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Trainee Nurse Hysteroscopist

Employer
University Hospitals Bristol and Weston NHS Foundation Trust
Location
Bristol
Salary
£43,742 to £50,056 a year pa pro rata
Closing date
30 Apr 2024

View more

Profession
Nurse
Grade
Band 7
Hours
Part Time
This is an 18 month (0.8wte) trainee Nurse Hysteroscopy Practitioner role created in response to growing local demand for hysteroscopy services.

The Hysteroscopy Service is hosted within the Division of Women's and Children's but is delivered by clinicians within Gynaecology Outpatients department.

Upon completion of training, the successful candidate will be expected to act as an autonomous clinical practitioner in hysteroscopy nursing practice and work effectively as part of the multidisciplinary team. The post holder will be a role model for professional practice, exercising accountability and providing support within the hysteroscopy team. The post holder's primary role will be to undertake diagnostic and therapeutic hysteroscopy. At the end of training, the successful candidate will be independent in diagnostic and therapeutic hysteroscopy.

Main duties of the job

Clinical - will be working towards being competent in...
  • The nurse hysteroscopist will be allocated a caseload to undertake patient investigations, manage patient care and undertake all appropriate correspondence for patients in their care with primary and secondary care colleagues within their professional competence
  • The post holder must be skilled and proficient in undertaking informed consent, including discussion of the risks, complications and alternatives to treatment ensuring this information is delivered in a manner which the patient can understand. Where a person lacks capacity to make an informed decision, or give consent, the post-holder must act in accordance with the requirement of the Mental Capacity Act and associated code of practice.
  • Independently perform diagnostic / therapeutic hysteroscopy for patients who fit into the nurse hysteroscopist criteria.
  • To apply advanced communication skills to establish a relationship and build a rapport with patients to lessen patient anxiety prior to the procedure showing empathy and providing reassurance.
  • To flexibly manage responsibility for own clinical caseload and to seek support from clinical colleagues in the management of complex cases and where necessary to transfer care to a consultant colleague.
  • Act based on own interpretation of clinical findings, referring the patient on to specialist medical/surgical teams as appropriat


About us

University Hospitals Bristol and Weston NHS Foundation Trust (UHBW) is one of the largest acute Trusts in the country, bringing together a combined workforce of over 13,000 staff and over 100 different clinical services across 10 different sites, serving a core population of more than 500,000 people across South West England. UHBW has been rated by the CQC as 'Good' overall and our staff are proud to deliver excellent care to the people of Bristol, Weston and beyond. As a forward- thinking multi-award winning Trust and a digital exemplar committed to improving patient care, our world-leading research and innovations are having a positive local and global impact. Our hospitals are spread across Bristol and Weston, join us and you can enjoy the very best of both worlds city living within a stone's throw of the countryside or beside the seaside, both with easy access to all that the South West has to offer. UHBW is committed to safeguarding and promoting the welfare of children, young people and vulnerable adults. As an equal opportunities employer actively working towards a diverse workforce we aim to recruit and retain a workforce which represents the rich diversity of the local population at all levels and are committed to designing our services around the needs of individual patients and those around them. Anonymous information will be used from your application in order to ensure we're meeting our pledge.

Job description

Job responsibilities

Clinical - will be working towards being competent in
  • Use expert and specialised clinical and theoretical knowledge to safely and appropriately assess and diagnose patients, requesting further tests and investigations in a timely manne
  • The nurse hysteroscopist will be allocated a caseload to undertake patient investigations, manage patient care and undertake all appropriate correspondence for patients in their care with primary and secondary care colleagues within their professional competence
  • The post holder must be skilled and proficient in undertaking informed consent, including discussion of the risks, complications and alternatives to treatment ensuring this information is delivered in a manner which the patient can understand. Where a person lacks capacity to make an informed decision, or give consent, the post-holder must act in accordance with the requirement of the Mental Capacity Act and associated code of practice.
  • Independently perform diagnostic / therapeutic hysteroscopy for patients who fit into the nurse hysteroscopist criteria.
  • To apply advanced communication skills to establish a relationship and build a rapport with patients to lessen patient anxiety prior to the procedure showing empathy and providing reassurance.
  • To flexibly manage responsibility for own clinical caseload and to seek support from clinical colleagues in the management of complex cases and where necessary to transfer care to a consultant colleague.
  • Act based on own interpretation of clinical findings, referring the patient on to specialist medical/surgical teams as appropriate
  • Use expert and specialised clinical and theoretical knowledge to safely and appropriately assess and diagnose patients, requesting further tests and investigations in a timely manner
  • The post holder will apply highly specialist knowledge and experience to manage complex patients before, during and after their procedure and where necessary communicating with patients, relatives and relevant health care professionals to ensure care is continued in the appropriate setting
  • The post holder will apply advanced skills to assess the patients level of understanding about their clinical condition and simplify complex medical information for patients, giving explanations of the possible diagnosis and treatment required to ensure that patient is fully informed and encouraged to engage with their own healthcare.
  • The post holder will deliver highly sensitive or difficult information, regarding possible diagnosis, to the patient and will communicate findings to the appropriate multi-disciplinary team colleagues to ensure the patient is followed up and supported in the appropriate manner.
  • Provide comprehensive reports, utilising appropriate reporting systems, to ensure findings are communicated to the referring Consultant colleague or medical practitioner
  • Ensure the effective use of specialist hysteroscopy equipment to deliver comprehensive and compassionate patient care in line with practice and services.
  • Can work independently and unsupervised in performing diagnostic and therapeutic hysteroscopy sessions.
  • Exercise and demonstrate advanced levels of clinical judgement and clinical decision making.
  • Undertake hysteroscopy procedures, identifying abnormalities and perform appropriate investigations for diagnostic purposes, being responsible for diagnosing benign and malignant gynaecological disease and interprets history, presenting symptoms, physical findings and diagnostic information to develop the appropriate diagnoses then discuss the findings of such examinations with patients planning appropriate patient management.
  • Take responsibility and accountability for appropriate clinical management where necessary liaising with lead clinician.
  • Deputise in the absence of consultants and medical colleagues by performing their lists thereby avoiding cancellation of clinics.
  • Responsibility for a defined caseload of patients and provide high quality patient-focused service.
  • Uses personal clinical expertise to support valid judgements.
  • Offer appropriate written or verbal counselling to patients prior to initial hysteroscopic or gynaecological assessment facilitating patients to make informed decisions.
  • Have a critical understanding of the indications and contra-indications of hysteroscopy.
  • Have an understanding of the normal anatomy and physiology, normal variants and anatomical variations of the female genital tract.
  • Independently decide and perform the appropriate therapeutic treatment and arrange further management for all abnormalities.
  • Have competent motor skills required for high precision skills such as injecting local anaesthetic into cervix, removing pieces of tissue for diagnosis and be able to operate a hysteroscope and obtaining diagnostic endometrial biopsies.
  • Deal effectively and professionally with patient/ service user issues working with PALS as appropriate and take a proactive approach to resolving issues and learning from complaints.
  • Demonstrate appropriate expert practice and highly specialist advice in the assessment, planning, implementation and evaluation of patient care. Including history taking, physical examination and the requesting of relevant tests and investigations.
  • Interpret and manage test results and write to GP and patient with appropriate management plans.
  • Conduct own telephone follow up clinics, if required.
  • To build an environment of trust and rapport, enabling patient empowerment in their healthcare and acting as an advocate for the patient in treatment decisions and choices.
  • Develop and run nurse led clinics, co-ordinate the treatment in conjunction with medical staff and provide treatment which may include minor surgical procedures for patients.
  • Promote high quality clinical care and assist in the development of the specialist service, through the use of evidence-based practice and clinical standards
  • Develop policies, protocols and clinical guidelines in support of the specialist service.
  • Establish, develop and maintain effective working relationship between clinicians, practitioners and managers within the speciality, across the trust and in the community
  • To prescribe and administer drugs, including those specific to the patient as a non-medical prescriber (upon completion of the non-medical prescribing course) or under the recognised PGDs.
  • Work in conjunction with a clinical consultant to lead a patient focused service
  • Lead on and participate in key developments relating to the speciality so that high quality patient focused services are promoted.
  • Attend relevant training opportunities and conferences to enable networking, gathering information and ensuring up to date clinical practice.

For a more detailed job description, main responsibilities, and person specification, please refer to the job description document attached to this vacancy.

Person Specification

Qualifications and Training

Essential

  • Registered Health Care Professional
  • Registered Nurse NMC
  • Evidence of formal ongoing professional development
  • Teaching Qualification or equivalent experience


Desirable

  • Completed Master's Degree in the speciality or working towards
  • Non-Medical Prescriber


Knowledge and Experience

Essential

  • Recent significant post qualification experience within Gynaecology
  • Proven leadership and management experience in a gynaecology set
  • Proven evidence of educational support to others
  • Demonstrated ability to support colleagues
  • Experience or sound knowledge of change management as part of a leadership role
  • Ability to organise and prioritise own workload effectively
  • Change management and ability to present ideas effectively
  • Familiar with current local and national issues


Desirable

  • Undertaken research as a chief or principle investigator
  • Experience of developing practice guidelines, governance and audit
  • Recent clinical experience in hysteroscopy


Skills and Abilities

Essential

  • Resilience
  • Assertiveness
  • Demonstrates ability to take overall responsibility and accountability
  • Good Communication
  • Being fair
  • Dynamic
  • Flexible
  • Enthusiastic and motivated
  • Pro-active
  • Personal insight and awareness
  • Being a good team player
  • Innovative


Employer details

Employer name

University Hospitals Bristol and Weston NHS Foundation Trust (UHBW)

Address

Gynaecology Outpatients- St. Michael's Hospital

Southwell Street

Bristol

BS2 8EG

Any attachments will be accessible after you click to apply.

387-WC-6953-DA

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