LARC Coil & Implant Nurse

Integrated Care System; Bristol; On-site; GBP 50,000 - 70,000; Part time

Job summary

A healthcare provider in Bristol is looking for an independent practitioner to offer fitting and removal of LARC intra-uterine coils and contraceptive implants. This role requires technical nursing skills and the ability to manage complex patient needs. The position includes working as part of a multidisciplinary team to provide quality care and advice to patients, ensuring they have informed options and support throughout the process.

Benefits

Supportive working environment

Professional training opportunities

Qualifications

• Previous experience of contraception delivery including Intra-uterine LARC and subdermal contraceptive implants.
• Worked in an independent practitioner role.
• Good understanding of clinical governance and quality outcomes.

Responsibilities

• Understand and manage complex care presentations.
• Deliver a high level of personal care to patients.
• Carry out fitting and removal of contraceptive implants.

Skills

Assessment and history taking

Clinical examination

Non-judgmental communication

Team working

Analytical skills

Education

NMC Registered Adult Nurse

Specialist accredited nursing qualification in Sexual Health Nursing

Tools

Emis web

Job description

Air BalloonSurgery have an exciting opportunity for an independent practitioner withexperience of fitting and removal of LARC intra-uterine coils and subdermalcontraceptive implants.

Our LARC service provisionis currently managed by two of our GPs and we are aiming to expand our serviceprovision to offer additional appointments for fitting of LARC intra-uterinecoils and subdermal contraceptive implants over one 3.5-4 hour sessionper month, including pre-fit assessment and counselling and post-fitadvice.

Main duties of the job

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

Assessment and history taking

Clinical examination, including bimanual

Instigation and interpretation of diagnosticinvestigations

Identifying appropriate methods ofcontraception

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

Provision of all methods of LARC followingdiscussion and assessment ensuring patient can make an informed choice andconsent

Appropriate onward referral to other healthand social care professionals if appropriate

About us

We are a supportive, friendly and caring practice, and value the importance of being inspired and enthused by our work. We are open to new ideas and ways of working.

We ensure a healthy work-life balance is maintained through the decisions we make, and we continually review our working structure to enable this.

About us:

• 4 Partners and 6 Associate (salaried) GPs
• Mentoring scheme for Associates
• Home Visits done by ANP and Frail Care Physiotherapist
• Extensively skilled nursing team, including ANP and Urgent Care Nurses and nurse prescribers
• Frail Care Physiotherapist
• Two prescribing clinical practice pharmacists and Pharmacy Technician
• Extremely supportive and highly-trained Care Navigator team.
• CPD well supported in-house and with external training
• GP Training practice
• Undergraduate teaching
• Close to the Independant cafes of Church Rd, including the award-winning Bristol Loaf.
• We are a registered Park-Run Practice.
• Achieved overall good CQC rating

More information

Informal enquiries welcome. For more information, please contact Dr Shivani Baynham at [e-mail] or Kate Francis, Practice Manager, at [e-mail] .

How to Apply

Applications can be made by submitting your CV and a covering letter, to [e-mail]

Job responsibilities

JobPurpose

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

The post holder will provide a high level ofpersonal care to patients to ensure they are treated with dignity and respectat all times, are provided with high quality care, clear and understandableinformation in a format/language they understand and feel their individualneeds have been respected and met. The post holder is accountable for their ownpractice without direct supervision and will be a direct provider ofhigher-level nursing practice to patients with contraceptive needs.

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

- Assessment and history taking

- Clinical examination, including bimanual

- Instigation and interpretation of diagnosticinvestigations

- Identifying appropriate methods ofcontraception

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

- Provision of all methods of LARC followingdiscussion and assessment ensuring patient can make an informed choice andconsent

- Appropriate onward referral to other healthand social care professionals if appropriate

Key Dutiesand Responsibilities

Analytical Data and Information

Analyse and interpretphysical signs and presenting symptoms in relation to investigative findings tosupport a pathway of care for the client

Analyse and interpretresults and discuss findings with the client offering information, support andreferral where necessary

Analysis of clinicalrecords identifying any issues of concern to senior clinical team or providetreat-ment within scope of practice/competence.

Planning and Organisation of Work

This is anindependent practitioner post

The patient contact isgenerally on a one to one basis, with those patients whose birth gender isfemale

Able to planown workload and work independently

Carry outnursing duties within Practice Policies and protocols, service procedures andguidelines according to competency and provide feedback on issues of concern toLARC Lead GP

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

Able to workwithin therequirements of the Bristol City Council GP Sexual Health specification;

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

Follow Practiceguidelines on confidentiality; adhere to the law regarding sexual health adviceto those under sixteen years; Follow organisational policy and good practiceassessment regarding safeguarding young people and vulnerable adults, followingappropriate Practice Safeguarding policies

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

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

Carry outCervical Cytology screening

Counselling andIssuing of Emergency contraception under prescribing supervision of GP.

Provide acomprehensive discussion in the event of an unplanned pregnancy and refer toappropriate agencies as necessary

Perform a holisticassessment of patients attending for cervical cytology smear tests.

Deliver care topatients pertaining to their sexual health needs in line with current FSRHguidance

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

Satisfy FSRHrequirements forfive yearly LoC re-certification and updatingprofessional practice and reaccreditation

Carry outcompetent clinical examination of female patients, including cervical andbimanual examination

Be able to diagnose andclinically manage presentations of sexually transmitted infections and relatedconditions, and referral to appropriate Sexual Health Services providingpatients with appropriate advice. Recognise complex issues relating to patientssexual health needs and seek appropriate advice where necessary.

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

To be competentin the management of under 16-year olds and vulnerable adults, working withinFraser Guidelines and liaising with the multi-disciplinary team andsafeguarding team as appropriate

If currently not a NMPthen the use of PGDs is essential

Maintain accuratecontemporaneous electronic patient records, in line with local and nationalin-formation governance policy/legislation

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

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

Please see full job description attached for full details.

Person Specification

Experience

• 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
• 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
• 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

• 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.
• 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

Skills and abilities

• 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

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