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
Please return your completed Application Form to email@example.com (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
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November 2009 1
JOB IDENTIFICATION Job Title Theatre Nurse /
Operating Department Practitioner
Department(s)/Location Operating Department
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.
3. ORGANISATIONAL POSITION
General Manager Access Directorate
Director of Nursing
Acute Service Division
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
4. SCOPE AND RANGE
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
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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.
5. MAIN DUTIES/RESPONSIBILITIES
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.
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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
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.
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6. COMMUNICATIONS AND RELATIONSHIPS
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.
. KNOWLEDGE, TRAINING AND EXPERIENCE REQUIRED TO DO THE JOB
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.
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.
Sonosite for use prior to and during insertion of invasive monitoring e.g. arterial and central venous
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.
Instrument trays and associated consumables.
Endoscopy/laparoscopy equipment and associated components (camera, light source and carbon dioxide
LASER and associated components.
Numerous patient warming devices e.g. Bair Hugger and Blood Warmer.
Nerve stimulators/peripheral nerve stimulators.
And any other medical device as required.
RESPONSIBILITY FOR RECORDS MANAGEMENT
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
9. PHYSICAL DEMANDS OF THE JOB
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
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
Wearing of PPE e.g. lead aprons, surgical masks, safety glasses/visors, gloves, footwear, laser safety
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.
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.
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,
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
10 DECISIONS AND JUDGEMENTS
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.
11 MOST CHALLENGING /DIFFICULT PARTS OF THE JOB
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.
12. JOB DESCRIPTION AGREEMENT
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
JOB TITLE/GRADE: REGISTERED NURSE/ODP, BAND 5
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
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
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.
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).
Smoking Policy Smoking is prohibited within NHS premises and grounds.
Applications Completed forms should be returned to:
firstname.lastname@example.org quoting the job reference in the
or Workforce Services, Level 9, Ninewells Hospital, Dundee DD1
By closing date of Friday 21st September 2012
November 2009 12