Emergency Surgery Co-ordinator | Mersey and West Lancashire Teaching Hospitals NHS Trust

Job details
Posting date: 14 May 2024
Salary: Not specified
Additional salary information: £35,392 - £42,618 per annum
Hours: Full time
Closing date: 13 June 2024
Location: Whiston, L35 5DR
Company: St Helens and Knowsley Teaching Hospitals NHS Trust
Job type: Contract
Job reference: 6082154/409-6082154

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Fixed Term/Secondment until April 2025

An exciting opportunity has arisen to appoint dynamic and confident Senior Nurse to join the general surgical department, Whiston Hospital.

Reporting to the Matron, the post holder will be expected in conjunction with the lead Emergency Surgeon to ensure the pathway for the non-elective surgical emergency patient is evident based, streamlined, patient focused and widely disseminated and embedded. This will ensure safe systems and processes from the point of admission to the Emergency Department or direct access via GP into SAU triage. The post holder will lead on same day emergency care for the surgical patient.

An Enhanced DBS with barred lists for both Adults & Children is required for the post.

In conjunction with the lead upper GI surgeon and substantive ENP, the post holder will also co-ordinate the emergency ‘Hot Gall Bladder’ service. According to NICE, RCS, NCEPOD guidance. This will involve leading the day surgery programme for this group of patients ensuring that the pathway for daycase surgery is embedded, sustained and audited.

Successful applicants will need to be highly motivated and enthusiastic, have experience in general surgical nursing and possess excellent communication and interpersonal skills. We require an individual who is forward thinking, well organized with a positive attitude towards flexibility and change. You will need current acute surgical experience at Band 5 level or above and have a proven track record of effective communication, leadership and clinical expertise.

The Secretary of State has approved the partnership between St Helens & Knowsley and Southport & Ormskirk Hospitals.

From 1stJuly we have come together as a single organisation under the name Mersey & West Lancashire Teaching Hospitals NHS Trust.

The Trust delivers acute hospital care, intermediate care, community, and primary care services to a population of over 600,000 people with a combined workforce of around 9000 dedicated and skilled staff from 17 locations including Whiston, Southport & Formby, St Helens, Ormskirk and Newton hospitals.

The Trust provides regional services for burns, plastic surgery and spinal injuries to more than 4 million people across Mersey and West Lancashire, Cheshire, the Isle of Man and North Wales.

Our Vision is to deliver 5 Star Patient Care:
• CARE that is evidence based, high quality and compassionate
• ​​​​​​SAFETY that is of the highest standards
• COMMUNICATION that is open, inclusive and respectful
• SYSTEMS that are efficient, patient centred and reliable
• PATHWAYS that are best practice and embedded, but also respect the individual needs of patients

Our achievements include:
• Trust rated Outstanding by CQC Inspection August 2018
• Top 100 places to work in the NHS (NHS Employers & Health Service Journal)
• Awarded National Preceptorship Accreditation (2023) for our Nursing & AHP Preceptorship Programme

Please see our Wellbeing & Benefits booklet for more information on our staff benefits. Accessible version available upon request.

• Practice within the N.M.C Code of Professional Conduct
• To work as part of the multi-disciplinary team, acting as a liaison between General Surgical Consultants, GP Triage Staff, Theatre, Ward Staff / ED / Therapy services and social care to coordinate the NEL pathway

• Agree condition specific pathways for ambulatory care eg appendicitis, diverticulitis, cholecystitis
• Disseminate across the department / ED
• Patient information leaflet on what to expect
• Audit
• Database
• Monitor and audit pilot for patients being ‘pulled’ from ED ready to present

• In collaboration with lead emergency surgeon, put together the emergency surgical pathways / proforma for inpatient / ambulatory care patients
• To ensure that all patients admitted with a surgical emergency requiring theatre intervention are fully prepared for surgery and receive treatment that is evidence based and in line with national guidance.
• To provide high quality nursing care and participate in the assessment, planning, implementation and evaluation of the specialist and complex care needs of surgical emergency patients
• To monitor all patients awaiting emergency theatre, ensuring that effective patient management plans are in place and carried out in a timely manner.
• To work in collaboration with general surgical medical and nursing staff to co-ordinate the surgical trauma pathway to theatre and identify and meet the needs of all surgical trauma patients
• To attend daily surgical hand over meetings and post take ward rounds (as required) involving the surgical on-call / SAU consultants and the team to provide ‘real time’ feedback on progress against each inpatient awaiting emergency theatre
• To monitor and advise on the care of all patients with surgical emergency, ensuring appropriate treatment and nursing care is provided from 'decision to admit', by regularly monitoring treatment plans and EDD.
• To collaborate with the theatre team to ensure that theatre space is used effectively and prevents unnecessary pre-op fasting of patients with surgical emergency pathology
• Maintain accurate and legible records of care and other documentation as required by the post.
• To ensure that the appropriate clinical investigations are performed prior to the patient attending emergency theatre.
• In conjunction with the Upper GI lead, coordinate the ‘Hot Gall Bladder’ pathway, communicate, sustain and audit.
• In conjunction with the Upper GI Lead, coordinate the patient with acute pancreatitis.
• Maintain a database for audit purpose.
• Play a key role in GP Triage.
• Review, monitor and manage surgical outliers.

• Advise on clinical decisions and monitor the quality of patient care provided through using expert clinical knowledge relevant to own field of practice, underpinned by theory and experience. Act as the advocate for the patient ensuring safe and harm-free care is always uppermost in every decision.
• Within a multi-disciplinary team environment, support the development of a culture of person-centred care.
• Be highly visible within the department, communicating regularly with patients, relatives and / or carers to promote transparency of service for patients and staff; promote a caring environment where equality and diversity issues are respected and patients are enabled to be partners in their care.
• Identify opportunities to develop care and services by supporting the directorate in ensuring that there are effective systems in place to ascertain patient and carer experience / feedback and ensure complaints are managed in line with organisational policy.
• Ensure that everyone within the sphere of care is treated with dignity and humanity, understanding individual needs, showing compassion and sensitivity and provide care in a way that respects all people equally.

• Ability to manage own work load.
• Act as a visible role model, adhering to expected standards of behaviour, promoting a supportive ethos to empower staff to contribute to the delivery of high quality person-centred care.
• Lead by example, developing self and other staff and influencing the way care is provided in a manner that is innovative, open and responds to individual needs in line with the NHS duty of candour.
• Contribute to any management of change within the ward / clinical environment supporting a continuous improvement cycle.
• Establish and support robust communication networks within the team. Work harmoniously and effectively with colleagues, patients and clients and their carers, families and friends.
• In the absence of the Senior Sister / Charge Nurse take all reasonable care of health and safety at work for you, your team and others and to co-operate with employers to ensure compliance with health and safety requirements. Report incidents and near misses promptly and appropriately and take effective action to minimise future risk.

• To work in collaboration with the Surgical Nurse Educator to identify and meet the needs of all staff caring for general surgical emergency.
• To help maintain a positive learning environment within the department.
• To assist in the induction and mentoring of new staff (Nursing and Junior Medical Staff)
• To act as a positive health educator at all times
• To ensure effective contribution to the delivery of the organisations objectives
• To maintain professional and personal development.
• To attend such courses and training as required by the post including mandatory updates.
• To undertake any other duties as may be requested to meet the needs of the service within the limitations of the grade.
• To adhere to and promote Trust and Directorate policies, procedures and guidelines.

• Maintain a current knowledge of infection prevention and control practices and policies through annual mandatory updates and role specific training.
• Demonstrate a current knowledge of infection prevention and control practices through the delivery of clinical care and maintenance of a safe environment in accordance with infection prevention and control practices and policies. Take part in infection prevention initiatives in the local area. Challenge infection prevention practices, reporting breaches using relevant Trust policies as appropriate (e.g. incident reporting policy).

• To ensure that there are systems in place to capture and act upon information related to the patient experience
• Promote patient centred service delivery by providing visible and accessible senior professional presence to which staff, patients and their families can turn to for assistance
• Maintaining effective channels to obtain views and concerns of service users and to take action as appropriate where in use produce weekly reports derived from Patient Experience Audit.
• Ensuring that the patient experience remains the focal point for service improvement within the Directorate.
• Establish effective relationships with PALS and the complaints team encouraging the staff in the proactive resolution of concerns. Ensure that actions arising from patient feedback are progressed.

• To contribute to the implementation of divisional and Directorate governance strategy by supporting and promoting the development and implementation of operating services that reflects the principles of clinical governance and the Healthcare Commission standards.
• Be responsible for ensuring that there is adherence to child protection and safeguarding vulnerable adult protocols within clinical practice.
• To ensure that the unit coordinators/ward manager implement best practice with regard to theatre policies and procedures.
• To undertake formal investigations with regard to any accidents and incidents reporting back within the agreed time limits and ensuring lessons are learnt, action plans are implemented and progress is monitored and reported appropriately.

• Participate in clinical audit pertinent to the surgical non-elective patient

• To be fully aware of and committed to all Policies, Procedures and Initiatives relating to Information Governance – this will include, but not limited to, Data Quality improvements, Confidentiality and Information Security.
• To take personal responsibility for safeguarding and ensuring the quality of information.

• Equality impact assesses services and policies to identify and remove discrimination and promote equality.
• Provides an appropriate and responsive service that takes in to account diverse needs.
• Respects, understands, values and seeks out individual differences to achieve the core values of the Trust.
• Develops and uses measures to hold self and others accountable for achieving results that embody the principles of diversity. Identifies equality and diversity training and development needs for staff and self.
• Role models and fosters supportive working practices and ensures that inappropriate behaviours are tackled.
• Promotes and instils a culture of integrity and ensures that individual differences are valued and everyone is treated with fairness, dignity and respect.
• Acts as a mentor to staff from diverse groups.

This advert closes on Wednesday 22 May 2024

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