LARC Coil & Implant Nurse

Job responsibilities

Job Purpose

The post holder will be able to understand complex care presentations and establish effective care pathways to address any needs in addition to their LARC requirements. This will include those who need additional consideration due to their complex social, emotional, psychological, and physical needs.

The post holder will provide a high level of personal care to patients to ensure they are treated with dignity and respect at all times, are provided with high quality care, clear and understandable information in a format/language they understand and feel their individual needs have been respected and met. The post holder is accountable for their own practice without direct supervision and will be a direct provider of higher-level nursing practice to patients with contraceptive needs.

The post is an integral part of the multidisciplinary team, responsible for the delivery of highly technical and specialised nursing skills which will include but not be limited to:

- Assessment and history taking

- Clinical examination, including bimanual

- Instigation and interpretation of diagnostic investigations

- Identifying appropriate methods of contraception

- initiation of treatment and plans of care, including independent assessment for provision of medications

- Provision of all methods of LARC following discussion and assessment ensuring patient can make an informed choice and consent

- Appropriate onward referral to other health and social care professionals if appropriate

Key Duties and Responsibilities

Analytical Data and Information

Analyse and interpret physical signs and presenting symptoms in relation to investigative findings to support a pathway of care for the client

Analyse and interpret results and discuss findings with the client offering information, support and referral where necessary

Analysis of clinical records identifying any issues of concern to senior clinical team or provide treat-ment within scope of practice/competence.

Planning and Organisation of Work

This is an independent practitioner post

The patient contact is generally on a one to one basis, with those patients whose birth gender is female

Able to plan own workload and work independently

Carry out nursing duties within Practice Policies and protocols, service procedures and guidelines according to competency and provide feedback on issues of concern to LARC Lead GP

Able to plan work for specialist services and be able to plan work and implement care pathways as delegated by the clinical team

Patient Client Care

Able to work within the requirements of the Bristol City Council GP Sexual Health specification;

Responsibility, for working with medical and nursing colleagues, for the delivery of comprehensive LARC services for the practice population

Follow Practice guidelines on confidentiality; adhere to the law regarding sexual health advice to those under sixteen years; Follow organisational policy and good practice assessment regarding safeguarding young people and vulnerable adults, following appropriate Practice Safeguarding policies

Fitting and removal of contraceptive subdermal implants in line with practice protocol and with overall supervision provided by the LARC Lead GP

Fitting and removal of contraceptive IUD/IUCDs in line with practice protocol and with overall supervision provided by the LARC Lead GP

Carry out Cervical Cytology screening

Counselling and Issuing of Emergency contraception under prescribing supervision of GP.

Provide a comprehensive discussion in the event of an unplanned pregnancy and refer to appropriate agencies as necessary

Perform a holistic assessment of patients attending for cervical cytology smear tests.

Deliver care to patients pertaining to their sexual health needs in line with current FSRH guidance

Assess, advise, prescribe, administer and carry out the full range of LARC procedures required by patients, following discussion with the individual as to their contraception choices, in line with FSRH current guidance.

Satisfy FSRH requirements for five yearly LoC re-certification and updating professional practice and reaccreditation

Carry out competent clinical examination of female patients, including cervical and bimanual examination

Be able to diagnose and clinically manage presentations of sexually transmitted infections and related conditions, and referral to appropriate Sexual Health Services providing patients with appropriate advice. Recognise complex issues relating to patients sexual health needs and seek appropriate advice where necessary.

Ensure knowledge of sexual health, in particular contraception is up to date and follow National recommendations and guidelines for their management. Have an understanding of HIV and its im-pact on sexual health care and contraception choices

To be competent in the management of under 16-year olds and vulnerable adults, working within Fraser Guidelines and liaising with the multi-disciplinary team and safeguarding team as appropriate

If currently not a NMP then the use of PGDs is essential

Maintain accurate contemporaneous electronic patient records, in line with local and national in-formation governance policy/legislation

Interpret results accurately and discuss with patients and associated healthcare professionals (HCP) as required. This may include providing advice to HCP outside the service. Manage results in a timely manner, in accordance with practice policy

Always communicate with users of the service in a sensitive, non-judgemental and supportive manner. Subject matter may be complex and emotive, which may involve breaking bad news.

Please see full job description attached for full details.

Experience

Essential

• Previous experience of contraception delivery including Intra-uterine LARC and subdermal contraceptive implants
• Worked in an independent practitioner role.
• The use of PGDs
• Experience of working with young people
• Demonstrates comprehensive patient management skills
• Capacity to apply sound clinical judgement and decision making, including advising others
• Good understanding of clinical governance and quality outcomes
• Good understanding of evidence-based medicine
• Comprehensive understanding of the needs of vulnerable or seldom-heard groups/communities in relation to Sexual Health
• Understanding of Fraser Competence and Gillick Guidelines, and Safeguarding Children and Adults
• Competent in basic life support
• Experienced in working in nurse led specialist services

Desirable

• Experience in allied specialties e.g. Gynaecology, general practice, dermatology
• Cervical screening smear taking
• Evidence of ongoing teaching and training
• Familiarity with Emis web
• Understanding of the Bristol City Council GP Sexual Health requirements
• Understanding of both local and national sexual health agenda including PHOF and Local Fingertips data.

Qualifications

Essential

• NMC Registered Adult Nurse
• Post-Graduate or equivalent experience/portfolio evidence.
• Holds a Specialist accredited nursing qualification/s in Sexual Health Nursing. i.e., FSRH Contraception Diploma.
• Current FSRH LoC SDI-IR Sub Dermal Implants
• Current FSRH LoC IUT Intra-uterine Techniques

Desirable

• Holds a recognised teaching course/qualification e.g., ENB 998, SLIP or equivalent;
• Membership of professional bodies/Forums
• Non-Medical Prescriber
• Management of STIs and appropriate accreditation e.g Certificate in
• management of those with STIs and related conditions/ BASHH STIF+ Competencies
• Cervical Screening qualification;

Skills and abilities

Essential

• Commitment to improving and developing the uptake of LARC within the Practice population, contributing to a decrease in unwanted pregnancy and uptake of LARC in line with PHOF expectations
• Enthusiasm for the specialty
• Excellent communication and interpersonal Skills
• Team working and ability to form good professional relationships at all levels
• Motivated
• Non-judgmental
• Accurate and comprehensive record keeping
• IT literate
• numerate
• Ability to analyse complex data and Information
• Ability to work under pressure
• Time Management
• Ability to communicate bad news with sensitivity / empathy

Other Requirements

Essential

• Enhanced DBS clearance
• Current NMC registration
• Right to work in the UK
• Satisfactory References
• Satisfactory Occupational Health Clearance
• Fully Immunised Hep B and MMR

Desirable

• Right to work in the UK Indefinitely
• Immune Hep B and MMR

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).