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Senior Surgical Care Practitioner

Job details
Posting date: 19 November 2024
Salary: £61,927.00 to £68,676.00 per year
Additional salary information: £61927.00 - £68676.00 a year
Hours: Full time
Closing date: 01 December 2024
Location: London, SE1 9RT
Company: NHS Jobs
Job type: Permanent
Job reference: C9196-24-2907

Summary

Clinical Responsibilities In conjunction with the Consultant Surgeon and local guidelines the post holder will: A. Pre-operative To display X-rays, CT scans or PET scans and help interpret the results. Provide effective pre-operative assessment of the surgical patient; including history taking, physical examination, requesting diagnostic procedures or clinical investigations then interpreting and acting upon the results. Liaise with medical, theatre, SAL, ward and clerical staff to support coherent service provision and smooth patient journey to the operating theatre. To consent and mark surgical patients when necessary with an understanding of competence and the legal scope of the Surgical Care Practitioner. Lead in the promotion of patient centered care by providing accurate information relevant to their care. Act as an advocate for patients which ensures a patient orientated approach to the delivery of care. Direct, support, encourage and advise clinical team, by actively participating in the pre-operative team brief providing specialist clinical and surgical advice to facilitate the smooth running of the theatre list, including how to prepare for non-routine steps. Co-ordinate the provision of specialist services to patients, effectively liaising with multidisciplinary colleagues including radiology, frozen section pathology and haematology B. Peri-operative To have superior expertise in the following duties: Positioning the patient for robotic surgery, with awareness of how to prevent avoidable operative injuries relating to skin, muscles and nerves. Skin preparation and draping for robotic surgery Prepping, draping, positioning and handling a range of surgical robots (da Vinci X, Xi; CMR Versius; Medtronic Hugo) Creating skin incisions; with awareness of how to accommodate variances in patient anatomy, physiology and body habitus to optimise robotic surgery Dissection of tissues using surgical instruments with a superior degree of manual dexterity Confident handling of energy and stapling devices Effective surgical haemostasis for cases with a high level of complexity Application of local anaesthetic, including the siting of paravertebral catheters, and administration of intercostal blocks Confident insertion of a variety of different surgical drains Suturing of all surgical wounds, even those with a high degree of complexity with emphasis on elimination of risks of infection Applying dressings to wounds and compression bandages Ensure that patients customs, religious beliefs and doctrines are respected within the theatre setting, ensuring patient dignity at all times. Actively promote and participate in the WHO check list and time out before surgery. Take, promote and lead on the use of universal hygiene precautions to minimize the risk of infections to the patient, the surgical team, and other staff. Act as a role model, demonstrating high standards of care and providing clinical leadership in the operating theatre Actively participate as a first assistant for a variety of complex robotic surgeries providing tissue retraction, applying suction, diathermy, maintaining a clear surgical field, applying haem-o-lock clips or liga clips, using a manual stapler and energy devices. Anticipate routine and non-routine steps before and during the procedure to provide a high level of support to consultants and surgical fellows. Teach, supervise and support surgical trainees and trainee SCPs to first assist during robotic surgery, providing skilled and consistent advice and assistance within the operating theatre under the direction of a consultant surgeon. Be responsible for assessing and recognising emergencies; interpreting information, taking appropriate action and leading others to do the same. Have obtained advanced knowledge and surgical expertise within a specialist robotic area and be continuing towards excellence through regular education and/or participation in clinical skills labs. Work autonomously with proximal supervision of a Consultant, delivering individualised and personalised direct patient care when necessary. Peri-operative Assist other team members to participate in the safe transferring and positioning of the patient. Ensure clear, detailed and regular communication within the department and Recovery to ensure a smooth handover. Maintain accurate surgical patient recordsEnsure the correct labelling of specimens has been undertaken and documented. Ensure faulty equipment is isolated from use, using the appropriate label, and report to a responsible person. Document any incidents within quality and safety systems. Actively participate in the investigation and management of reported incidents. Support relevant pre, peri and post procedural data capture for robotic surgery Provide a clear, concise and effective handover to Recovery, highlighting specific post-operative concerns and specific pathways. Arrange appropriate post-operative investigations as part of the multidisciplinary team to enhance patient safety, to facilitate patient- centered care and contribute to the smooth running of the hospital. Post Operative To participate in the postoperative assessments of patients with particular attention to wound care, surgical drains and catheter management. The above is not the exhausted list of the job description; for the detailed JD, please find the attached document.