Spire Healthcare – Clinical Job Descriptions
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Job Title / Code
Theatre Specialist Practitioner – Orthopaedics (00208)
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Reports To
Theatre Team Leader - Orthopaedics
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Department
Theatres – Spire Bristol Hospital
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Job Purpose
To provide exemplary planned care for patients requiring perioperative intervention supporting the
management and organisation of care provision in the operating theatre, taking on the specialist role in
Orthopaedics.
To assist the perioperative managers to deliver effective patient care by providing appropriate clinical
support assisting the theatre manager to effectively maximise theatre utilisation.
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Overall Responsibilities
1.
Develop practice in the assessment of health and well being needs.
2.
Develop practice in addressing individual’s health and well being needs.
3.
Provide and receive complex, sensitive or contentious information.
4.
Develop knowledge and practice in an area of work.
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Develops a working environment and culture that actively improves health, safety and security.
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Develop and improve services.
7.
Improve quality through the provision of safe and competent assistance with surgical procedures
and a high standard of theatre practice is achieved
8.
Support and enable equality, diversity and rights.
9.
Apply technology for measurement, monitoring and treatment
Specific Responsibilities
1.
Develop practice in the assessment of health and well being needs.
 Discuss, and agree with colleagues’ capabilities and competencies in general and
perioperative care practice, across the team.
 Compare current perioperative practices, trends and developments against appropriate
benchmarks.
 Explain clearly to patients whose needs are being assessed own and others’ responsibilities
and how they inter-relate.
 Identify peoples health needs through observation discussion and the use of technical
assessment methods; obtain informed consent prior to the commencement of the assessment.
 Obtain information on patient’s perioperative needs within the overall context of their personal
and care requirements, follow processes of reasoning which allows optimum outcomes to be
achieved. .
 Collect, collate and organise data, interpret all of the information and make a justifiable
assessment relating to patient’s perioperative needs, promote their wellbeing and reducing
risks in the short and long term.
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 Identify and discuss with colleagues the implication of assessment against the perioperative
intervention, enable them to think through the risks and their effective management and the
need for referral to others.
 Provide advice and support on assessment approaches and conclusions to colleagues and
others, proactively and on request, with particular focus on perioperative interventions.
2.
Develop practice in addressing individual’s health and well being needs
 Identify patient’s goals that are appropriate to their needs, wishes and circumstances, compare
current perioperative practices against appropriate benchmarks.
 Develop plans of perioperative care that are appropriate to the patients needs that compare
current perioperative practices against appropriate benchmarks.
 Develop evidence based perioperative practice and be an exemplary role model.
 Obtain informed consent prior to implementing patient’s perioperative care.
 Check patients’ identity against all supporting documentation.
 Confirm with the patient the operative area and correct site, ensuring this has been marked by
the surgeon.
 Promote patient’s rights and wishes explaining to colleagues particular aspects which may be
prejudiced during the process.
 Enable colleagues to develop their own competence in using different perioperative
interventions designed to address and promote patient’s health and wellbeing.
 Transfer and apply perioperative skills and knowledge to meet arising needs and issues
explaining clearly to colleagues’ rationale and reasoning processes.
 Discuss outcomes with colleagues to enable them to think through the risks and their effective
management and the need for referral to others.
 Identify and discuss with colleagues outcomes and their implication for further action.
 Provide advice and support on approaches to care and outcomes of care proactively and on
request, with a particular focus on perioperative care.
 Transfer and apply skills and knowledge to meet arising needs and issues explaining clearly to
colleagues’ rationale and reasoning processes.
3.
Provide and receive complex, sensitive or contentious information.
 Identify potential communication differences, relevant contextual factors and the risk of
communicating or not communicating information at that time.
 Communicate information in a manner that is consistent with the level of culture, background,
understanding using patients preferred method.
 Recognise and manage differences of opinion and the longer term importance of
communication enabling a constructive outcome to be achieved.
 Proactively use a range of skills and styles of communication with others to improve long terms
goals.
 Promote and model good practice consistent with legislation and Spire Healthcare policies
[Ops policy 33] and own professional body’s code of conduct, [NMC hpc].
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 Demonstrate how these documents apply to the role of the ASP.
4.
Develop knowledge and practice in own area of work.
 Evaluate own knowledge and practice plans and make effective use of appropriate learning
opportunities.
 Prepare for and actively take part in Spire Healthcare’s enabling excellence programme and
set personal development objective.
 Maintain personal development portfolio, applying own new learning to the future development
of area of work.
 Encourage others to make realistic self assessments and their application of knowledge and
skills, challenge complacency and actions which are not in the patients’ or the public’s interest.
 Contribute to the development of a learning culture within Spire Healthcare
 Alert managers to resource issues which affect learning, development and performance.
5.
Develop a working environment and culture that actively improves health, safety and
security.
 Regularly assesses risk to health, safety and security using the results to promote and improve
practice.
 Demonstrate the need for comprehensive checking of the patient against medical records and
hospital documentation (e.g. care pathway) before undertaking the role of ASP
 Ensure that the working environment is as safe as possible and complies with organisational,
professional and legal requirements and guidelines.
 Take appropriate action when problems arise, using appropriate local and national incident
reporting procedures
 Ensure individuals and team are aware of their rights and responsibilities and know the factors
that may adversely affect health, safety and security.
 Ensure individuals and team are able to access suitable learning opportunity to enable them to
work in a healthy, safe and productive way, and are able to voice their concerns without fear of
reproach.
 Secure appropriate resources fir education and training in health and safety.
 Support others in managing risk to, and improving, health, safety and security.
 Act as a role model in promoting health, safety and security and infection control.
 Engage in appropriate exercises and training and investigations to update and extend
knowledge. Encourage these characteristics within the team.
6.
Develop and improve services.
 Ensure that legislation, policies and procedures are correctly applied within the perioperative
team.
 Review the information available on perioperative services and identify areas for improvement.
 Discuss and debate with relevant people the effectiveness, efficiency and appropriateness of
the perioperative services that are being provided. Pay particular attention to risks and
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priorities, service issues and impact of strategies on service development and delivery.
 Agree with others the specification for the perioperative service. This must be timely ensuring
resource availability and use of appropriate benchmarks.
 Work with others to identify the effectiveness of the perioperative service against agreed
criteria. Actively support service development initiatives.
 Contribute to policy and practice changes arising from audits, complaints, requests or new
evidence.
 Propose policies concerning treatment of patients within the surgical service.
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Improve quality.
 Act as a role model in quality improvement offering advice and support to others.
 Maintain continual professional development in quality improvement, make recommendations
on how quality in own area of work can be improved.
 Alert others to new developments and the implications of this to their practice.
 Enable others to understand their contribution to quality against expected standards and
evidence while assessing and manage risks to quality and offering ideas and suggestions for
improvement.
 Enable and energise others to take an active role in auditing, meeting within formal and
informal networks allowing pertinent issues to be addressed and resolved.
 Continuously monitor activities against quality standards, anticipate factors that may reduce
quality and take effective action to address them.
 Begin the investigation of incidents and complaints immediately.
 Review changes in practice and the extent to which quality has been improved.
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Enable people to exercise their rights and promote their equality and diversity.
 Interpret the rights and responsibilities of people in ways that are consistent with legislation and
policies.
 Actively promote equality, diversity, rights and responsibilities.
 Provide clear, up to date information and support to people on exercising their rights and
making a complaint.
 Develop solutions that are capable of wider application when rights have been compromised.
 Monitor the effectiveness of equality, diversity and rights policies and procedures, regularly
review how they are being implemented and provide support to improve effectiveness.
9.
Apply technology for measurement, monitoring and treatment
 Confirm with the person responsible for planning work the procedure and particular aspects
that need to be taken into account.
 Undertake procedure only when it is safe for the individual concerned and once informed
consent is obtained.
 Prepare patient, equipment, environment and materials appropriately to reduce the risk of the
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procedure.
 Position self and equipment correctly, apply and use technology correctly for the procedure
concerned.
 Communicate appropriately with those involved throughout the process.
 Monitor patients’ condition throughout the process taking timely and appropriate action to
manage arising contingencies.
 Interpret and report findings and outcomes concisely, clearly and with the appropriate degree
of urgency
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Qualification, Training and Experience
Competence across a range of perioperative skills supported by professional and clinical knowledge
acquired through state registration and further education and development.
Evidence of post registration continual professional development in the role of a perioperative
specialist practitioner. The post holder should hold and be using a long English National Board
Qualification.
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Judgment Skills
Involves a range of complex job related situations which require analysis or comparison of a range of
options.
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Freedom to Act
Use initiative while working within established procedures, and practice to acceptable standards for
team results.
Work within a wide range of nursing procedures and professional guidelines.
Responsible for day to day management of self and more junior members of the team.
Act as an accountable practitioner guided by the precedent and clearly defined occupational policies
and procedures, including the Nursing and Midwifery Council/hpc Code of Conduct.
Organise own day to day work tasks or activities at own discretion under the delegation of the
perioperative team leader.
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Dimensions
Demonstrates own activities or workplace routines to new or less experienced employees in own work
area. Member of a clinical supervision group.
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Environment
The post holder will function within an unpredictable work pattern which requires moderate physical
skills which are normally obtained through practice over a period of time.
Flexible working using a shift pattern required, with on call duties.
I have read, understood and accept this job description
Name :
Signature :
Position :
Date :
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Review Date : April 2013
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