Job summary
We have an exciting opportunity for a Registered Nurse Associate to join our Pre-Operative Assessment Team.
The Registered Nurse Associate role contributes significantly to the efficiency and safety of the pre-operative pathway through:
- Protocol-driven screening
- Structured patient education
- Effective communication and escalation
- Support for virtual and telephone pathways
- Facilitating patient optimisation through appropriate signposting
Under current Home Office Immigration Rules, this role does not meet the UK Visas and Immigration criteria and the position is not therefore eligible for skilled worker sponsorship. Applications from candidates that require skilled worker sponsorship will NOT be shortlisted. If you have continuously held a Skilled Worker visa since you got your certificate of sponsorship are extending or updating your visa and got your certificate of sponsorship before 22 July 2025 you may be eligible in line with currently published Home Office immigration Rules.
Main duties of the job
Health Screening Responsibilities
RNA responsibilities in the health screening element of the pathway may include:
- Reviewing completed pre-operative health questionnaires to determine the correct pre-operative pathway in accordance with existing protocols
- Undertaking protocol-driven investigations (e.g. ECGs, observations, venepuncture - HbA1c or haemoglobin, U+E, and MRSA screening
- Providing standardised patient education using approved information and evidence-based recommendations
- Offering lifestyle support and signposting to weight management, smoking cessation, alcohol reduction, and other appropriate services
- Documenting findings clearly within the electronic pre-assessment systems
Follow-Up and Communication
- Conduct protocol-based telephone follow-ups (e.g. BP diary review, medication adherence checks, clarification of questionnaire responses)
- Monitor progress in accordance with defined pathways
- Forward abnormal or concerning results to GPs with standardised wording or proformas
- Escalate concerns to the supervising RN, Nurse Practitioner, Surgeon, or Anaesthetist
Virtual Pre Operative Assessment
Contribute to virtual pre-operative assessments forlow-risk and selected intermediate-risk patients where surgery is low complexity (e.g., local anaesthetic, minor/intermediate GA procedures)
About us
The Robert Jones and Agnes Hunt Orthopaedic NHS Trust (RJAH)is one of the leading orthopaedic hospitals in the country, with some of the highest levels of staff and patient satisfaction, as well as a strong reputation for research and innovation.
In the National Staff Survey, 74% of our staff would recommend the Trust as a place to work and 92% would recommend the hospital to a friend or relative for treatment.
Joining RJAH is more than just a job - we want our people to have the best opportunities to thrive in their role.We have a range of fantastic staff benefits on offer to everyone who joins RJAH and you'll have access to outstanding professional development opportunities and state-of-the-art facilities.
RJAH has strong links with a range of universities including Staffordshire, Keele, Glyndwr, Chester and Birmingham.The hospital is located on a site outside Oswestry in Oswestry, just off the A5. The nearest train station is in Gobowen, approximately two miles from the hospital. The station is part of the Chester to Birmingham line.We are based in North Shropshire, close to the border with North and Mid Wales. It is one of the most attractive parts of the country, with a rich historic culture and excellent transport links. It offers outstanding opportunities for anyone who enjoys an outdoor lifestyle or is looking to raise a family.
Job description
Job responsibilities
The post holder will:1. Work at all times in accordance with the 6 platforms of NMC Code Being an accountable professional Promoting health and preventing ill health Provide and monitor care Working in teams Improving safety and quality of care Contributing to integrated care
2. Be accountable for their own professional actions and those delegated to others.3. Provide and monitor care that is compassionate, safe and effective to people within the practice setting.4. Monitor the condition and health needs of people within their care on a continual basis in partnership with people, families, and carers.5. Contribute to ongoing assessment and recognise when it is necessary to refer to others for reassessment.6. Work in partnership with people, to encourage shared decision making, to support individuals, their families and carers to manage their own care when appropriate.7. Demonstrate the knowledge, skills and ability to perform a range of nursing procedures and manage devices, to meet peoples need for safe, effective and person-centred care (As per the NMC Standards of proficiency for registered Nursing Associates 2018)8. Demonstrate and apply an understanding of how and when to escalate to the appropriate professional for expert help and advice.9. Demonstrate the ability to recognise when a persons condition has improved or deteriorated by undertaking health monitoring. Interpret, promptly respond, share findings, and escalate as needed.10. Achieve and maintain competence in identified mandatory and statutory training; develop and maintain clinical competencies, skills and knowledge which relate to the area of clinical practice (i.e., venepuncture, cannulation, ECG, urethral catheterisation care and any other relevant duties).11. Administer medications as described by local policy and in line with the NMCs standards for medicines management.12. Administer medication; oral, topical, inhaled, subcutaneous, intra- muscular, PR and enteral feeding tube.13. On completion of additional Local training and achievement of competencies, will administer and provide a second safety check for Controlled Drugs (as per Trust policy) and Intravenous infusions.14. Respond to patients, relatives and carers concerns as they arise and take remedial action as required.15. Assume responsibility for undertaking tasks delegated by the nominated line / shift coordinator. This may include representing the ward at meetings, link nurse responsibilities, audit, clinical governance initiatives and supervision and role competency assessments for unregistered staff and students.16. Contribute to the development of service and quality improvement initiatives to enhance patient experience and outcome and ensure standards of care are monitored and maintained within the organisation.17. Delegate appropriately to unregistered staff and students.18. Communicate condition related information to patients, designated relatives/carers.19. Assist with the induction and orientation and subsequent development of junior staff within the ward or department.20. Maintain accurate nursing records ensuring all documentation is completed accurately and promptly.21. Adhere to organisational policies and procedures.22. In accordance with individual patient care, and utilising appropriate computer software and/or monitoring equipment, daily undertake and record patients observations.23. Undertake if not already done so the Preceptorship program supported by The Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust.
Job description
Job responsibilities
The post holder will:1. Work at all times in accordance with the 6 platforms of NMC Code Being an accountable professional Promoting health and preventing ill health Provide and monitor care Working in teams Improving safety and quality of care Contributing to integrated care
2. Be accountable for their own professional actions and those delegated to others.3. Provide and monitor care that is compassionate, safe and effective to people within the practice setting.4. Monitor the condition and health needs of people within their care on a continual basis in partnership with people, families, and carers.5. Contribute to ongoing assessment and recognise when it is necessary to refer to others for reassessment.6. Work in partnership with people, to encourage shared decision making, to support individuals, their families and carers to manage their own care when appropriate.7. Demonstrate the knowledge, skills and ability to perform a range of nursing procedures and manage devices, to meet peoples need for safe, effective and person-centred care (As per the NMC Standards of proficiency for registered Nursing Associates 2018)8. Demonstrate and apply an understanding of how and when to escalate to the appropriate professional for expert help and advice.9. Demonstrate the ability to recognise when a persons condition has improved or deteriorated by undertaking health monitoring. Interpret, promptly respond, share findings, and escalate as needed.10. Achieve and maintain competence in identified mandatory and statutory training; develop and maintain clinical competencies, skills and knowledge which relate to the area of clinical practice (i.e., venepuncture, cannulation, ECG, urethral catheterisation care and any other relevant duties).11. Administer medications as described by local policy and in line with the NMCs standards for medicines management.12. Administer medication; oral, topical, inhaled, subcutaneous, intra- muscular, PR and enteral feeding tube.13. On completion of additional Local training and achievement of competencies, will administer and provide a second safety check for Controlled Drugs (as per Trust policy) and Intravenous infusions.14. Respond to patients, relatives and carers concerns as they arise and take remedial action as required.15. Assume responsibility for undertaking tasks delegated by the nominated line / shift coordinator. This may include representing the ward at meetings, link nurse responsibilities, audit, clinical governance initiatives and supervision and role competency assessments for unregistered staff and students.16. Contribute to the development of service and quality improvement initiatives to enhance patient experience and outcome and ensure standards of care are monitored and maintained within the organisation.17. Delegate appropriately to unregistered staff and students.18. Communicate condition related information to patients, designated relatives/carers.19. Assist with the induction and orientation and subsequent development of junior staff within the ward or department.20. Maintain accurate nursing records ensuring all documentation is completed accurately and promptly.21. Adhere to organisational policies and procedures.22. In accordance with individual patient care, and utilising appropriate computer software and/or monitoring equipment, daily undertake and record patients observations.23. Undertake if not already done so the Preceptorship program supported by The Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust.
Person Specification
Qualifications/Training
Essential
- Current or pending NMC Registration in the case of newly qualified nursing associates.
- Nursing Associate Foundation Degree Qualification
- GCSE or equivalent in Maths and English Grade A-C or Skills Level 2 Maths and English Equivalent.
Experience
Essential
- Recent clinical experience within a healthcare setting.
- Evidence of ongoing professional development
Desirable
Skills and Knowledge
Essential
- Evidence of ability to demonstrate a clear understanding of the following: oTime management. oRole modelling. o Knowledge of the changing NHS, clinical governance. o Audit. oResearch. oSupervision of the care of a group of patients. o Ability to use own initiative and make sound clinical judgements. o Clinical competence. oBasic IT Skills. oHave or willing to undertake core skills.
- Able to communicate calmly with patients/relatives/carers with empathy and tact.
Personal Qualities
Essential
- Excellent communication skills, verbal, written and listening, Works well in a team. o Uses own initiative. o Punctual and reliable. oSelf-motivated to develop personal learning and skills. o Able to work under pressure. o Able to prioritise workload. oAppropriate professional appearance.
Other job requirements
Essential
- Prepared to learn how to motivate others. o Able to work under pressure. oWilling to undertake further learning and education. oWilling to support and develop other members of the team.
- Demonstrates the values of the NHS and commitment to personal and professional development. To exemplify the Trust Values: Friendly - patients, colleagues, public are always put at ease and made welcome Excellence - ensure the care we deliver has great outcomes for patients Caring - put the patient first and be considerate of their needs Professional - apply high professional standards to your role Respect - for patients and each other Able to demonstrate empathy, sensitivity, and to adapt communication style to circumstances. Able to manage stress in themselves and others. Able to offer support at times of emotional distress. Willingness to undertake new skills.
Person Specification
Qualifications/Training
Essential
- Current or pending NMC Registration in the case of newly qualified nursing associates.
- Nursing Associate Foundation Degree Qualification
- GCSE or equivalent in Maths and English Grade A-C or Skills Level 2 Maths and English Equivalent.
Experience
Essential
- Recent clinical experience within a healthcare setting.
- Evidence of ongoing professional development
Desirable
Skills and Knowledge
Essential
- Evidence of ability to demonstrate a clear understanding of the following: oTime management. oRole modelling. o Knowledge of the changing NHS, clinical governance. o Audit. oResearch. oSupervision of the care of a group of patients. o Ability to use own initiative and make sound clinical judgements. o Clinical competence. oBasic IT Skills. oHave or willing to undertake core skills.
- Able to communicate calmly with patients/relatives/carers with empathy and tact.
Personal Qualities
Essential
- Excellent communication skills, verbal, written and listening, Works well in a team. o Uses own initiative. o Punctual and reliable. oSelf-motivated to develop personal learning and skills. o Able to work under pressure. o Able to prioritise workload. oAppropriate professional appearance.
Other job requirements
Essential
- Prepared to learn how to motivate others. o Able to work under pressure. oWilling to undertake further learning and education. oWilling to support and develop other members of the team.
- Demonstrates the values of the NHS and commitment to personal and professional development. To exemplify the Trust Values: Friendly - patients, colleagues, public are always put at ease and made welcome Excellence - ensure the care we deliver has great outcomes for patients Caring - put the patient first and be considerate of their needs Professional - apply high professional standards to your role Respect - for patients and each other Able to demonstrate empathy, sensitivity, and to adapt communication style to circumstances. Able to manage stress in themselves and others. Able to offer support at times of emotional distress. Willingness to undertake new skills.
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.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Additional information
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.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Employer details
Employer name
Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust
Address
The Robert Jones and Agnes Hunt Orthopaedic Hospital NHSFT
Oswestry
SY10 7AG
Employer's website
https://www.rjah.nhs.uk/ (Opens in a new tab)
