The Bristol Urological Institute (BUI) is the largest urology department in the southwest and prides itself on its patient‑centred care. The Urodynamic unit is an integral part of the BUI and focuses on delivering high quality diagnostic investigations for patients suffering with lower urinary tract symptoms. Approximately 1000 urodynamic procedures are conducted every year by an experienced multidisciplinary team of Consultants (Urologists, Urogynaecologist and Colorectal surgeons), registrars, nurses, scientists, engineers, technicians and physiotherapists. The team perform a range of urodynamic investigations and are also involved with other urological procedures such as Botox and Sacral Neuromodulation.
The Urodynamic team are active in research, often presenting work at national and international conferences. They are also highly involved in teaching, with visitors frequently coming to learn in a world‑renowned centre of excellence. The team also have an active role in formal teaching, with urodynamic courses being run throughout the year, across various cities and countries.
This post would therefore expose you to an exciting new set of clinical skills as well as the opportunity to be part of an enthusiastic team who promote high quality patient care through research and teaching. The role is initially a band 5 with the scope to develop to a band 6 on completion of complex video urodynamic competencies.
Main duties of the job
- Perform standard and ambulatory urodynamics, progressing to video urodynamics.
- Analyse data and produce patient reports.
- Carry out flows clinic, including post‑void residual ultrasound scanning.
- Carry out trial without catheter (TWOC) clinics.
- Teach intermittent self‑catheterisation (ISC).
- Assist with flexible cystoscopies, including intra‑vesical Botox injections and suprapubic catheter insertions.
- Assist with Sacral Neuromodulation implants and clinics.
The post holder will actively contribute to the provision of a good learning environment by acting as a mentor/assessor for visitors and other staff within the department, attending multidisciplinary team meetings and partaking in patient discussions. Successful applicants will also have the chance to engage in department research and teaching.
Job responsibilities
Organise and participate in the delivery of high standards of evidence‑based nursing care.
- Obtain, test and record specimens e.g. urine sample.
- Chaperone patients in accordance with trust policy.
- Work confidently independently and as part of the team.
- Prepare clinical area prior to, during and following a clinical session.
- Complete Green card training for the use of machinery relevant to the department.
- Support the management team in implementing departmental changes.
- Take responsibility for providing required planned, direct patient care to a high standard without direct supervision, in accordance with established nursing procedures and policies.
- Engage with a multidisciplinary team to discuss patient care.
- Contribute towards health promotion for all patients by providing education, support and advice, as necessary.
- Ensure the safe ordering, administration and custody of patients’ medication according to Trust policies and procedures.
- Where relevant, be responsible for coordinating outpatient discharge planning in partnership with the multidisciplinary team (e.g. catheter discharge).
- Where relevant, be responsible for the admission, assessment and preparation of patients undergoing treatment or investigations.
- Take personal responsibility for ensuring that patients are treated with courtesy at all times, the individual needs of patients are respected and confidentiality is maintained.
- Liaise effectively with other disciplines or departments as appropriate.
- Act in emergency situations and be familiar with emergency procedures, including fire and resuscitation.
- Ensure the safe custody of patients’ valuables and property according to Trust policies (in emergency situations only).
- Report to the nurse in charge/line manager all complaints, incidents or accidents involving self, staff, patients or visitors and complete relevant documentation according to Trust procedure.
- Be responsible for reporting and documenting any broken or damaged equipment according to Trust policy.
- Have detailed knowledge of manual handling regulations, particularly regarding the moving and handling of patients, and ensure assessment of patients’ manual handling needs is carried out.
- Ensure safe storage and disposal of substances hazardous to health in accordance with Trust policy, and ensure availability of facilities for disposal of sharps, toxic/cytoxic waste.
- Assist with monitoring stock and report to ensure adequate levels are maintained and that the correct quantities are in supply.
- Report reliably any episodes of sickness appropriately.
- Develop an understanding and working knowledge of urodynamic technical equipment calibration, maintenance, problem solving, servicing and safety.
- Be flexible in working hours and patterns to meet the needs of the service.
Person Specification
Qualifications
- Registered Nurse
- Relevant speciality post registration qualification/course
Work Experience
- Relevant Urology experience
- Able to manage own workload
- Recent experience in care of complex neurological patients
Knowledge
- The NMC code of conduct, application of research and audit
- Clinical governance, speciality related issues
- Health and safety, effective use of all resources
- Change management process, policies and guidelines, teaching and supervision
Personal Qualities
- Effective verbal and written communication
- Motivated and keen to find solutions to apparent problems
- Able to demonstrate leadership and initiative
- Able to work both within a multidisciplinary team as well as independently to provide the best possible care to a diverse community of patients and healthcare professionals
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.
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