LR 75 SHOW by T29G78H


									Important Job Application Information

Thank you for your interest in NHS Tayside vacancies

Please see below Job Description/Specification and General Conditions of Service

Your Application Form must be completed in full. Please note copies of
Curriculum Vitae, Qualifications and Course Certificates will not be accepted at
this stage.

Please return your completed Application Form to (quoting the
vacancy reference number in the subject box) or to the postal address given on the
General Conditions of Service.

All completed applications are held in Workforce Services until the closing date.
After the closing date a panel will meet to prepare an interview shortlist. Once
this decision has been made, all shortlisted applicants will be emailed to invite
them to attend for interview. It is important that you check your emails regularly.

This process takes approximately 6 weeks. Therefore, if you have not been
contacted regarding interview within 6 weeks of the closing date, your application
has been unsuccessful and you will receive no further correspondence from
Workforce Services


Find out more about living and working in Tayside at:

November 2009                                                                          1
JOB IDENTIFICATION                   Job Title                     Theatre Nurse /
                                                                   Operating Department Practitioner

                                                                   Band 5

                                     Department(s)/Location        Operating Department
                                                                   Scrub/Circulating Service

                                                                   NHS Tayside

2.       JOB PURPOSE

As part of a multidisciplinary team primarily based within the Stracathro Regional Treatment Centre
(SRTC), NHS Tayside the post holder will have responsibility for assessment of care needs and the
development of programmes of care, for patients following a broad range of surgical procedures and
anaesthetic techniques, and the implementation and evaluation of these programmes of care ensuring the
delivery of high quality care to patients.


                                   General Manager Access Directorate
                                                                            Director of Nursing
                                                                            Acute Service Division
                                                 SRTC Manager

                                    Senior Charge Nurse/Team Leader

                                       Charge Nurse/Team Leader

                     Specialist Theatre Nurse/ODP Scrub/Circulating (this post)

                          Nursing Auxiliary/Operating Department Support Worker

Directly accountable to

Professionally accountable to


The role of the Scrub/Circulating Nurse/ODP is to:

     Work in conjunction with and anticipate the surgeon’s needs to ensure a high quality, safe and
      supportive environment for adults, including young adults, in order to care for
      patients/clients/carers/relatives/staff to meet identified care needs within the operating
November 2009                                                                                    2
       On a rotational basis, provide scrub and circulating assistance to ensure a high quality, safe and
        supportive environment for adults, including young adults, during the intra-operative phase for
        patients of all needs within a broad range of diverse specialities. These areas currently include
        General, Orthopaedics, Urology, Plastics and Community Dental. These specialties currently
        operate from 4 theatres.
      Supervisory responsibilities for registered and non-registered staff as required.
      Budgetary responsibilities - ordering of supplies, caring for patient’s valuables.
      Safe use of all technical equipment including simple and highly complex expensive equipment.
      Liaise with the multi-disciplinary team and external agencies to contribute to the effective
        running of operating lists.


Care Delivery

     1.   Provide emotional support and involve patients/client/carers and relatives in the planning and
          delivery of individualised care.
     2.   Maintain effective communications with patients, relatives and other members of the
          multidisciplinary team on routine and daily activities to ensure that appropriate information is
          shared and patient needs are met.
     3.   Responsible for the assessment of care needs and the development, implementation and
          evaluation of programmes of care for patients whose needs may be unpredictable in the pre, intra
          and immediate post-operative care period to ensure delivery of a high standard of care.
     4.   Ensure operative safety checks are carried out on a daily basis for all surgical equipment e.g.
          diathermy machines, Endoscopy systems for use by the surgeon. Responsible for setting up the
          operating room, checking all equipment is in working order and safe to use in accordance with
          manufacturer guidelines. Ensure all equipment required for each individual patient is available.
     5.   Ensure checks of all instruments, swabs, needles, blades, sutures and any other sharps and
          accessories are correct and accounted for before, during and after the procedure, and the surgeon
          is thus informed.
     6.   Maintain an awareness of the risks and complications associated with the surgical practice,
          inclusive of instrumentation and other equipment and accessories being used, e.g. patient
          positioning, diathermy equipment, skin preparation solutions and dressings.
     7.   Maintain the patient’s dignity at all times during the intra-operative episode.
     8.   Responsible for maintaining intra-operative patient records within agreed standards to ensure the
          care management plan is communicated to patients and the healthcare team, and completion of
          all intra-operative checks, including patient identity, consent, allergies, skin integrity, proposed
          surgical procedure and surgical site in all patients undergoing surgery.
     9.   Adopts a proactive approach to infection control actively contributing to infection control policy
          and practice, e.g. through donning the appropriate surgical attire and any additional Personal
          Protective Equipment (PPE) necessary for the procedure, ensuring all surgical instruments are
          clean and in working condition, maintaining a sterile operative field, correct handling of
          specimens and disposing of all contaminated instrumentation, accessories, and associated
          equipment including linen and PPE in accordance with local decontamination guidelines.

November 2009                                                                                            3
Management /Leadership

   1.    Co-ordinate and prioritise own workload working as part of a team to ensure that the interest of
         patients/clients are met.
   2.    Contribute to the effective use of physical, human and financial resources.
   3.    Supervise junior staff, learners and support workers who are providing care to patients.
   4.    Act as a source of specialised advice to support the delivery of safe and effective care for other
         nursing disciplines i.e. midwives.
   5.    Contribute to effective teamwork and healthy working relationships.
   6.    Assist in maintaining own and others’ health, safety and security.

Education/Continuing Professional Development

   7.    Participate in personal development planning and formal/informal appraisal of junior staff e.g.
         student Cap Booklets.
   8.    Participate in personal career development planning to develop aptitudes and specialised knowledge
         in order to maximise contribution to the area.
   9.    Working towards/demonstrate specialised knowledge specific to the intra-operative management of
         patients across a broad range of surgical procedures and their associated anaesthesia.
   10.   Undertake/complete Fitness for Practice Patient Care in the Intraoperative Environment. This
         programme is undertaken over 3 months and contains both a practical and theoretical component
         with formal assessment.
   11.   Provide mentorship for learners, inexperienced staff, and students promoting the development of an
         effective learning environment to support their personal and professional growth.
   12.   To undertake teaching of registered and non-registered staff, including basic and post basic students,
         support of medical students/staff and visitors, e.g. paramedics.
   13.   Participate in and attend Clinical Effectiveness Sessions, formal teaching and lectures from surgeons,
         visitors, colleagues and peers.
   14.   Undertake mandatory training relevant to the clinical setting, e.g. fire, CPR, manual handling and
         blood transfusion.
   15.   Undertake any other training and education training considered appropriate to the scrub/circulatory
         role, and relevant to the clinical setting.

Quality/Research & Development

   16. Demonstrate audit and research awareness and knowledge of evidence underpinning practice.
   17. Work within an ethical and legal framework utilising defined policies, procedures, standards and
       protocols of the department, organisation and NHS Tayside to promote safe and effective care and
       report quality issues to senior nursing staff.
   18. Contribute through discussion in the development of policies and protocols.
   19. Work within the remit of the Clinical Governance framework.

        November 2009                                                                                         4

     Communicate/liase with patient and relatives inclusive of on specialist, complex and highly
        emotional matters which require high levels of re-assurance and empathy, e.g. patients having
        removal of breasts, undergoing reconstructive surgery, bereavement or sudden death.
     Overcome barriers to communication such as sedation, confusion, drug/alcohol withdrawal, sensory
        deficits, language barriers, pre-medication, high emotional state, learning difficulties and psychotic
     Communicate with all other relevant healthcare professionals involved in the provision and
        continuity of care which may also include external agencies, IT departments etc.
     Manage complaints appropriately using organisational policies and procedures.
     Have an understanding and respect of cultural, ethnic and religious differences of patients.
     To provide nursing support to a range of patients undergoing a range of surgical procedures.

     Provide appropriate specialist advice to other clinical areas.
     Liaise with relevant departments and other service providers.
     Communicate within the multi disciplinary team complex information from patient assessment
        through pre and intra-operative checks e.g. allergies and limb movement restriction.
     Liaise with duty co-ordinator, charge nurses, medical staff, transplant co-ordinator, specialist pain
        nurses, infection control nurses, midwives, scrub staff, recovery staff, orderlies, porters, dentists,
        dental nurses, Accident and Emergency nurses, pharmacists, stores, laboratories and blood bank.
     Act in the best interest of all patients undergoing surgical procedures.
     Co-ordinate and organise own workload, anticipate any problems and liaise with the theatre team.
     Responsible for the smooth running of the theatre list; communication and liaison with all
        perioperative team members, co-ordination of surgical equipment.

     Establish and maintain relationships based on mutual respect communicating on a regular basis with
        external agencies involved in the provision of care.


            You must be registered on Sub-part 1: RN1 or RNA or Sub-part 2: RN2 of the NMC register or
            Evidence of on-going professional development
            Current scrub/circulating skills essential

            November 2009                                                                                        5
    8.           SYSTEMS AND EQUIPMENT
The registered nurse/ODP is expected to have the knowledge and skills necessary to safely use, store and
maintain all equipment in the area in line with local policies and procedures.

Information Technology
      Theatre planner.
      Intranet/e-mail.
      Telephone/paging system.
      Laboratory blood sample vacuum delivery system.
      Adverse Incident Management Reporting.
      Any other information technology system required.
Moving and Handling
      Safe use of moving and handling equipment e.g. hoists, maxislide, easi- slide, and spinal boards, lithotomy
      Understanding and safe use of numerous specialist beds, operating trolleys, theatre tables and attachments
      Responsible for the movement of surgical equipment within the department/hospital e.g. surgical instrument
       trays, diathermy equipment, Endoscopy equipment, and any other mobile pieces of equipment required for
      Any other moving and handling equipment required.
Near Patient Testing
      Non-invasive blood pressure, electrocardiogram , respiratory monitoring and neurological-observations.
      Blood glucose monitoring e.g. glucometer.
      Temperature, rectal, tympanic and naso-pharyngeal.
      Oxygen saturation monitoring.
      Capnography.
      Sonosite for use prior to and during insertion of invasive monitoring e.g. arterial and central venous
      Fluid balance.
      Tourniquet pressure.
      Any other near patient testing required.

Medical Devices and other equipment.

 Responsible for setting up and loading of –
 Various types of infusion pumps and local infusion devices.
 Responsible for checking, setting up, basic maintenance, use of, decontamination and disposal of –
 Table/patient trolleys and associated attachments.
 Operating lights.
 Instrument trays and associated consumables.
 Diathermy machines.
 Endoscopy/laparoscopy equipment and associated components (camera, light source and carbon dioxide
 Ultrasonic equipment.
 Fume cabinets.
 Operating microscopes.
 Glue/cement guns.
 Tourniquet machines.
 LASER and associated components.
 Flowtron boots.
 Numerous patient warming devices e.g. Bair Hugger and Blood Warmer.
 Defibrillator.
 Chest drains.
 Suction equipment.
 Nerve stimulators/peripheral nerve stimulators.
 Ambubags.
 And any other medical device as required.


All records created in the course of the business of NHS Tayside are corporate records and are public records under
the terms of the Public Records (Scotland) Act 1937. This includes email messages and other electronic records. It
         November 2009                                                                                       6
is your responsibility to ensure that you keep appropriate records of your work in NHS Tayside and manage those
records in keeping with the NHS Tayside Records Management Policy and with any guidance produced by NHS
Tayside specific to your employment.

       November 2009                                                                                       7

         Have knowledge and skills to anticipate requirements for type of surgical procedure in order to
          provide individualised patient care for the many different types of surgery.
         Prepare equipment and assist with positioning of patients requiring surgical procedures.
         Anticipate the need for and be competent in the use of all surgical equipment required in an
          emergency e.g. managing cases which convert from laparoscopic to open surgery, and haemorrhage.
         Set up any monitoring to allow surgery to proceed, e.g. tourniquet, diathermy plates, Endoscopy
          equipment etc.
         Tend to patients’ personal care needs e.g. incontinence, wound care, pressure care (patient
         Preparation of instrument trays and surgical equipment.
         Safety checking of all equipment for surgical purposes in accordance with local and national
          guidelines and manufacturer recommendations.
         Assembly and use of surgical instrumentation including fine tools e.g. laparoscopic instrumentation,
          implants, drills, screws, staple guns etc. requiring a high level of precision, hand-eye co-ordination
          and speed.
         Wearing of PPE e.g. lead aprons, surgical masks, safety glasses/visors, gloves, footwear, laser safety
          equipment etc.
         Preparation for use of intra-operative drugs as required for surgical procedure.
         Insertion of urinary catheters.
         Management of unexpected/expected surgical difficulties.
         Cardio Pulmonary Resuscitation.

         Maintenance of intravenous fluids.
         Oxygen therapy.
         Temperature maintenance.
         Open and closed suctioning.
         Management of patients post-operatively without medical staff attendance.
         Non-invasive ventilation e.g. bag and mask.
         Assist in the resuscitation of patients for during/following elective procedures.

         Push beds, trolleys and equipment.
         Tilting beds/trolleys.
         Manoeuvring patients with the use of aids e.g. pat-slide and easi-slide.
         Positioning of unconscious patients for surgery using table adjustments, arm boards, leg supports for
          Lloyd Davis, lithotomy, supine, prone and left/right lateral positions.
         Positioning for epidurals, spinals, nerve blocks and invasive lines.
         Maintaining the patient airway.
         Standing and walking for most of the shift.
         Applying tourniquet and diathermy pads.
         Manage confused, agitated, aggressive and psychotic patients.
         Positioning of patients on traction/fracture table for orthopaedic surgery.
         Care of blocked limbs/elevation, colour, sensation and movement.
         Concentration required when additional theatres required to be opened for emergency use exerting
          pressure on resources. (long)
         Concentration required when caring for unstable/critically ill patients. (long)
         Concentration required during quick turnover elective lists when speed is essential to ensure smooth
          running and completion of list in within time frame allocated. (short and long)
         Participation in intense physical activity whilst attending resuscitation attempts outwith operating
          department areas with limited equipment and resources.
         Escort duties with critically ill patients within the hospital setting.
         Escort duties with critically ill patients to other hospitals throughout Scotland.


            Cope with frequent interruptions in operating schedule from the multi-disciplinary team members

         November 2009                                                                                             8
      relating to a change in list priorities, re-location of workload, telephone and pager requests and
      demands outwith the control of the operating theatre.
     Supporting work colleagues.
     Communicating with distressed/anxious/worried patients and relatives.
     Caring for terminally ill patients undergoing palliative surgery.
     Exposure to verbal/physical aggression from confused, agitated and sedated patients.
     Identifying and managing emergency situations.
     Coping with unexpected sudden death during surgical procedures involving all age groups.
     Performing last offices.


     Exposure to body fluids, faeces, vomit, emptying bed pans/urinals and catheter bags.
     Exposure to high-risk body fluids.
     Exposure to sharps e.g. blades, needles, instruments.
     Working in an environment where temperatures can vary. High temperatures due to lack of
      windows and proper ventilation. The need for temperature to be increased depending on type of
      surgery. Cold temperatures due to regular air flow changes.
     Exposure to hazardous materials e.g. anaesthetic gases, diathermy plumes, surgical skin solutions,
      bone cement
     Working in a confined environment that has no natural daylight or ventilation for extended
     Exposure to blood during intravenous cannulations, blood transfusion and insertion of invasive
     Exposure to x-rays.
     Exposure to LASER.
     Exposure to latex.
     Exposure to noise pollution e.g. electrical equipment, laminar air flow systems.
     Exposure to infection e.g. MRSA, Hepatitis A, B and C. HIV and Aids and viral/bacterial
     Continual day/night rotation and weekend working if determined necessary by the organisation.
     On-call overnight commitment if determined as necessary by the organisation.

  November 2009                                                                                            9

         The Registered Nurse/ODP will be responsible to the Senior Charge Nurse/Charge Nurse for
          professional management, work review and formal appraisal of performance.
         The Registered Nurse/ODP will have responsibility for managing a defined workload within
          professional guidelines, which has been allocated by the Senior Charge Nurse/Charge Nurse.
         The Registered nurse/ODP will be responsible for the assessment, monitoring, evaluation and
          interpretation of patient condition and early detection of clinical deterioration using critical
          judgement and reasoning and respond appropriately.
         Analysis of patient condition and subsequent planning of individualised care.
         Work as skilled practitioner. Work under own initiative, often in isolated areas, demonstrating
          sound decision and judgement, within NHS Tayside Policies and Guidelines and in accordance
          with the Professional Codes of Conduct, and recognising own limitations, refer on as necessary.


         Ensuring patient and environmental safety at all times.
         Nursing potentially critically ill adult and young adult patients.
         Nursing patients of all needs within a broad range of diverse specialities elsewhere in NHS
          Tayside including Ninewells Hospital and Perth Royal Infirmary.
         Working with many multi-disciplinary teams, adapting to not only different paperwork but also
          different layout of individual theatres/anaesthetic rooms and clinics.
         Scrub/circulating nurse/ODPs also have to adapt to individual surgeon and surgical working
         Have the ability and experience to challenge decisions made by members of the multi-disciplinary
          team, which may be unusual practice, or, are not perceived to be in the best interests of the
         Challenging anti-social behaviour.
         Having the flexibility and experience to adapt to each discipline where needed several times per
         The scrub/circulating nurse/ODP is responsible for giving a full surgical support service whilst
          the patient remains in the perioperative environment.


          The job description will need to be signed off using the attached sheet by each postholder to
          whom the job description applies.

      November 2009                                                                                       10
General Conditions of Service

POST REF NO:                  D/LR/75/12
LOCATION:                     SCRUB/CIRCULATING                 PRACTITIONER,
                              STRATHRO           REGIONAL           TREATMENT

                        The terms and conditions of service for this post are those
Conditions of Service   determined by the NHS Staff Council.
Remuneration            The current salary scale for the post is £21,176 to £27,625
                        (pro rata for part-time staff).         Placing on the scale on
                        appointment is normally at the minimum but may be higher
                        subject to verification of previous relevant service.

                        Salary is paid monthly by Bank Credit Transfer.
Hours of Duty           The hours of the post are 37.5 hours per week.

                          In accordance with Agenda for Change, phased protection
                          arrangements apply to employees transferring from one post to
                          another within their own NHS organisation and within other NHS
                          organisations in the UK, and to full-time and part-time employees,
                          provided the employee is moving to a post with the same full-time
                          hours under the old pay system during the protection period.

                        Start and finish times will be determined by the needs of the
Superannuation          Membership of the NHS Superannuation Scheme is not
                        compulsory but is open to all staff between the ages of 16 and
                        70 (65 in some instances).

                        The contributions paid are a percentage of superannuable pay,
                        which is essentially basic pay excluding, for example, overtime
                        or travelling expenses.

                        Contribution rates with effect from 01.04.12 are as follows:

                         Annual Pensionable Pay (Full-time equivalent)            Contribution
                         Up to £15,000                                            5%
                         £15,001 to £21,175                                       5%
                         £21,176 to £26,557                                       6.5%
                         £26,558 to £48,982                                       8.0%
                         £48,983 to £69,931                                       8.9%
                         £69,932 to £110,273                                      9.9%
                         £110,274 to any higher amount                            10.9%

                        Contributions are subject to tax relief and reduced National
                        Insurance contributions. NHS Tayside also makes a substantial
                        contribution towards scheme benefits – currently around 14% of
                        basic pay.
Annual Leave            On appointment = 27 days (pro rata for part-time Staff) or 5.4
                        weeks per year.

November 2009                                                                    11
                             After 5 years aggregated service = 29 days (pro rata for part-
                             time staff) or 5.8 weeks per year

                             After 10 years aggregated service = 33 days (pro rata for part-
                             time staff) or 6.6 weeks per year

                             Public Holidays = 8 days (pro rata for part-time staff) or 1.6
                             weeks per year
References                   All offers of appointment are subject to receipt of
                             satisfactory references
Occupational Health          All offers of appointment to new entrants to the National
Clearance                    Health Service are subject to a medical examination.
                             Medical examinations are arranged and undertaken by the
                             Occupational Health and Safety Advisory Service (OHSAS).
Rehabilitation of            All current or spent criminal convictions, cautions, warnings or
Offenders Act 1974           any case pending must be disclosed prior to commencing in
(Exclusions and              employment as detailed on the application form.
Exceptions) (Scotland)
Order 2003                   Please note that having a conviction will not automatically debar
                             you from obtaining employment with NHS Tayside. Careful
                             consideration will be given to the relevance of the offence to the
                             particular post in question. However, if you are appointed, and it
                             is found that you did not reveal a previous conviction your
                             employment may be terminated.
Disclosure Scotland          The successful applicant will be required to become a member
                             of the Protecting Vulnerable Groups Scheme (PVG) in respect of
                             regulated work with protected adults and regulated work with
                             children.     National Discussions are currently taking place
                             regarding charging individuals for PVG fees. Once these are
                             concluded successful applicants will be advised of the outcome.
Immigration, Asylum and      It is a criminal offence for an employer to employ anyone who
Nationality Act 2006         does not have permission to live or work in the UK.

                           Shortlisted applicants will be asked to produce specific original
                           documentation at interview e.g. Passport, or full birth certificate
                           together with an official document giving the applicants
                           permanent National Insurance Number and name issued by a
                           Government Agency or a previous employer, as well as
                           photocopies of these documents.
Professional Registration/ you should have current and continuing professional registration
Induction Standards & Code with NMC/HPC and hold the appropriate qualification(s).
of Conduct
Smoking Policy             Smoking is prohibited within NHS premises and grounds.
Applications               Completed forms should be returned to:
                  quoting the job reference in the
                           subject line
                           or Workforce Services, Level 9, Ninewells Hospital, Dundee DD1
                           By closing date of Friday 21st September 2012

November 2009                                                                          12

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