Urology Lead Nurse

Job description

Job responsibilities

Clinical Responsibilities:

1. Use advanced expertise and clinical skills to accurately assess individual needs of urology patients and to manage their care appropriately informed by evidence based practice or expert opinion

2. Obtain a medical, surgical and urological history in a systematic manner, including physical, social, emotional, psychological and environmental factors

3. Undertake appropriate urological physical examination as per protocols/guidelines

4. Orders and interprets appropriate laboratory tests within agreed Trust and Directorate guidelines

5. Distinguishes between normal and abnormal findings on history and physical examination and relates this to possible diagnosis/ differential diagnoses

6. To make appropriate diagnoses and identify, plan, assess, implement and evaluate patient care and needs both independently and in collaboration with other members of the multi-professional team

7. To undertake specialist procedures including flexible cystoscopy and prostate biopsy when appropriately trained and assessed within agreed Trust and Directorate guidelines/protocols

8. To prescribe treatment as a Non-Medical Prescriber or utilising Patient Group Directions, as appropriate within Trust guidelines/protocols

9. To participate in the Clinical Governance agenda as set by the Directorate and the Trust

1. To independently manage a caseload of Urological patients within protocols/guidelines as agreed within the Trust and Directorate guidelines

1. To accurately and concisely document all care provided

1. To provide expert clinical advice to patients and colleagues

1. To demonstrate specialist skills and knowledge through expert nursing practice

1. To maintain a high profile in the clinical area acting as a role model for other health care professionals

1. To assist in establishing, implementing and monitoring Trust/directorate guidelines, policies and protocols

Professional and Personal Responsibilities:

1. To act as a role model and promote excellence in nursing practice as well as promoting professional and clinical nursing skills within the Directorate/Trust

2. To be responsible for working within the NMC Code of Professional Conduct and all Trust and Directorate guidelines, with the ability to practice independently and with freedom to act as appropriate

3. To maintain and respect patient confidentiality in accordance with the NMC Code of Professional Conduct and the Trust and Directorate Policies

4. To work within both local and national clinical guidelines

5. To maintain an expert level of competence and continue with own personal and professional development through relevant professional and academic study

6. To maintain accurate and up to date medical and nursing records

7. To act in an advisory/collaborative role with all members of the multi-professional team and contribute to project work, research, clinical audit and developments within the Surgical/Urology Division

8. To undertake Personal Development Review (PDR) with the Divisional Nurse for Planned Care, and to critically reflect on own performance through clinical supervision and mentoring

9. To establish and maintain a mentor relationship with a named medical consultant.

Educator Responsibilities:

1. To lead and support the nursing team and junior doctors to complete competency based training programmes appropriate to their level

2. To promote excellence in nursing practice by teaching and developing staff within the directorate and to organise and participate in educational events both locally and nationally.

3. To become involved in the development and facilitation of the Directorates education strategy.

4. 4. To initiate and co-ordinate teaching and assessing in clinical practice and to facilitate the ongoing development of competencies

5. To act as an educator, practice developer and leadership role model for other members of staff

6. To advocate improved health through relevant health promotion, advice and education and by encouraging patient participation in their care

Research/Audit Responsibilities:

1. Critically evaluates research and audit findings and incorporates evidenced based practice into care of patients.

2. Responsible for policy/protocol development and implementation within Urology and the Trust

3. To initiate and undertake audit as appropriate either individually or as part of the multi-disciplinary team

4. To generate questions for research arising out of practice and to collaborate with the multi-disciplinary team in order to investigate these questions

5. To attend relevant departmental and Directorate meetings relating to clinical practice and clinical governance

Consultation/Collaboration Responsibilities:

1. To provide specialist support, advice, share knowledge and expertise and act as a resource both within the Directorate and other agencies

2. To establish and maintain links with other agencies outside the Directorate with relevance to the speciality

3. To be able to recognise own professional/clinical limitations and to seek advice and support when required

4. Recognises the unique contribution to patient care of both own and other disciplines and to refer patients to other specialists and act as an advocate to patient needs

5. Shares knowledge and expertise related to clinical and professional both within the Trust and other agencies

6. To be involved and play an active role in new service developments as required

Leadership/Management Responsibilities:

1. Directly line manages the Clinical Nurse Specialists (Urology), providing all HR aspects e.g. PDR, sickness, annual leave etc.

2. To ensure, maintain and promote effective communication with all staff groups, colleagues, managers, patients and carers

3. To be a role model for junior members of the team and a support to colleagues and managers

4. To actively participate and encourage others to participate in clinic, Directorate, Division and Trust meetings

5. Ensure staff work in a professional manner at all times and challenge when this is not adhered to

6. To participate in investigating and report immediately complaints, accidents, incidents and losses, in accordance with Trust Policy

7. Acts in a supervisory and supportive role to multi-professional members of staff within the Directorate

8. To liaise with other members of the multi-professional team to ensure that there is efficient use of resources including finance

9. To provide support/manage the nursing team in the absence of the Clinic Manager or Senior Nurses

1. Ensure at all times that there is a safe and acceptable working environment for patients and members of the multi-professional team

1. To act as a patient/staff advocate through the application of ethical, legal and professional knowledge and skills

1. To work within the Trust's Health & Safety Policy Guidelines

Communication Responsibilities:

1. Ensure all communication, which may be complex or sensitive, is undertaken in a responsive and inclusive manner, focusing on improvement and ways to move forward.

2. Ensure all communication is presented appropriately to the different recipients, according to levels of understanding, type of communication being imparted and possible barriers such as language, culture, understanding or physical or mental health conditions.

Person Specification

Education and qualifications

Essential

• Registered Nurse
• Specialist qualification in Urology nursing
• Relevant MSc qualification or working towards
• Teaching qualification
• Training/experience in undertaking flexible cystoscopy

Desirable

• Independent non-medical prescriber or working towards or willing to undertake
• Advanced communication skills
• Leadership qualification or working towards

Knowledge and Experience

Essential

• Extensive post registration experience at senior level within Urology/Surgery
• Experience of independent practice within Urology
• Experience of clinical audit and research
• Experience of initiating and implementing independent nurse-delivered clinics/services
• Experience in Health promotion

Desirable

• Experience in formulating assessments and competencies for nursing and medical staff
• Experience of formulating protocols standards

Skills

Essential

• Ability to undertake comprehensive history taking, perform physical examination independently and assess, interpret clinical findings, diagnose and propose or implement appropriate treatment for undifferentiated patients
• Presentation and effective communication skills
• Good interpersonal skills and ability to manage demanding and sensitive circumstances
• Demonstrates excellent time management and organisational skills
• Computer literate

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

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

Employer details

Employer name

Chelsea and Westminster Hospital NHS Foundation Trust

Address

Chelsea and Westminster

Fulham Road

London

SW10 9NH

Employer's website

https://www.chelwest.nhs.uk/ (Opens in a new tab)