Senior Post Anaesthetic Care Practitioner

Job description

Job responsibilities

Job Summary

The post holder will work as a member of the multidisciplinary team, required to participate in the Directorate internal rotation programme.

To provide support and knowledge to patients within the speciality. Acts as a role model, demonstrating effective organisational, clinical and leadership skills.

To undertake recovery and anaesthetic duties, as required, meeting service delivery requirements.

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Key responsibilities

Professional:

To maintain awareness of, and comply with the code of professional conduct/standards of proficiency N.M.C, Trust policies, procedures and guidelines.

To demonstrate evidence of on-going specialist professional development via a personal professional portfolio and the NHS knowledge and skills frame work.

Works collaboratively with the multidisciplinary team.

Maintain professional standards and adhere to the Trust and departmental dress code policy.

The post will require the practitioner to be able to demonstrate the ability to work autonomously.

The practitioner is competent to deliver expert, skilled care to highly dependant patients in a specialised area.

COMMUNICATION:

Ensure communication at all levels and disciplines, information inclusive of that which is confidential and complex, within the Theatre and the Trust as appropriate.

Ensure all records and documentation are compiled and maintained accurately and in accordance with the N.M.C. standards for record keeping and Caldicott report.

Supports patients/families/staff effectively communicating sensitive, confidential information using a variety of communication skills such as empathy, negotiation, persuasion and reassurance.

CLINICAL MANAGEMENT:

Deliver skilled practical care to all patients and lead in the monitoring, planning and delivery of individualised patient care, providing advice to staff as appropriate.

Able to demonstrate the ability to assess situations that arise in the peri-operative environment.

To participate, as required, in out of hours cover and rotation onto night duty.

Liaise with Unit Co-ordinators/Team Leader to support appropriate stock management and promote efficient and effective use of resources by continually examining departmental procedures and products used.

Liaise with Unit Co-ordinator, Team Leader and equipment lead to ensure all equipment and instruments are maintained in accordance with manufacturers guidelines, document and report immediately any faults as they occur.

Participate in unit meetings/team feedback to staff as required.

Ensure effective communication with line manager in day to day running of the department acting on own initiative as appropriate.

Ensure rigorous adherence to infection control practices including hand hygiene and universal/standard precautions.

Post holder is required to prioritize and manage workload as an individual and part of the MDT and act up for team leader/Unit Co-ordinator in his/her absence.

Support/promote the implementation of Evidence Based Practice and participate in clinical audits as required.

Participate in setting and maintaining agreed standards of patient care ensuring that said practices are in accordance with departmental/hospital policy.

Input patient data onto the ORMIS system to ensure that accurate patient records/activity are recorded.

Uses judgment to critically assess situations that arise in the peri-operative environment showing the ability to recognise and deal with situations that may occur within their sphere of work.

Personal/Professional Development:

Identify personal and professional needs for career development of self and junior staff via the Trust appraisal programme and the NHS knowledge and skills framework. Take a lead role in the Personal Development Review for junior staff.

Actively support students and professional staff with the mentor/preceptorship role assessing their practical skills and knowledge with courses and clinical competencies as required.

In consultation with the Training Co-ordinator take a lead role in the training and development of other team members, newly appointed staff and students.

Support staff undergoing orientation and induction specific to the clinical area.

RECOVERY DUTIES:

Receive and identify patients post-operatively along with all relevant documentation from anaesthetist and theatre practitioner, ensuring all information pertaining to the patients peri-operative episode is correct, as per departmental guidance.

The practitioner is competent to deliver expert, skilled care in a specialised area.

Ensure patients receive appropriate pain and nausea management whilst in recovery, including the initiation of PCA following Trust/departmental guidance.

The practitioner is competent in the management of I.V. lines/ PCAs, arterial lines, central lines, epidurals and medication administration as per Trust Guidance.

The practitioner is competent in airway management. This is inclusive of managing patients in the immediate post-operative phase who has e.g. a laryngereal mask or and Gudel airway in place. The practitioner possesses the knowledge to assess when a patient conscious level warrants removal of either of the artificial airways referred to.

The practitioner reports immediately, any adverse changes in the patients condition or any other aspect of concern as identified in the MEWS score as appropriate. The practitioner is competent in the recognition of primary post-operative complications and understands the need to act in a timely manner.

Practices nurse led discharge i.e. discharges patients from the Recovery Unit to the ward area. The practitioner will implement a care plan for the continuing care of patient on the ward and provide a safe and effective handover of the patients peri-operative journey to the ward nursing staff, as per departmental guidance.

The practitioner completes the recovery competency template through the stages novice, proficient and expert.

On occasion there may be a delay in a patients discharge from the Recovery Unit e.g. ward bed not available and/or staff on ward dealing with a crisis. In these circumstances the patient may have an extended stay in the recovery unit and in some instances an overnight stay. The senior practitioner will be required to manage the situation as appropriate communicating with the MDT patient and relatives as appropriate updating ORMIS and IPM.

If a patients post-operative status warrants transfer to a Critical Care bed the practitioner will work with/support the anaesthetist responsible for the patients care until the patient is discharged from the unit. In the absence of the anaesthetist the practitioner will use their expert knowledge, clinical and analytical skills at the bedside and alert the anaesthetist, should the patients condition deteriorate and warrant medical opinion/advice.

The post holder will, on occasion, be required to work in traumatic and emotive environments.

Person Specification

Qualifications

Essential

• Registered Nurse, current NMC registration
• Qualification relevant to specialist area (Diploma/Degree in Specialized Theatre Practice,ENB 182/176,HEA605)or equivalent course
• Mentorship course or Teaching and Assessing course (ENB 998,C&G756,Mentorship in Practice,D32/D33,)

Desirable

• ILS/ALS

Experience

Essential

• Demonstrable post registration experience in relevant theatre area ,of which at least one year should be at a supervisory level
• Responsibility for running clinical areas on a shift/daily basis
• Evidence of mentorship within specialist field and appraisals as appropriate
• Evidence of active participation in development of unit guidelines/initiatives

Desirable

• Management course /training
• Understanding of Trust Policy and Practice
• Policy and procedure writing skills
• Principles of budget management

Knowledge

Essential

• Understanding and knowledge relating to political and professional issues
• Evidence of expert knowledge in one area of practice

Desirable

• Knowledge of Trust/NHS performance targets

Skills

Essential

• Ability to demonstrate effective leadership
• Excellent interpersonal skills
• Ability to write clear, concise reports
• Good knowledge of IT skills
• A creative approach to problem solving
• Commitment to clinical effectiveness and evidence based care
• Excellent communication skills

Desirable

• Presentation skills

Other

Essential

• Self motivated and enthusiastic with a clear vision of the way the service should be efficiently delivered
• Available for out of hours cover

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

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

Liverpool University Hospitals NHS Foundation Trust

Address

Theatre Recovery Ward BGH

Thomas Lane

Liverpool

L14 3LB

Employer's website

https://www.liverpoolft.nhs.uk/ (Opens in a new tab)