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 Workforce Services 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
Workforce Services
ADDITIONAL INFORMATION:Find out more about living and working in Tayside at:
www.dundeecity.gov.uk
www.angus.gov.uk
www.pkc.gov.uk
NHS TAYSIDE-AGENDA FOR CHANGE
JOB DESCRIPTION
Job Title
Department(s)/Locatio
n
Number of Job
Holders
2 JOB PURPOSE
Registered Nurse / ODP Band 5
Scrub Practitioner
Theatre/Anaesthesia Service
As part of a multidisciplinary team the post holder will have responsibility for assessment of care needs
and the development of programmes of care, and/or the implementation and evaluation of these
programmes ensuring the delivery of high quality care to patients. The post holder will contribute to the
continuing development of clinical practice.
In the absence of the senior charge nurse or deputy provide cover to ensure effective operation of the
perioperative environment and ensure that standards of practice are maintained and staff deliver safe
and effective care within their scope of practice
3 ORGANISATIONAL POSITION
Clinical Service Manager
Associate Nurse
Director
Head of Nursing
Operational Theatre Manager
Senior Charge Nurse/Charge Nurse/Team Leader
Registered Nurse/ODP
Health Care Assistant (HCA) / Theatre Support Worker(TSW)
Directly accountable to
Professionally accountable to
4 SCOPE AND RANGE
To provide a high quality, safe and supportive environment in order to care for patients, clients, carers,
and relatives to meet identified care needs.
Environment of Care: the operating department
To include:
Staff management and supervisory responsibilities for new, registered and non-registered staff and
learners on a day to day basis
Liaising with the multidisciplinary team and external agencies to ensure effective running of the
operating department.
Budgetary Responsibilities (supplies ordering, the safe use of simple and highly complex and expensive
equipment)
5 MAIN DUTIES/RESPONSIBILITIES
● Care Delivery
1. Responsible for the assessment of care needs to include simple and complex clinical problems of
the patient. Responsible for the development, implementation and evaluation of programmes of care
for the patient whose needs may be predictable or unpredictable and/or unstable and changing to
ensure delivery of a high standard of care.
2. Able to identify the requirements of the patient needs in elective/emergency situations and have the
knowledge and skills to act accordingly
3. Ability to establish and maintain effective communication with individuals and groups about difficult
or complex matters to overcome any problems in communication and to ensure that appropriate
information is shared and patient needs are met.
4. Support and involve patients/client/carers/relatives and liaise with and coordinate other members of
the multidisciplinary team in the planning and delivery of individualised care.
5. Responsible for maintaining patient records within agreed standards to ensure the care
management plan is communicated to patients and other members of the multidisciplinary team.
6. Adopts a proactive approach to infection control actively contributing to infection control policy and
practice.
7. Work within the remit of the Clinical Governance framework
● Management/Leadership
8. The Registered nurse will coordinate and prioritise the effective management of the operating
department and the workload of others working as part of the multidisciplinary team to ensure that
the interests of patients/clients are met
9. Contributes to the effective use of physical, human and financial resources.
10. To lead, supervise and give training to new registered and non-registered staff, and learners and
support the training of medical staff who are providing care to patients. To provide advice and
support ensuring safe and effective care and that educational needs are met.
11. Contribute to discussion, debate and influence change in practice underpinned by research that is
evidence based.
12. Act as team leader ensuring effective teamwork and promote healthy working relations.
13. Monitor and maintain own and others health, safety and security.
14. To work within an ethical and legal framework utilising the NMC code of professional conduct,
defined policies, procedures, standards and protocols of the department, organisation and NHS
Tayside to promote safe and effective evidence based practice and contribute to quality
improvement.
15. In the absence of the F/G grade, take charge of the operating department for the management of
standards of care and the daily responsibilities, including work allocation, deployment and
supervision of staff, to ensure smooth running of the area.
● Education & Continuing Professional Development
15. To participate in personal/career development plan to maintain and develop attitudes, skills and
knowledge facilitating personal and professional growth in order to maximise contribution to and
quality of service delivery.
16. To support the personal and professional growth of new, registered and non-registered staff, and
learners in order to maximise contribution to and quality of service delivery.
17. To undertake teaching of registered and non-registered staff, including basic and post-basic
students, support the training of medical students/staff and visitor (medical representatives)
18. To participate in the implementation of staff personal development plans to facilitate ongoing
development.
19. Provide mentorship for learners and registered and non-registered staff and contribute to the
development of an effective learning environment
● Quality/Research and Development
20. Demonstrate research awareness and ability to participate in and regularly(2- 3times a week)
support ongoing research in nursing practice/medical practice, clinical trials, medical research and
equipment testing
21. To work within an ethical and legal framework utilising the NMC code of professional conduct,
defined policies, procedures, standards and protocols of the department, organisation and NHS
Tayside to promote safe and effective evidence based practice and contribute to quality
improvement.
22. Contribute to discussion, debate and influence change in practice.
23. Proposes changes within own area using evidence based practice
6 COMMUNICATIONS AND RELATIONSHIPS
Communicates continuously on routine, difficult, complex and highly sensitive matters with a wide range
of health care workers, patients, families and other relevant departments/agencies utilising a wide range
of media such as IT, telephone, verbal and written communications. Overcomes any difficulties in
communication with people involved such as language barriers, learning difficulties, clinical conditions
e.g. stroke and effectively manages complaints and incidents. Uses motivational, reassurance,
empathetic and negotiating skills.
Establish and maintain relationships based on mutual respect communicating on a regular basis with the
patients/relatives/multidisciplinary team and external agencies involved in the provision of care.
7 KNOWLEDGE, TRAINING AND EXPERIENCE REQUIRED TO DO THE JOB
You must be registered on Sub-part 1: RN1 or RNA or Sub-part 2: RN2 of the NMC register or
equivalent (HPC ODP NVQ/SVQ Level 3 or HND in Operating Department Practice)
Evidence of ongoing professional development
Specialist knowledge specific to intra-operative clinical procedures underpinned by theoretical
knowledge acquired through post-registration courses or by relevant practical experience preferred
although not essential.
Ability to work using own initiative as part of a multiprofessional team.
8 SYSTEMS AND EQUIPMENT
The registered nurse is expected to have the knowledge and skills necessary to use all equipment in the
area in line with local policies and procedures
Examples of equipment and machinery used:
Information Technology: Online incident reporting(Adverse Incident Management), electronic booking
system, PECOS, theatre management system,
Moving & Handling hoists, Patient transfer slides/boards, Operating table and heavy (> 15kg)
attachments, Patient trolleys, video stacking systems, specific specialised equipment.
Near Patient Testing: Blood Pressure monitoring, Blood glucose monitoring, Oxygen Saturation
monitoring, Electro Cardiogram monitoring, electrosurgical unit, patient warming devices
Medical Devices: Diathermy machine, Endoscopy (camera, light source, carbon dioxide insufflators)
systems, Fume cupboards, Operating microscope, Glue spray gun, Laser, Tourniquet machines,
Treatments: Oxygen therapy, airway management, patient controlled analgesia pumps (PCA), bladder
irrigation, maintenance of normothermia, drug administration, (relevant to clinical area)
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.
9 PHYSICAL DEMANDS OF THE JOB
● Physical skills (Several times per shift)
Ensure equipment trays, operating tables and sundries, and heavy additional equipment is clean, in
working order and safe. If any defect is found the operating department nurse will follow the protocol for
reporting faults to relevant department i.e. Medical Physics, Estates Department and/or complaint
process to relevant department i.e. CSSD.
The operating department nurse will assist with the use of table attachments, in the safe positioning of
patients undergoing a range of specific operating procedures
Insertion/removal of urinary catheters
Application of tourniquet cuffs and diathermy earthing plates.
The assembly and use of instrumentation including fine tools e.g. laparoscopic instrument, surgical
staple guns, surgical prosthesis, implants, drill, screw, etc. requiring a high level of precision, hand eye
coordination and speed in an emergency situation e.g. haemorrhage which is an inherent risk to every
procedure, with a narrow margin for
error e.g. failed/difficult intubation
● Physical demands: (Several times per shift)
The movement of the unconscious/compromised patient from bed/trolley on and off the operating table,
attention to pressure care and limb protection, the adaptation and alignment of the operating table(s)
prior to surgery, the specific positioning of the patient relative to the procedure being undertaken.
Pulling and pushing trolleys with patients.
Pulling/pushing heavy equipment >15 kg
Lifting heavy instrument trays and instruments 7kg to > 14kg.
Standing still for long periods of time (minimum 1 hr.) in a restricted position when scrubbed.
Wearing lead aprons (>4kg) for prolonged periods of time
Through out shift maintain high standards of cleanliness and safety in all areas of the peri-operative
environment on a continual basis.
Wearing of Personal Protective Equipment (PPE) compromising personal comfort e.g. lead apron,
surgical masks, surgical gown, surgical gloves, protective eye wear.
● Mental Demands: several times per shift:
Concentration for short periods required when checking documents/patient notes
Concentration for long and short periods required before (check equipment, check patient, check
consent), during (anticipating problems and preparing for them) and after procedure (swab, instrument
and sharps counts) occasionally prolonged, dealing with new equipment, checking drug dosages.
Concentration for long and short periods required due to unpredictable work pattern e.g. reallocation of
the workload, change in theatre lists, this can happen every shift. Change or deterioration in patient
condition may require changing plan of care immediately.
Every shift working in a confined environment that has no natural daylight or ventilation for extended
periods. (whole 8 hour shift)
** The above examples are subject to frequent interruptions from team members, telephone and pager
requests, demands from the surgical team etc.
Working in isolated areas
● Emotional Demands:
Several times per shift communication with distressed/anxious/worried patients/carers
One shift per week - Caring for the terminally ill during palliative procedures.
Every shift - Caring for patients undergoing life saving/changing surgery.
Every shift - Looking after trauma patients e.g. disfiguring injuries
Every shift - Working with stressed individuals
One shift per month dealing with sudden and often traumatic death within the theatre environment.
One shift per month performing last offices on patients who have died within the theatre
Every shift - Dealing with demanding and often unreasonable behavior exhibited by members of
multidisciplinary team
Several times per shift: frequent interruptions in the operating schedule from the multidisciplinary team
members relating to a change in list priorities, reallocation of workload, change or deterioration in a
patient's condition, telephone and pager requests/announcements, demands outwith the control of the
operating theatre.
● Working Conditions:
Several times per shift exposure to highly unpleasant working conditions: dirty sharps, diathermy plume,
bloody theatre linen, body fluids, formaldehyde, body fluid/blood splashes, noise, blood borne diseases,
highly stressful environment
Several times per shift: prolonged (>1hr.) exposure to latex gloves possibly leading to contact dermatitis
Several times per shift: Surgical handscrub with brush (+ 5 min.) with strong antiseptic solution possibly
leading to contact dermatitis, breakdown of the skin’s integrity
Exposure to hazardous materials e.g. bones cement, formalin, diathermy smoke plume, and noise
greater than 80 decibels.
Shift pattern: late/early/weekend
On-call and/or day/night rotation
Constant increase in noise levels due to laminar air flow system, laminar air flow system generates 60
decibels of noise increasing to >80 decibels intra-operatively when power tools are used, suction and
wound lavage system. (specific to Orthopaedics)
10 DECISIONS AND JUDGEMENTS
The operating theatre nurse will be responsible to the senior charge nurse for clinical guidance and
professional management, work review and formal appraisal of performance.
The operating theatre nurse will be responsible for clinical guidance and professional management, work
review and formal appraisal of performance of registered and non-registered staff.
Use clinical skills and knowledge in deciding suitability and availability of instrumentation, specialised
equipment, implants, etc. and deciding whether there is need to contact CSSD or relevant external
companies for provision of required goods to ensure that surgery can proceed
The registered nurse has responsibility for managing a defined caseload working within professional
guidelines.
During several shifts per week the registered nurse will act as team leader to allocate, coordinate and
assess the work of the team and individuals using own initiative.
The registered nurse will be responsible for the assessment, monitoring, evaluation and interpretation of
a patient’s condition, to include simple and complex situations e.g. conflicting priorities during a theatre
list.
The registered nurse will be responsible for anticipation/ early detection of deterioration using critical
judgement.
Deputises in the management of the area in the absence Senior Charge Nurse/Charge Nurse
The operating department nurse will use clinical skills and knowledge to ensure the availability of
equipment, surgical implants, and human resources and liaise with superiors (Senior Charge Nurse,
Theatre Co-ordinator) and external bodies (CSSD and/or Company representatives) if there are any
deficiencies, to ensure the provision of a quality service of care.
11 MOST CHALLENGING/DIFFICULT PARTS OF THE JOB
Effective management and prioritisation of competing demands within an unpredictable environment.
Knowledge of a wide variety of clinical specialties including variations of procedures
In the absence of the Senior Charge Nurse/Charge Nurse provide cover to ensure the effective resource
management within the operating department
12 JOB DESCRIPTION AGREEMENT
The job description will need to be signed off using the attached sheet by each post holder to whom the
job description applies.
General Conditions of Service
POST REF NO:
D/LR/124/12
JOB TITLE/GRADE:
REGISTERED NURSE/ODP, BAND 5
LOCATION:
ORTHOPAEDIC
THEATRE,
NINEWELLS
HOSPITAL
Conditions of Service
Remuneration
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 £21,176 to £27,625
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.
Hours of Duty
Salary is paid monthly by Bank Credit Transfer.
The hours of the post are 37.5 hours per week with possible
day/night rotation and on call commitment
Superannuation
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 01.04.12 are as follows:
Annual Pensionable Pay
(Full-time equivalent)
Up to £15,000
£15,001 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 to any higher amount
Annual Leave
Contribution
5%
5%
6.5%
8.0%
8.9%
9.9%
10.9%
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
After 10 years aggregated service = 33 days (pro rata for
part-time staff) or 6.6 weeks per year
References
Occupational Health
Clearance
Rehabilitation of
Offenders Act 1974
(Exclusions and
Exceptions) (Scotland)
Order 2003
Disclosure Scotland
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
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).
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.
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.
*The successful candidate will be required to pay
Disclosure Scotland directly for the PVG fee. The cost of
joining the PVG Scheme is £59. For Existing Members, the
cost of a Scheme Record Update is £18 and the cost of a
Scheme Record is £59.
Immigration, Asylum
and Nationality Act
2006
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
Induction Standards & Code
registration with NMC/HPC and hold the appropriate
of Conduct
qualification(s).
Smoking Policy
Applications
Smoking is prohibited within NHS premises and grounds.
Completed forms should be returned to:
recruitment.tayside@nhs.net quoting the job reference in
the subject line
or Workforce Services, Level 9, Ninewells Hospital, Dundee
DD1 9SY
By closing date of Friday 1st February 2013