Job summary
Our Ward/PACU areas provide patient focused, high quality care to patients in the pre & post-operative phase of their treatment. The Day Surgery Unit at Harrogate District Hospital is an outstanding, ACSA accredited department that offers a bespoke training package for all new starters. With fantastic career progression and the unique opportunity for both practitioners and nurses to work across the Ward and PACU. The successful candidate will be supported to thrive in a department that caters for multiple specialities across both adult and paediatric services. We are seeking highly motivated ODPs / Nurses to join our near fully established team.
You will need to be a Registered Nurse or ODP, have excellent communication and interpersonal skills. You must also be prepared to have a flexible approach to duties to meet the needs of the service.
Main duties of the job
Admitting patients and preparing them for theatre. First stage recovery takes place in the post anaesthetic care unit, this includes airway management. Second stage recovery takes place in the ward area. Receive handover of the patient and commence post operative care. Perform nurse led discharges.
About us
At Harrogate and District NHS Foundation Trust we provide 'outstanding' care to both our patients and our staff. We support staff through benefits, health and wellbeing initiatives and opportunities for personal and professional development.
- An inclusive and supportive culture - our Trust encourages staff to bring their whole selves to work and active Staff Networks identify areas for improvement.
- Staff Recognition - as well as regular appraisals, we recognise staff with our Making a Difference, Team of the Month Awards & Colleague Recognition Awards
- Employee Support and wellbeing - we have a comprehensive Employee Assistance Programme, counselling service and fast track physiotherapy service for employees.
- Staff Benefits - We have a range of staff benefits and schemes to support staff health, engagement, wellbeing and inclusion.
Job description
Job responsibilities
The successful candidate will be expected to work in both the PACU and ward area in day surgery. Competency based training will be provided in both areas.
WARD
The duties of practitioners working on the ward area are to welcome and orientate all patients in the ward area. Pre-operatively: The patients are admitted and prepared for theatre which can include administration of Pre-operative medication, working to Patient Group Directives, ensuring patients have been seen by the surgeons and anaesthetists and other members of the multi-disciplinary team. Together with the anaesthetist and surgeon, the ward practitioner will plan the patients immediate and continuing care needs, Including their medical, physical, social and psychological needs.
Post operatively, Patients returning from theatre will be handed over to the ward staff by a qualified member of the theatre/recovery team.
Paediatric days: The ward team are made up with paediatric nurses from the childrens wardand members of the day surgery unit team.
Second stage recovery: Care includes assessment of patients returning from theatre. Observations completed as per protocols. Completion of written documentation on care pathway. Ensure that the patient has adequate diet and fluids during second stage recovery. Continuous assessment of the patients recovery and escalation of any concerns to the nurse in charge or surgical/anaesthetic team. Preparing/planning of discharge e.g. practice nurse referral. Ensure the patients have met the discharge criteria before discharge is commenced.
Discharge: The ward team are autonomous practitioners in nurse led discharges. Competencies are completed to enable you to become an autonomous practitioner. As part of the nurse led discharge, the nurse adds additional information to the letter. The dispensing of medication to be taken home, in line with protocol. The nurse will liaise with patients relative/friend/carer to arrange collection from the unit. The ward area is fast paced due to the need to safely discharge patients to manage the flow of patients throughout the day. We have two ward areas where the patients are admitted and discharge from. We care for patients having general, regional, sedation and local anaesthetics.
Trust IT systems include PCS Live, WebV, ICE, EPMA, Patient track and bluespier. The ward staff and ward clerk team work closely to ensure that patient records are available and prepared. The ward area to be prepared and ready for the next day.
PACU
The post anaesthetic care unit exists to provide a place of safety for patients recovering from general, regional, sedation and local anaesthetic. In the PACU the patient is consistently monitored by an experienced practitioner who will recognise and act upon any signs of deterioration in the patients condition. It is the priority of the PACU practitioner to perform an A-E assessment, in order to make their decisions about the patients stability.
Together with the anaesthetist and surgeon, the PACU practitioner will plan the patients immediate and continuing care needs, organising pain relief, physical and psychological support and assessment of all surgical and physiological considerations.
Once patients have been suitably recovered and having met the discharge criteria, patients can be safely transferred back to the Day Surgery ward, or an inpatient ward within HDFT, in a stable condition. Most patients can be managed within the PACU, but some may need to be transferred to a critical care environment, if further close monitoring and care are necessary.
After sedation, general or regional anaesthesia, all patients are recovered in a specially designated area, within the Day Surgery Unit of HDFT, post anaesthetic care is delivered across two recovery areas with a total of 5 equipped Bays. The recovery area is staffed by trained practitioners where each patient receives one to-one care until they have regained control of their airway, demonstrated cardiovascular stability and is able to communicate.
The PACU team is made up of both ODPs and Nurses who are trained and experienced in Post Anaesthetic Care. All practitioners are trained in the management of supraglottic airways, and their removal. An Anaesthetist is always available if required. All PACU practitioners are trained and qualified in PILS, ILS, administration of IV drugs and have training for the management of the diabetic patient.
Person Specification
Qualifications
Essential
- NMC/HCPC registration
- Ability to provide holistic care to patients.
- Excellent verbal and communication skills.
- I.T. skills
- Ability to Organise own work load.
Desirable
- mentorship qualification
- Evidence of ongoing professional development
- Previous experience as a PACU practitioner
- Previous experience on a ward
- Previous paediatric experience
- Evidence of competency in a range of clinical skills
- I.V. Drug administration
- Cannulation
- Immediate life support trained
- Paediatric immediate life support trained
Qualifications
Essential
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.
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 .
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 .
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website .
Employer details
Employer name
Harrogate and District NHS Foundation Trust
Address
HDFT
Lancaster Park Road
Harrogate
HG2 7SX