JOB DESCRIPTION 1 Job Identification Job Title: Job Reference: Department & Base: Hours of Work: Theatre Practitioner NM1723 Main Theatre, Anaesthetic Department, Borders General Hospital 37.5 hrs per week Pay Band: Band 5 2 Job Purpose As an integrated member of the multidisciplinary team the post holder will contribute to the effective day-to-day operation of NHS Borders Main Theatres by providing skilled assistance to clinicians during the administration, maintenance and termination of general regional or local anaesthetics, or undertake scrubbing and circulating duties and providing skilled care in the recovery suite. Page 1 of 8
3 Organisational Position Service Manager Planned Care Operational Manager Theatre/Critical Care Senior Charge Nurse Senior Theatre Practitioners Theatre Clinical Co-ordinator Theatre Practitioners Health Care Assistants 4 Scope and Range This post is for a Theatre practitioner, Main Theatre, Borders General Hospital. This is part of the Anaesthetic Department consists of: Main Theatre. Recovery area. Day Procedure Unit. Intensive Therapy Unit. Area Sterilisation and Disinfection Unit (ASDU). Acute and Chronic Pain Services. The Theatre Suite comprises of 5 theatres plus a reception and recovery which provides perioperative care for patients undergoing major, minor, emergency and elective procedures in: Orthopaedic. General surgery. Urology. Gynaecology / obstetrics. Upper & lower GI endoscopy. Scrub practitioner or Anaesthetic practitioner assistance is also provided for: Emergency Department (ED). Cardioversion. CT and Radiology. Inter hospital transfers. On site major incident team. Shift patterns include: Page 2 of 8
Weekend working. Late shifts. Night duty rotation. On-call commitment. The post holder may be required to work in any other ward or department within NHS Borders within their scope of professional practice. 5 Main Duties/Responsibilities Clinical Assess patient needs, develop, implement and evaluate peri-operative (ie: pre, intra & post operative) utilising research findings as appropriate. Prepare patients for clinical/ operative procedures, both in anaesthetics and surgery. Provide assistance in clinical/ operative procedures, both in anaesthetics and surgery. Act as advocate for the patient in situations in which they are unable to speak for themselves or have indicated their wishes. Provide effective communication and empathetic reassurance to all patients in the perioperative environment. Carry out all duties required of the Scrub practitioner or Anaesthetic practitioner in all areas of the hospital in both elective and emergency situations. Including major and minor cases and critically ill patients. Undertake the role of scrub practitioner in major, minor, emergency and elective procedures performed within the theatre suite. Undertake the role of circulating practitioner in major, minor, emergency and elective procedures performed within the theatre suite. Undertake the role of postoperative recovery practitioner as required. Post operative recovery of emergency, elective, major and minor cases, including acute pain management. Promote high standards of Infection Control with adherence to NHS Borders and Departmental policies and guidelines. Ensure that as a theatre practitioner all procedures are carried out in accordance with NHS Borders and Departmental policies, protocols and guidelines and these procedures are also evidence based. Store, administer of medicines according to the NMC Code of Practice / HPC Code of Practice and NHS Borders Policy. Adherence to COSHH regulations. Communicate effectively with the multidisciplinary team. Ensure the accurate collection of data in relation to theatre activity. Page 3 of 8
The list of responsibilities is not to be considered exhaustive and the post holder may be asked by the senior theatre practitioner to perform any duties considered commensurate with the Band 5 post and matched to eksf post outlines. 6 Educational, Professional Development and Training To take every reasonable opportunity for maintaining, developing and acquiring competencies and skills for self development. Adhere at all times to the NMC / HPC Code of Professional Conduct. Act as a mentor and deliver induction orientation for new members of staff and supervise junior staff. The post holder will be appraised on an annual basis and the process will include a review of the past year s performance, objectives setting and Professional Development Planning for the coming year. Undertake staff appraisals as stipulated by the senior theatre practitioners. 7 Managerial Act as team leader in the absence of senior staff and co-ordinate the elective, emergency and out of hour s theatre list accordingly. Participate fully as a team member, including working in all areas of the theatre suite, sharing knowledge and information and supporting colleagues, to promote a cohesive team and the achievement of team objectives. Report complaints, clinical and non- clinical incidents in accordance with NHS Borders Policy. Maintain equipment and supply levels and reporting faults in accordance with NHS Borders Policy. 8 Decisions and Judgements Have the ability to recognise situations where you require assistance and accept advice from a senior theatre practitioner. Recognise your own ability and limitations and identify these to your line manager. Ability to respond appropriately in emergency situations within owns area and others. 9 Communications and Relationships Maintain patient confidentiality at all times. Promote good relationships with patients, public and all staff in and out of the department either verbally and or in writing. Actively listen and seek opinions from the multidisciplinary team. Page 4 of 8
10 Physical Demands of the Job As a scrub practitioner you will be required to be standing for long periods in same position. Highly developed manual dexterity in order to safely undertake a variety of difficult and complex tasks. Assisting with moving and transporting of conscious and unconscious patients while ensuring all moving and handling guidelines are adhered to. Moving beds/furniture/equipment /instrument trays transporters and camera systems etc as required. Be able to respond promptly and accurately to emergency or unplanned situations. Potential control and restraint of physically aggressive patients. Working in a hazardous environment i.e.: exposure prone procedures, Image Intensifier X-rays, exposure to chemical substances and to body fluids. 11 Most Challenging/Difficult Parts of the Job Prioritising and meeting competing demands from patients and members of the health professional groups. Maintaining and developing appropriate skills and knowledge to be an effective member of the multidisciplinary team within the peri-operative environment. Physical and mental demands of responding speedily and accurately to emergency or unplanned situations. Maintaining and updating knowledge and skills in order to work effectively in the role of anaesthetic, scrub, circulating and post-op recovery practitioner. Prolonged concentration during complex anaesthetics and surgery. Page 5 of 8
12 Person / Role Specifications for Theatre Practitioner Essential Desirable Measurable Qualifications: 1 st Level Registration with evidence of meeting NMC requirement. Registered with Health Professions Council. Post-registration qualification in anaesthetic practice. Willing to undertake a recognised anaesthetic qualification. Application Form and Interview. Experience: 6 months postregistration. Theatre experience. Application Form and Interview. Skills & abilities: Technical skill associated with theatre. Able to manage difficult situations. Able to use initiative. Proven communication skills both orally and in writing. Able to prioritise and meet deadlines. Computer literate. Personal Qualities: Able to work within a team. Punctuality. Knowledge of clinical information systems e.g. Sapphire. Multi skilled in theatre scrub and circulating, anaesthetics, recovery, or ITU. Application Form and Interview. Application Form and Interview. Enthusiastic. Page 6 of 8
TERMS AND CONDITIONS Grade and salary: Hours of work: Annual leave: Public Holidays: Superannuation: Band 5: 21,176-27,625 per annum Permanent, 37.5 hours per week 27 days per annum Details of other types of leave entitlement (such as sick leave) are set out in the Agenda for Change handbooks. 8 days per annum on dates designated by NHS Borders Details of other types of leave entitlement (such as sick leave) are set out in the Agenda for Change handbook. The post-holder is entitled to join the NHS superannuation pension scheme. If Unsuccessful: If you have NOT heard from us within 4 WEEKS of the closing date, then we regret that your application has not been successful on this occasion. However, we appreciate your interest in working with NHS Borders and your time and effort in completing the application form. We would welcome your application for future posts. Equal Opportunities: In NHS Borders, we believe that all staff should be treated equally in employment. We will not discriminate against any member of staff, or job applicant, on grounds of age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion and belief, sex and sexual orientation. Trade Union membership. Disclosure checks: We carry out criminal record checks on new staff who fall within certain staff groups within NHS Borders, through Disclosure Scotland. We send out Disclosure Forms to all shortlisted candidates for these staff groups, and ask for these to be completed and returned at interview. If a successful-at-interview candidate forgets to bring their completed form to interview, then they will be required to return the form (and proofs of identity) within 7 days, otherwise the provisional job offer will be withdrawn. Unsuccessful candidates forms will be shredded. The Rehabilitation of Offenders Act does not apply to this post. Tobacco policy: We have a Tobacco policy in place. When selecting staff, we do not discriminate against applicants who smoke, but staff must observe our policy on smoking. Hepatitis B: We offer Hepatitis B immunisation through our Occupational Health Service (OHS). If you think you may be at risk of contracting Hepatitis B through your job, you should ask for this immunisation at OHS. If your work involves exposure-prone procedures, you must keep to the document Protecting Health Care Workers and Patients from Hepatitis B, and the NHSiS Management Executive Directive on this issue. You must be immune to Hepatitis B, and if you cannot prove that you are immune, OHS will investigate to find out whether you are Hepatitis B positive or not. Page 7 of 8
Health and Safety at Work: You must take look after the health and safety of yourself and anyone else who may be affected by what you do at work. You must also co-operate with us to make sure that we keep to legal and organisational safety regulations. You can get more information from the NHS Borders Health & Safety Adviser. The closing date for completed application forms is: 5pm on Wednesday 17 April 2013 Page 8 of 8