Uro-Gynaecology Clinical Nurse Specialist inDartford inDartford PUBLISHED WED 4 DEC 2024

The purpose of the post is to contribute to a specialist urogynaecology nursing service for women with pelvic floor and bladder dysfunction alongside the existing Urogynaecology Nursing staff, Urogynaecology Consultants, and the rest of the multidisciplinary team.

Develop clinical expertise in all aspects of care for urogynaecology patients

Together with the Urogynaecology Consultants and members of the immediate urogynaecology clinical team, effectively co-ordinate and deliver an expert nursing service within the specialist area with a view to managing their own nurse-led outpatient (including vaginal pessary, bladder retraining, patient education/catheter care, TWOC, PTNS, bladder instillations, management of prolapse & medication reviews), urodynamic diagnostic clinics & flexible cystoscopies (following appropriate training and assessment) and in collaboration with the urogynaecology team advise on appropriate treatment plan.

Ensure a positive impact on the experience of patients and carers

Develop evidence based clinical nursing practice in line with current research and guidelines

Clinical responsibilities:

Work alongside the Urogynaecology consultants and immediate members of the Urogynaecology team to

Provide clinical expertise, specialist advice and support to women across Urogynaecology Nursing Services, ensuring that the provision of excellent evidence-based nursing care is maintained.

Identify changing health care needs at all stages of pelvic floor and bladder dysfunction, liaising as necessary with other members of the healthcare team

Support a client case-load, ensuring continuity of a high standard of evidence-based nursing care, from point of referral through to conservative treatment and/or post-operative management and discharge.

About us

Managerial responsibilities:

Delivery of Trust/department objectives and business plans

Daily organisation of service/ patient caseload

Documentation

Data collection and monitoring

Human resources and recruitment

Staff appraisal

Supervision and mentorship

Induction

Monitoring of service

Service development

Complaints handling/monitoring

Professional responsibilities:

Professional standards and codes of conduct

Mandatory training

Training records

Education and development responsibilities:

Maintain own registration with the Nursing and Midwifery Council (NMC) with recognised revalidation process.

Maintain own personal and professional development including in areas specific to urogynaecology, attending mandatory study sessions as required.

Maintain and update Trust mandatory training as appropriate.

Maintain and expand knowledge base in respect of on-going developments and best practice in urogynaecology. This will include acquiring and/or maintaining:

o own continuous certification and accreditation in urodynamics with the United Kingdom Continence Society (UKCS)

o specialist knowledge and care of women with a vaginal pessary device for pelvic organ prolapse

o knowledge and care of women undergoing outpatient procedures (flexible cystoscopy, Botox, Bulkamid)

Assist and maintain evidence-based quality standards that are regularly audited and participate in appropriate changes in practice.

Provide written health information for patients with specialist urogynaecology conditions including disease, investigation, treatment, management and on-going care.

Provide education and support for visiting junior doctors and nurses within the Trust and Care Commissioning Group, community staff that care for specialist urogynaecology patients through evidence-based practice.

Contribute to informal and formal teaching of all visiting staff e.g. nurses, GP trainees, specialist registrars, midwives through evidence-based practice.

Ensure user involvement in the development of urogynaecology specialist services through the use of surveys, audit and attendance at relevant meetings

Provide patients and their carers, with information and advice associated with specialist urogynaecology diagnosis and treatment, ensuring the best level of understanding and self-care as appropriate.

Act as a mentor for students and other junior staff ensuring learning is appropriate with education needs

Present cases at multidisciplinary team meetings taking full advantage of the opportunity of learning outcomes

Service improvement:

Assist in the collection of PROMs to evaluate services and involvement of FFT to evaluate and develop nurse led and urogynae services.

Support the urogynaecology service in the continuing operational and strategic development of specialist services within Urogynaecology. This includes out-patient flexible cystoscopy and associated treatments (BOTOX, urethral bulking) and SNS/PTNS.

Assist in the continuing development of the urogynaecology service and the implementation of the NICE guidelines on women with urinary incontinence, best practice in urodynamics and RCOG/ BSUG guidelines.

Disseminate patient data including post-operative findings through the national urogynaecology BSUG database to present a performance audit within the department.

Support the unit on obtaining and maintaining unit accreditation for Urogynaecology (BSUG).

Initiate and participate in management of change to broaden activities, standards and communication links through Acute Trust and Primary Care.

Actively contribute to any relevant initiatives within the directorate and provide support to senior colleagues and matron.

Utilise and maintain information systems to aid required audit and to provide regular activity analysis reports.

Contribute to effective and efficient working to ensure a good quality patient experience.

Manage and participate in specific projects as required.

General responsibilities

Patient Experience

Staff should ensure that they always put the patient at the heart of everything they do. All staff will strive to create a positive patient experience at each stage of the patients/service users care journey

Trust Policies and Procedures

To adhere to the Trusts agreed policies and procedures.

Equal Opportunities

To promote and develop the equality of opportunity in accordance with the Trusts Equal Opportunities Policy

Confidentiality

To protect the confidentiality of information relating to the Trust, Patient and Staff or other agencies

Quality

To provide a quality service to internal and external agencies and participate/ develop clinical governance within sphere of responsibility.

Infection Control

All Trust employees are required to be familiar with, and comply with, Trust polices and guidelines for infection control and hand hygiene in order to prevent the spread of healthcare-associated infections.

For clinical staff with direct patient contact, this will include the uniform and dress code policy, the use of personal protective equipment guidance, the guidance on aseptic techniques and the safe handling and disposal of sharps.

All staff are required to attend mandatory training in Infection Control and be compliant with all measures known to be effective in reducing healthcare-associated infections.

Health and Safety

To share responsibility for abiding by health and safety policies and regulations, infection prevention and control policies and act in accordance with the Risk Management Policy.

Sustainability

It is the responsibility of all staff to minimise the Trust's environmental impact by recycling wherever possible, switching off lights, computers, monitors and equipment when not in use, minimising water usage and reporting faults promptly.