Pre-Assessment Nurse

at  Oxford University Hospitals NHS Foundation Trust

Provide, specialist nursing expertise, facilitating evidence-based patient-centred care and assessment for a defined caseload of pre-assessment patients.
To Lead a team of nurses enabling them to co-ordinate patients throughout their pre-assessment pathway, with a high level of input into the management and care of patients prior to admission for specified procedures.
To act as a resource and to provide education for patients and health care personnel, and to direct the pre-assessment nursing Team.
Carry out relevant forms of care without direct supervision, working effectively within the multi-disciplinary team
To support of all members of staff within endoscopy, including students of nursing/visiting healthcare professionals
Actively participate in the teaching and mentoring of students and junior staff
To suggest improvements in care provision, recognising and challenging poor practice, raising concerns to the relevant agencies where appropriate.
Ensure that the nursing philosophy of care for Endoscopy is reflected in practice.
To ensure provision of a high standard of nursing care to patients attending the Endoscopy Unit working within agreed policies and procedures.
To act as a liaison link with Specialist nurses and contribute to work involved in clinical trials – for example, data collection
Collaborates and consults with the multi-professional health care team and the patient, communicating very sensitive, complex information.
Uses highly developed communication skills to provide guidance, advice and support to the patient / ward staff regarding management of their proposed admission and its impact on patient’s/carer’s life.
Whilst communicating complex, sensitive, sometimes distressing information to patient, is able to identify and overcome barriers to patient understanding
Provides verbal and written information to patient, to enable them to give informed consent for treatment, using specialist knowledge.
Establishes partnerships with patients/carers and communicates with them, sometimes in highly distressing or emotional circumstances
Provides, receives, interprets and communicates complex information with a range of health care personnel
Act as patients advocate, ensuring that informed consent, privacy and dignity are maintained (NMC)
Carry out health promotion within job role utilising information leaflets and networking with other specialist healthcare staff around the Trust where necessary
Critically reflect on own performance through supervision/action learning
NMC Registered
Oxford University Hospitals NHS Foundation Trust is one of the largest NHS teaching trusts in the country. It provides a wide range of general and specialist clinical services and is a base for medical education, training and research.
The Trust comprises four hospitals - the John Radcliffe Hospital, Churchill Hospital and Nuffield Orthopaedic Centre in Headington and the Horton General Hospital in Banbury.
Our values, standards and behaviours define the quality of clinical care we offer and the professional relationships we make with our patients, colleagues and the wider community. We call this Delivering Compassionate Excellence and its focus is on our values of compassion, respect, learning, delivery, improvement and excellence. These values put patients at the heart of what we do and underpin the quality healthcare we would like for ourselves or a member of our family. Watch how we set out to deliver compassionate excellence via the OUH YouTube channel .
Professional Practice
Ensure clinical practice is evidence based or peer reviewed “best practice”.
Develop and maintain clinical skills and knowledge necessary to provide person centred, evidence based nursing
Lead in a specific area of Endoscopy practice, as agreed, making recommendations, coordinating projects and developing practice guidelines and policies based upon robust evidence gained from risk assessment, audit and literature
As negotiated with Sister/Charge Nurse set and maintain standards of practice, conduct and decision
Be competent in the use of all relevant Trust information technology ( IT) systems including the use of electronic patient records, (EPR), email and associated professional media
ensuring that data is entered in an accurate and timely fashion, in accordance with Trust policy and procedure.
Engage in and promote a paper light approach to information
Maintain the use of email and other modes of communication in order to keep abreast of information disseminated across the Trust
Demonstrate an awareness and understanding of Accountability, Responsibility and Duty of Care and work towards the provision of support and education for less experienced and non-registered staff on the implications for
Leadership and Management
Promote effective interpersonal relationships with all members of the multi-professional team thereby ensuring a good team spirit and collaborative and person centred working practices.
Deputise for the Sister/Charge nurse in his/her absence, demonstrating a sound problem solving approach to clinical and management issues, seeking advice from senior nurses as appropriate.
Regularly act as shift coordinator, participating in the allocation of resources, ensuring effective patient care and safety on the
Be proactive in undertaking specific responsibilities as delegated by Sister/Charge nurse, i.e. on a rotational basis with colleagues, take responsibility for off duty planning, work allocation and monitoring off annual leave and sickness/absence.
Demonstrate knowledge and understanding of budgetary restrictions and their implications. Act as a budgetary signatory in the absence of the Sister/Charge
Ensure that electronic patient acuity and dependency and safe staffing tools are consistently and effectively inputted on a daily
Ensure compliance with the Health and Social Care Act regulations 2010 by adhering to the Care Quality Commission standards at all times raising concerns to Sister/charge Nurse or an appropriate senior person, (CQC 2010 Guidance about compliance: Summary of regulations, outcomes and judgement framework).
Ensure the appropriate management of clinical and general
Ensure staffing resources are used appropriately when prescribing and implementing care and
Report near misses and untoward incidents, complaints, clinical emergencies, injury or medicine administration errors as detailed in departmental and Trust protocols and procedures, assist the Sister/Charge Nurse Manager in investigating incidents as Be proactive in seeking a response to the issues raised in order to disseminate the actions identified and provide own account of events if asked to support an investigation.
Demonstrate an awareness of and compliance with Health and Safety Regulations that apply to staff and patients. To escalate concerns to senior staff in an appropriate and timely manner.
Be familiar with the Oxford Model of Exemplary Nursing and Midwifery Practice and ensure that key performance indicators are
Maintain and contribute to the development of standards of practice, conduct or decision making in conjunction with team leaders/ward manager/unit co-ordinator.
Discuss personal and professional development needs during an annual appraisal, developing, agreeing and documenting action points in the electronic recording and personal development plan.
Undertake the responsibilities of a mentor participating in induction and orientation programmes, guiding practice, assessing competence, enabling and supporting learning for pre and post-registration.
Improving Quality and Developing Practice
Comply with post registration education and practice (Prep) requirements for NMC Revalidation or equivalent, identifying own learning needs and ensuring own professional development is maintained by keeping up to date with practice
Demonstrate a commitment to evidence based practice and clinical excellence. Using these skills works collegiately to promote innovation and work within the nursing team in the provision of an excellent standard of patient care in line with Oxford University Hospitals (OUH) values and The Oxford Model of Exemplary Nursing and Midwifery
Develop and share own clinical knowledge with other members of the multi-disciplinary team and as relevant with practitioners
Act as a role model for the nursing/midwifery team promoting consistent professional and clinical
Provide guidance for junior and less experienced staff to improve quality and develop practice.
Engage in and promote Clinical Supervision in order to enhance one’s own practice and that of others.
Identify own development needs, aligning these to service requirements and personal aspirations. Proactively develop and improve own practice through appraisal the Trust’s clinical development ladder and other available resources.
Understand and contribute to the development, implementation, monitoring and evaluation of policies/protocols/guidelines relevant to the specialist
Participate in the OUH culture of audit and research in practice
Keep up to date with professional issues that influence nursing practice relating to the area of clinical practice, management education and
Promote and practice, evidence based nursing care, embracing new ideas and changes for the benefit of patient
Openly question and challenge nursing practice in a constructive way so that standards of patient care are continually evaluated and improved

Please refer the Job description for details