BANK- Pre Assessment Staff Nurse
Spire Healthcare
14h ago

Job Description

  • Working autonomously, completes POA for a caseload of patients, undertaking a targeted history with assessment of past medical, operative and anaesthetic history.
  • Embrace the use of ePOA to undertake the POA for patients and to offer the option of telephone or virtual appointments.
  • Local hospital short dated bookings process to be followed to reduce pressure points and to ensure a smooth patient journey for urgent cases.
  • Completes proforma to indicate relevant testing as per NICE guidelines (NG45), interprets and manages the results, and where appropriate initiates relevant referrals to appropriate MDT members.
  • Completes proforma to indicate relevant testing, swabbing, electrocardiogram, lung function testing and requesting of x-ray as per policy.
  • Identifies patients with specific health issues and red flags and undertakes relevant risk scoring where indicated and manages the results.
  • Demonstrates appropriate review of previous anaesthetic documentation and is able to demonstrate knowledge and understanding of the key factors that would require referral for anaesthetist assessment.
  • Follows up on outcomes of referrals and investigations to ensure fitness to proceed.
  • Provides information about any specific pre-operative instructions, intraoperative care and discharge.
  • Identifies cultural requirements, communication or other specialist health or social needs.
  • Liaises with the anaesthetist and surgeon to determine fitness to proceed escalating where necessary.
  • Following assessment, seeks advice where necessary, to ensure the appropriate level of post-operative care can be determined.
  • Communicates any special requirements and essential resources to the MDT team.
  • Ensures robust escalation and MDT process is followed and the medical alert process is used to inform MDT members and hospital departments of relevant issues.
  • Provides verbal and written information regarding the anticipated post-operative recovery, and commences discharge planning and assesses the home support available to the patient post-discharge, and identifies any special requirements to facilitate prompt discharge.
  • Liaise with General Practitioners and other Health Professional involved in the patient’s care to arrange treatment plans for patients in preparation for surgery.
  • Provides health promotion in pre-operative care in liaison with Primary and Secondary care to enable patients to make long term health gains.
  • Provides support and advice for patients, carers, family and colleagues.
  • Ensures patients meet the surgical admissions criteria for the appropriate level of care for the hospital.
  • Ensure completion of competencies to include ePOA competency,
  • Completes relevant POA training and development.
  • Ensures work load is carried out efficiently and to agreed standardised working practice and protocols.
  • Ensures that pre-operative elective surgical care planning and delivery is managed and delivered to national and local evidence based guidelines.
  • Effectively communicate with all members of the multidisciplinary team and key stakeholders.
  • Requests medical information from General Practitioners and other healthcare providers to other to ensure all relevant information is available for the anaesthetist and surgeon.
  • Maintains a safe environment for patients, visitors and colleagues.
  • Work to national and local best practice policy and guidance.
  • Support the development of the ePOA roll out and ongoing service.
  • Attendance at POA meetings and daily POA huddles where clinical outcome data is captured on POA clinical assurance board
  • Aware of POA department risks and additional risks identified to be escalate to POA Lead / Manager
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