Clinical Nurse Specialist Urology 30 hours, ALX

Job summary

Welcome Do youenjoy a challenge? We would like to extend an invitation to join our wellestablished Urology CNS team, as a Band 6, if you feel you have the rightskills and qualities. To work clinically as a urology nurse specialistproviding a range of nurse led clinics, support the service and support thedepartment to develop your knowledge and skills. Identifying and directingpatient referrals from the GP and other sources to the most appropriate clinic.To provide a high standard of evidenced based care for patients with urologicalconditions. To provide teaching and develop clinical expertise across thehospital sites and community teams with a passion for improving quality. Wecurrently are able to offer a 30 hour post.

Main duties of thejob will be developed through training, supervision and competency assessment.

Main duties of the job

Main duties of the job will be developed through training, supervision and competency assessment.

Main Duties

To liaise with all key members of the multidisciplinary team to advise and support colleagues in the delivery of specialised patient care across professional boundaries. For both benign and cancer urological conditions. To undertake nurse led clinics and to be responsible for excellent standards of nursing care to patients through the planning, co-ordinating, delivering and evaluating nurse-led clinics. To work autonomously to deliver specialist clinical care appropriate to the needs of the patient group and based on principles that are research based and which enhance the quality of patient care. To contribute to the facilitation of the planning, delivery and evaluation of care pathways for a designated group of patients. To contribute to training and education within specialist area. To promote an innovative and progressive attitude to the continual improvement of patient care through reviewing the evidence base and embedding this in practice through engagement in research activities. To act as a visible role model and expert practitioner.

About us

Our purpose is simple - Putting Patients First. We are looking for exceptional colleagues who can help us achieve this.

Worcestershire Acute Hospitals NHS Trust is a large acute and specialised hospital trust that provides a range of local acute services to the residents of Worcestershire and more specialised services to a larger population in Herefordshire and beyond.

The Trust operates hospital-based services from three sites in Kidderminster, Redditch and Worcester

Our workforce is over 7,000 strong, and our caring staff are recognised as providing good and outstanding patient-centred care. You could be one of them.

We are committed to recruiting the best people to work with us to achieve our Vision - working in partnership to provide the best healthcare for our communities, leading and supporting our teams to move 4ward. Our 4ward behaviours, which we ask all staff to demonstrate, underpin our everyday work and remain firmly at the heart of all we do.

Our objectives are simple:

Best services for local people Best experience of care and best outcomes for our patients Best use of resources Best people

Better never stops, and our Clinical Services Strategy provides a clear future vision for our Trust, our hospitals, our services and our role in the wider health and care system.

We are proud to have achieved Timewise accreditation - this means we are committed to embedding flexible working within our organisation as a flex positive employer.

Job description

Job responsibilities

The CNSs will workalongside Consultant Urologists in supporting patients referred to the Trustwith both benign and suspected cancers on different pathways. Through theprinciples of the Best Practice Prostate Pathway, it is anticipated thaturology patients on these pathways will have an improved waiting time todiagnosis with a positive patient experience. The CNS will also work along siteConsultants and support the Urology cancer and benign services.

The post holderswill work closely with the Consultant Urologists in delivering pathways forbenign service and suspected urological cancers. This job description outlinesthe current main responsibilities of the post. However, the duties of the postmay change and develop over time and this job description may, therefore beamended in consultation with the post holder.

The CNS willdevelop to work effectively as an autonomous practitioner and as a core memberof the multi-disciplinary team within Urology to provide the highest possiblestandards of care for patients with urological disease.

The CNS will workwith the support and direction of the head of nursing for surgical specialties,the matron, the Trust lead cancer nurse and the Consultant urologists toimprove the care of patients, provide specialist help advice and support topatients and their families. You will act as an advocate by providinginformation which leads to informing patient choice. You will use the views ofpatients and carers to inform service improvement.

The post holderwill develop and work as an integral member of the Multidisciplinary Teamacross the Worcestershire Acute Hospitals, collaborating with a range of healthcare providers. The post holder will provide highly developed specialistnursing, Education, Research and Audit, Leadership and Consultancy and aProfessional Role model.

EXPERT CLINICALPRACTICE:

1. Will develop toprovide specialist nursing practice intervention so that the specific needs ofindividual patients / clients are addressed. Provide direct care as per job plan,working alongside the nursing staff in the clinical area- providing a visibleand strong role model to ensure best practice

2. Will develop toconduct independent nurse led clinics for a variety of urological conditionsthat need monitoring/treatment or review post-surgery. Work autonomously withinthe parameters of their competencies to make decisions and adjustments topatients treatments in line with their needs. Will develop skills that mayinclude, altering medication, requesting imaging and appropriate blood tests aswell as referring back to the consultant or other multi-disciplinary members iffurther advice is needed.

3. To provideadvice and support for all members of the multi- professional team in the careof patients undergoing diagnostic pathway with suspected urological cancer. Toliaise closely with members of the multi professional team so that patientswith confirmed urology cancer experience a seamless, high quality service.

4. To providecontinence advice.

5. To provideguidance, support, advice and counselling to patients and their family/ carersalong the patients pathway. To know when to refer on to other professionals formore specialist guidance, support, advice and counselling.

6. To promotepatients autonomy through education and support so that the individual is ableto make informed choices about their own care.

7. To act as thepatients advocate when required and liaise with the multidisciplinary team asnecessary.

8. To act as a rolemodel of expert clinical practice, empowering others through effective rolemodelling, teaching, and team working.

9. To developguidelines and protocols to deliver comprehensive evidence-based service forpatients.

10. To recogniseopportunities within the urology service for further development and expansion,to facilitate and manage change within defined clinical and organisationalboundaries.

11. Working as anintegral part of the multidisciplinary team to develop the service andappropriate referrals. To develop effective working relationships with allother departments resulting in effective coordinated care for clients, with allother local, regional and national organisations

12. To be able towork both individually and as part of the multidisciplinary team.

13. To case managea team of patients in partnership with the multi-professional team.

14. To set, monitorand review standards on a regular basis in accordance with clinical governanceessence of care benchmarks and the NHS plan. To liaise with MDT and Matron re:leading on patients satisfaction surveys and present findings at ClinicalGovernance and other appropriate meetings.

15. Develop skillsthat enable the CNS to lead on developing integrated care pathways and nursingcare pathways in liaison with members of the multidisciplinary team.

16. To assist inthe development own nurse led clinics in conjunction with the Consultants andthe outpatients department, after consultation with the Matron and keystakeholders.

17. To maintainnurse led and telephone clinics whereby patients are provided with informationand support and the problems and needs of patients and their careers areassessed and appropriately channelled and referred to other services asrequired.

18. Incollaboration with patient information services write new patient informationand update existing patient information.

EDUCATOR

1. To identifyassess and meet the educational needs of the patients and their family

2. To identify theeducational needs of the multi-professional team and to facilitate andparticipate in education provision to meet those needs. To actively teach thenursing staff in the clinical area and evaluate their learning in conjunctionwith the senior nursing staff

3. To workcollaboratively on educational strategies which support urology cancer servicesand service development

4. To develop anddeliver education programmes on the ward in liaison with the multidisciplinaryteam/nursing staff.

5. Develop theirknowledge, skills and expertise to a higher academic standard.

6. Be regarded asan expert resource working at a higher level in specialist areas.

RESEARCH / AUDITROLE

1. To have a goodunderstanding of the value of quality research to improve patient care

2. To utilise up todate research/evidence to deliver patients care and to disseminate thisknowledge to all members of the multi-professional team

3. To incorporatenationally agreed standards and guidelines into clinical practice.

4. To act as aresource for colleagues undertaking research.

5. To be aware ofcurrent research trials being conducted within own specialist area and to beable to inform patients about these

6. To audit theservice on a regular basis so that patients care is continuously reviewed andimproved, ensuring that documentation and record keeping is comprehensivelymaintained.

7. To contribute toclinical governance developments in line with the strategic direction of thetrust

8. To sharefindings with others through publication and conference presentations.

LEADERSHIP ANDCONSULTANCY:

1. To provide arole model within the clinical setting demonstrating expert knowledge and highstandards of clinical practice.

2. Assist in theengagement with both internal and external groups which will lead to thefurther development of the nursing service and the Clinical Nurse Specialistrole.

3. To monitor andevaluate ones own service implementing new initiatives as appropriate toimprove patient care.

4. Contribute tothe development of clinical services across the trust, through liaison with theHead of Nursing and other specialties.

5. To work with andalongside local and nation networks.

6. Work closelywith other nurses to assist with their own professional development.

GENERAL

1. To act inaccordance with the NMC Standards for conduct, performance and ethics fornurses and midwifes and to be accountable for his/her actions at all times.

2. To adhere to theData Protection Act, maintaining and safeguarding Patients confidentiality atall times and only releasing information to those acting in an officialcapacity.

3. To haveresponsibility for the Health, Safety and Welfare of self and others and tocomply at all times with the requirements of the health and Safety Regulations.

4. Promote equalopportunities for staff and clients

5. Be aware of andwork within the policies and carrying out such duties as may be required thatare consistent with the responsibility of the grade.

This jobdescription is not an exhaustive document but reflects the current position.Details and emphasis may change in line with service needs after consultationwith the postholder

Person Specification

Qualifications

Essential

QualificationsEssential criteria Registered Nurse Educated to degree level First level nursing registration Post registration qualification appropriate to specialty First level degree in related subject or evidence of working towards Evidence of continued professional development Recognised teaching qualification

Desirable

Desirable criteria Post qualification Urological courses Advanced communication Course Working towards Masters level qualification Leadership course, or working towards IrMer training interested in developing skills to independently perform diagnostic procedures eg cystoscopies, urodynamics nor exhaustive list health assessment skills

Experience

Essential

At least 12 months working in Urology setting. Ability to develop new ways of working Experience of multi-professional working

Desirable

Previous experience of working a clinical nurse specialist, Urology Nursing qualification. Experience of endoscopy working, understanding of audit, research. An understanding of working autonomously.

Personal Qualities

Essential

Essential criteria Diplomatic Calm and objective Assertive, confident, yet approachable Personally, and professionally mature Recognition of own limitations Demonstrates enthusiasm

Skills and Knowledge

Essential

IT literate Organisation and negotiation skills Effective communication Physical Assessment skills Leadership and motivational Ability to work autonomously and as part of a team Flexible attitude to working Exemplar communication skills Ability to conduct own projects and successfully and follow them through

Desirable

Desirable criteria Teaching/assessment and presentation skills Basic psychology training

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