Nurse colposcopist a rarity in New Zealand

Dunedin Hospital nurse colposcopist Trudy Galer is just the fourth person to qualify as a nurse colposcopist in New Zealand. Photo: Peter McIntosh
Dunedin Hospital nurse colposcopist Trudy Galer is just the fourth person to qualify as a nurse colposcopist in New Zealand. Photo: Peter McIntosh
Trudy Galer has one of those jobs people enter medicine for - she can save lives.

Ms Galer has just qualified as just the fourth nurse colposcopist in New Zealand - a job in which she identifies cancer-causing cell changes, and then treats patients.

''It's challenging but it's really rewarding,'' she said.

''You get to meet the patient, assess the patient, formulate a plan, undertake the plan, and then follow up and discharge ... you can pick up cervical cancer as a pre-cancer, treat it, and almost eliminate their chances of getting a cancer.

''You are preventing cancer in women who could otherwise go on and get cancer.''

A colposcopist uses a colposcope to examine the cervix, vagina, and vulva. As well as assessing women with abnormal smears and symptoms, they can treat lesions under local anaesthesia and carry out follow-up treatments.

The role is common overseas, but rare in New Zealand.

Ms Galer - who has worked in the oncology department and also as a clinical nurse specialist in Women's Health - trained under the supervision of University of Otago senior obstetrics and gynaecology lecturer Helen Paterson for a year.

Having an experienced mentor teaching her techniques normally performed by doctors was a privilege, Ms Galer - who performed more than 200 colposcopies as part of her training - said.

''She was a fantastic teacher, very skilled,'' Ms Galer said.

''It's not difficult but it was a bit frightening because you are undertaking a minor piece of surgery.

Before I treated anyone, Helen and I came in one evening with precooked sausages and I practised treatment on those.

''I probably did about 30 treatments on sausages before I started on a human.''

Ms Galer knew what she was getting into with her role: as lead colposcopy nurse for many years she knew the process well, and a visiting British specialist had encouraged her to undertake the training.

However, steering the machine herself was still a milestone.

''It is a different perspective for a nurse and there is a stage of transition into that - I am going into a doctor-orientated part of the profession - but so far so good, I have been welcomed with open arms.''

Details of Ms Galer's new role were still being finalised, but she was likely to hold three clinics a week, with six patients per clinic.

''With each of those women I will also have an administrative session to go through their results.''

There was also a possibility Ms Galer might take her new skills to the more remote areas of the SDHB region, but that is to be confirmed.

''It is a sensitive area and everyone is different: you have to take the patient as you see them when they come through the door, but you very quickly work out what approach to take.''

mike.houlahan@odt.co.nz

Comments

Congratulations. We need more clinical nurse specialists in NZ.

 

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