The role of the Nurse Practitioner in assessment of patients with haematuria

1. No. A02 The role of the Nurse Practitioner in assessment of patients with haematuria Yvette Sullivan Urology Nurse Practitioner, Urology Services, Redcliffe Hospital, Redcliffe, Queensland Posters Proudly Supported by: Introduction Haematuria is a common reason for referral to a urology service. Nurse Practitioners are ideally suited to see patients presenting with haematuria and obtain a urological history, perform an examination and organise investigations prior to the patient’s flexible cystoscopy. • Results • 100 patients presenting with haematuria seen by Nurse Practitioner over 6 months • 24 Females 76 Males • 36 patients presenting with microscopic haematuria • 64 patients presenting with macroscopic haematuria • Aim • Timely, equitable, cost effective assessment of patients presenting with haematuria by a nurse practitioner • Utilise evidence based guidelines for assessment of haematuria • Enable urologist’s time to be directed towards complex cases, clinical teaching and supervision Flexible Cystoscopy Outcomes Days from referral to seen in Nurse Practitioner clinic • Methods • New haematuria referrals triaged and prioritised by the Director of Urology, refers to the urology nurse practitioner clinic • Nurse practitioner obtains urological history and examines the patient • Pathology and radiology investigations are reviewed or organised to include: • Blood tests: Urea and electrolytes, Full blood count, PSA • Urine tests: MSU, Urine cytology x 3 • CT IVU • Patient is consented and booked for a diagnostic flexible cystoscopy • Letter dictated to the referring doctor with a copy of the letter sent to the patient • Conclusions • Decrease in waiting times to be seen for assessment of haematuria • Cost effective - appropriate use of urologist, registrar and nurse practitioner positions • Reduced patient anxiety associated with waiting, early disease intervention • Nurse practitioners are ideally suited to see patients in an outpatient clinic who present with haematuria References American Urological Association, Diagnosis, Evaluation and Follow-Up of Asymptomatic Microhaematuria (AMH) in Adults: AUA Guideline , 2012. British Association of Urological Surgeons and The Renal Association Guidelines, Initial Assessment of Haematuria, 2008. Reynard, J., Brewster, S., Biers, S. Oxford Handbook of Urology. Oxford: Oxford University Press, 2006.