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Sister

Employer
North Bristol NHS Trust
Location
Bristol
Salary
£35,392 to £42,618 per annum
Closing date
5 Jun 2024

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Profession
Nurse
Grade
Band 6
Contract Type
Permanent
Hours
Full Time
An exciting opportunity has arisen for a full-time band 6 to join the Urology Outpatients and diagnostic team.You will work with an experienced Band 6 and outpatient team linking regularly with the multi-disciplinary team, assist and support the medical team (more than 20 Consultants and registrars).

The post holder will have the opportunity to utilise and expand their urology and management knowledge, facilitate, assist and supervise a variety of clinics and day case activities including diagnostics, prostate biopsies, flexible cystoscopies, Botox administration, bladder installations, clinician clinics and lithotripsy.

North Bristol NHS trust (NBT)is a tertiary referral center and we see patients from the Southwest- Penile cancers, Mesh complications. We are excited to move the TULA laser procedures to outpatients in the near future.

The majority of clinics are based in Gate 36 urology outpatients. The role is Monday to Friday with the occasional weekend. Clinics run from 08:00 to 18:00 and we have a late clinic on a Wednesday 08:00 to 20:30. Occasional weekends.

Main duties of the job

Working in collaboration with the Senior nursing team/ Matron/ Urology Management team the post holder's main duties will include:
  • Leading the nursing team in the delivery of evidence-based patient-centered care, which is of a high standard.
  • Being a key member in facilitating changes in the needs of the service and play a vital role in the development of the outpatient team including their ongoing professional development. Support implementation of new procedures and equipment.
  • Supporting the other Band 6 Sister and the Band 7 Senior Sister (currently on secondment) with managerial tasks including roster design, sickness management, appraisals, 1:1's and training.
  • Maintain effective communication with the internal/external members of the multi-disciplinary team.
  • Manage safe staffing levels for planned face to face and telephone clinics including forward planning for ad hoc clinics to facilitate increased referrals.
  • Manage the training and further development for staff working in urology outpatients and diagnostics for their assessment and continual professional development.
  • Work always within specialty, directorate and Trust guidelines, policies and procedures.

After a period of training and supervision you will be expected to support clinicians, carry out nurse led clinics and support and supervise clinics carried out in the department.

About us

Urology outpatients and diagnostics Gate 36 Southmead Hospital. We are a large friendly team of registered nurses, assistant practitioners and health care assistants. We work as a team and independently providing nurse led clinics.

Job description

Job responsibilities

Working in collaboration with the Senior nursing team/ Matron/ Urology Management team the post holders main duties will include:
  • Leading the nursing team in the delivery of evidence-based patient-centered care, which is of a high standard.
  • Working in partnership with the sister and clinicians in developing the team and the provision of the service, forming working relationships with urodynamics, Weston Urology, radiology and lithotripsy.
  • Being involved in the co-ordination of the outpatient department, completion of audits, and mentorship of junior staff.
  • Being a key member in facilitating changes in the needs of the service and play a vital role in the development of the outpatient team including their ongoing professional development. Support implementation of new procedures and equipment.
  • Supporting the other Band 6 Sister and the Band 7 Senior Sister (currently on secondment) with managerial tasks including roster design, sickness management, appraisals and 1:1s and training.

Patient Care
  • Plan, allocate, supervise and evaluate working practices of the team on a day-to-day basis.
  • Provide professional advice and support to team members so that they are able to assume responsibility to carry out delegated duties.
  • Be responsible for implementation and delivery of nutritional and fluid standards including snack boxes for day case and transport patients.
  • Review the effectiveness of treatments and make any necessary modifications, reporting to senior colleagues/medical staff as necessary.
  • Ensure the safe storage and administration of medication, medical devices and fluids in accordance with Trust policies.
  • Undertake the full range of extended/advanced clinical skills (relevant to clinical area) and supervise/assess others.
  • Implement privacy and dignity standards within own sphere of responsibility and ensure the chaperone policy is implemented.
  • Respect individuals dignity, wishes and beliefs, involving them in shared decision-making with consideration for the vulnerable patient, learning disabilities and child protection issues.
  • Be aware of the required documentation pertaining to:
    • DOLS
    • Referral to Social Service
    • Mental Capacity
    • Mental Health Act
    • Safeguarding referrals
  • On identification of concerns, raise through the appropriate line management structures, if necessary, referring to the Trusts Whistle-blowing procedure.
  • Act as advocate for staff/patients in internal and external forums, constructively challenging clinical teams as appropriate.
  • On a shift-by-shift basis, be responsible for minimising the risks of infections and for the implementation of the relevant code of Practice for prevention and control of infection.

To contribute towards health promotion for patients and corers by providing education, support and advice. Ensure referral to appropriate professionals or agencies as required.

Communication and Information
  • Be able to communicate difficult, sometimes complex and emotive information.
  • Accountable for self and team members for accurate and legible record keeping in accordance with local policies and NMC guidelines within own practice and sphere of responsibility.
  • To Answer telephone enquiries and forward calls to relevant departments or individuals as the need arises. Trouble shoot, provide advice to avoid hospital admissions. Provide safety net advice.

Clinical and Management Responsibilities
  • Regularly take charge of the urology outpatient and diagnostic department.
  • Adhere to the Trusts complaints PALS procedures with regard to written and verbal complaints. Investigate complaints and concerns. Where necessary, develop remedial action plans for designated clinical area and evidence the implementation of action plans.
  • Working with the Senior nursing team, be responsible for the effective use of E-Rostering to ensure optimum skill mix to cover clinics.
  • Accountable for the monitoring and initial management of sick absence for own immediate team and escalating cases as appropriate in accordance with Trust policy.
  • Tackle poor performance and standards of behavior and, where necessary, initiate ad-hoc meetings for staff to discuss performance. Matters to be escalated to Senior Sisters when necessary.
  • Ensure all staff in their area work to the Professional Code of Conduct and/or Trust standards.
  • Ensure all Annual Appraisals and Personal Development Plans are completed annually for staff within reporting chain.
  • Assist with the interview, selection and recruitment process for staff.
  • As a clinic co-ordinator, have responsibility for health and safety within own sphere of responsibility (e.g. fire, COSHH, violence and aggression, mental capacity act etc.), leading by example ensuring a working culture of the team which is conducive to good health, safety and security practices. Carry out health and safety assessments.
  • Report all accidents and/or untoward incidences as per NBTs clinical risk management procedure.
  • Ensure the safe ordering, administration, and custody of patients medication according to Trust policies and procedures.
  • Review, update and write safe systems of work and standard operating procedures as part of the management team for all procedures.
  • Be responsible for the supervision and checking of specialist equipment daily.
  • To have detailed knowledge of Manual handling regulations particularly with regards to the lifting and moving of patients. To be responsible for ensuring assessment of patients manual handling needs are carried out and ensure junior staff and students follow these requirements during care delivery. Attend mandatory theoretical and practical training and assessor training as agreed with the Senior Nursing Staff.
  • Ensure safe storage and disposal of substances hazardous to health in accordance with Trust policy. Ensure availability of facilities for disposal of sharps, toxic / cytotoxic waste in accordance with trust policy. .

Financial Responsibilities

Facilitate the economical use of supplies, equipment and staffing within the allocated annual budget. Monitor and report to ensure stock levels are maintained.
  • Manage safe staffing levels, skill mix and maintain efficient control of the department budget. Attend and participate in budget meetings.

Education, Training and Development
  • Manage the training and further development for staff working in urology outpatients and diagnostics for their assessment and continual professional development.
  • Have personal responsibility for own attendance at mandatory and statutory training.
  • Attend training identified by the department and yourself as essential to your role.

Service Improvement/Research and Development
  • Assist the managers with the implementation of any local service programs and to ensure they are consistent with Trust objectives and any other quality indicators/targets.
  • FDS pathway (faster diagnosis standard) Review and update pathways to achieve our targets.
  • As delegated, be responsible for the effective collection and interpretation of saving lives audit data and, when necessary, take corrective actions for area to ensure Trust standards are met.

After a period of training and supervision you will be expected to support clinicians, carry out nurse led clinics and support and supervise clinics carried out in the department.
  • Undertake the full range of extended/advanced clinical skills (relevant to clinical area) and supervise/assess others.
  • To assist the clinician with flexible cystoscopies including complex flexible cystoscopies e.g., urethral dilatation or difficult catheter changes.
  • To assist the clinician with Local anaesthetic prostate biopsy. Support the patient during and after the procedure and manage specimens.
  • To facilitate nurse led clinics: Urinary flows clinic, TWOC (trial without catheter), Bladder instillations (including chemotherapy and immunotherapy).
  • Facilitate Enhanced recovery education clinic and telephone follow-ups.
  • Support the radiographers with lithotripsy clinic. Assess patients prior to lithotripsy, administer medication and monitor patients post procedure.
  • To carry out complex catheter change clinic including urethral and suprapubic changes.
  • Facilitate CIC (clean intermittent catheterisation) teaching clinic and their follow up.
  • Prepare and support patients prior to, during and following healthcare procedures such as flexible cystoscopies.
  • Obtain, test and record specimens eg blood, urine, prostate biopsy samples.

Facilitate telephone clinics for Intermittent self-catheterisation clinic, home bladder installation clinic, LATP pre procedure assessment, ad hoc trouble shooting to prevent hospital admission and enhanced recovery follow up calls.

Attend laser safety training, monitor staff laser safety training and competency, act as the laser safety supervisor when on shift. Assist with the TULA laser. This clinic is currently ad hoc but we will be running regular clinics within 6 months.

Person Specification

Education training

Essential

  • Registered Nurse
  • Teaching/Mentorship qualification


Desirable

  • Relevant post registration qualification


Work experience

Essential

  • Relevant post-graduate experience- Urology/Surgery/Management
  • 18 months experience at Band 5 level
  • Recent experience working in urology setting


Desirable

  • Experience working at Band 6 level
  • Recent experience working in outpatient setting


Knowledge/Skills/Abilities

Essential

  • The NMC code of conduct, Application of Research and Audit
  • Clinical governance and related issues
  • Health and Safety, Effective use of all resources
  • Change management process, policies and guidelines
  • Competence with surgical clinical skills (e.g. complex wound management, male and female catheterisation)


Personal Qualities/Special Circumstances

Essential

  • Effective verbal and written communication
  • Motivation to develop and support development of current services
  • Demonstrate leadership
  • Able to work and lead others within a diverse community of patients and healthcare professionals


Employer details

Employer name

North Bristol NHS Trust

Address

Southmead Hospital North Bristol NHS Trust

Southmead Rd Bristol

Bristol

BS105NB

Any attachments will be accessible after you click to apply.

339-LMH4606

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