Hysteroscopy Specialist nurse

Job overview

This is an exciting opportunity to join our Specialist Nursing Team at East Lancashire Hospitals Women and Newborn Centre.

The post holder will work independently as a Clinical Nurse Specialist performing diagnostic and therapeutic hysteroscopy procedures in line with the Faster Diagnostic Services (FDS) as outlined by NHS England to meet the 28-day target from referral to diagnosis.

The post holder will demonstrate advanced levels of clinical judgment, discretion and clinical decision making in accordance with the British Society of Gynaecological Endoscopists (BSGE).

The post holder will be an experienced practitioner, with expert knowledge and skills in the field of hysteroscopy services, undertaking holistic assessment, planning, implementation, and evaluation of programmes of care in accordance with National Guidance; and able to provide comprehensive consultation and advice for patients.

The role includes providing a Nurse led hysteroscopy service, as part of a MDT in collaboration with a consultant lead supporting a one stop model of care for women who are referred to the service for suspected cancer. The successful post holder will also work in partnership with the patient navigator, the wider operational management team, nursing, and support all teams to deliver the clinical objectives of the Hysteroscopy Faster Diagnosis Service.

Main duties of the job

The post holder will work independently as a Clinical Nurse Specialist performing diagnostic and therapeutic hysteroscopy procedures in line with the Faster Diagnostic Services (FDS) as outlined by NHS England to meet the 28-day target from referral to diagnosis.

The post holder will demonstrate advanced levels of clinical judgment, discretion and clinical decision making in accordance with the British Society of Gynaecological Endoscopists (BSGE).

The post holder will be an experienced practitioner, with expert knowledge and skills in the field of hysteroscopy services, undertaking holistic assessment, planning, implementation, and evaluation of programmes of care in accordance with National Guidance; and able to provide comprehensive consultation and advice for patients.

The role includes providing a Nurse led hysteroscopy service, as part of a MDT in collaboration with a consultant lead supporting a one stop model of care for women who are referred to the service for suspected cancer. The successful post holder will also work in partnership with the patient navigator, the wider operational management team, nursing, and support all teams to deliver the clinical objectives of the Hysteroscopy Faster Diagnosis Service.

Detailed job description and main responsibilities

Independently perform Hysteroscopy examination and treatmen

Plan and document the on-going care requirements for the women maintain records that reflect planning, communication and management of care.

Ensure a working knowledge of the use, maintenance and safety of the machines used in the clinic.

Utilise advanced communication skills for complex situations regarding diagnostic findings and patient care.

Participate and facilitate the training and education of both medical and nursing staff that are undertaking Hysteroscopy related   education.

Set, monitor and evaluate standards of care within the service.

Conduct qualitative and quantitative audits for the service to highlight the opportunities for the specialist clinic and advance the service.

Present audit findings in appropriate forums.

COMMUNICATION

• Demonstrate pro-active and effective leadership and act as a positive role model. Demonstrate effective communication and collaboration with all members of the multi-disciplinary team. Communicate highly complex and sensitive information to the patient and referring clinician related to diagnosis. Provide and receive highly complex information which requires empathy and reassurance and often involves overcoming barriers to understanding. To communicate effectively and empathetically with relatives of patients. To ensure that urgent findings are communicated and patients are directed accordingly. To liaise with other departments/wards within the hospital and various external sources in order to provide a quality service to patients and clinicians. Keeping them informed of any delays to patient throughput that might result as a consequence of, for example excessive workload, equipment breakdown, sickness etc. Ensure that incidents are reported to the Clinical Services & Quality Manager in accordance with trust policy. To assess and provide specific communication needs of individual patients Attend, contribute and when necessary, lead team meetings. Take responsibility for reviewing the Standard Operating Policy for the service as required. To develop clinical policies and protocols relevant to the service, ensuring that practice is evidence based.  Propose changes to procedures and working practices within the service. Ensure all staff understand and adhere to policies and protocols. Create and positively promote an environment which is conducive to education and learning. Participate in the recruitment and selection of staff.

TRAINING AND DEVELOPMENT

To provide high quality expert clinical training and mentoring to all staff as agreed.

To provide specialist information to other Health Professionals regarding Hysteroscopy examinations and treatment as requested.

To personally undertake training and study and assessment, as necessary, to ensure that a high level of current professional knowledge and expertise is achieved, to maintain a CPD portfolio as evidence of all training/study and to use this as part of the annual appraisal process.

To participate, when possible and appropriate, in teaching, lecturing or presentation of case studies and attending multi-disciplinary team meetings.

To participate in research and audit projects and present findings related to these studies as appropriate thus participating in contribution to overall service developments.

ORGANISATIONAL RESPONSIBILITIES

• The post holder will actively participate in the Clinical Governance process and Management of Risk.   It is a standard element of the role and responsibility of all staff of the Trust that they fulfil a proactive role towards the management of risk in all of their actions.  This entails the risk assessment of all situations, the taking of appropriate actions and reporting of all incidents, near misses and hazards. Assist in the process of investigating incidents and participation in route cause analysis and sudden untoward incidents Participate in educating and supporting staff in the governance process. Alongside the Band 7 OPD Manager the post holder will provide leadership and be a role model for medical and nursing staff. The post holder will maintain records to NMC Professional Standards. In conjunction with the Band 7 OPD Manager and Matron the Post holder will develop the service, responding to Professional Guidance e.g.  NICE, RCOG Guidance

PROFESSIONAL RESPONSIBILITIES

The post holder will maintain NMC registration.

The post holder will work within the NMC code of conduct.

The post holder will participate in a Quality Assurance process to provide assurance of their ongoing ultrasound competence.

As an integral member of the Hysteroscopy team  the post holder will collaboratively develop guidelines, pathway, policies and procedures.

Alongside the Band 7 OPD Manager the Post holder will provide leadership and be a role model for medical and nursing staff.

EMPLOYMENT ACTS AND CODES OF PRACTICE

All employees are required to comply with employment legislation and codes of good practice.

Equality and Diversity

We are an Equal Opportunities employer and will do all we can to make sure that job applicants and employees do not receive less favourable treatment because of their age, sex, marital status, faith, race, disability or sexual orientation, or for any other reason that is not justified.

Health and Safety

In accordance with the Health and Safety at Work Act 1974, and other supplementary legislation, all employees are required to follow Trust Health and Safety policies and safe working procedures, take reasonable care to avoid injury during the course of their work, and co-operate with the Trust and others in meeting statutory requirements.

Infection Control

All employees must comply with Prevention and Control of Infection polices and attend any related mandatory training.

Sustainability and Corporate Social Responsibility

The Trust attaches great importance to Sustainability and Corporate Social Responsibility.  It is the responsibility of all members of staff to ensure that the Trust’s resources are used efficiently with minimum wastage throughout their daily activities

Risk Management

Employees are required to report every incident where the health and safety of self or others has been jeopardised (including near misses) and to carry out or participate in investigations into such incidents as required.

Safeguarding

All employees have a responsibility for safeguarding and promoting the welfare of children and adults.  Further guidance can be sought from your Line Manager.

Data Protection Act

All members of staff are bound by the requirements of the Data Protection Act 1998.

Rules, Regulations, Policies, Standing Orders and Financial Instructions

All employees are required to comply with the rules, regulations, policies, standing orders and financial instructions of the Trust.

Research and Development Projects

Whenever you decide to undertake a piece of research, either as a Principal Investigator or Local Researcher, or Assistant Researcher, you must comply with the principles of Clinical Governance and the Research Governance Framework.

Development Review

Key performance objectives, development needs and compilation of a Personal Development Plan will be discussed and agreed at Annual Development Review meetings.

Training

Post holders are required to attend any relevant and mandatory training for the post.

Outside Employment / Outside Interests

Any other work or outside interests must not conflict with the duties and responsibilities of your attendance for work as an employee of East Lancashire Hospitals Trust.  In accordance with legislation on working time, it is a condition of employment that all staff must inform their line manager before taking up any private practice, work for outside agencies or other employers, other work for this Trust (including bank work) and / or voluntary work.  This is to ensure there is no conflict of interest with your NHS duties.

Review of Job Description

This is not intended to be a comprehensive description of the duties of the post.  Due to the Trusts commitment to continuous improvement it is likely that the post will develop over time.  These duties will be subject to regular review and any amendments to this job description will be made in consultation and agreement with the post holder

STANDARDS OF CONDUCT

Conduct duties with regard to values underpinning the Trust’s Vision “to be widely recognised for providing safe, personal and effective care”:-

Values:-

• Respecting the individual
• Putting patients and customers first
• Promoting positive change
• Acting with integrity
• Serving the community

Underpinning the Trust’s vision and values are the following key operating principles that influence the way in which the Trust does business:-

• Understand the world we live in and deal with it
• We are clinically led and management supported
• Support departments support the front line
• Everything is delivered by and through Divisions
• Compliance with standards and targets are a given.  They are the things we do to help secure our independence and influence
• Quality is our organising principle – driving quality up and cost down is not mutually exclusive
• We deliver what we say we need to

Post holders are expected to work flexibly within their pay band.  They should only be expected to carry our activities for which they are competent.  Alternatively they may carry out the additional duties if they are receiving support or training in order to obtain the recognised level of competence.

The Trust operates a Tobacco Control Policy.