Clinical Urology Skills: Local Anaesthetic Transperineal Biopsy

The Local Anaesthetic Transperineal Biopsy (LATP) module is delivered in partnership with Mersey and West Lancashire Teaching Hospitals, and it will equip the student with the necessary skills and techniques to undertake transperineal biopsies under local anaesthetic in men.

The module uses a competency document for training and assessment, contextualised with a sound theoretical and practical knowledge base.

The student will develop a sound knowledge base, underpinned by contemporary, evidence-based urology clinical practice. To acquire the skills to perform LATP you will need to identify a designated clinical supervisor to work alongside.

Who is this module for?

The module is designed for both Registered Adult Nurses and qualified Physician Associates who have been identified by their senior clinicians as needing to perform LATP within their role.

This module is open to students from the UK and Republic of Ireland, it is not open to other international students.

What are the key aims of the module?

• Demonstrate proficiency in undertaking LATP.

• Critically appraise the assessment, care and management of the patient undergoing LATP, ensuring an evidence-based approach.

• Critically reflect upon your role in working towards an increasing level of autonomous practice.

How will I study?

There will be three face to face study days at the Nightingale Education and Conference Centre at Whiston Hospital. Two will be at the beginning of the module and one towards the latter part of the module. This will allow for simulation of techniques as well as teaching sessions.

You will also engage with further directed and independent study activities within the VLE on a weekly basis. A synchronous, online 2-hour group Collaborate session with the module team will be planned every 4 weeks and this will provide the opportunity for you to review your progress.

You will develop LATP skills in your own workplace, having identified an appropriate Clinical Supervisor, normally a Consultant Urologist, who will be responsible for to completing the relevant competency documentation.

Other senior staff may also be involved in your day to day supervision, training and practice for example Urology Nurse Practitioner competent in undertaking LATP’s or a Urology Specialist Registrar. You will be assessed using a clinical competency document and the module team will provide any support required in the supervisory process.

What will I study?

• Pathophysiology and anatomy of the prostate gland and associate structures

• Probe manipulation

• Infection control and decontamination principles

• Consent

• Patient safety

• Confidentiality

• Autonomy

• Recognition of normal and abnormal pathology & imaging

• Related pharmacology

• Record keeping

• Patient education

• Patient assessment

• Concepts of advanced practice skill acquisition

• Evidence based practice

How will I be assessed?

100% of clinical competencies:

• Will include completion of the specific LATP Assessment documentation.

On successful completion you will:

Be competent in performing transperineal biopsy under local anaesthetic independently.