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Registered Nurse

4 months ago

Wakefield, United Kingdom The Mid Yorkshire Teaching NHS Trust Full time

Job summary

During this exciting time of change and service developmentwe are looking for a motivated and enthusiastic Staff Nurse to join thePre-Assessment team.

The Pre-assessment nurse will work as part of the pre-assessment team in order to assess the fitness of all elective surgical patients for their planned surgical procedure. All specialities will be assessed including General surgery, Orthopaedics, Urology, Gynaecology, ENT, Max Fax, Plastics, Breast surgery, Dental and Ophthalmology. The pre-assessment nurse will also provide patients with up to date verbal and written information in order to inform consent. The pre-assessment nurse will be supported by the pre-assessment lead nurses and the Consultant anaesthetists. This is a highly skilled role in which you will learn to optimize a patient's fitness to undergo anaesthesia and surgery. A wide knowledge of clinical conditions and co-morbidities is needed in order safely assess patients. Staff work autonomously and independently using clinical judgement to make the correct decision on any action to be taken to optimize the patient's health and social care.

*Previous applicants need not apply*

Main duties of the job

The post holder will review the patients' Pre-assessment health questionnaire with the patient, in order to highlight any potential problems for undergoing a General anaesthetic.

The post holder will prepare elective surgical patients for procedures and order appropriate clinical investigations according to agreed protocols to aid thorough assessment of the patient prior to admission.

The post holder will work closely with the extended multi-disciplinary team to optimise patients fitness and preparation for surgery pharmacist, anaesthetist, complex needs team etc. Organising and participating in the delivery of high standards of evidence-based nursing care.

Taking responsibility to carry out required planned, direct patient care to a high standard without direct supervision, in accordance with established nursing procedures and policies.

Contributing towards the health promotion for all patients by provided education, support and advice as necessary, ensuring referral to appropriate professionals or agencies as required.

In the absence of senior staff, taking responsibility for the delegation and supervision of appropriate work to other qualified staff, healthcare support workers and students.

Where relevant, be responsible and assist in the co-ordination of discharge planning in partnership with the multidisciplinary team.

About us

We provide care and support to over a million people inWakefield and Kirklees in their homes, community settings and across ourthree hospital sites at Pontefract, Dewsbury and Pinderfields (Wakefield).

Always striving for excellence, we are at the forefront ofinnovation and research, and we invest in teaching and the development of ourworkforce.

We live by our values of caring, improving, being respectfuland maintaining high standards. We listen and learn because we aim to make MidYorkshire the best place to work and receive care.

We value diversity and welcome talent and enthusiasmirrespective of age, disability, neurodivergence, sex, gender identity andgender expression, race or ethnicity, religion or belief, sexual orientation,or other personal circumstances including providing unpaid carers support tosomeone with a health and care need. As ethnic minority groups, members of theLGBTQ+ community, and people with a disability/neurodivergence are currentlyunder-represented across the organisation, we encourage applications frommembers of these groups. We have policies and procedures to ensure allapplicants are treated fairly and consistently.

We are proud of our staff networks - who offer valuableguidance and feedback from those with lived experience.

We have a clear vision and you could be part of this Ifyou share our values and you want to make a difference to the lives of ourpatients and their families and carers, we would love to hear from you.

Job description

Job responsibilities

Work to agreed protocols and guidelines bothnational and local to carry out high standard pre-operative assessments onpatients.

Assist in the planning of pre assessment clinicsand carrying out pre-operative assessments to ensure patient is fit for surgeryfor day case and inpatient procedures and minor and major surgeries.

Work under the indirect supervision of a seniornurse

Provide clinical advice and support to staff andpatients within own level of competence

Access, plan implement and evaluate holistichigh quality and individualised care which respects a patients dignity andbeliefs.

Maintain safe working environment for patients,visitors and staff

Maintain and promote effective communicationwithin the care team and colleagues and patients.

Maintain a professional profile and developskills, knowledge and competencies according to the NMC code and trust policiesand procedures.

Perform and organise investigations includingvenepuncture, physical examination, swabs, BP, ECG, spirometry, echocardiogram,sleep studies and referrals to complex needs teams where appropriate to ensurethe patient is optimised for surgery.

Interpret results and act on them accordinglydocumenting any action taken and referring to Anaesthetic opinion whererequired and liaising with MDT involved in patients pathway.

Have excellent communication skills and problemsolving skills and able to work in a challenging and busy environment.

Maintain a culture which recognises and works inpartnership with patients and their carers involving them in all decisionsrelating to their care delivery.

Act as the patients advocate where appropriate.

Responsible for own and whole departmentsrequirement to reduce hospital acquired infection and cross infection throughthe implementation of good practice effective hand washing; daily dampdusting of all equipment; using protective clothing appropriately; rigorouslyapplying standard (universal) precautions to minimise the transmission ofinfection.

To communicate individual patients specific careneeds to the clinical and clerical support worker team so as to ensure allrelevant information is shared to the waiting list.

To escalate any concerns regarding suitabilityof a patient to undergo surgery with the consultant in charge of their care andthe consultant anaesthetist.

To provide health education and optimisation topatients including smoking advice, alcohol advice and weight and diet.

Be willing to undertake role specific trainingand attend study days/courses to develop self and teach others.

Person Specification

Knowledge and Awareness

Essential

NMC Code of Professional Conduct (2008) and accountability. Demonstrates evidence based practice and awareness of research and audit. Awareness of clinical governance issues. Awareness of own limitations

Desirable

Awareness of national priorities for pre operative services. Awareness of elective recovery plan and targets

Qualifications

Essential

Registered General Nurse (RGN)

Desirable

Surgical experience Teaching and assessing qualification

Skills and Abilities

Essential

Excellent communication skills both verbally and written. Able to prioritise tasks, and manage time effectively. Computer literacy and IT skills. Ability to work autonomously/ decision making skills

Desirable

Venepuncture skills Physical examination skills Ecg Interpretation Experience taking patient history

Personal Attributes

Essential

Develop and maintain positive working relationships. Ability to adapt to changing situations and workloads. Willingness to gain knowledge and develop professionally Reliable and self motivated. Ability to work as part of a team.

Desirable

Good motivator of staff. A positive role model to junior staff.

Experience

Essential

Ward experience Ability to plan, assess, implement and evaluate patient care.

Desirable

Surgical ward/area experience

Other

Essential

Good attendance record. Emphasis on quality care Willingness to work flexibly

Desirable

Audit/Research Skills