Dr Natasha Waters
Western Sussex Hospitals
Hysteroscopy training opportunities:
Outpatient Hysteroscopy training and skills demonstration at the ASM 2016 in Cornwall
An experienced faculty will take delegates through techniques and procedures using simulators and state of the art demonstrations. A wide range of equipment will be available from our industry sponsors to give you experience of what’s possible.
There are further courses later on in the year:
RCOG/ BSGE Diagnostic and operative hysteroscopy- workshops only 14-15, July 2016, RCOG, London
RCOG/ BSGE Diagnostic and operative hysteroscopy
29 November to1 December 2016, RCOG, London
Annual Nurse Hysteroscopy Meeting
Report from the Annual Nurse Hysteroscopy
Meeting, Bradford University, 4th March 2016
The meeting this year was once again very well attended and despite being held slightly later this year was accompanied
by snowfall. It opened with the inevitable, but devastating announcement of the imminent retirement of Professor Sian Jones. Space here does not allow for an adequate tribute to our founder and ambassador, except to express sincere gratitude for all of Sian’s hard work and support over the last 16 years, we will miss her greatly and wish her all the very best for the future.
The main theme of the meeting was pain management. Julia Pansini-Murrell presented recent audits which demonstrated that despite the RCOG Guidelines (2010) there are still significant variations in protocols across the UK. The use of NSAIDs one hour before hysteroscopy should be recommended to all patients where there are no contraindications.
Alex Sutcliff’s presentation on her focus group work on developing patient information leaflets revealed distressing patient’s perspectives of pain during outpatient hysteroscopy. Furthermore, it has transpired that Internet campaign groups are highly critical of financially incentivised ambulatory procedures and are demanding more patient choice in terms of pain management. The workshop on patient leaflets demonstrated the challenges in standardising information where operational protocols remain heterogeneous. Nevertheless, the group have committed to collaborate on information leaflets to produce evidenced based guidelines that fully reflect patient’s views and can be adopted at a local level.
Gill Smith provided a fascinating overview of her experience introducing non-medical sedation during hysteroscopic treatments, challenging traditional practice and communication. The ability to provide hypnosis as an alternative or complimentary technique for pain management has been established in other medical elds and certainly warrants further formal exploration in ambulatory gynaecology.
There have been significant increases in the numbers of qualified nurse hysteroscopists There are now 90 qualified nurse hysteroscopists with a further 26 in training. Twenty- seven nurse hysteroscopists are also undertaking a variety of treatments including polypectomy. Novasure, Mini-touch and Essure. An audit of mini touch ablation procedures and outcomes was presented by Gill Steele and resulted in a healthy debate on evidence-based evaluation of ablation outcomes. The advancement of nurse hysteroscopy practice reflects a natural evolution in service provision facilitating safe, cost effective and accessible care. However, the development of the nurse hysteroscopists in terms of challenging practice and providing critical analysis of the evidence certainly set the tone of the meeting.
The afternoon included industry workshops with opportunity for hands on simulator sessions on a variety of treatment methods that was thoroughly enjoyed by all. Concerns about appropriate accreditation for nurses undertaking operative and therapeutic procedures have now been resolved with nurses being able to achieve accreditation following attendance at RCOG, BSGE and industry training events, and submission of a completed logbook, signed off by the nominated trainer and audit questionnaire to Bradford University. There are also opportunities to attain level 7 university credits by enrolling on the independent study module for 10, 20 or 30 credits as required. A register of all accreditations will be held by the BSGE.
Accreditation for diagnostic hysteroscopy will continue to be required on a three yearly basis and consist of attendance of at least one BSGE scientific meeting, evidence of audit of 100 cases per annum and on-going professional development.
The meeting closed with a round table discussion, minds enlightened, friends reacquainted and enthusiasm elevated.
Written by Sarah Rees