Protocol and guidelines for the Urology Clinical Nurse Specialist in the Urology
Cancer Surveillance Clinic
The Urology Clinic
The CNS will work alongside the Urology Consultant in out patient clinic and provide
surveillance and follow up service for patients with a diagnosis of Urological cancer,
including Kidney, Bladder and Prostate.
The present clinic model involves the CNS and consultant being in the clinic at the
same time. There is no provision as yet for a nurse only clinic apart from Flexible
Cystoscopy where a bladder cancer surveillance clinic will be operational.
1. The patient will have been diagnosed with cancer.
2. The consultant will triage the patients in clinic and request that the CNS do the
follow up consultation.
3. The patient will have completed a course of treatment or be on long term
treatment or surveillance:
Bladder cancer – Cystectomy, Radiotherapy, Intravesical
chemotherapy or immunotherapy and be on surveillance programme.
Prostate cancer – Radical Prostatectomy, Radiotherapy, Hormone
therapy, Active surveillance.
Kidney cancer – Nephrectomy, partial nephrectomy
The Consultation guidelines
Urology Cancer Surveillance Guidelines for urology Clinical Nurse Specialist
These guidelines are for the nurse who will see patients in the out patient clinic
whilst the Urology Consultant runs a simultaneous clinic. The patients seen will
be decided by the consultant and include those with prostate, bladder and kidney
1. The patients’ case notes, including 1. To familiarise self with the
the Urology section, results and patients’ history and latest blood,
letters will be read prior to the nurse radiology or histology results.
seeing the patient.
2. The nurse will introduce self and 2. To gain patients confidence and
explain role briefly obtaining verbal provide reassurance.
consent for the consultation to
3. The nurse will systematically 3. To actively monitor the patient’s
cover all aspects of general health condition and ensure other health care
listed in the major cancer follow up practitioners can follow the patients’
protocols. progress when reading the case notes.
APPROVED REFERENCE DATE VERSION REVIEW 1
GD 9//04 1 9/05
4. The consultation will be accurately 4. To provide accurate records for
documented in the case notes medico legal purposes.
adhering to Trust documentation
5. Any investigations ordered will be 5. So that other clinicians can quickly
documented within that clinic entry in see what investigations have been
the case notes eg radiological, performed, providing a trigger to look
haematology. up results or chase up investigation
6. Opportunity is provided for the 6. To ensure the patient feels they are
patient to verbalise any concerns or a central part of the consultation
ask questions pertaining to their process and are involved in their own
urological illness. treatment
7. The nurse will ensure that the 7. Provides the patient with
patient knows when they will be seen reassurance that their illness is being
again in the clinic. monitored. Also provides a goal post
towards which they can aim.
8. The nurse dictates a letter to the 8. To keep the GP informed of the
patients GP to reflect accurately what patients progress and any
was discussed in the clinic treatment/investigations ongoing.
APPROVED REFERENCE DATE VERSION REVIEW 2
GD 9//04 1 9/05