GOLDEN JUBILEE NATIONAL HOSPITAL - NHS … JobDesTeam6A.doc · Web viewAGENDA FOR CHANGE NHS JOB...

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JOB DESCRIPTION

1. JOB IDENTIFICATION

Job Title: Operating Department Practitioner/ Staff Nurse

Reports to: Team Leader/Operational Manager

Department: Theatres

Directorate: Surgical & Anaesthetic Directorate

Job Reference: SSSARAIGTHRR40

No of Job Holders: 5

Last Update:

2. JOB PURPOSE

1. The post holder is expected to work without supervision, providing specialised assistance to Anaesthetist and support to patients during anaesthesia and be responsible for assessing, planning, implementing and evaluating patient care.

2. Supervision of junior staff, Nursing students.

3. DIMENSIONS

The Theatre Suite comprises 11 Theatres with Reception and Recovery area. All areas are covered by the Anaesthetic Team:. Provides skilled support to Consultants and Staff grade Anaesthetists and Anaesthetists in training in the Theatre suite which comprises of 11 theatres carrying out the following specialties Orthopaedics, Obstetrics, Gynaecology, Paediatrics, Urology, General Surgery, Ophthalmology, All Trauma, Vascular, Ear Nose & Throat, Maxillofacial, Oral Surgery, Plastic Surgery

When required provides support to other members of the theatre team in a circulating role or as a Recovery Practitioner.

Elective lists all specialties approx. …50 - 60…patients daily Monday – Friday..Orthopaedic Trauma list on Sundays.

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Mixed specialities of Emergency cases with service provisions and cover 24 hours per day with requirement to fulfil night shift with a team to provide a 2nd team on call commitment

.

Anaesthetic Assistants assist with ....2...lists weekly at New Craigs ECT and Community Dentals, 1 list per week in Magnetic Resonance Imaging (MRI) Suite, and…1… list weekly within Radiology

Anaesthetic Assistants provide support to Anaesthetists in A&E, Scan Rooms, Coronary Care unit or with Cardioversions when required approx. ……1 - 2.. occasions weekly.

Is not a direct budget holder but is expected to influence purchasing by evaluating new and existing products and stock.

Liaises with the Procurement Officer, Stores department, and company representatives.

Works with Team Leader, Theatre Manager and Anaesthetists to ensure the most cost effective, suitable equipment is purchased, maintained and utilised.

Anaesthetic Staffing complement of 20(…19.38………… WTE).

Shift pattern exists to provide 24 hour cover and varies to suit service needs.

On call rota, with sleep in requirement if unable to be in department within 20 minutes, as per Raigmore Hospital On-Call Agreement. On call rota with a sleep in requirement …13 people over 365 nights…………. per year.

Weekly hours 37.50

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4.a ORGANISATIONAL POSITION

Divisional nurse ManagerAss Divisional Nurse Manager

Anaes & Recovery Team Leader Band 7

Recovery Band 6’s

Theatre service manager

Theatre Co-ordinator Band 7

SCN Team 1 Band 7 SCN Team 2 Band 7 SCN Team 3 Band 7 Clinical Educator Band 7

Anaesthetic Band 6’s

RecoveryBand 5’s

AnaestheticBand 5’s

Scrub Band 6’s

Scrub Band 6’s

ScrubBand 6’

ScrubBand 5’s

ScrubBand 5’s

ScrubBand 5’s

ODOBand 1

Healthcare support Band 2/3

Healthcare support Band 2/3

Healthcare supportBand 2/3

Reception StaffAdmin

Stores Staff

HousekeepersBand 1 Vacancy ODP or

Anaesthetic Nurse

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4.b ORGANISATIONAL POSITION – OUT OF HOURS

(Emergency Team) (Trauma Team) Sunday am

Nurse in Charge

Staff Nurses Anaesthetic AssistantsRecovery Nurses

Theatre Orderly

Team LeaderOn-Call

Staff Nurse AnaestheticAssistant

Support Worker

Recovery Nurse

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5. ROLE OF DEPARTMENT

1. Ongoing provision of a safe and supportive environment in order to care for patients undergoing various types of anaesthetic/surgical interventions e.g. Major, minor, high dependency cases. (pre-operatively, intra-operatively and post operatively).

2. Application of theory to practice in a broad variety of clinical specialities including General Surgery, Vascular, Urology, Orthopaedic/Trauma, Ear, Nose & Throat (ENT), Gynaecology, Obstetrics, Oral, Paediatrics and Ophthalmology, Plastic surgery, Pacemaker insertion, Cardio-versions, Recovery, Scrub and Emergency theatre.

3. The Anaesthetic and Recovery teams provide services outwith the theatre suite including Electro Convulsive Therapy sessions and dental lists at New Craigs Hospital, and cardioversion sessions in the day case unit.

6. KEY RESULT AREAS

Clinical (95% of time)

1. Works as a practitioner within the Statutes & Guidelines governed by the Nursing & Midwifery Council (NMC)/Health Professions Council (HCPC).

2. As an anaesthetic assistant, works closely with the anaesthetist/s throughout the patients time in theatre, and is trained to provide skilled assistance to enable the anaesthetist to carry out procedures, and care for the patient.

3. In conjunction with the multidisciplinary team agrees implements and audits standards of clinical care to promote and apply evidence-based practice and the attainment of health care governance requirements. Is involved with the setting and maintaining of standards of care within the agreed guidelines of NHS Highland Policies and Procedures ensuring delivery of a high quality service.

4. Demonstrates highly developed clinical nursing knowledge and skills and acts as a clinical adviser and educator to team members including students and medical staff.

5. Follows NHS guideline for confidentiality and the role of the peri-operative nurse in the surgical preparation of the patient at all times.

6. Daily responsibility for the assessment, development, implementation and evaluation of care needs for patients.

7. Provide support and advice to patients (and when required families or carers) to ensure an understanding of the procedure/s to be undertaken. When necessary reporting/referring concerns to others. Leads and supervises junior staff/students acting as a source of advice and support.

8. To set the highest standards of professional practice and clinical leadership.

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9. Recognises the importance of people’s rights in accordance with legislation, policies and procedures, acknowledging and recognising others believes and preferences and choices, respecting diversity, values and others as individuals.

10. Receive and act on safety action notices from NHS Scotland.

11. Has a delegated responsibility to ensure that Health & Safety policies and procedures are adhered to e.g. Regular Safety Inspections, Completion of Risk Assessments, Moving & Handling Policies, Control of Substances Hazardous to Health and Incident reporting.

12. Preparation of self and others to minimise the introduction of micro-organisms into the peri-operative setting. Achieved through correct scrubbing, gowning and gloving, maintaining aseptic technique, trolley and equipment preparation for surgical or anaesthetic procedures.

13. Works within a team structure to ensure a high standard of cleanliness throughout the department. Demonstrate and promote the use of Standard and Specific Infection Control Precautions to minimise risk of infection to patients, self and members of the multidisciplinary team. Apply theory to practice and use universal precautions to protect patients, themselves and other staff when dealing with at-risk patients for example drug addicts, or immuno-compromised patients.

14. Demonstrate and promote skills such as Safe Handling and Positioning of the patient, pressure area care, core temperature maintenance, minimising risk of harm to patients and staff during the peri-operative period.

15. Care and Handling of Specimens, accurate labelling and despatch, due to the importance of determining subsequent treatment of the patient.

16. Daily participation in Swabs, needles and Instrument count for procedures in Anaesthetics and in surgery to ensure prevention of foreign body retention and subsequent injury to the patient.

17. Anaesthetic assistant role - Prepare the anaesthetic room (equipment, drugs, etc.) for individual patient needs and anaesthetist requests. Receive patient to department and assess their needs whilst providing reassurance. Ensure all appropriate documentation is present and complete, checking patient details such as consent, allergies and preferences. Carry out patient assessment and planning, implementing and evaluation of patient care throughout the peri-operative period. Pre-operatively, the anaesthetic assistant generally works independently in the anaesthetic room with the patient and Anaesthetist. Provide safe and quiet environment for induction of anaesthesia. Is responsible for communicating any relevant details to the surgical team in theatre. The Anaesthetic Assistant works closely with the Anaesthetist/s throughout the patient’s time in theatre, and is trained to provide skilled assistance to enable the Anaesthetists to carry out procedures, and care for the patients peri-operatively. Provide assistance to visiting surgical teams during organ retrieval. Intra-operatively assist with maintenance of anaesthesia responding to any problems/requests as they arise. Care for the duration of operation until successful emergence from anaesthesia.

18. Scrubbed role – (rarely) Application of aseptic technique and wound management. Wearing of sterile gown and gloves, having prepared all the necessary instruments and equipment, the post holder works alongside the surgeon. Provide correct surgical instruments and materials in order to ensure safe and efficient completion of surgical procedures. Responsible for ensuring that surgical instruments,

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equipment and swabs are all accounted for throughout the procedure.

19. Circulating role – (occasionally) Utilise communication and management skills, preparing the environment, equipment and acting as a link between the surgical team and other parts of the operating theatre. Ability to anticipate the requirements of the surgical team and to respond effectively.

20. Recovery role – occasionally care of the patient in the Post Operative Recovery Room. (several times a day). Independent decision making on patient care, based on independent assessment of each patient. Management of patient’s airway, removal of laryngeal tube, monitoring of vital signs, documentation of care, administration of oxygen and of drugs, including IV opiates (in accordance to local and hospital policies). Setting up of new infusions, patient controlled analgesia, and removal of intravenous cannulae. Written and oral hand-over to recovery nurse or ward nurse.

21. Because of the nature of their training, which covers a broad range of specialities and procedures, Anaesthetic Assistants are generally dual or multi-skilled, and may also work as recovery practitioners, as scrub side staff in theatre, or in theatre reception as required. Anaesthetic Staff are expected to work in all specialities in elective and emergency situations.

22. Plan and organise own working day around the requirements of the theatre list or departmental needs, with anticipation of changes and likely operating times and requirements for each individual case accounted for.

23. Take responsibility for ensuring that the ventilation and scavenging are on during theatre use. Check, clean, calibrate, and/or prepare the equipment and anaesthetic room for use. This includes emergency equipment and diagnostic measuring devices. Is responsible for the safe use of expensive/ highly complex equipment and is expected to dismantle, clean and reassemble scopes, anaesthetic machines, and emergency trolleys, shut down and decontaminate equipment and work surfaces at end of case/list, and dispose of waste as per hospital guidelines.

24. Initiate nursing process without direct supervision i.e. assess, plan, implement and evaluate care of patients peri-operatively, at initial contact and throughout the patient’s time in theatre, until handing over care to the recovery practitioner, or ward staff. Communicate patient care needs with others in the multi disciplinary team, including anaesthetists, surgeons, operating department practitioners, nurses, support workers, radiographers, radiologists.

25. Provide personal care for patients – predominantly total nursing care for unconscious, recovering or critically ill patients. Handle and process patients’ valuables. Communicate patients’ care needs to scrub and recovery staff as required.

26. Provide continuous assistance to the Anaesthetist/s throughout the peri-operative period (daily).

27. Take responsibility as Keyholder for Controlled drug cupboards on a daily basis, and responsible for checking controlled drug stock. Responsible for maintaining stock levels of drugs and equipment in anaesthetic rooms and for ensuring stock is ordered.

28. Supervision (several times a day) for any nurse, student or support worker working in the anaesthetic room, who has not had specific anaesthetic training.

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29. Provide training in anaesthetic assistance and undertake assessments of nursing students and trainee SVQ candidates (if appropriately qualified Work Based Assessor). Appropriately qualified Mentor takes sole responsibility for mentoring a nursing student for their entire placement. (14 – 16 weeks per year).

Managerial (5% of time)

1. Assist the Teamleader/Assistant Teamleader to manage and drive changes and development through planning, communication and action within the multidisciplinary team to ensure that objectives are met.

2. On a daily basis promote and maintain good relationships within the department and with staff of all disciplines throughout the hospital and NHS Highland, sporadically participating in relevant meetings promoting theatre practice and networking with other critical care areas as required.

3. Has a delegated responsibility to participate in the operational management of the theatre suite out of hours; i.e. late shifts, weekends and nightshift.

4. Awareness of PIN guidelines.

5. Daily requirement to organise own workload prioritising and adjusting priority in the face of changing demands to ensure the best care for the patient.

7a. EQUIPMENT AND MACHINERY

Daily use of expensive technical equipment, calibrating when required, checking for faults and ensuring regular maintenance (liasing with medical physics or suppliers when necessary). Is expected to have knowledge of all equipment used in the department, and will use equipment once provided with training, but may not have daily clinical involvement.

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Equipment UseScavenging systemsIn theatres, Scan rooms, A&E & X-ray theatreIn the recovery room

To extract waste anaesthetic gases from the theatre, to minimise pollution of air.

Anaesthetic machinesPenlon

To deliver oxygen, air , nitrous oxide and anaesthetic agents to the patient.

Ventilator equipmentOn anaesthetic machines‘Ambu bag’ manual ventilation and connectionsA&E portable ventilator and connections

To provide respiratory support for patients.

Suction equipment and suction pressureSuction on Anaesthetic machinesSuction in theatre inc cascade systemsSuction in the recovery roomPortable suction systems (on trolleys)

To provide suction to clear patients’ airways or body cavities of fluids.

Monitoring equipment:

Pulse oximetryNon-invasive blood pressureECGTemperature probes and thermometersCapnographyGas analyser

SpirometryCylinder and line gaugesDoppler probesInvasive blood pressure equipmentCentral venous pressure equipmentSwann Ganz equipment

Portable monitoring for patient transfer

To monitor patients’ condition and get information to act appropriately on changes to condition.

blood oxygen levels and pulseblood pressureheart rate and rhythmcore, and skin temperatureoutput of carbon dioxideintake, usage and output of anaesthetic agents, gases and oxygen and air. Respiratory rate.Respiratory rate and pressuresSupply gas pressuresBlood flow in limbs/ IV catheter positionArterial blood pressureCentral venous pressureCardiac output

To monitor critically ill patients during transfer around the hospital, or to other hospitals

Equipment for obtaining biochemistry/ bacteriology/ haematology results:GlucometerHemocue Blood gas Monovette blood sample syringes and forms

To measure values for

GlucoseHaemoglobinBlood gases Biochemistry/ haematology/ transfusion sample collection

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Bronchoscopy sample collection system Sputum samples from bronchoscopy

Resuscitation equipment including:Ambu bag and pocket masksOxygen flowmeters and cylinder / pipelinesTubing and connectorsFace masks and airwaysDefibrillator and attachmentsEmergency drugs/ minijet syringes

To resuscitate patients (or staff) following respiratory or cardiac arrest

To provide respiratory or cardiac support

7A: EQUIPMENT AND MACHINERY: Equipment UseAirway equipment: Guedel oral and nasal airwaysFace masks – all sizes and typesLaryngeal mask airways (LMAs)Endotracheal tubesLaryngoscopesCatheter mountsSyringes for cuff inflationMagill forceps and scissors

To provide a safe airway for patients.

Equipment for difficult airway management:ManujetIntubating LMAFiberoptic Laryngoscope and monitor equipmentVarious different laryngoscopesTube exchangersTracheostomy tubesBougies and Stilette introducersGags and forceps

To assist with establishing a safe airway, in patients with problematic airways.

Fiberoptic bronchoscope, and equipment To view the patient’s airway into the bronchi and provide suction and /or washout. May be emergency or planned.

Oxygen related equipment:FlowmetersPipeline supplies and cylindersTubingMasks and airwaysNebulisers

To deliver oxygen or nebulised drugs to the patient in a measurable, safe and controlled way

Patient warming equipment:Blood warmer coils

To minimise risks of peri-operative hypothermia.

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Level 1 Rapid InfuserForced air warmers and blanketsWarmed fluids and blankets/ padding

Equipment for administering drugs:Syringes, needles and drug labelsAlcohol wipes and skin dressings and tapesIntravenous(IV) and subcutaneous(SC) cathetersFluid giving sets, extensions and linesFluid and blood product bags and containersAmpoules, minijets, vials, packets, suppositoriesSharps bins and traysinsSignature Infusion PumpsSyringe DriversPCA (Analgesia) PumpsEpidural pumps‘Diprifusor’ Anaesthetic pumpDrip standsPressure bags for IV fluids

Extension leads and sockets for electrical equipment

Drugs are reconstituted using aseptic technique. Drugs in theatre are usually made up in advance of induction of anaesthesia if possible, labelled and often titrated in, according to response.

Pumps and syringe drivers deliver measureable doses of a drug at a rate set by the clinician

Pressure bags are used to apply pressure to a bag of IV fluids to speed up delivery to the patient

7A: EQUIPMENT AND MACHINERY: Equipment UsesPatient trolleys, beds and tables:Wheeled chairStandard theatre trolleyStryker theatre trolley (ophthalmology)A&E trolleyPatient bed – traction framePatient bed – non-electric – various modelsPatient bed – electric – various modelsPressure mattresses – various modelsTheatre tables – various configurationsTheatre table supports – variousPressure relieving gels and supports

Decision on whether patient comes to theatre on bed or trolley is made by nursing staff dependant on the patient’s condition , patient’s ward, and type of operation.

The theatre operating tables have dozens of attachments to adapt them to specific procedures.

Patient movement aids:PatslideSlidesheets‘monkey poles’

We do not use hoists in theatre. Patslides are used to move patients from trolley to trolley/bed. ‘Glide & lock’ slidesheets are used to help position patients.

Drains:Nasogastric tubes To drain gastric contents

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Wound drains – suction or non-suctionStoma bagsUrinary Catheters – urethral/ suprapubic/stomaChest drains

To drain woundsTo drain fluids from bowel/ ileumTo drain fluids from urinary tractTo drain fluids/air from thoracic cavity

Endoscopes, Camera stacks and equipment:LaryngoscopesFiberoptic LaryngoscopeFiberoptic BronchoscopeGastroscopesColonoscopes/ SigmoidoscopesCholedochoscopesCystoscopesCamera stacks and headlightsCamera stacks for Endoscopy

For internal examination or procedures

Electro-surgical diathermyMonopolar & BipolarHand or foot switched

To cauterise or cut patient tissue during surgery

Dental drill equipment To supply power and irrigation to dental drill

Surgical Instruments (all specialities)Surgical Instrument setsSupplementary surgical instruments

Packaged & stored to maintain sterilityUsed to clean, cut, hold, retract, clamp or suture human tissue/ carry out surgical procedures.

Computers/ PrintersIntranet and hospital information (train-e etc)Internet access and e-mailTheatre systemPECOSBudgetscanFax machine and telephones

To produce documents/ store informationHospital information, news, policies etcTo communicate out with the hospitalTo log patient/ procedure/ list detailsTo order stockRecord of staff time worked

Chute system To send documents/ samples/ blood products/ small items around the hospital

7b. SYSTEMS

1. Ongoing responsibility to maintain patient records/documentation; i.e. care plan, fluid balance charts, pump monitoring charts, etc. Clinical operation-coding in accordance with NMC/HPC Guidelines and NHS Highland standards.

2. On a daily basis ensures correct use of computerised systems i.e. Theatreman.

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3. Completes staff duty rota as required. Occasional need to re-organises rota for unexpected/unplanned staff sickness/absence, change in workload, training etc.

4. Assist in completion of Training Needs Analysis and Personal Development Plans as required.

8. ASSIGNMENT AND REVIEW OF WORK

1. The post holder will be responsible to the Team Leader for clinical guidance & professional management, work review and formal appraisal.

2. Workload will be dictated by the needs of the patient, operating list and department. The post holder will be expected to anticipate problems/needs and take steps to resolve them in absence of (or in conjunction with) Teamleader/Assistant Teamleader, involving appropriate colleagues such as Operational Manager, Nurse Manager, General Manager, etc. Support is available from all members of the multidisciplinary team as required.

9. DECISIONS AND JUDGEMENTS

1. Occasionally required to make decisions on all aspects of team management in the absence of the Team Leader/Assistant Team Leader using comprehensive knowledge, skills and experience of the service taking into account the guidance of the NMC/HPC and National, NHS Highland and local policies, procedures and protocols.

2. In conjunction with (or in the absence of) the Team Leader/Assistant Team Leader make autonomous decisions in planning and prioritising theatre list and delegation to team members.

3. Recognises own limitations in the provision of clinical care and urgency of patients needs referring to other health care professionals accordingly.

4. Through the Training Needs Analysis, identifies staff training requirements and ensures staff compliance.

5. Responds to suggestions from staff and colleagues and helps to drive and implement changes that will lead to improved patient care and staff satisfaction.

10. MOST CHALLENGING/DIFFICULT PARTS OF THE JOB

1. Managing the service and practice while responding to and satisfying the varying needs of patients and the multidisciplinary team.

2. Fulfilling role under alternating elective or emergency/isolated conditions.

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3. Shift work: ‘on-call’ requirement at least once a week.

4. Sole anaesthetic assistant responsibility during night shift.

5. Monitoring standards of patient care by all members of multi-disciplinary team and taking appropriate action to manage areas of poor practice

6. Maintaining up to date clinical skills and knowledge in a wide variety of clinical specialities.

7. Mentoring, training and assessing students in a busy department.

8. The expectation to provide occasional restraint with patients (children and adults) to avoid them harming themselves and others, as per Violence and Aggression Training.

11. COMMUNICATIONS AND RELATIONSHIPS

1. Daily establishment and maintenance of professional relationships with patients, nursing colleagues, theatre practitioners, medical colleagues and other health care professionals to provide a planned, co-ordinated seamless service for patients. Identifies potential and existing challenges in care options for patients, carers and staff, using negotiation and counselling skills to achieve reconciliation and the best outcomes for patients.

2. Provide and receive sensitive and complex information concerning patients results and or history.

3. Provide patients with special needs/learning disabilities reassurance, empathy and encouragement/persuasion.

4. In conjunction with the Team leader/Assistant Team leader ensures good communication systems within the Department to ensure the team have access to relevant documented minutes/information, and are involved with and informed of all agreed decisions. This is a challenge because of varying shift patterns across the 24-hour period.

3. All Post holders are encouraged and supported to carry out role of link person and / or trainer for specialist areas of interest e.g. Infection control, Blood transfusion service, etc. Discussing Policy issues, amending, updating, implementing and evaluating them

5. Participate in meetings when required with colleagues, Head of Service, Operational Manager, Nurse Manager, for the purpose of –

Planning, managing and developing theatre services and improving patient care. Discussing Policy issues, amending, updating, implementing and evaluating them. Discussing and problem solving challenges in clinical care and team development. Analysing expenditure and discuss changes affecting ability to remain within budget.

6. Contributes to developing the team, manage conflicting views, disseminate information, consult and listen to staff in order to effect change.

7. Daily communications with other departments e.g. Estates, Health & Safety, Medical physics, etc. may be face to face, telephone, email or written.

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12. PHYSICAL, MENTAL, EMOTIONAL AND ENVIRONMENTAL DEMANDS OF THE JOB

Physical

1. Daily involvement with moving & handling of patients – from beds onto trolleys, from bed to operating table, moving and positioning patient on the operating table, etc. For some patient positions ‘moving aids’ may be unavailable.

2. Provides occasional restraint of patients (children and adults) to avoid them harming themselves and others. Twice to three times a week.

3. Walks or stands for the majority of the shift when providing patient care, or acting as anaesthetic assistant or scrub/ circulating practitioner. (50- 70% of total work time – 90% on clinical days).

4. Monitors patients and equipment (frequency: several times per hour to sometimes continual monitoring).

5. Uses fine motor skills and dexterity with accuracy in hand-eye co-ordination, using skills developed through formal training (assessed) and considerable practice: e.g. preparing instruments or intubation equipment; preparation and administration of Intravenous drugs, Intra muscular or subcutaneous injections and rectal suppositories; assembling equipment such as infusions, anaesthetic circuits, checking anaesthetic machines; patient invasive interventions including catheterisation, airway management and insertion of artificial airways, assisting the surgeon and anaesthetist.; aseptically prepare equipment; programme infusion pumps. (Several times per operation).

6. Occasional requirement to change position or to manoeuvre expeditiously e.g. to protect patient airway from aspiration.

7. Carries out risk assessment, creating as safe an environment as is possible for staff and for patients. There is a requirement to wear any of the following protective clothing for some or all of the duration of a shift: heavy lead coats, protective eye wear, masks, gloves, aprons, gowns, clogs.

8. Able to correctly identify type, action and location of various drugs. In emergency situation requires this knowledge immediately to hand for example to assist with resuscitation.

9. Frequent need to stand for long periods and walk (push and pull trolleys/ beds) during shift.

Mental 1. Daily concentration required for decision making, problem solving and organisational skills to cope

with competing demand (clinical workload, dynamic changes in patients condition, personnel issues, sudden staff shortages, unpredictable emergency cases, etc.)

.

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2. Frequent requirement to respond quickly and effectively in a variety of emergency situations within or outside the theatre environment

3. Daily risk assessment of theatre creating a safe working environment for all staff whilst being sensitive to patients needs

4. Occasional needs to assess the risk of violent, aggressive or challenging behaviour of patients/carers and deal with it appropriately

5. Daily requirement to co-ordinate the smooth running of the operating list with other colleagues and in different areas; i.e. reception, recovery, x-ray, etc.

6. Prolonged concentration required every day during operating lists.

7. Ability to handle frequent unplanned interruptions such as the answering of pagers (for surgeons unable to come to telephone) telephoned laboratory results, and ward enquiries.

Emotional

1. Daily communication with distressed, anxious and worried patients, relatives or carers.

2. Regularly dealing with the emotional effects of caring for critically ill patients, patient deaths.

3. Anxieties arising from dealing with life threatening or crisis situations on a regular basis often with little/no notice e.g. Emergency caesarean sections or ruptured abdominal aneurysms.

Environmental

1. Ongoing noise and stress associated with usage of sophisticated surgical/monitoring equipment

2. Frequent exposure to various infections for example MRSA, HIV and Hepatitis A,B,C.

3. Several times a day, and unpredictably, there is close contact with body fluids, foul linen, clinical & domestic waste, dust, latex, fumes including carcinogenic fumes e.g. bone cement or Soda Lime., Electro-magnetic fields, radiation and chemicals (anaesthetic agents, diathermy plume, formaldehyde).

4. Constant exposure to hospital environment i.e. unnatural light, ventilation noises, high temperature in paediatric theatres, x-ray etc.

5. Daily wearing of a mask and/or heavy x-ray lead apron for lengthy periods.

13. KNOWLEDGE, TRAINING AND EXPERIENCE REQUIRED TO DO THE JOB

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Operating Department Practitioner/Operating Department Assistant.

With Diploma in Theatre Practice, ODP Level 3, City&Guilds 752

Registered Nurse

RN with post registration qualification e.g. ENB 182 Critical Care/ODP Level III

A minimum of 2 year’s in-depth knowledge, experience and skills in theatre practice.

Evidence of ongoing professional development.

Desirable – SVQ Work Based Assessors Award D31, 32.

Desirable – Mentorship qualification.

14. JOB DESCRIPTION AGREEMENT

I agree that the above Job Description is an accurate reflection of my duties and responsibilities at the date of signing.

Job Holder’s Signature:

Manager’s Signature:

Date:

Date:

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