Clinical Nurse Specialist – Urogynaecology

Recruiter
Coombe Women and Infants University Hospital
Employment Type
Permanent
Salary
€51,422 - €60,792 per annum
Coombe Women and Infants University Hospital logo

Responsibilities & Accountabilities:

Professional/Clinical

  • Provide clinical expertise, specialist advice and support to women across Urogynaecology Nursing Services, ensuring that the provision of excellent evidence-based nursing care is maintained.
  • Manage patient care to ensure the highest professional standards using an evidence based, care planning approach.
  • Identify changing health care needs at all stages of pelvic floor and bladder dysfunction, liaising as necessary with other members of the healthcare team.

  • Support a patient case-load, ensuring continuity of a high standard of evidence-based nursing care, from point of referral through to conservative treatment and/or post-operative management and discharge. 

  • Provide safe, comprehensive midwifery and nursing care to service users within the guidelines laid out by Bord Altranais agus Cnaimhseachais na hEireann, Nursing and Midwifery Board of Ireland NMBI

  • Practice Nursing/Midwifery according to; 

Professional Clinical guidelines

National and Area Health Service Executive (HSE) guidelines

Local Policies, protocols and guidelines

Current Legislation. 

  • Be able to deliver nurse-led care in an outpatient setting for women attending for:

  • Urodynamic study, Bladder instillations and pelvic organ prolapse management including the use of vaginal pessaries
  • assessment & review of post-operative patients
  • review of other urogynaecology interventions including drug therapy. 
  • providing on-going emotional support and patient / carer education and advice
  • teaching and support for patients learning Intermittent self-catheterization.

  • Following appropriate training, provide, perform and interpret nurse-led diagnostic investigations e.g. urodynamics and ensure that appointments are triaged according to urgency in line with Local Hospital Policies.

  • Document all diagnostic findings within patients notes and work within the Hospital guidelines.

  • To understand and communicate to the patient her diagnosis and treatment options following investigation 

  • Generate and dictate letters to referring clinicians outlining assessment, results of investigations, treatment and management plans on all patients attending both nurse-led and diagnostic clinics. 

  • Ensure that nursing care is patient focused and that the patient’s privacy and dignity are maintained at all times.

  • Acts as contact, when required, answering patient concerns and queries, reassuring and counselling patients where appropriate. This includes new referrals, those under investigation; and following conservative, surgical and associated treatments.

  • Maintain accurate records of all referred patients, ensuring relevant information and outcomes are documented in the patient’s notes in accordance with the local hospital policy and professional standards 

  • Assist management of urogynaecology/urodynamic waiting times according to complexity of cases referred.

  • Communicate independently with patients, carers and other health and social care providers actively involving them in their consultation, procedures, treatment, follow-up and referral to other associated disciplines if required (e.g. Physiotherapy, colposcopy services.)
  • Be actively involved in maintaining a clinically and physically safe environment for patients, relatives and staff, in accordance with the local hospital current risk management policy.

  • Provide advice to support ward and maternity staff when caring for patients with Urogynaecology needs, ensuring all aspects of care are understood and carried out in accordance with present standards and protocols. 

  • Provide care for women with Urogynaecology complications during pregnancy/following birth including those with bladder distension injuries and /or urinary retention requiring catheterization

  • Support the MDT process

  • Work with the Urogynaecology clinical team on the development of appropriate patient group directives to facilitate/enhance the discharge process.

  • Attend and be an active member of the local and regional multi-disciplinary team (MDT) meetings caring for women with complex Urogynaecology conditions.

  • Check diagnostic equipment and devices are functioning and services maintained.

  • Be competent in the safe use and maintenance of specific equipment and devices used within the sphere of responsibility and speciality.

  • Alongside the Clinical Nurse/Midwife Manager 2, assist with cost efficiency of stock items, ordering non-stock items, supply and delivery of the stocks required for urogynaecology and urodynamic clinics.

  • Ensure the clinical environment meets Health and Safety policy.

  • Ensure best practice in Infection Prevention and Control.

  • Promote excellent communication and support to all clerical staff working to support and provide Urogynaecology services

  • Actively involve service users in providing feedback of their experience of the current service and suggestions for improvements.

Education, Training and Development 

  • Maintain own personal and professional development including in areas specific to urogynaecology, attending mandatory study sessions as required.
  • Engage in continuing professional development by keeping up to date with nursing and midwifery literature, recent nursing and midwifery research and new developments in nursing and midwifery management, education and practice.
  • Be familiar with the curriculum training programme for student midwives and be aware of the clinical experience required to meet the needs of the programme.

  • Assist and maintain evidence-based quality standards that are regularly audited and participate in appropriate changes in practice.

  • Provide written health information for patients with specialist urogynaecology conditions including disease, investigation, treatment, management and on-going care.

  • Provide education and support for non-consultant house doctors and nurses within the hospital and community staff that care for urogynaecology patients through evidence-based practice.

  • Contribute to informal and formal teaching of all visiting staff e.g. nurses, GP trainees, specialist registrars, midwives through evidence-based practice.

  • Ensure user involvement in the development of urogynaecology specialist services through the use of surveys, audit and attendance at relevant meetings

  • Provide patients and their carers, with information and advice associated with specialist urogynaecology diagnosis and treatment, ensuring the best level of understanding and self-care as appropriate.

  • Act as a mentor for students and other junior staff ensuring learning is appropriate with education needs

  • Present cases at multidisciplinary team meetings taking full advantage of the opportunity of learning outcomes

Service improvement

  • Assist in the identification and development of Key performance Indicators (KPI,s) to evaluate Urogynaecology nurse-led services within the hospital and develop action plans to address the KPI targets.
  • Support the Urogynaecology service in the continuing operational and strategic development of specialist services within Urogynaecology. This includes out-patient flexible cystoscopy and associated treatments (BOTOX, urethral bulking) .

  • Assist in the continuing development of the urogynaecology service and the implementation of the NICE guidelines on women with urinary incontinence, best practice in urodynamics and RCOG/ BSUG guidelines.

Communications and Engagement

  • Promote excellent communication both verbal and written, and support to all clerical staff working to support and provide Urogynaecology services

  • Liaise with other health and social care professionals to ensure co-coordinated, on-going care, e.g. Public health service, GP and ward staff. This would include making appropriate referrals.

  • Act as a point of contact within the hospital for Urogynaecology within Women’s Health.

  • Maintain accurate records of all referred patients, ensuring relevant information and outcomes are documented in the patient’s notes in accordance with the Hospital policy and professional standards. 

  • Take an active role in the Gynaecology Specialist Nurse and Women’s Health Services.

  • Be a pivotal member of the multi-disciplinary team caring for women with complex Urogynaecology conditions.

  • Network with other Clinical Nurse specialists and Advance Nurse Practitioners with in the hospital to enhance patient experience and share/improve own practice.

General responsibilities 

  • Manage time effectively, creating a balance between clinical and managerial duties.

  • To contribute to investigations into specific incidents or complaints as requested.

  • Ensure best practice in Infection Prevention and Control.

  • Ensure the clinical environment meets Health and Safety policy.

  • Be familiar with the process of checking diagnostic equipment and devices are functioning and services maintained.

  • Assist in the training and competency of all relevant staff in the use and safe use and maintenance of specific equipment and devices used within the sphere of responsibility and speciality.

  • Ensures stock levels are maintained. Assist in the orders of specialist supplies and Urogynaecology and urodynamic equipment.

  • Ensure cost efficiency of stock items, ordering non-stock items, supply and delivery of the stocks required for urogynaecology and urodynamic clinics.

  • Be actively involved in maintaining a safe environment for patients, relatives and staff in accordance to Risk Management policies.

  • Use IT skills to maintain accurate and concise records of the clinical service, compiling statistical information that will profile the service and inform future strategic development.
  • Undertake regular individual performance review and agree personal development plans in line with service objectives.

  • Ensure safe storage and administration of medicines in accordance with the Hospital policy and practice.

The above Job Description is not intended to be a comprehensive list of all duties involved and consequently, the post holder may be required to perform other duties as appropriate to the post which may be assigned to him/her from time to time and to contribute to the development of the post while in office

the development of the post while in office.