Specialist Nurse Minor Surgery within Dermatology and Plastic Surgery
| Posting date: | 21 July 2025 |
|---|---|
| Salary: | £47,810 to £54,710 per year |
| Additional salary information: | £47810 - £54710 a year |
| Hours: | Full time |
| Closing date: | 18 August 2025 |
| Location: | Durham, DH1 5TW |
| Company: | NHS Jobs |
| Job type: | Permanent |
| Job reference: | C9439-2526-0222 |
Summary
The specialist Surgical Nurse for minor Surgery will Work as part of the see and treat team for skin surgery within plastics and Dermatology To be an experienced specialist nurse with knowledge and skills in the field of plastic and dermatology surgery, undertaking holistic assessment, planning, implementation and evaluation of programmes of care in accordance with National Guidance. To lead initiatives to continuously improve quality and clinical care standards. To lead and provide senior nurse leadership for care of the patient with skin cancer or suspected skin cancer. To develop and continuously focus on improving patient centred care and overall experience within the skin cancer arena. Responsible and accountable for the management of a patient caseload within the specialty. The greater part of the time will be carrying out surgical procedures e.g., See & Treat sessions and dedicated lists. This could include weekend and evening working. The remaining part of the time will be dedicated to the required managerial activities, promoting education, participation in direct care, leading and monitoring the patient safety agenda, participation in audit to improve care delivery and patient outcomes. To establish and maintain effective personal relationships with patients and relatives and ensure that the individuals physical, psychological and spiritual needs are identified. Ensure patient needs are met by working collaboratively with other professionals and agencies, especially in relation to ongoing care needs and discharge arrangements, liaising with a wide remit of agencies/multi-disciplinary teams, hospital based and community, and has a wide knowledge of all the services offered, e.g., has the authority to admit and discharge patients and refer to other health care providers as appropriate. Performs a comprehensive problem focused health history, physical examination, analyses and interprets history, presenting symptoms, physical findings and diagnostic information to develop differential diagnosis within specialist area. Ensure patients are investigated appropriately, interpretation of results e.g., understanding histology results, margins and depth for completion and communicate results to the patient, carer and GP/referrer. Deciding a management plan resulting in appropriate follow-up e.g., and discharge. Possess and demonstrate clinical skills and be able to deliver specialised nursing care, eg., administering of local anaesthetic, perform wide local excisions, skin flaps and skin grafts. Use highly developed specialist knowledge to take Informed Consent from the patient by informing the patient and explaining the reason for the procedure, benefits, risks, complications and effects of the intended diagnostic/ therapeutic surgical procedure, and any alternative treatments. Recognise and respond appropriately to urgent and emergency situations, complete and possess Advanced Life Support skills in order to initiate first line treatment in emergency situations e.g., Cardiac/Respiratory arrest Deal with highly complex clinical situations e.g., recognizing and instigating treatment in patients experiencing an adverse events or reaction from the nurse led procedure. e.g., bleeding, respiratory/cardiac arrest. Frequently and directly involved in the giving of bad news to patients and/or relatives, e.g., informing patients of a cancer. Provide support to anxious and /or relatives, demonstrating empathy and sensitivity in a professional manner. Accountable for identifying the patients health education needs and collaboratively implementing programmes of health promotion according to the diagnosis. Participate in discharge planning, e.g., develop specialist programmes of care and provide individual discharge protocols and information packages for the safe discharge of patients following diagnostic procedures. Autonomously discharge patients with benign conditions who are asymptomatic with normal histological findings. Actively monitor to ensure safe prescribing and administration of drugs in accordance with current NMC guidelines and Trust Policies. Discuss the future management plan with the patient and their carer if appropriate and liaise with the referring medical practitioner. Communicate and liaise with primary care colleagues regarding patient care, management and monitoring. Be responsible for documentation of care and treatment and subsequent letter/report to GP. Provide highly specialist advice and support to colleagues regarding surgical procedures across primary and secondary care. Work autonomously to carry out complex/specialist surgical procedures e.g., patients who are taking anticoagulants and or have a pacemaker / defibrillator insitu and initiate involvement with the cardiac team / anaesthetist ensuring patient safety. Competence in the use of all medical devices and specialist equipment relevant to the role, e.g., bipolar machine and surgical instruments. Maintain a clinical portfolio of surgical procedures e.g., clear margins and log in accordance with standards and guidelines. Participate in Specialist Nurse, Multidisciplinary Team, reginal quality assurance & other meetings relevant to upholding good clinical, professional and nursing practice in the multi-disciplinary team