Pre-op Assessment Nurse - Band 6

Assess patients suitability and fitness for surgery and anaesthesia using agreed protocols To take a targeted history of the patient including airway assessment. Conduct assessment of both the medical and psychological status of elective surgical patients, including carrying out physical assessment of the patient as required. To order and perform diagnostic tests within set protocols and working to agreed actions where abnormalities are discovered To ensure all test results are available for day of surgery To recognize the significance of any observation made and use them to highlight situations which may be detrimental to the health and well being of the patient. Refer patients who fall outside the agreed criteria to an anaesthetist, who may then make further referrals. Refer patient back to primary care or another healthcare professional to optimize the patients' medical condition, according to local guidelines. To provide information about the pre-operative, intra-operative and post-operative process, ensuring the patient has an understanding of the proposed procedure and any specific preoperative instructions To identify any special requirements needed to facilitate prompt discharge To communicate effectively and liaise with all members of the multidisciplinary team and primary care team as appropriate. To comply at all times with the NMC code of conduct., Assess patients suitability and fitness for surgery and anaesthesia using agreed protocols To take a targeted history of the patient including airway assessment. Conduct assessment of both the medical and psychological status of elective surgical patients, including carrying out physical assessment of the patient as required. To order and perform diagnostic tests within set protocols and working to V3.0 (Nov 09) agreed actions where abnormalities are discovered To ensure all test results are available for day of surgery To take informed consent from patients taking part in relevant research and tissue donation To recognize the significance of any observation made and use them to highlight situations which may be detrimental to the health and well being of the patient. Refer patients who fall outside the agreed criteria to an anaesthetist, who may then make further referrals. Refer patient back to primary care or another healthcare professional to optimize the patients' medical condition, according to local guidelines. To provide information about the pre-operative, intra-operative and postoperative process, ensuring the patient has an understanding of the proposed procedure and any specific preoperative instructions To identify any special requirements needed to facilitate prompt discharge Contact all patients failing to attend pre-operative assessment to identify the reason. Act on the reason, following Trust protocols for the management of DNA's in pre-operative assessment. To communicate effectively and liaise with all members of the multidisciplinary team and primary care team as appropriate. To comply at all times with the NMC code of conduct. Work autonomously and as part of a team. Support the Lead Nurse to maximise the best use of clinical resources, implementing best practice in patient flow, admission and discharge planning. To participate in the recruitment and retention of staff. Liaise with the booking office staff, to co-ordinate the booking of pre-operative assessment clinics and to ensure that notes and relevant documentation are ready for the patients pre-operative assessment and subsequent admission. To implement changes to improve the service where necessary following complaints or incidents, ensuring systems are in place to learn from mistakes, manage risk and regulate professional practice. To supervise allocated staff, assist in their training and development and operate performance and development review. To arrange working patterns to reflect the needs of the service, ensuring that the service is accessible and convenient for all patients. To ensure that all equipment and supplies used within the department are effectively and resourcefully stocked and maintained. To attend and participate in departmental and clinical governance meetings as appropriate and provide feedback to team members as appropriate. Keep the Lead Nurse informed of changes in circumstances that may affect the delivery of care including the Pre-operative Assessment Sister in the absence of the Lead Nurse. To evaluate and continuously monitor standards within the pre-operative assessment clinic and refer to Lead Nurse as appropriate. Clinical Governance / Quality Maintain a working environment that enhances and promotes the health and safety of patients staff and visitors Working with the Lead Nurse ensure risk assessments are relevant and appropriate V3.0 (Nov 09) Be responsible for maintaining a high quality service to patients. This will be achieved by continual professional development, adherence to National Service Frameworks and NICE and clinical guidance. Act as the patients advocate within the pre-operative setting. Assist in the integration of research into practice to promote evidence based care. Respond to patients and relatives concerns at clinic level and refer onto Lead Nurse as appropriate Assist in trusts agenda for patient and public involvement. To assist with regular audits of the service, ensuring actions identified are used to enhance and promote the service. Act as a link nurse for the department, maintaining a learning resource for colleagues and provide training to staff as required. Education and training development To act as a knowledge resource, clinical supervisor and mentor for junior nursing staff and student nurses. To advise patients on the promotion of health and the prevention of illness and ill health. To maintain own personal & professional development, keeping personal professional portfolio up to date.

We are looking to recruit a dynamic nurse with excellent clinical nursing skills, to deliver a high quality service to patients attending the pre-operative assessment unit. We are looking for a nurse who has vision and passion to work within our nursing team to provide the best possible care for our patients. The successful applicant will be a motivated and enthusiastic individual with significant post-registration clinical experience within the area of pre-operative assessment or equivalent general adult surgical experience. Applicants will need to have a clear understanding of nursing quality and be able to assure excellence in clinical care. Applicants must have the relevant experience and knowledge of care delivery appropriate to this patient group, be creative, enthusiastic, motivated and have excellent communication skills. The post holder will be expected to act as a role model and contribute to the development and training needs of staff within the unit, therefore E.N.B. 998 or equivalent is essential. The ability to work collaboratively with all members of the multi-disciplinary team is essential, together with excellent communication skills.,

• Current NMC Registration
• CPD Clinical Examination
• Evidence of professional development
• Teaching Certificate
Desirable criteria
• Nursing degree or working towards a degree
• Counseling course, Extensive experience of surgical preassessment
• Evidence of up-to-date standards of clinical practice
• Experience of audit.
Desirable criteria
• Experience of telephone preassessment
• Experience in care of patients undergoing all forms of surgery, Excellent interpersonal and communication skills both verbal and written.
• Able to work without supervision.
• Teaching & assessing experience
• Competence in venepuncture
• Competence in Consent for Research
• Competence in Tissue donation consent
• Skills in change management and project development
Desirable criteria
• Ability to adapt to change within working situations, You must have appropriate UK professional registration.
  
  Liverpool University Hospitals NHS Foundation Trust was created on 1 October 2019 following the merger of two adult acute Trusts, Aintree University Hospital NHS Foundation Trust and the Royal Liverpool and Broadgreen University Hospitals NHS Trust.
The merger provides an opportunity to reconfigure services in a way that provides the best healthcare services to the city and improves the quality of care and health outcomes that patients experience. The Trust runs Aintree University Hospital, Broadgreen Hospital, Liverpool University Dental Hospital and the Royal Liverpool University Hospital. It serves a core population of around 630,000 people across Merseyside as well as providing a range of highly specialist services to a catchment area of more than two million people in the North West region and beyond.

The Trust is committed to promoting a healthy work-life balance and achieve fair, equitable and consistent practice. We welcome flexible working requests and will consider a variety of flexible working arrangements from day one of your employment. Not all roles are suitable for every flexible working opportunity all of the time. Flexible working options may include reduced hours, compressed hours, fixed shifts, time back in lieu and home working. The Trust is committed to promoting equality and diversity; we value the contribution of individual talent, skills, knowledge and experience and aim for a workforce demography representative of the local community. We encourage applicants from the following groups that are currently under-represented in our workforce black, Asian and minority ethnic, lesbian, gay, bisexual and Transgender (LGBTQ+), disabled, male and age 16-24. Trust policy requires that the cost of submitting & processing the successful applicant/s DBS application be recovered via salary deduction following start in post. The amount of £18+£5 (standard disclosure) or £38+£5 (enhanced disclosure) will be deducted from salary, in manageable monthly instalments for up to 3 months following commencement of employment. Bank posts require upfront payment. From April 2017, Skilled visa applicants and their adult dependant(s) will be required to provide a criminal record certificate from each country they have lived in consecutively for 12 months or more in the past ten years. Applicants requiring sponsorship may wish to determine the likelihood of obtaining sponsorship for this position by assessing themselves against the criteria on the gov.uk website - https://www.gov.uk/check-uk-visa. This organisation has a zero-tolerance approach to the abuse of children, young people and vulnerable adults. All staff must ensure they adhere to the organisations safeguarding children and adults' policy and comply with the Local Safeguarding Children and Adult Board procedures. Staff should be mindful of their responsibility to safeguard children and adults in any activity performed on behalf of the organisation in line with the requirements of statutory guidance and legislation. All employees (and volunteers)are expected maintain their safeguarding knowledge and skills by completing mandatory safeguarding training which includes understanding and recognising the signs of abuse and neglect and taking appropriate action. As an organisation, we have adopted the Merseyside Domestic abuse workplace scheme which supports our staff who are experiencing Domestic Abuse /any forms of sexual violence. If you have any personal requirements that will enable you to participate in our recruitment process please contact a member of the Recruitment Services by phone on at the earliest opportunity to ensure that measures can be put in place to enable your application for this post. Please note: new entrants to the NHS will commence on the first pay point of the relevant band. For agenda for change banded roles; salary payments will reflect the 2023/24 pay scales. The 2024/25 pay scales will be paid in October 2024 including any backpay due. Therefore should the successful applicant start in post prior to October, the salary will initially reflect the 2023/24 pay scales.