Enhanced Nurse Practitioner - Pre Operative Assessment inBristol inBristol PUBLISHED 24 MAY 2024

Support and assist the POA team in case managing cardiology and cardiac surgery patients by liaising with the Multidisciplinary Team.
Job summary

To work in conjunction with the Senior nurses in POA to develop and implement a quality peri-operative assessment service to meet the needs of all clients requiring anaesthesia and surgery. The post holder will work within the department to provide the highest standards of patient care using research evidence-based practice, national and local protocols.

To perform the competencies of a trained pre assessment nurse and in addition any competencies associated to the allocated speciality. To undertake the teaching and assessment of Junior personnel.

The post holder will assess, plan, implement and evaluate programmes of care for patients undergoing theatre procedures. To act autonomously within given competencies and recognise when to make appropriate referrals.

The post holder will co-operate with staff from other departments to develop effective channels of communication and to provide a safe and caring environment for patients, relatives, and members of the multidisciplinary team.

Main duties of the job

Specialist knowledge in the field of Pre operative assessment (POA). Provide advice /support to junior colleagues and supporting their decision making and diagnoses.

Support and assist the POA team in case managing cardiology and cardiac surgery patients by liaising with the Multidisciplinary Team

Fitness for anaesthesia and surgery is assessed and patients are prepared pre-operatively.

Maintain a dynamic enthusiastic role model providing clinical leadership regarding pre-operative assessment and preparation to ensure a high standard of care.

To work with initiative and independently within the extended role seeking support in line with local protocol.

Understand the risks and benefits of surgery and anaesthesia with appropriate intervention.

History taking ensuring relevant medical and social history.

Interpretation of clinical findings

Incorporating evidence / research-based practice. The post holder will assess, plan implement and evaluate individualised programmes of care of patients during pre-operative and peri-operative period.

Initiate appropriate referrals, investigation, education, and treatment in light of assessment.

Evaluate the patients programme of care with other members of the care team

Demonstrate initiative, decision making and good time management.

About us

University Hospitals Bristol and Weston NHS Foundation Trust (UHBW) is one of the largest acute Trusts in the country, bringing together a combined workforce of over 13,000 staff and over 100 different clinical services across 10 different sites, serving a core population of more than 500,000 people across South West England. UHBW has been rated by the CQC as 'Good' overall and our staff are proud to deliver excellent care to the people of Bristol, Weston and beyond. As a forward-thinking multi-award winning Trust and a digital exemplar committed to improving patient care, our world-leading research and innovations are having a positive local and global impact. Our hospitals are spread across Bristol and Weston, join us and you can enjoy the very best of both worlds; city living within a stone's throw of the countryside or beside the seaside, both with easy access to all that the South West has to offer. UHBW is committed to safeguarding and promoting the welfare of children, young people and vulnerable adults. As an equal opportunities employer actively working towards a diverse workforce we aim to recruit and retain a workforce which represents the rich diversity of the local population at all levels and are committed to designing our services around the needs of individual patients and those around them. Anonymous information will be used from your application in order to ensure we're meeting our pledge.

Job description

Job responsibilities

For a more detailed job description and main responsibilities, please refer to the job description document attached to this vacancy.

Job description
Job responsibilities

For a more detailed job description and main responsibilities, please refer to the job description document attached to this vacancy.

Person Specification

Qualifications & Training

Essential

  • Current NMC Registration
  • 1st Degree in Nursing or health related subject or working towards
  • Relevant accredited post registration qualification (PACR)
  • Qualification in teaching assessment and mentoring
Skills & Abilities

Essential

  • Physical assessment and diagnostic reasoning skills
  • Demonstrate the ability to make decisions, solve problems and work autonomously whilst recognising own limitation and seeking advice and support
  • Non-medical prescriber qualification (willing to undertake or working towards
  • Competence cardio-pulmonary assessment
  • Ability to work independently or as part of a team as required
  • Basic database management skills
  • Good organisational skills
  • Assertiveness skills and the ability to deal with interpersonal conflict
  • Ability to adapt communication styles that facilitate building honest & trusting partnerships with patients, families, & carers
  • Ability to respond to, prioritise and analyse complex health conditions and ensure that effective interventions are actioned in a safe and timely manner
  • Self-motivation with evidence of efficient time and deadline management
  • Flexibility, adaptability to meet the needs of a changing service
Desirable

  • Presentation skills
Knowledge & Experience

Essential

  • Substantial experience of pre op assessment
  • Recent evidence of caring for people in pre operative clinic setting taking responsibility for the pre operative assessment of a named caseload of patients coordinating care and services in order to improve the patients surgical pathway and experience
  • Specialist knowledge of assessment, treatment and management of people with multiple conditions prior to elective surgery
  • Experience acting as the patient advocate, supporting them to navigate and make informed choices at all stages of the Pre-Assessment processes
  • Formal and informal teaching experience
  • Relevant pharmaceutical knowledge
  • Demonstrates knowledge of relevant research (medical and non-medical
Desirable

  • Experiences of ensuring patients are fully informed of the planned treatment, including post-operative care and instructions
  • Experience of supporting the team with clinical governance, quality assurance and quality management systems
  • Previous experience in team management/leadership, service development, and audit
Aptitudes

Essential

  • Advanced communication skills
  • Assertive and self-aware
  • Able to gain credibility with and influence colleagues including influencing clinical changes where appropriate
  • Empathetic attitude
  • Flexible and reliable
  • Demonstrates initiative and is innovative
  • Be Supportive, Be Respectful, Be Collaborative, Be Innovative
Person Specification
Qualifications & Training

Essential

  • Current NMC Registration
  • 1st Degree in Nursing or health related subject or working towards
  • Relevant accredited post registration qualification (PACR)
  • Qualification in teaching assessment and mentoring
Skills & Abilities

Essential

  • Physical assessment and diagnostic reasoning skills
  • Demonstrate the ability to make decisions, solve problems and work autonomously whilst recognising own limitation and seeking advice and support
  • Non-medical prescriber qualification (willing to undertake or working towards
  • Competence cardio-pulmonary assessment
  • Ability to work independently or as part of a team as required
  • Basic database management skills
  • Good organisational skills
  • Assertiveness skills and the ability to deal with interpersonal conflict
  • Ability to adapt communication styles that facilitate building honest & trusting partnerships with patients, families, & carers
  • Ability to respond to, prioritise and analyse complex health conditions and ensure that effective interventions are actioned in a safe and timely manner
  • Self-motivation with evidence of efficient time and deadline management
  • Flexibility, adaptability to meet the needs of a changing service
Desirable

  • Presentation skills
Knowledge & Experience

Essential

  • Substantial experience of pre op assessment
  • Recent evidence of caring for people in pre operative clinic setting taking responsibility for the pre operative assessment of a named caseload of patients coordinating care and services in order to improve the patients surgical pathway and experience
  • Specialist knowledge of assessment, treatment and management of people with multiple conditions prior to elective surgery
  • Experience acting as the patient advocate, supporting them to navigate and make informed choices at all stages of the Pre-Assessment processes
  • Formal and informal teaching experience
  • Relevant pharmaceutical knowledge
  • Demonstrates knowledge of relevant research (medical and non-medical
Desirable

  • Experiences of ensuring patients are fully informed of the planned treatment, including post-operative care and instructions
  • Experience of supporting the team with clinical governance, quality assurance and quality management systems
  • Previous experience in team management/leadership, service development, and audit
Aptitudes

Essential

  • Advanced communication skills
  • Assertive and self-aware
  • Able to gain credibility with and influence colleagues including influencing clinical changes where appropriate
  • Empathetic attitude
  • Flexible and reliable
  • Demonstrates initiative and is innovative
  • Be Supportive, Be Respectful, Be Collaborative, Be Innovative
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 .

From 6 April 2, 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. .
UK Registration

Applicants must have current UK professional registration. For further information please see

Additional information
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 .

From 6 April 2, 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. .
UK Registration

Applicants must have current UK professional registration. For further information please see

Employer details

Employer name

University Hospitals Bristol and Weston NHS Foundation Trust (UHBW)
Address

Bristol Heart Institute

Terrel Street

Bristol

BS2 8ED

Employer's website
Job summary

To work in conjunction with the Senior nurses in POA to develop and implement a quality peri-operative assessment service to meet the needs of all clients requiring anaesthesia and surgery. The post holder will work within the department to provide the highest standards of patient care using research evidence-based practice, national and local protocols.

To perform the competencies of a trained pre assessment nurse and in addition any competencies associated to the allocated speciality. To undertake the teaching and assessment of Junior personnel.

The post holder will assess, plan, implement and evaluate programmes of care for patients undergoing theatre procedures. To act autonomously within given competencies and recognise when to make appropriate referrals.

The post holder will co-operate with staff from other departments to develop effective channels of communication and to provide a safe and caring environment for patients, relatives, and members of the multidisciplinary team.

Main duties of the job

Specialist knowledge in the field of Pre operative assessment (POA). Provide advice /support to junior colleagues and supporting their decision making and diagnoses.

Support and assist the POA team in case managing cardiology and cardiac surgery patients by liaising with the Multidisciplinary Team

Fitness for anaesthesia and surgery is assessed and patients are prepared pre-operatively.

Maintain a dynamic enthusiastic role model providing clinical leadership regarding pre-operative assessment and preparation to ensure a high standard of care.

To work with initiative and independently within the extended role seeking support in line with local protocol.

Understand the risks and benefits of surgery and anaesthesia with appropriate intervention.

History taking ensuring relevant medical and social history.

Interpretation of clinical findings

Incorporating evidence / research-based practice. The post holder will assess, plan implement and evaluate individualised programmes of care of patients during pre-operative and peri-operative period.

Initiate appropriate referrals, investigation, education, and treatment in light of assessment.

Evaluate the patients programme of care with other members of the care team

Demonstrate initiative, decision making and good time management.

About us

University Hospitals Bristol and Weston NHS Foundation Trust (UHBW) is one of the largest acute Trusts in the country, bringing together a combined workforce of over 13,000 staff and over 100 different clinical services across 10 different sites, serving a core population of more than 500,000 people across South West England. UHBW has been rated by the CQC as 'Good' overall and our staff are proud to deliver excellent care to the people of Bristol, Weston and beyond. As a forward-thinking multi-award winning Trust and a digital exemplar committed to improving patient care, our world-leading research and innovations are having a positive local and global impact. Our hospitals are spread across Bristol and Weston, join us and you can enjoy the very best of both worlds; city living within a stone's throw of the countryside or beside the seaside, both with easy access to all that the South West has to offer. UHBW is committed to safeguarding and promoting the welfare of children, young people and vulnerable adults. As an equal opportunities employer actively working towards a diverse workforce we aim to recruit and retain a workforce which represents the rich diversity of the local population at all levels and are committed to designing our services around the needs of individual patients and those around them. Anonymous information will be used from your application in order to ensure we're meeting our pledge.

Job description

Job responsibilities

For a more detailed job description and main responsibilities, please refer to the job description document attached to this vacancy.

Job description
Job responsibilities

For a more detailed job description and main responsibilities, please refer to the job description document attached to this vacancy.

Person Specification

Qualifications & Training

Essential

  • Current NMC Registration
  • 1st Degree in Nursing or health related subject or working towards
  • Relevant accredited post registration qualification (PACR)
  • Qualification in teaching assessment and mentoring
Skills & Abilities

Essential

  • Physical assessment and diagnostic reasoning skills
  • Demonstrate the ability to make decisions, solve problems and work autonomously whilst recognising own limitation and seeking advice and support
  • Non-medical prescriber qualification (willing to undertake or working towards
  • Competence cardio-pulmonary assessment
  • Ability to work independently or as part of a team as required
  • Basic database management skills
  • Good organisational skills
  • Assertiveness skills and the ability to deal with interpersonal conflict
  • Ability to adapt communication styles that facilitate building honest & trusting partnerships with patients, families, & carers
  • Ability to respond to, prioritise and analyse complex health conditions and ensure that effective interventions are actioned in a safe and timely manner
  • Self-motivation with evidence of efficient time and deadline management
  • Flexibility, adaptability to meet the needs of a changing service
Desirable

  • Presentation skills
Knowledge & Experience

Essential

  • Substantial experience of pre op assessment
  • Recent evidence of caring for people in pre operative clinic setting taking responsibility for the pre operative assessment of a named caseload of patients coordinating care and services in order to improve the patients surgical pathway and experience
  • Specialist knowledge of assessment, treatment and management of people with multiple conditions prior to elective surgery
  • Experience acting as the patient advocate, supporting them to navigate and make informed choices at all stages of the Pre-Assessment processes
  • Formal and informal teaching experience
  • Relevant pharmaceutical knowledge
  • Demonstrates knowledge of relevant research (medical and non-medical
Desirable

  • Experiences of ensuring patients are fully informed of the planned treatment, including post-operative care and instructions
  • Experience of supporting the team with clinical governance, quality assurance and quality management systems
  • Previous experience in team management/leadership, service development, and audit
Aptitudes

Essential

  • Advanced communication skills
  • Assertive and self-aware
  • Able to gain credibility with and influence colleagues including influencing clinical changes where appropriate
  • Empathetic attitude
  • Flexible and reliable
  • Demonstrates initiative and is innovative
  • Be Supportive, Be Respectful, Be Collaborative, Be Innovative
Person Specification
Qualifications & Training

Essential

  • Current NMC Registration
  • 1st Degree in Nursing or health related subject or working towards
  • Relevant accredited post registration qualification (PACR)
  • Qualification in teaching assessment and mentoring
Skills & Abilities

Essential

  • Physical assessment and diagnostic reasoning skills
  • Demonstrate the ability to make decisions, solve problems and work autonomously whilst recognising own limitation and seeking advice and support
  • Non-medical prescriber qualification (willing to undertake or working towards
  • Competence cardio-pulmonary assessment
  • Ability to work independently or as part of a team as required
  • Basic database management skills
  • Good organisational skills
  • Assertiveness skills and the ability to deal with interpersonal conflict
  • Ability to adapt communication styles that facilitate building honest & trusting partnerships with patients, families, & carers
  • Ability to respond to, prioritise and analyse complex health conditions and ensure that effective interventions are actioned in a safe and timely manner
  • Self-motivation with evidence of efficient time and deadline management
  • Flexibility, adaptability to meet the needs of a changing service
Desirable

  • Presentation skills
Knowledge & Experience

Essential

  • Substantial experience of pre op assessment
  • Recent evidence of caring for people in pre operative clinic setting taking responsibility for the pre operative assessment of a named caseload of patients coordinating care and services in order to improve the patients surgical pathway and experience
  • Specialist knowledge of assessment, treatment and management of people with multiple conditions prior to elective surgery
  • Experience acting as the patient advocate, supporting them to navigate and make informed choices at all stages of the Pre-Assessment processes
  • Formal and informal teaching experience
  • Relevant pharmaceutical knowledge
  • Demonstrates knowledge of relevant research (medical and non-medical
Desirable

  • Experiences of ensuring patients are fully informed of the planned treatment, including post-operative care and instructions
  • Experience of supporting the team with clinical governance, quality assurance and quality management systems
  • Previous experience in team management/leadership, service development, and audit
Aptitudes

Essential

  • Advanced communication skills
  • Assertive and self-aware
  • Able to gain credibility with and influence colleagues including influencing clinical changes where appropriate
  • Empathetic attitude
  • Flexible and reliable
  • Demonstrates initiative and is innovative
  • Be Supportive, Be Respectful, Be Collaborative, Be Innovative
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 .

From 6 April 2, 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. .
UK Registration

Applicants must have current UK professional registration. For further information please see

Additional information
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 .

From 6 April 2, 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. .
UK Registration

Applicants must have current UK professional registration. For further information please see

Employer details

Employer name

University Hospitals Bristol and Weston NHS Foundation Trust (UHBW)
Address

Bristol Heart Institute

Terrel Street

Bristol

BS2 8ED

Employer's website


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