Enhanced Nurse Practitioner - Pre Operative Assessment A606

Enhanced Nurse Practitioner - Pre Operative Assessment A606 University Hospitals Bristol and Weston NHS Foundation Trust (UHBW)

To work in conjunction with the Senior nurses in POA to develop and implement a quality peri-operative assessment service to meet the needs of all clients requiring anaesthesia and surgery. The post holder will work within the department to provide the highest standards of patient care using research evidence-based practice, national and local protocols.

To perform the competencies of a trained pre-assessment nurse and in addition any competencies associated with the allocated specialty. To undertake the teaching and assessment of Junior personnel.

The post holder will assess, plan, implement and evaluate programmes of care for patients undergoing theatre procedures. To act autonomously within given competencies and recognise when to make appropriate referrals.

Deputise for the B7 when absent to maintain the efficient running of the clinic.

Main duties of the job

1. Maintain a dynamic enthusiastic role model providing clinical leadership regarding pre-operative assessment and preparation to ensure a high standard of care.
2. To work with initiative and independently within the extended role seeking support in line with local protocol.
3. Understand the risks and benefits of surgery and anaesthesia with appropriate intervention.
4. History taking ensuring relevant medical and social history.
5. Interpretation of clinical findings.
6. Incorporating evidence/research-based practice. The post holder will assess, plan implement and evaluate individualised programmes of care of patients during pre-operative and peri-operative period.
7. Initiate appropriate referrals, investigation, education, and treatment in light of assessment.
8. Evaluate the patients programme of care with other members of the care team.
9. Recognise the rights, dignity and confidentiality of the patient, staff and visitors and ensure they are protected at all times.
10. Recognise professional, legal, and ethical issues appropriate to pre-operative assessment and preparation.
11. Demonstrate initiative, decision making and good time management.
12. The post holder will co-operate with staff from other departments to develop effective channels of communication and to provide a safe and caring environment for patients, relatives, and members of the multidisciplinary team.

About us

University Hospitals Bristol and Weston NHS Foundation Trust (UHBW) is one of the largest acute Trusts in the country, bringing together a combined workforce of over 13,000 staff and over 100 different clinical services across 10 different sites, serving a core population of more than 500,000 people across South West England. UHBW has been rated by the CQC as 'Good' overall and our staff are proud to deliver excellent care to the people of Bristol, Weston and beyond. As a forward-thinking multi-award winning Trust and a digital exemplar committed to improving patient care, our world-leading research and innovations are having a positive local and global impact.

Our hospitals are spread across Bristol and Weston, join us and you can enjoy the very best of both worlds; city living within a stone's throw of the countryside or beside the seaside, both with easy access to all that the South West has to offer. UHBW is committed to safeguarding and promoting the welfare of children, young people and vulnerable adults. As an equal opportunities employer actively working towards a diverse workforce we aim to recruit and retain a workforce which represents the rich diversity of the local population at all levels and are committed to designing our services around the needs of individual patients and those around them.

Job responsibilities

1. In collaboration with the Pre-Operative Band 7 develop clinical standards, policies and procedures to ensure a high quality service is delivered.
2. The post holder must always act within the policies and procedures of the unit/Trust.
3. The post holder may assist/undertake audit to ensure that the service provision complies with agreed clinical standards, policies, and procedures.
4. To promote innovation in clinical practice by obtaining, evaluating, and disseminating information to support the clinical decision making.
5. Empower and motivate team members to develop their skills and knowledge to promote a cohesive team structure.
6. Initiate and respond to change in a positive, flexible, and strategic manner.
7. The post holder will plan staff rotas in conjunction with or in the absence of the B7 staff.
8. In liaison with the B7 the post holder will effectively co-operate with the team to ensure an appropriate skill mix of personnel able to provide specialist peri-operative care and provide learning support/opportunities for staff development.
9. Assist in the assessment and evaluation of the professional performance of all staff through clinical professional development (CPD) and clinical supervision.
10. Ensure the maintenance of accurate records, having due regard to legal aspects, confidentiality and management information requirement.
11. The post holder may be asked at the discretion of the matron to work in any unit of the trust as required.
12. Hours of working rota may be altered, to provide adequate provision for patient care, unless otherwise stated in contract of employment.
13. The post holder will undertake mandatory study days on a regular basis as directed by the Trust policy.
14. The post holder is required to manage frequent interruptions of an unpredictable/urgent nature that require an immediate response.

Person Specification Knowledge and Experience

• Substantial experience of pre-operative assessment
• Recent evidence of caring for people in a pre-operative clinic setting, taking responsibility for the pre-operative assessment of a named caseload of patients coordinating care and services in order to improve the patient's surgical pathway and experience
• Specialist knowledge of assessment, treatment and management of people with multiple conditions prior to elective surgery
• Experience acting as the patient advocate, supporting them to navigate and make informed choices at all stages of the Pre-Assessment processes
• Formal and informal teaching experience
• Relevant pharmaceutical knowledge
• Demonstrates knowledge of relevant research (medical and non-medical)
• Experiences of ensuring patients are fully informed of the planned treatment, including post-operative care and instructions
• Experience of supporting the team with clinical governance, quality assurance and quality management systems
• Previous experience in team management/leadership, service development, and audit

Skills and Abilities

• Physical assessment and diagnostic reasoning skills (willing to undertake or working towards)
• Demonstrate the ability to make decisions, solve problems and work autonomously whilst recognising own limitation and seeking advice and support
• Non-medical prescriber qualification (willing to undertake or working towards)
• Competence in cardio-pulmonary assessment
• Ability to work independently or as part of a team as required
• Basic database management skills
• Good organisational skills
• Assertiveness skills and the ability to deal with interpersonal conflict
• Ability to adapt communication styles that facilitate building honest & trusting partnerships with patients, families, & carers
• Ability to respond to, prioritise and analyse complex health conditions and ensure that effective interventions are actioned in a safe and timely manner
• Self-motivation with evidence of efficient time and deadline management.
• Flexibility, adaptability to meet the needs of a changing service.
• Advanced communication skills
• Assertive and self-aware
• Able to gain credibility with and influence colleagues including influencing clinical changes where appropriate
• Empathetic attitude
• Flexible and reliable
• Demonstrates initiative and is innovative

Qualifications and Training

• 1st level qualification in nursing
• Current NMC Registration
• 1st Degree in Nursing or health related subject or working
• Qualification in teaching assessment and mentoring

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.