Department of Urology Ninewells Hospital Dundee Dear Your first Day Your mentor for your time with us will be ____________________ and your associate will be _________________. This learning package should also help you throughout your placement. The clinic area is open from Monday to Friday, 8.30am to 5.30pm. Your hours of work will be 0845 to 1645. This is negotiable. Wear your uniform as per trust policy. Lockers are available for bags and personal belongings. Staff do stay within the department for lunch, some bring their own food, some go to the shops and some go to the canteen. You are welcome to sit with us but if you decide to meet with your friends for lunch you are more than welcome. We hope you find this pack useful not only to your placement here but in your future career. An evaluation is attached and we would very much appreciate that you complete this at the end of your placement so that we can continue to monitor the placement content. Orientation to area on 1st day Introduction to Clinic Staff Layout of clinic Fire procedure Cardiac arrest procedure Location of educational material Timetable for duration of placement There will be many learning opportunities available to you when you are with us but we also need you to tell us also what you would like from your placement here. We will strive to help you Gain insight into the journey of a patient from referral to treatment within our department. Management of patients within the Out Patient Department. Gain insight into how the multidisciplinary team work within the Department. Increase your awareness of patient education for patients with Urological conditions. Understand the role of other services used by the Urology Department: Theatre, Endoscopy, X-ray, Nuclear Medicine, Oncology. Recognise the importance of liaising and communicating with associated Departments and staff: Portering service, ward admissions, emergency referrals, utilising systems that are in place. USEFUL TERMS AND ABBREVIATIONS Micturition Anuria Oliguria Polyuria Dysuria Nocturia Haematuria Glycosuria Residual urine UTI ARU KUB USRT CT Urogram TROC/TOV Cystoscopy TURP TURT BNI Nephrectomy Cystectomy Orchidectomy Hydronephrosis Vesical Phimosis Paraphimosis Priapism Renal colic Ureteroscopy Urethrotomy Hydrocoele Epididymo-orchitis Pyelonephritis The passing of urine Cessation in the production of urine A decrease in the amount of urine produced by the kidneys Passing excessive amounts of urine Pain on passing urine Passing urine at night Blood in the urine Glucose in the urine Urine left in bladder after voiding Urinary tract infection Acute retention of urine X-ray of kidneys, ureters and bladder Ultrasound of Renal Tract Contrast Scan of renal tract Trial without catheter Examination of the bladder using a cystoscope Trans urethral resection of prostate Trans urethral resection of tumour Bladder Neck Incision Surgical removal of kidney Surgical removal of the bladder Surgical removal of one or both testicles A collection of fluid in one or both kidneys due to An obstruction Relating to the bladder Caused by a tight foreskin which cannot be Retracted over the glans penis Retraction of the foreskin with the inability Pull forward Persistant and painful erection Pain caused by obstruction The use of a ureteroscope to look directly up The ureters The cutting of a urethral stricture A collection of fluid in the testis Inflammation of the epididymis and testis Inflammation of the renal pelvis Ileal Conduit ISC ISD PSA Flow rate Residual scan BPH TRUS & biopsy Radical Prostatectomy Formation of a stoma using a part of the Ileum where the ureters are anastamosed and Brought out onto the surface of the skin. Intermittent self catheterisation Intermittent self dilatation Prostate Specific Antigen Study to check how good the flow is and the Volume voided Ultrasound scan of the urinary bladder to Detect any residual urine Benign Prostatic Hyperplasia (benign Enlargement of the prostate) Trans- rectal ultrasound scan and guided biopsy of the prostate gland Open surgical removal of the whole prostate gland Specific Learning Opportunities Within the Urology clinic you will have opportunities to achieve or consolidate skills and knowledge relevant to our speciality within our area. These can include: Urinalysis and the appropriateness of MSSU. How to correctly obtain a sample of urine Portable bladder ultrasound scan Urinary flow studies Medication prescribed for patients with Urological conditions Please feel free to write other learning opportunities and discuss with your mentor. Assessment You will be using reflection on practice methods to teach you and assess your competencies. This will often involve discussion with your mentor or other staff about your learning opportunities and experiences. Useful websites for now and future reference http://www.prostatecryotherapy.scot.nhs.uk/ www. prostate-cancer.org.uk http://www.nice.org.uk/ http://www.nhshealthquality.org http://www.sign.ac.uk/ www.ijcp.org MON Am WEEK 1 WEEK 2 Specialist Nurse Clinic Pm Mr Kata Clinic / Nurse Led clinic TUES am ED Clinic Specialist Nurse Clinic pm Mr Halliday Clinic/nurse led WED am Prostate Assessment Clinic pm Clinic THURS am Mr Goodmans clinic pm Specialist Nurse Clinic Mr Martindale clinic FRID am One stop clinic pm WEEK 3 UROLOGY TEAM MEMBERS Lead Urology Specialist Nurse - Allison Robertson Urology Specialist Nurses - Lynn Doig Kate Dewar Graeme Bathie Macmillan Urology Nurse Specialist - Alison Smith Catherine Patterson Senior Staff Nurse Area 3B - Christine Birtles Health Care Assistants - Anne Black Pamela Conway Consultants - Mr Goodman Mr Halliday Mr Kata Mr Martindale Mr Nabi Miss Sweeney Mr Badrakumar