Urology Oncology CNS

Job overview

An exciting opportunity has arisen to join a motivated Urology Oncology specialist team.   We require a nurse who really cares about their contribution to patient care, their working environment, and their colleagues. The Clinical Nurse Specialist will be an advanced and experienced practitioner within Urology Cancer Team. They will be accountable for the implementation of Personalised Care in the cohort of patients and will work with the Head of Nursing to implement strategies to improve patient experience and quality of care.

As an Oncology CNS, they will demonstrate that they are working at an advanced level under the ACCEND program

The role of Clinical Nurse Specialist requires a high degree of personal professional autonomy and making clinical judgements.  Taking sole and joint responsibility for the patient and procedure during oncology-related diagnostic and therapeutic interventions to ensure a successful patient-based outcome within the acute/community setting, which will require assessment, planning and implementation of treatment.

Previous applicants need not apply.

Main duties of the job

• Act as the key worker for patients with urology undergoing oncological treatment (Urology Medical Oncology and Urology Clinical Oncology Consultant Team)
• Provide specialist clinical advice on: Treatment modalities (systemic therapies, radiotherapy) Treatment side‑effect management Disease progression and recurrence
• Treatment modalities (systemic therapies, radiotherapy)
• Treatment side‑effect management
• Disease progression and recurrence
• Undertake advanced holistic needs assessments (HNA) and develop personalised care plans.
• Provide clinical support during: Treatment consent and shared decision‑making Transition points from LGT and GSTH and vice versa.
• Treatment consent and shared decision‑making
• Transition points from LGT and GSTH and vice versa.
• Provide specialist support for patients with metastases from urology cancer.
• Monitor and escalate red flags and symptoms in the metastatic context promptly to prevent deterioration.
• Support decision‑making around complex treatments and prognosis discussions

Detailed job description and main responsibilities

All the following are to be carried out while working in close collaboration with members of the multi-disciplinary team led by a Consultant.  To demonstrate clinical expertise within the speciality and work autonomously, managing own allocated clinics independently and seeking guidance/support when necessary.

• To co-ordinate the specialty care within SELCA, including outreach clinics within the region.
• To become an essential member, and point of contact and resource for the multi-disciplinary team and patients and carers.
• Carries out diagnostic/therapeutic interventions as an independent practitioner, interprets, writes reports and commences further possible treatment on the basis of the findings.
• Carries out complex therapeutic/investigational procedures under indirect supervision of the Consultant.  Ensuring that they are carried out using safe practice and under agreed guidelines/protocols to ensure that the highest possible standard is obtained based on competent clinical practice.
• To demonstrate the ability to develop new skills, to provide an expert high-quality, nurse-led service.
• To provide ongoing follow-up care and support.
• To develop the service in a structured interdisciplinary way, initiating on-going change and progression in the expanding role of a Clinical Nurse Specialist.
• To develop interdisciplinary clinical management protocols and work within them.
• Autonomously or in collaboration with the multidisciplinary team, manage the care of patients carrying out relevant interventions, within agreed clinical protocols and in line with current practice/trends.
• To offer a supportive service to patients and their carers, disseminating specialist knowledge enabling individuals to try and adapt to any changes to their body image and life experiences.  Liaising with other healthcare professionals when necessary.
• To provide, promote and maintain a support and advice service to patients and their carers, to include provision of information giving from diagnosis through to all stages of the disease process, in liaison with relevant healthcare professionals.
• To maintain accurate and legible records of all clinical and legal documentation with regard to Statutory and Trust policies.
• To assess, develop, implement and evaluate programmes of care within the acute and community setting
• To control patient admission via direct referral and with consultant guidance and supervision.
• Be aware of, understand, and act upon the Divisional Business Plan, with particular reference to nursing care, in order to participate in the re-formulation of nursing aspects of the plan.
• When required, investigate the nursing aspects of incidents/complaints