Important Job Application Information
Thank you for your interest in NHS Tayside vacancies
Please see below Job Description/Specification and General Conditions of Service
Your Application Form must be completed in full. Please note copies of Curriculum Vitae,
Qualifications and Course Certificates will not be accepted at this stage.
Please return your completed Application Form to recruitment.tayside@nhs.net (quoting the
vacancy reference number in the subject box) or to the postal address given on the General
Conditions of Service.
All completed applications are held in Human Resources until the closing date. After the
closing date a panel will meet to prepare an interview shortlist. Once this decision has been
made, all shortlisted applicants will be emailed to invite them to attend for interview. It is
important that you check your emails regularly.
This process takes approximately 6 weeks. Therefore, if you have not been contacted
regarding interview within 6 weeks of the closing date, your application has been unsuccessful
and you will receive no further correspondence from Human Resources.
ADDITIONAL INFORMATION:Find out more about living and working in Tayside at:
www.dundeecity.gov.uk
www.angus.gov.uk
www.pkc.gov.uk
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JOB IDENTIFICATION
Job Title
Theatre Nurse
Operating Department
Practitioner (ODP)
Band 5
Department(s)/Location
Operating Department
Anaesthetic/Recovery
Service
NHS Tayside
2.
JOB PURPOSE
As part of a multidisciplinary team primarily based within the Stracathro Regional
Treatment Centre (SRTC), NHS Tayside the post holder will have responsibility for
assessment of care needs and the development of programmes of care, for patients
following a broad range of surgical procedures and anaesthetic techniques, and the
implementation and evaluation of these programmes of care ensuring the delivery of high
quality care to patients.
3.
ORGANISATIONAL POSITION
General Manager Access Directorate
SRTC Manager
Director of
Nursing Acute
Service Division
Senior Charge Nurse/Team Leader
Charge Nurse/Team Leader
Specialist Theatre Nurse/ODP Anaesthetics/Recovery (this post)
Nursing Auxiliary/Operating Department Support Worker
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Directly accountable to
Professionally accountable to
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4.
SCOPE AND RANGE
The role of the Anaesthetic/Recovery Nurse/ODP is to:
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Work in conjunction with and assist the anaesthetist to ensure a high quality, safe
and supportive environment for adults and young adults in order to care for
patients/clients/carers/relatives/staff to meet identified care needs within the
operating department.
On a rotational basis, provide anaesthetic assistance to ensure a high quality, safe
and supportive environment for adults, including young adults, at induction, during
and recovering from anaesthesia techniques, including local, regional and general,
following a broad range of surgical procedures within anaesthetic and recovery
areas, theatre areas and exit rooms.
Work towards nursing patients of all needs within a broad range of diverse
specialities. These areas currently include General, Orthopaedics, Urology,
Plastics, and Community Dental. These specialties currently operate from 4
theatres within the SRTC theatre suite..
Escort/transfer critically ill patients within the hospital area. Patients requiring
intensive care nursing may need to be transferred from Stracathro Hospital to
Ninewells Hospital and other hospitals throughout Scotland when there is
inadequate service cover within Ninewells Hospital.
Supervisory responsibilities for registered and non-registered staff as required.
Budgetary responsibilities - ordering of supplies, caring for patients’ valuables.
Safe use of all technical equipment including simple and highly complex
expensive equipment.
Liaise with the multi-disciplinary team and external agencies to contribute to the
effective running of operating lists.
MAIN DUTIES/RESPONSIBILITIES
Care Delivery
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Responsible for the assessment of care needs and the development, implementation and evaluation
of programmes of care for patients whose needs may be unpredictable in the pre, intra and
immediate post-operative care period to ensure delivery of a high standard of care e.g. airway
support and pain management.
Ensure operative safety checks are carried out on a daily basis for all anaesthetic equipment e.g.
anaesthetic machines/ventilators for use by the anaesthetist. Responsible for setting up the
anaesthetic room, checking all equipment is in working order and safe to use. Ensure all equipment
required for each individual patient is available.
Management and maintenance of the patient airway using a broad range of airway adjuncts
responding efficiently and appropriately to failed intubation, difficult intubation and airway
situations.
Maintain effective communications with patients, relatives and other members of the
multidisciplinary team on routine and daily activities to ensure that appropriate information is
shared and patient needs are met.
Provide emotional support and involve patients/client/carers and relatives in the planning and
delivery of individualised care.
6. Responsible for maintaining pre-operative patient records within agreed standards
to ensure the care management plan is communicated to patients and the
healthcare team, e.g. completion of pre-operative checklists in adults and young
adults undergoing surgery in order to obtain past medical history, fasting status
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and allergies. Check correct completion of consent form thus ensuring the patient
has an understanding of the procedure to be undertaken, correct marking of limbs,
checking regular medications have been administered and all relevant tests have
been carried out e.g. blood tests, ECG and results have accompanied patient.
7. Responsible for maintaining post-operative patient records within agreed standards
to ensure the care management plan is communicated to patients and the
healthcare team, e.g. provide verbal/written reports to ward nursing staff regarding
patients’ clinical condition, pain status and instructions regarding ongoing care.
8. Adopts a proactive approach to infection control actively contributing to infection
control policy and practice.
Recovery
1. Undertake immediate recovery of all anaesthetised and semi-conscious
patients at the acute, critical time post-operatively. This involves removing
laryngeal masks and assisting the anaesthetist with extubation. Identify and
deal with problems such as laryngospasm and bronchospasm.
2. Responsible for specialised care planning for patients in the immediate postoperative period requiring physiological and psychological support.
3. Accept responsibility for the management of pain following surgery.
Relevant intravenous training required.
4.
Responsible for carrying out all post-operative instructions, both written and verbal. Report any changes in a
patient’s condition to anaesthetist/surgeon.
5. Responsible for the decision to transfer the patient back to main ward area.
Management /Leadership
6. Co-ordinate and prioritise own workload working as part of a team to ensure
that the interest of patients/clients are met.
7. Contribute to the effective use of physical, human and financial resources.
8. Supervise junior staff, learners and support workers who are providing care to
patients.
9. Act as a source of specialised advice to support the delivery of safe and
effective care for other nursing disciplines i.e. midwives.
10. Contribute to effective teamwork and healthy working relationships.
11. Assist in maintaining own and others’ health, safety and security.
Education/Continuing Professional Development
12. Participate in personal development planning and formal/informal appraisal of
junior staff e.g. student Cap Booklets.
13. Participate in personal career development planning to develop aptitudes and
specialised knowledge in order to maximise contribution to the area.
14. Working towards/demonstrate specialised knowledge specific to the
anaesthetic and recovery of post-operative management of patients across a
broad range of surgical procedures and associated anaesthetic techniques.
15. Undertake/complete Fitness for Practice Anaesthetic and Recovery module.
This consists of a 3 month practical and theoretical component, approximately
96 hours theory and the rest being full-time practical. Two formal
assessments are carried out on completion.
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16. Undertake/complete NHS Education for Scotland (NES) Anaesthetic
Competency Programme.
17. Provide mentorship for learners, inexperienced staff, and students promoting
the development of an effective learning environment to support their
personal and professional growth.
18. To undertake teaching of registered and non-registered staff, including basic
and post basic students, support of medical students/staff and visitors, e.g.
paramedics.
19. Participate in and attend Clinical Effectiveness Sessions, formal teaching and
lectures from anaesthetists, visitors, colleagues and peers.
20. Undertake mandatory training relevant to the practice setting e.g. fire, CPR,
manual handling, blood transfusion.
21. Undertake advanced courses, when available, for example Intermediate Life
Support, (1 day) or any other course relevant to the practice setting.
Quality/Research & Development
22. Demonstrate audit and research awareness and knowledge of evidence
underpinning practice.
23. Work within an ethical and legal framework utilising defined policies, procedures, standards
and protocols of the department, organisation and NHS Tayside to promote safe and effective
care and report quality issues to senior nursing staff.
24. Contribute through discussion in the development of policies and protocols.
25. Work within the remit of the Clinical Governance framework.
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6.
COMMUNICATIONS AND RELATIONSHIPS
Patient
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Communicate/liase with patient and relatives inclusive of on specialist,
complex and highly emotional matters which require high levels of reassurance and empathy, e.g. patients having removal of breasts, undergoing
reconstructive surgery, bereavement or sudden death.
Educate, inform and support patients regarding anaesthetic techniques such as
rapid sequence induction, nerve blocks, general anaesthetic and regional
anaesthesia including spinals, epidurals and management of pain.
Overcome barriers to communication such as sedation, confusion,
drug/alcohol withdrawal, sensory deficits, language barriers, pre-medication,
high emotional state, learning difficulties and psychotic patients.
Communicate with other specialities in the hand over of patient relevant
details from nurse led assessment to anaesthetists and surgeons.
Manage complaints appropriately using organisational policies and
procedures.
Have an understanding and respect of cultural, ethnic and religious
differences of patients.
To provide nursing support to a range of patients undergoing all types of
general and regional anaesthesia.
Professional
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Provide appropriate specialist advice to other clinical areas.
Liaise with relevant departments and other service providers.
Communicate within the multi disciplinary team complex information from
patient assessment through pre-operative checks e.g. allergies and limb
movement restriction.
Liaise with duty co-ordinator, charge nurses, medical staff, transplant coordinator, specialist pain nurses, infection control nurses, midwives, scrub
staff, recovery staff, orderlies, porters, dentists, dental nurses, Accident and
Emergency nurses, pharmacists, stores, laboratories and blood bank.
Act in the best interest of all patients undergoing anaesthesia.
Co-ordinate and organise own workload, anticipate any problems and liaise
with the theatre team.
Responsible for the smooth running of the theatre list, co-ordinating timescales for patient arrival.
After nurse led pre-assessment, effectively communicate all relevant patient
information to anaesthetist e.g. patient history.
External
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Establish and maintain relationships based on mutual respect communicating
on a regular basis with external agencies involved in the provision of care.
KNOWLEDGE, TRAINING AND EXPERIENCE REQUIRED TO DO THE JOB
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You must be registered on Sub-part 1: RN1 or RNA or Sub-part 2: RN2 of the
NMC register or equivalent.
Current anaesthetic & recovery experience, skills and knowledge desirable
but not essential
 Evidence of on-going professional development
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8.
SYSTEMS AND EQUIPMENT
The registered nurse/ODP is expected to have the knowledge and skills necessary to
safely use, store and maintain all equipment in the area in line with local policies
and procedures.
Information Technology
 Theatre planner.
 Intranet/e-mail.
 Telephone/paging system.
 Laboratory blood sample vacuum delivery system.
 Adverse Incident Management Reporting.
 Any other information technology system required.
Moving and Handling
 Safe use of moving and handling equipment e.g. hoists, maxislide, easi- slide,
and spinal boards.
 Understanding and safe use of numerous specialist beds, operating trolleys,
theatre tables and attachments (>15kg)
 Anaesthetic integrated transport system – responsible for these when in use for
patient transfer between areas.
 Responsible for the movement within the hospital of anaesthetic machines and
anaesthetic monitors.
 Any other moving and handling equipment required.
Near Patient Testing
 Non-invasive blood pressure, electrocardiogram , respiratory monitoring and
neurological-observations.
 Blood glucose monitoring e.g. glucometer.
 Temperature, rectal, tympanic and naso-pharyngeal.
 Oxygen saturation monitoring.
 Capnography.
 Sonosite for use prior to and during insertion of invasive monitoring e.g. arterial
and central venous pressure.
 Fluid balance.
 Tourniquets.
 Any other near patient testing equipment required.
Medical Devices and other equipment.
Responsible for setting up and loading of –
 Various types of syringe drivers, infusion pumps, epidural and patient controlled
analgesia pumps, local infusion devices and other any equipment required.
Responsible for checking, setting up, basic maintenance, use of, decontamination
and disposal –
 Anaesthetics machines/ventilators.
 Vaporisers.
 Oxygen analysers.
 Anaesthetic circuits.
 Laryngoscopes.
 Bronchoscopes - maintaining, cleaning and decontamination of these.
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 Endotracheal tubes (various types).
 Maintenance and cleaning of complex intubating equipment e.g. Manujet.
 Numerous patient warming devices e.g. Bair Hugger and Blood Warmer.
 Rapid Infusion Devices e.g. Level 1 Infusor and Cellsaver Auto Transfusor.
 Flowtron boots.
 Oesophageal Doppler Monitor.
 Defibrillator.
 Chest drains.
 Invasive monitoring equipment e.g. Arterial line, Central Venous Pressure.
 Suction equipment.
 Nerve stimulators/Stimuplex Peripheral Nerve Stimulators.
 Ambubags.
 And any other medical device required.
RESPONSIBILITY FOR RECORDS MANAGEMENT
All records created in the course of the business of NHS Tayside are corporate records and are public
records under the terms of the Public Records (Scotland) Act 1937. This includes email messages and
other electronic records. It is your responsibility to ensure that you keep appropriate records of your work
in NHS Tayside and manage those records in keeping with the NHS Tayside Records Management Policy
and with any guidance produced by NHS Tayside specific to your employment.
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9.
PHYSICAL DEMANDS OF THE JOB
PHYSICAL SKILLS
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Have knowledge and skills to anticipate requirements for type of anaesthetic in
order to provide individualised patient care for regional, general and local
anaesthetic for many different types of surgery.
Wearing of Personal Protective Equipment (PPE) e.g. lead aprons, surgical
masks, safety glasses/visors, gloves, footwear, laser safety equipment etc.
Prepare equipment and assist with positioning of patients requiring epidurals,
spinals, nerve blocks, invasive lines, chest drains and intubations.
Anticipate the need for and be competent in the use of rapid sequence induction
and cricoid pressure.
Set up monitoring in order to record cardiac rhythms, oxygen saturations, central
venous pressure and arterial output.
Transducing invasive lines.
Tend to patient personal care needs e.g. incontinence, pressure care and oral
hygiene.
Maintain airway of unconscious patients; use of airway adjuncts.
Assist with intubation and extubation of patients, have specialist in-depth
knowledge of airway management procedures, equipment and algorithms to
assist with the management of difficult airways.
Safety checking of all equipment for anaesthetic purposes, preparing and leak
testing ventilators/anaesthetic machines in accordance with Royal College of
Anaesthetist Guidelines.
Removal of intravenous cannulae and invasive lines.
Intravenous cannulation and intravenous drug administration.
Insertion of urinary catheters.
Preparation of blood warmers.
Preparation of drugs for infusion devices e.g. patient controlled analgesia.
Unsupervised airway maintenance and removal of laryngeal mask airways.
Preparation of Auto Transfusor and Rapid Infusion devices.
Management of unexpected/expected airway difficulties.
Extubation of endotracheal tubes in adult and young adult patients.
Cardio Pulmonary Resuscitation.
TREATMENTS
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Maintenance of intravenous fluids.
Oxygen therapy.
Temperature maintenance.
Open and closed suctioning.
1st stage recovery.
Management of patients post-operatively without medical staff attendance.
Preparing and administering intravenous drugs.
Non-invasive ventilation e.g. bag and mask.
Pain management – use of patient controlled analgesia, epidural pump,
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intravenous analgesia and local anaesthetic infusion devices.
Resuscitation of patients during/following elective procedures.
PHYSICAL DEMANDS
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Push beds, trolleys and equipment.
Tilting beds/trolleys.
Manoeuvring patients with the use of aids e.g. pat-slide and easi-slide.
Positioning of unconscious patients for surgery using table adjustments, arm
boards, leg supports for Lloyd Davis, lithotomy, supine, prone and left/right
lateral positions.
Positioning for epidurals, spinals, nerve blocks and invasive lines.
Maintaining the patient airway.
Standing and walking for most of the shift.
Applying tourniquet and diathermy pads.
Managing confused, agitated, aggressive and psychotic patients.
Escort duties with critically ill patients within the hospital setting.
Positioning of patients on traction/fracture table for orthopaedic surgery.
Care of blocked limbs/elevation, colour, sensation and movement.
Concentration required when additional theatres required to be opened for
emergency use exerting pressure on resources. (long)
Concentration required when caring for unstable/critically ill patients. (long)
Concentration required during quick turnover elective lists when speed is
essential to ensure smooth running and completion of list in within time frame
allocated. (short and long)
Participation in intense physical activity whilst attending resuscitation attempts
outwith operating department areas with limited equipment and resources.
Escort duties with critically ill patients to other hospitals throughout Scotland.
EMOTIONAL DEMANDS
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Coping with frequent interruptions in operating schedule from the multidisciplinary team members relating to a change in list priorities, re-location of
workload, telephone and pager requests and demands outwith the control of the
operating theatre.
Supporting work colleagues.
Communicating with distressed/anxious/worried patients and relatives.
Caring for terminally ill patients undergoing palliative surgery.
Exposure to verbal/physical aggression from confused, agitated and sedated
patients.
Identifying and managing emergency situations.
Coping with unexpected sudden death during surgical procedures involving all
age groups.
Performing last offices.
WORKING CONDITIONS
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Exposure to body fluids, faeces, vomit, emptying bed pans/urinals and catheter
bags.
Exposure to high-risk body fluids.
Exposure to sharps e.g. blades, needles, instruments.
Working in an environment where temperatures can vary. High temperatures
due to lack of windows and proper ventilation. The need for temperature to be
increased depending on type of surgery. Cold temperatures due to regular air
flow changes.
Exposure to hazardous materials e.g. anaesthetic gases, diathermy plumes, skin
solutions, bone cement.
Working in a confined environment that has no natural daylight or ventilation for
extended periods.
Exposure to blood during intravenous cannulations, blood transfusion and
insertion of invasive lines.
Exposure to x-rays.
Exposure to LASER.
Exposure to latex.
Exposure to noise pollution e.g. electrical equipment, laminar air flow systems.
Exposure to infection e.g. MRSA, Hepatitis A, B and C. HIV and Aids and
viral/bacterial meningitis.
Continual day/night rotation and weekend working if determined necessary by
the organisation.
On-call overnight commitment if determined as necessary by the organisation.
DECISIONS AND JUDGEMENTS
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The Registered Nurse/ODP will be responsible to the Senior Charge Nurse/Charge Nurse for
professional management, work review and formal appraisal of performance.
The Registered Nurse/ODP will have responsibility for managing a defined workload within
professional guidelines, which has been allocated by the Senior Charge Nurse/Charge Nurse.
The Registered Nurse/ODP will be responsible for the assessment, monitoring,
evaluation and interpretation of patient condition and early detection of clinical
deterioration using critical judgement and reasoning and respond appropriately.
Analysis of patient condition and subsequent planning of individualised care.
Work as skilled practitioner. Work under own initiative, often in isolated areas,
demonstrating sound decision and judgement, within NHS Tayside Policies and
Guidelines and in accordance with Professional Codes of Conduct, and
recognising own limitations, refer on as necessary.
MOST CHALLENGING /DIFFICULT PARTS OF THE JOB
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Ensuring patient and environmental safety at all times.
Nursing potentially critically ill adult and young adult patients.
Nursing patients of all needs within a broad range of diverse specialities
elsewhere in NHS Tayside including Ninewells Hospital and Perth Royal
Infirmary.
Dealing with situations that arise unsupported by anaesthetic work colleagues in
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work areas outwith Stracathro Hospital site i.e. ECT.
Working with many multi-disciplinary teams, adapting to not only different
paperwork but also different layout of individual theatres/anaesthetic rooms and
clinics.
Anaesthetic/Recovery nurses/ODPs and assistants also have to adapt to
individual anaesthetist working practices.
Having the ability and experience to challenge decisions made by members of
the multi-disciplinary team, which may be unusual practice, or, are not perceived
to be in the best interests of the patient.
Challenging anti-social behaviour.
Having the flexibility and experience to adapt to each discipline where needed
several times per shift.
The Anaesthetic/Recovery nurse/ODP is responsible for giving a full recovery
service whilst in the recovery rooms, including satellite areas, often caring for
more than one patient at a time.
JOB DESCRIPTION AGREEMENT
The job description will need to be signed off using the attached sheet by each
postholder to whom the job description applies.
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JOB DESCRIPTION AND ESSENTIAL ADDITIONAL INFORMATION FORM – SIGNATURE OF
AGREEMENT
Post Title
Reference Number
The attached job description and essential additional information will be used as part of the Agenda for Change
assimilation exercise and therefore the job matching panel may wish to seek further clarification on any issues
contained within the documents. Should this be necessary please identify an appropriate Manager and Staff
representative who can be contacted.
Responsible Manager
Contact No.
Staff Representative
Contact No.
I/we the undersigned agree the attached document is an accurate reflection of the requirements of the post. The essential
additional information provides accurate information of additional job related factors.
Signed :- (Manager)
Staff Members:
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NAME
(BLOCK CAPITALS PLEASE)
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SIGNED
POST NO.
(office use only)
General Conditions of Service
POST REF NO:
D/LR/163/13
JOB TITLE/GRADE:
REGISTERED
NURSE/ODP,
BAND
(ANAESTHETIC/RECOVERY)
LOCATION:
Conditions of Service
Remuneration
Hours of Duty
Superannuation
OPERATING DEPARTMENT, STRACATHRO HOSPITAL
The terms and conditions of service for this post are those
determined by the NHS Staff Council.
The current salary scale for the post is £21,388 to £27,901 per
annum (pro rata for part-time staff). Placing on the scale on
appointment is normally at the minimum but may be higher
subject to verification of previous relevant service.
Salary is paid monthly by Bank Credit Transfer.
The hours of the post are 37.5 hours per week.
Start and finish times will be determined by the needs of the
service.
Membership of the NHS Superannuation Scheme is not
compulsory but is open to all staff between the ages of 16 and
70 (65 in some instances).
The contributions paid are a percentage of superannuable pay,
which is essentially basic pay excluding, for example, overtime
or travelling expenses.
Contribution rates with effect from 01.04.13 are as follows:
Annual Pensionable Pay
(Full-time equivalent)
Up to £15,278
£15,279 to £21,175
£21,176 to £26,557
£26,558 to £48,982
£48,983 to £69,931
£69,932 to £110,273
£110,274 and over
Annual Leave
Contribution
5%
5.3%
6.8%
9.0%
11.3%
12.3%
13.3%
Contributions are subject to tax relief and reduced National
Insurance contributions. NHS Tayside also makes a substantial
contribution towards scheme benefits – currently around 14% of
basic pay.
On appointment = 27 days (pro rata for part-time Staff) or 5.4
weeks per year.
After 5 years aggregated service = 29 days (pro rata for part-time
staff) or 5.8 weeks per year
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5
After 10 years aggregated service = 33 days (pro rata for parttime staff) or 6.6 weeks per year
References
Public Holidays = 8 days (pro rata for part-time staff) or 1.6
weeks per year
All offers of appointment are subject to receipt of two satisfactory
references.
Occupational Health
Clearance
All offers of appointment to new entrants to the National Health
Service are subject to a medical examination. Medical
examinations are arranged and undertaken by the Occupational
Health and Safety Advisory Service (OHSAS).
Rehabilitation of
Offenders Act 1974
(Exclusions and
Exceptions) (Scotland)
Order 2003
All current or spent criminal convictions, cautions, warnings or
any case pending must be disclosed prior to commencing in
employment as detailed on the application form.
Disclosure Scotland
Immigration, Asylum and
Nationality Act 2006
Please note that having a conviction will not automatically debar
you from obtaining employment with NHS Tayside. Careful
consideration will be given to the relevance of the offence to the
particular post in question. However, if you are appointed, and it
is found that you did not reveal a previous conviction your
employment may be terminated.
The successful applicant will be required to become a member of
the Protecting Vulnerable Groups Scheme (PVG) in respect of
regulated work with protected adults and regulated work with
children.
It is a criminal offence for an employer to employ anyone who does not
have permission to live or work in the UK.
Shortlisted applicants will be asked to produce specific original
documentation at interview e.g. Passport, or full birth certificate
together with an official document giving the applicants
permanent National Insurance Number and name issued by a
Government Agency or a previous employer, as well as
photocopies of these documents.
Professional Registration/ you should have current and continuing professional registration
Induction Standards &
with NMC/HPC and hold the appropriate qualification(s).
Code of Conduct
Smoking Policy
Smoking is prohibited within NHS premises and grounds.
Applications
Completed forms should be returned to:
recruitment.tayside@nhs.net quoting the job reference in the
subject line
or
to Human Resources Directorate, NHS Tayside, Level 9,
Ninewells Hospital, Dundee DD1 9SY
By closing date of Friday 4TH April 2014
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