"Extra Curricular" Nursing Services

My vision of the additional features of nursing services in the NHS.
Initiative - "Going the Extra Mile"

Purpose of Initiative:

-  to facilitate the faster recovery journey of initially, hetrosexual male and lesbian inpatients by allowing certain patients to benefit from “extra” care provided by female nursing staff.
- to provide a voluntary bank scheme which female bisexual nursing staff of all grades, together with specialist nursing disciplines and other supporting disciplines, such as Radiologists, phlebotomists, dietitians, Salts, OTs and Physios are able to sign up to, in return for an agreed benefits package.
- patients will be individually assessed depending on their progression through their own recovery journey, and will automatically be added to the program, 
- nursing staff can recommend a patient to join the program at any time, upon agreement with nursing staff of equal or higher level.

How the Initiative works:
Special Note: these recommendations are based on the Staff Members wearing dress uniforms and was written before scrubs became "de rigeur". Adaptations will be written up and made available as soon as possible. In the meantime staff members should use their imagination and discretion on how and what to wear underneath scrubs.

- As soon as the patient is accepted onto the scheme then he/she will be eligible to receive the extra care immediately.
- participating staff will be identified by a red tag to the right their name badge, which will allow patients to safely distinguish between participant and non participant staff.

- Mutual politeness and respect should always be observed between staff members and patients.

- once identified as a participant the patient may, upon asking permission of the staff member do a number of things:

- run his/her hands up and over the staff member’s legs, buttocks and breasts on the outside of the uniform dress/scrubs. NB. It is recommended that the s/m removes her bra prior to any encounter, to allow her patient easy access to her breasts for caressing, fondling purposes, and to allow the pt to play with, and arouse her nipples.

- run his/her hands up the insides of her inner thighs, feeling her crotch and buttocks through her pantyhose and panties when wearing a dress uniform.

- The patient should ensure that he savours the contours of the female genital area, the moistness, heat, and musky aroma emanating from between the thighs of the staff member. The staff member may also close her thighs gently over the wandering hand to enhance the experience.

- the patient may request the staff member to turn round, with her buttocks facing the patient and open her legs slightly. This will allow the patient to feel her buttocks and run his /her hand(s) between her legs, over her cunt from behind. The s/m, to further heighten the pt’s experience can also bend forwards at this juncture.

- the patient, having felt up the staff member in this manner, should again politely request that the staff member slide down her scrub trousers and or pantyhose , leaving her panties on. So that he/she can repeat the process of running his/her  hand(s) between her thighs to her buttocks and over her genital area and anus whilst still wearing her panties. The sm may find that that the patient gathers up her panty gusset over her genitals, pulling the material tight, to show off the s/m’s genital bulge. This done he/she may take both thumbs, one either side of this bulge and gently tease the sm’s inner labia to the outside of the bulge of material, thus exposing the inner labia to his/her gaze, and receive further attention from his/her fingers.
- The patient may at this time be aware of the bump of the pubic mons area and may well linger over this area and run his fingers through any public hair growth the s/m may have.
- NB It is left to the discretion of the s/m on the amount of pubic hair they decide to have in their genital region. * See note at end of this report on Pubic hair and suggestions for type of underwear to be worn for ease of pt access.

- at this stage, it is expected that the patient will want to slide his/her fingers inside the s/m’s panties, from the side, in order to further enhance his/her experience of an aroused vulva , again feeling the moistness and heat from there. The patient must be encouraged not to  try and slide a finger or fingers into the s/m’s vagina at this point. The object here is to simply have him/her run his/her hand/fingers gently backwards and forwards over the outside of the s/m’s cunt and progressively back towards the s/m’s anus and buttocks.

- once the pt has done this to mutual satisfaction ( it is fully expected that the s/m will become sexually aroused at some point during the procedure, and may well feel her genitals becoming engorged and more sensitive to the pt’s touch, whilst at the same time she will be producing a lubricant, which may be a clear or opaque secretion from within her vagina.
- here the s/m may feel compelled to run her hands over the pt’s genitals feeling for a reaction from him/her. The sm can fondle and massage the pt’s testicles and penis - where male (for Female patients - see next Section) and when the penis is fully engorged and erect, she may perform either the start of hand relief to the point where the pt’s penis is showing a dribble of “pre cum” or she can perform this service orally until she can feel the pt’s precum on her tongue.

- If the pt is female and enjoys lesbian contact, the s/m can fondle the vagina, gently caressing and massaging the labia and teasing the clitoral hood and around the side of her clitoris. At this point the s/m can slide one or two fingers into the pt’s aroused vagina - finger fucking, searching for the pt’s G spot. With the aim of building up an orgasm. Should the s/m encounter any vaginal discharge, they can coat their fingers in it and allow the pt to lick and suck off the pussy juice.
- the s/m is now at liberty to slide down her panties over her thighs to allow unrestricted access by her pt to her aroused, reddened and swollen genitalia. The s/m may also wish to thrust her pubic area forward, again to facilitate ease of her pt’s fondling of her genitalia. Whilst the pt is exploring the s/m’s unfettered genital area, the s/m may again take her pt’s penis/vagina in her hand or mouth and continue with providing relief.
- It is very likely that the pt will have run his/her hand over the s/m’s mons pubis area, feeling the slight bump and run his/her hand over or through any pubic hair there, further the s/m can expect his/her hand to move slowly down, feeling the small protrusion of her clitoris, then round and between her thighs, cupping her swollen genitals in the palm of his hand. Again he/she will be feeling for dampness and heat from the s/m’s vulva. The s/m’s inner labia should now be fully engorged and open for further attention.
- the s/m should now allow her pt to slide one or two of his/her fingers along the cleft of her cunt as he/she searches for her vaginal opening. The s/m will feel her patient’s fingers in her now hot, wet vagina as he/she slowly insinuates his fingers in to her.
- Whilst the s/m is being fingered, the pt should be urged, if not already doing this, to rub the side of her clitoris with his/her thumb. The pt should not be tempted to expose the clitoris at this point!
- The s/m can expect to feel her pt’s fingers moving rapidly in and out of her engorged vagina as he attempts to trigger an orgasm in her, by stimulating the g spot vigorously. NB ** See notes at the end regarding orgasms, types, and what to expect from them.
- an accomplished pt, by this vigorous stimulation of the vagina may well make the s/m “squirt” female ejaculate whilst bringing her to orgasm.
- as part of the process of exploring the s/m’s genital area he may well run his/her finger(s) over and around her anus. The more adventurous pt will happily attempt to slide his/her finger into the s/m’s anus in order to stimulate heightened sexual arousal. The s/m should allow this to continue providing it does not cause her discomfort. NB the s/m should have on hand a container of lube to facilitate the easy entry of the pt’s finger/fingers into the s/m’s anus.
- If the sm is wearing a "butt plug" inserted into her anus, either the sm or pt can pull this out of the sm's anus, which should be slightly relaxed, making the insertion of the pt's finger or fingers easier.
- whilst the pt is fondling and fingering his/her s/m’s vaginal and anal areas, the s/m is expected to provide mutual relief by continuing to masturbate her pt by hand or by performing fellatio on him/her.
- the s/m will by now have already removed her pantyhose and panties entirely and may suggest that she and her patient perform cunniligus and fellatio, or fellatio and fellatio in the case of a female patient, on each other in a 69 on the patient’s bed. This method should ensure a mutually satisfactory conclusion.
- when performing a 69 position it is recommended that the patient is underneath and the s/m on top. This way the s/m and pt have easy access to each other’s genitals to perform respective cunniligus or fellatio and fellatio.

- For Male pts - whilst the s/m is on top she is able to suck her patient’s erect penis and fondle his testicles without much effort and in a certain amount of comfort. Her pt also has unrestricted access to her vagina and anal area, using either his mouth - cunniligus, or fingering her, or in some cases both. Should the s/m be brought to such a heightened state of excitement that she “squirts” inadvertently, it must be remembered the close proximity of her vagina to her patient’s face!
- in performing fellatio on her patient the staff member will feel when his penis is close to ejaculating, as the involuntary thrusting and stiffening of his penis will begin. She may at this point elect to do one of three things; she may chose to keep the ejaculating penis in her mouth and swallow the semen, licking his sensitive glans clean of ejaculate, or she may allow him to ejaculate his semen into her mouth and then let it dribble back over his genitals from her mouth. The s/m’s third option is to take the penis out of her mouth and masturbate him until he shoots his semen on her face, she may then choose to catch the ejaculate in her hands and lick it and then swallow it or she may choose to wipe it off with a tissue. This is all depending on her sexual experience and tastes.
- the patient meanwhile it can be assumed, is performing vigorous cunniligus on his s/m partner, lapping eagerly at her fragrant, hot, wet cunt. His tongue flicking between her open and swollen labia and a much engorged highly sensitive clitoris. The s/m, as her orgasm builds will notice that her breathing is now coming in shorter breaths and she will feel her vagina start to begin to contract involuntarily . At the point of orgasm a couple things may happen; her vagina will contract and relax involuntarily as will her anus, she may also inadvertently squirt ejaculate from her urethra, she will invariably either moan or emit noises or screams in keeping with a female experiencing orgasm. Dependant on the strength of the s/m’s orgasms, they may continue for up to 2/3 minutes or depending on the patient's sexual knowledge and experience, possibly longer until they subside.
**The sm may elect to perform prostate massage or "milking" on her pt. If this is the case then the patient should be on all fours, legs slightly apart so that the sm has access to the patient's gentials. Instructions are given here:

How to milk the prostate

First, the sm should apply plenty of lubricant to a finger. Wearing gloves can make the insertion smoother, and it may also be a good idea because of hygiene concerns.
Gently insert the lubricated finger into the anus, slowly pushing on the front wall of the rectum. For most people, finding the prostate requires inserting the finger at least halfway in. Touching the prostate may produce an unusual or pleasurable sensation.
Begin by massaging the prostate in a consistent motion that feels pleasurable. Some people opt to masturbate or have other sexual contact during the massage. The patient may have a very intense orgasm or feel an unusual sensation followed by fluid coming from the penis.

The prostate is one of the male erogenous zones. An erogenous zone is a highly sensitive area of the body that may generate a sexual response when stimulated.
Prostate milking may be very pleasurable. Because the prostate plays a role in producing semen, stimulating it may produce a more intense orgasm during ejaculation.
Some people practice prostate milking because of its purported health benefits, rather than for sexual stimulation.
Whilst stimulating the prostate with finger/s on one hand, the sm should wrap her other hand around the pt's penis and masturbate him (jerking off) to ejaculation.

- both the s/m and patient should be given time to gather their thoughts, clean themselves and in the case of the s/m, put her panties and pantyhose back on.

It is recommended that s/ms only perform this service once per patient, and ideally fairly close to the pt’s expected discharge date.

The s/m may also choose to give her patient her warm, possibly stained and or damp with her vaginal discharge, used panties as a souvenir of the Extra Mile service she has performed for him.

Notes:


1. Pubic Hair - the amount and “style” of pubic hair participating staff members have is an individual choice, but can vary from the Natural Full Bush, Trimmed and Shaped Bush and variations of, right through to the completely Smooth and Shaven known as a Brazilian.

2. Underwear - Pantyhose/tights to be of regulation colour, although crotchless versions may be worn to facilitate ease of fingering of the s/m’s genitals. Panties may be the choice of the individual s/m in terms of colour or style, providing they are visible through the dress uniform
.
3. Sugggestions for panties:
Thong: to show off tight round buttocks.
Tanga: this style of panty is very slightly fuller version of the thong, exposing most of the buttocks, which are
especially visible when the sm is bending over.
Bikini: recommended for s/ms wearing white uniforms as these show the vpl clearly. High cut hips, again ideal for accentuating the s/m’s buttocks when bending over.
Full cut: “cuppy pants” for those with slightly wider hips, good for showing off vpl.
Crotchless: ideal for easy fingering access by pt, excellent when used with crotchless pantyhose.
Dildo panties: panties which have a dildo attached to the inside gusset of the panties, which is inserted into the s/ms vagina at the time of dressing. These panties are designed to give the s/m constant stimulation to the vaginal tunnel whilst they go about their daily tasks.

Some s/ms may choose to go panty less, instead simply wearing gusseted pantyhose for personal hygiene reasons, whilst working with other patients not eligible for inclusion on the Initiative.

Piercings: the wearing of rings, bars or other kinds of piercing "furnishings" is up to the individual s/m.
The insertion of "jewelled" "butt plugs" into the anus of s/ms is encouraged.

1. Those s/ms who wear scrubs, pantyhose is not necessary, as access to the genital and anal areas is usually easier.

2. Orgasms, types of, what the inexperienced s/m should expect from them :- 
       
Orgasm type
What they feel like

Clitoral
These orgasms are often felt on the surface of the body, like a tingly feeling along your skin and in your brain.
Vaginal
These orgasms are deeper in the body and can easily be felt by the person penetrating the vagina because the vaginal walls will pulse.
Anal
Before the big O, you may feel an intense need to pee, but the contractions definitely won’t be felt around the genitals. Instead, they’ll be around the anal sphincter.
Combo
When the vagina — particularly the G-spot — and the clitoris are stimulated at the same time, it tends to result in a more explosive movie-style orgasm that may have convulsing or literally ejaculation (read: female ejaculation is not a myth).
Erogenous zones
Lesser known parts of your body, such as the ears, the nipples, the neck, the elbows, and the knees, can still cause a pleasurable reaction when kissed and played with. For more sensitive people, continuous play may lead to an orgasm.

Other Notes:

All female staff members are eligible for participation in the scheme providing they are sexually active

Staff members displaying Lesbian tendencies - 
This is an on going work in progress. The implementation of this phase will be brought in as the success of the Extra Mile Initiative is measured. This will also allow recruitment of bi sexual and lesbian s/ms.

The Future of the Extra Mile Initiative:

Currently the Initiative does not have the provision for staff members to offer full penetrative intercourse for male patients.
However this is in the planning stage they and is likely to be introduced at a later point.

Full intercourse will allow the patient to penetrate the s/m and ultimately ejaculate his semen inside her vagina, in what is colloquially termed a “cream pie”, without any form of protection - known as going “bare back”, ie inserting the erect penis into the staff member’s vagina without the protection of a condom or similar. This allows both parties to receive heightened pleasure from the friction of penis against the vaginal walls as the pt thrusts his penis in and out prior to insemination of the staff member.

In the interests of safety the recommendation is to provide this service to pt’s who have been certified sterilised and who's semen is no longer potent, and who have been tested for STDs and have a clear result.

Other considerations:
-  the provision of certain other services, eg mild bdsm, rough fucking, subservient etc.

Colloquial Terms:

Cunt - the female vagina
Cock - the male penis 
Balls - the male testicles 
Cream Pie. - insemination into the vagina of semen and the subsequent dribbling back out of the vagina of semen over the external genitals and on over the anus 
Finger Fucking - the action of inserting one or more fingers into the genitalia and vigorously moving them in and out rapidly, fingers s/b slightly curved and rubbed over the front of vaginal tunnel stimulating the G spot area
Jerking off - masturbating the male's erect penis to ejaculation.
Pre cum - pre ejaculate male or female 
Cunt/Pussy juice - vaginal discharge, clear, opaque or white
Squirting - female ejaculation from urethra 

Other Terms used:

S/m - staff member 
Pt - patient 

Revised August 2020

***Currently this initiative is held in abeyance due to Covid-19***
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