Nurse Hysteroscopist

Job responsibilities

Job Purpose:

• Act as an autonomous practitioner using advanced specialist skills to investigate, assess, plan, implement and evaluate care of own case load of patients presenting to the Post Menopausal Bleeding (PMB) and Outpatient Hysteroscopy (OPH) service in line with agreed protocols, guidelines and patient group directives (PGDs).
• Provide evidence based, high quality and safe standards of care.
• Provide expert advice relating to PMB and OPH to patients, their relatives, and Oncology/Gynae multidisciplinary team members, medical staff, patient representative groups, trainees and students.
• Provide specialist support, advice and information to patients and their families undergoing investigations for suspected cancer
• Provide specialist advice and clinical care for women and their families, in partnership with other specialised services to facilitate a collaborative approach to patient care
• In collaboration with the Lead For Ambulatory Gynaecology Services, develop and review protocols and guidelines for the OPH and PMB services.
• Be involved in and support the Directorate Management Team in strategic reviews and service development plans for PMB and OPH services
• Develop and lead audit and patient satisfaction surveys for the PMB and OPH services
• Support and participate in audit for hysteroscopy service
• Participate in any research projects relating to the PMB and OPH services
• Assist in managing PMB and OPH clinics to ensure patients are investigated in keeping with cancer waiting time targets

Key Duties:

As an autonomous practitioner, provide assessment, planning, investigations, diagnosis and treatment for women requiring outpatient hysteroscopy, within own competence, skill and qualifications

Carry out diagnostic and therapeutic outpatient hysteroscopy procedure as an autonomous practitioner within own competence, skill and qualifications

Working as an autonomous practitioner, plan and organise workload effectively and be accountable for the quality and standard of work performed

Provide a high level of clinical expertise and leadership in the unit and ensure the delivery of patient care in accordance with national and local guidelines, policy and procedures ensuring best standards of practice, the NMC code

Support both medical and nursing staff in the delivery of high quality care that is safe, clinically effective and takes into account the patient experience

Contribute to the formulation of patient information leaflets and clinical/departmental guidelines

Act as a professional role model to all staff

Be a contact/resource for GPs and other healthcare professionals

Communication and Relationships

Take delegated and non-delegated consent for investigations, procedures and treatments within own sphere of competence and adhering to local guidelines

Liaise with the multi-disciplinary team both within the organisation and with outside stakeholders, to ensure high standards of care are maintained.

Communicate proactively with all staff on the clinical condition and treatment/discharge plans of patients and ensures accurate and contemporaneous nursing records are maintained

Ensure excellent communication between patients, their relatives/carers, the multi-disciplinary team and GPs

Ensure high standards of written and verbal advice are available to patients, relatives and carers

Actively involve patients, relatives and carers in investigation/treatment choices

Ensure the unit works collaboratively with other departments, in particular the ultrasound scan department

Acts as a role model/ ambassador for the organisation and the nursing profession

Ensure clinic outcomes are recorded and waiting list forms/referrals are processed in keeping with local procedures

Education and Training

Continually develop specialist knowledge, advanced practical skills and competence by regularly undertaking literature reviews, attending BSGE scientific meetings, adhering to current and changing BSGE requirements, and keeping up to date with RGOG guidelines and trends ensuring delivery of best evidence based practice

Attend relevant courses/conferences/lectures to keep up to date with current best practice standards and recommendations, as required by the needs of the service/role and meet the Trust mandatory training requirements

Utilise and disseminate new knowledge and skills appropriately

Be involved in the training of medical staff, general practitioners, community gynaecologists and qualified nurses in outpatient hysteroscopy and related procedures eg. vaginal examination, passing speculum, endometrial biopsies, diagnostic and therapeutic hysteroscopy procedures including endometrial polypectomy

Teach undergraduate medical and nursing students in the management of abnormal uterine bleeding

Be actively involved in internal/external, formal/informal teaching for health care professionals, patients and their relatives/carers

Perform clinical and non-clinical audit, patient satisfaction surveys and development of the service

Be involved in research pertaining to the PMB and OPH service/ Nurse Hysteroscopist role

Be actively involved in looking for quality improvement projects pertaining to the PMB and OPH service

Practice & Proffesional Development:

Ensure nursing practice is in keeping with the Nursing and Midwifery Council Code and the NHS values

Receive and provide regular clinical supervision with and for other nursing staff using the reflective practice process

Keep up to date with professional issues and ensure they are reflected in practice

Develop links and collaborate with other health care professionals to share good practice and innovations with colleagues locally, regionally and nationally

Be fully conversant and compliant with all relevant Trust policies

To participate in personal objective setting and review, including the creation of a personal development plan at annual performance review.

Qualifications

Essential

• Registered Nurse with current NMC registration
• Nursing degree
• PG Certificate in Diagnostic Hysteroscopy and Therapeutic Management
• Evidence of Continuing Professional Development

Desirable

• Holistic Health Assessment / Physical Examination module
• Non medical prescriber (V300 qualification)
• Counselling module
• Diagnostic ultrasound qualification in gynaecology
• ALERT / ALS provider

Experience

Essential

• At least 5 years post registration experience in gynaecology at Band 5 and above in a ward / outpatient setting
• Experience of facilitating nursing and medical student learning
• Experience in delivering in-house training
• Clinical audit activity
• Managing clinical risk and incidents at department level
• Evidence of management experience

Desirable

• Carrying out risk assessment
• Carrying out staff PDRs and professional development plan formation
• Sickness absence and performance management
• Complaints handling

Skills/Knowledge

Essential

• Experience and advanced clinical knowledge within Gynaecology
• Able to take delegated and non-delegated consent
• Awareness of MCA/DoLs and experience in assessment
• Proven ability to communicate complex clinical information
• Able to break bad news / poor prognosis with empathy
• Able to communicate with parents, relatives peers and other professionals
• Clinically credible
• Evidence of teaching and presentations skills
• Proven ability to be organised and manage own time / workload
• Awareness of health and safety issues and management of them
• Able to prioritise and use of initiative
• Fully aware of principles of infection control
• Able to produce written reports and articulate concerns regarding patient care / safety issues
• Computer literate
• Evidence of being up to date with current NHS / professional issues

Desirable

• Bi-manual examination
• Chronic disease / pain management
• Project management skills

Professional

Essential

• Evidence of adherence to the NMC Code
• Evidence of delivering person centred care
• Promoting peoples equality, diversity & rights
• To ensure actions contribute to quality
• Knowledge of the ageing process and related mental and physical health problems
• Knowledge of clinical governance including audit and a commitment to clinical supervision
• Knowledge of the individuals responsibility towards health and safety

Desirable

• Involvement in a quality improvement project

Other Job Requirements

Essential

• Ability to travel across sites when requested to do so.
• Standard Clauses
• Due to the nature of our work, all posts are deemed to require CRB clearance.
• All posts working with children or vulnerable adults are required to be checked against ISA Vetting and Barring lists and may require ISA registration.

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).