Senior Staff Nurse - Recovery/PACU, Band 6

Job overview

Senior Staff Nurse - Recovery/PACU, Band 6

You will be able to demonstrate strong leadership skills and are able to attend to any clinical emergency that may arise during the shift.

You must demonstrate a flexible approach with taking charge of the unit yet have a strong conviction to meet the set targets and demands of a busy unit.

This post requires the individual to be able to work flexible hours as shifts includes days, nights and weekends.

The Chelsea and Westminster Hospital Main Theatres caters to a wide variety of surgical patients. It is further divided into three (3) departments/ theatre complexes within the hospital main site which all recovery nurses/ practitioners are expected to rotate.

1. Main Theatres –comprising of six (6) theatres that covers genera/colorectal surgery, orthopaedics and trauma, gynaecology, urology, plastics, bariatric surgery and a 24-hour surgical emergency service.
2. Paediatric Theatres- houses four (4) theatres dedicated to a myriad of paediatric surgical specialities and (1) procedure room which will open this month.

• The post holder will be responsible for the assessment, planning and provision of specialist nursing care/advice and carry out specialist nursing procedures to all patients that are admitted in Recovery whilst ensuring that all the patients and their relatives are treated with dignity and respect through the adoption of holistic and person-centred care principles.
• The post holder will provide clinical supervision to other members of staff, students and may undertake research and clinical audits in the unit.
• The post holder will deputise and take direct managerial responsibility for the clinical area in the absence of or as delegated by the Recovery manager.
• The post holder will ensure that safety and well-being of service users are prioritised in the day to day running of the units covered by the department.
• The post holder will ensure that all activities are carried out within Chelsea and Westminster NHS Foundation Trust policies and guidelines and promote the objectives of the Trust’s Nursing Vision and Strategy.

Working for our organisation

Chelsea and Westminster Hospital NHS Foundation Trust is one of England's top-performing and safest trusts. We operate two main acute hospital sites—Chelsea and Westminster Hospital and West Middlesex University Hospital—along with award-winning clinics across North West London.

Our nearly 7,500 staff care for a diverse population of 1.5 million, providing full clinical services, including maternity, A&E, and children’s services, plus specialist HIV and sexual health clinics. The Care Quality Commission rates us 'Good' in safety, effectiveness, care, and responsiveness, and 'Outstanding' in leadership and resource use.

We continually invest in our facilities, including a £30m expansion of critical care at Chelsea and Westminster and an £80m Ambulatory Diagnostic Centre at West Middlesex.

We value the unique perspectives and experiences that diverse teams bring and are committed to creating an environment where all voices are heard, respected, and empowered to succeed."

If you haven’t heard from us within three weeks of the closing date, your application was likely unsuccessful. Employment is subject to a six-month probationary period.

Some roles may require weekend shifts at multiple sites.

Detailed job description and main responsibilities

Clinical Responsibilities:

• To provide a high standard of evidence based care to a designated group of patients.
• Act as a clinical role model in the delivery of a high standard post-operative nursing care within the designated area.
• To be responsible for the management of an assigned group of patients.
• To adhere to NMC/HCPC Code of Professional Conduct and standards of Registration at all times.
• To maintain confidentiality at all times. (Trust’s Data Protection and Confidentiality Policy)
• To involve families and carers in the planning and provision of care where appropriate.
• To communicate effectively with all members of the multi-disciplinary team to ensure the relevant information regarding the patient’s needs/condition are communicated to them, and that any instructions from them regarding the patient’s care/condition are acted upon.
• To have regard and respect for patient’s cultural, religious beliefs, privacy, dignity, gender and sexuality (see Trust’s Policy on Equality and Diversity)
• To rotate in all Recovery area as required (i.e. Adult/Main Theatre, Paediatric, Burns and Treatment Centre)
• To report any/all clinical incidents using the DATIX online reporting system and participate in the investigation of incidents as required.
• To maintain standards of documentation including paper and computer records such as CERNER and in accordance with the Trust and NMC Standard for Records and Record Keeping.
• To ensure clear and accurate written and verbal information is given at all times, including patient handovers
• To complete all required trainings essential for the role which includes ILS, PILS, IV Drug and Administration Training, Pain Management and Mandatory Training/E-learning modules within the anniversary of start date.
• Responsible for the management, security, control, administration and record keeping of drugs as prescribed adhering to local Trust Policy (see Trust Medicine’s Policy) and national guidelines.
• Responsible for the correct administration of prescribed medication including transfusion of blood and blood products.
• Be responsible for assessing and recognising emergencies in the speciality.
• Ensure that patients’ receive high quality of clinical care and a good patient experience having regard for their customs, religious beliefs and doctrines.
• To provide leadership, support and guidance to staff in monitoring the planning delivery and evaluation of individualised care
• Ensure safe and effective care for complex patients requiring advance clinical skills and responsible for carrying out specialist nursing procedures to area.
• Ensure that sensitive patient records are stored appropriately.
• Ensure that staff members strictly adhere to the infection control policies and procedures of the Trust to minimise the risk of cross infection.
• To be an effective communicator within the peri-operative team.
• To involve families and carers in the planning and provision of care where appropriate.

• To support the Charge Nurse/ODP and senior staff to manager human material and financial resources to support the delivery of high quality patient care
• To manage/lead the daily operational needs of the department and the clinical care of all the patients looked after in the units that have been allocated to the post holder
• To ensure the appropriate level of clinical and non-clinical skills to ensure a high and safe standard of care
• To ensure an efficient and safe turn-around time of patient care from theatre to recovery and recovery to wards.
• To be actively participating in the daily elective surgery bed meetings.
• To maintain team records as delegated by the charge nurse.
• To participate in the creation and management of staff rostering using HealthRoster.
• To support the staff recruitment and selection process.
• To ensure that all essential consumables and equipment are available and in good working order.
• To participate in service development projects and assist with the setting and implementation of priorities and objectives.
• In conjunction with colleagues, to maintain effective partnership working with the relevant leads to ensure patient responsive practice and service improvement.
• To ensure staff have appropriate orientation and induction to the Trust and clinical area and that staff have an identified mentor.
• To actively participate in ensuring that staff have an annual appraisal and Personal Development Plan and support them to obtain their objectives.
• To maintain effective communication between all groups of staff both within and external to the department, including participating in meetings
• To work collaboratively with staff from all disciplines to ensure the seamless delivery of care including pre-assessment, scheduling, ward staff, perioperative staff, patients and their carers and all other healthcare professional involved in the pathway of care.
• To act on concerns raised by patients and staff and participate in the management of complaints
• To participate in the development of local standards and policies, through leading policy subgroups within the department.
• To assist/deputise in the absence of the Charge Nurse in the management of the Recovery team including sickness monitoring absence, participating in performance and conduct investigations, appraisals and providing advice on untoward incident reporting problems.

Quality Improvement/Clinical Governance:

• To participate in auditing areas of clinical practice to improve the quality of service
• To participate in activities such as benchmarking and audit to ensure that the service and patient care are monitored, evaluated and improvements made.
• To take immediate local action to mitigate patient or user dissatisfaction/complaint.
• To manage clinical risk and contribute to the management of health and safety issues.
• To assist with or participate in departmental and Trust initiatives or audits, related to Service Improvement / Clinical Governance
• To assist in the implementation of statutory guidelines e.g. NICE guidelines, National Service Frameworks
• To follow the principles within the Clinical Governance and Research Governance Framework using clinical risk team as a resource

1. To practice in accordance with the Trust’s Nursing Vision and Strategy

Professional Responsibilities:

• To act within the NMC/HPC Code of Conduct and NMC guidelines.

• To critically reflect on own performance for example through clinical supervision.
• To recognise opportunities for own professional development and that of others.
• To ensure staff are developed through involvement in training and education
• To adhere to and operate within hospital policies and procedures.
• To ensure that working conditions are safe, in accordance with the Health and Safety at Work Act and Infection Control Policy.
• To support the development of the service in relation to the Trust’s corporate plan, Nursing Vision and Strategy and local objectives.

Education and Development:

• Support the maintenance of staff records
• Identify and establish individual training plans and learning goals for each assigned nursing staff and student
• Create a learning environment and facilitate others to develop
• Support learners in the clinical environment including pre-registration students in meeting their learning objectives.
• Act as a mentor/assessor to students and junior members of staff to provide education, advice and support.
• Ensure timely completion of junior staff member’s clinical competency requirements in Recovery.
• Responsible in maintaining and updating own clinical knowledge and skills thus actively contributing to the development of perioperative practices.
• Delivery of orientation and induction to new and less experienced members of staff.
• Be aware of the local equipment training programme and mandatory training requirements whilst monitoring staff compliance and up to date training records.

PLEASE SEE JD/PS FOR FULL DUTIES OF THE THE POST

Person specification

Experience

• Evidence of teaching and development of staff
• Experience in managing/leading a team

• Audit & research experience
• Experience in dealing with HR issues.
• Experience in change management
• Substantial post registration experience as a senior band 5 staff nurse/ODP or equivalent in Recovery, HDU/ITU, Acute Admission Unit, Critical Care

Education and Qualifications

• Registered Adult /Child Nurse or Registered ODP
• Mentorship qualification/on-going

• Leadership/Management qualification
• Relevant degree/willing to work towards one
• Evidence of post registration study in peri-operative practice (Recovery course, anaesthetic course, HDU course, etc)

Skills and Knowledge

• Ability to manage and achieve objectives
• Effective time management of self /others
• Good communication and interpersonal skills
• Ability to work under pressure, flexibly and as part of the team
• Proven clinical skills and knowledge on perioperative care
• Good level of IT skills and proven ability to use operating theatre and hospital IT system
• Self-motivated and uses own initiative
• Evidence of commitment to the development of others
• Budgetary awareness
• Understanding of issues affecting healthcare provision
• Commitment to provision of quality service and service improvement
• Good understanding and demonstration of customer service standards

• Working knowledge of business planning process
• Experience in Policy/ guideline development
• Participation in research project
• Experience in recruitment and selection process
• Experience in clinical supervision/teaching
• Experience in recruitment and selection

• The closing date given is a guide only. There may be some occasions when we have to close a vacancy once sufficient applications have been received. You are therefore advised to submit your application as early as possible to avoid disappointment.
• Please check your emails regularly as this is how we will communicate with you throughout the recruitment process.
• If you have not heard from us within 3 weeks after the closing date, we regret that this usually means your application was not successful.
• In submitting an application, you authorise the Trust to confirm any previous NHS service details via the Inter Authority Transfer (IAT) process, should you be appointed to the post.
• During the recruitment process your identity documentation (ie passport, driving licence, visa etc) will be scanned using a device which recognises UV, infrared and machine-readable zone security features of the documents provided.
• Employment at the Trust is offered subject to successful completion of a six month probationary period.