offerings including workshops, good presentation skills. Experienced at clinical supervision
Research: Experienced evidence based practitioner
Can work independently and organise own time and resources
Collaborative practitioner/team player
Experience of managing junior staff
Experience in developing IPPs and guidelines/standards
Some experience of using Word, Power point, Excel and or Access
Minimum Qualifications:
Higher educational qualification or certificate in Stoma Therapy