Ffynone Road, Swansea, SA1 6DF
Tel: 01792 479040 Fax: 01792 641452
E-Mail: [email protected]
Web site: www.sanctamaria.co.uk
INFORMATION SHEET
POST:
:
ANAESTHETIC & RECOVERY NURSE
HOURS:
:
FULL TIME CONTRACT
RATE OF PAY:
:
£15.35 per hour
MINIMUM QUALIFICATIONS
:
Registered Nurse/ ODP/ODA
MINIMUM EXPERIENCE
:
Proven anaesthetics and recovery skills
SKILLS REQUIRED
-
Effective communication skills
-
Able to work on own initiative
-
Enthusiastic team member
Willingness to learn and progress
professionally various theatre skills.
A flexible approach is necessary to reflect occupancy levels within the hospital
Closing date : 21st April 2015
This post is exempt from the Rehabilitation of Offenders Act 1974 and the successful
candidate will therefore be required to apply for an Enhanced Disclosure.
Sancta Maria
Hospital will not discriminate unfairly against a successful candidate where a conviction or
other such information is revealed as a result of obtaining a Disclosure.
For further
information on Disclosures please contact the Criminal Records Bureau on 0870 90 90 811.
I would like to thank you for the interest you have shown in the position.
JOB DESCRIPTION
JOB TITLE:
:
ANAESTHETIC / RECOVERY PRACTITIONER
RESPONSIBLE TO:
:
THEATRE MANAGER
QUALIFICATIONS
LINE MANAGER
ACCOUNTABLE TO:
:
:
:
EN / RGN / ODP / ODA
HEAD OF CLINICAL SERVICES
HOSPITAL DIRECTOR
HOSPITAL DIRECTOR
HEAD OF CLINICAL SERVICES
THEATRE MANAGER
DEPUTY THEATRE MANAGER
ANAESTHETIC/RECOVERY NURSE
PRINCIPAL RESPONSIBILITIES:
To provide anaesthetic assistance to the Consultant Anaesthetists in the Operating
Department. To have awareness of clinical governance framework. To promote health and
safety and infection control within the workplace.
PRINCIPAL DUTIES:
1. Ensuring patient safety and dignity whilst under the effects of anaesthesia.
2. Checking that all anaesthetic equipment is in working order and Consultant
preferences, as per specialty, are catered for.
3. To participate in “on-call” sessions when required.
4. Working with Anaesthetist in the Theatre to ensure patient safety.
5. Maintaining accurate patient documentation and patient details into Hospital Theatre
Register.
6. Ensuring Anaesthetic room is properly equipped and kept clean and tidy to create an
ideal environment for patients and colleagues.
7. Supplying correct amount of prescribed drugs as required by medical staff.
8. To be aware of, and be able to, implement emergency procedures e.g. cardiac arrest
and fire evacuation.
9. Contribute ideas and information relevant to the Operating Theatre Department and
to attend appropriate meetings.
10. To participate in clinical supervision.
11. Provide care for the post anaesthetic patient in the recovery room prior to their
return to the ward.
12. To maintain personal competence and adhere to Sancta Maria Hospital’s Policies and
Procedures.
13. Maintain standards of professional conduct and the Hospital Management Trust’s
policies.
14. To provide a safe environment for the safety and welfare of patients and staff by
complying with:-
• Health & Safety At Work Act
• Fire Prevention and Management
• COSHH
15. To participate in the hospital annual appraisal scheme.
•
•
•
To be aware of and comply with all Hospital policies and procedures
To adhere to all matters relating to Health & Safety
To participate in all hospital wide Quality Assurance initiatives
16. Ensure patients, visitors and staff are protected against acquiring a healthcare
associated infection by effectively maintaining and utilising hospital systems
designated to assess the risk of, and prevent, detect and control, the spread of
healthcare associated infections. Also to maintain high standards of cleanliness and
hygiene, including all equipment, reusable medical devices and all other materials
used during the provision of services to patients.
THIS JOB DESCRIPTION IS NOT EXHAUSTIVE AND THE EMPLOYEE WILL BE EXPECTED TO UNDERTAKE
OTHER DUTIES FROM TIME TO TIME WITHIN HIS/HER CAPABILTIES.
THIS JOB DESCRIPTION WILL BE SUBJECT TO ANNUAL REVIEW IN LIGHT OF DEVELOPMENTS WITHIN THE
SERVICE IN CONSULTATION WITH THE POST-HOLDER.
Signed: __________________________________________________________ (Post Holder)
Signed: __________________________________________________________ (Manager)
Sancta Maria Hospital
Ffynone Road, Swansea, SA1 6DF
Telephone: 01792 479041
Email: [email protected]
Website: www.sanctamaria.co.uk
APPLICATION FOR EMPLOYMENT
Please complete this form as fully as possible, using black ink. Information will be treated in the strictest
confidence. Knowingly withholding, falsifying or omitting relevant information at any stage of the selection
process may lead to subsequent disciplinary action including dismissal
Closing Date: 21st April 2015
Vacancy Applied For: Anaesthetic & Recovery Nurse
Personal Details
Title:
Forename(s):
Surname:
Address:
Postcode:
Home Tel No:
Work Tel No:
Mobile No:
Email:
Do you require a work permit? Yes
No
General Education
Please state most recent qualifications first
Secondary
School/College/University
Dates of
Attendance
From
To
Qualifications obtained
Professional Qualifications/Vocational Training/Registration
For applicants in respect of posts requiring statutory registration or Professional/Vocational Qualifications,
successful candidates will be required to produce current registration certificates prior to commencement of
employment.
Qualification/Training
Name & Address of
Employer
Date Qualification
obtained
Dates
Current Employment
Job Title
Reg/PIN No
(if applicable)
Renewal Date
(if applicable)
Description of Main Duties
Reasons for Leaving
Previous Employment
Name & Address of
Employers
Dates
(please state reasons for any gaps in employment)
Job Title
Description of Main Duties
Additional Information
The information you provide in this section will be used in assessing your application. Please refer to the job
description and person specification and use this space to state your reasons for applying for the post,
relating your skills, experience and personal qualities gained through work and education to the requirement
of the job (please continue on separate sheet if necessary).
References
Please give the names of two referees, both of which must be your most recent employers and one of which
must be your current employer. References will only be requested for successful candidates.
1) Name & Organisation
Address
Telephone Number
2) Name & Organisation
Address
Telephone Number
Care Standards Act 2000 & Protection of Children Act 1999
Due to the nature of the position you are applying for, you are not entitled to withhold information about criminal
convictions, cautions, etc, however long ago these occurred. If you are short listed for interview you will be asked to
sign a declaration form stating that you have committed no such criminal offences. All offers of employment will be
conditional on receipt of a satisfactory Criminal Records Bureau (CRB) Disclosure check. Having a criminal record
will not necessarily prevent someone from working at the hospital. However, this will depend on the nature of the
position and circumstances and background of the offences. For further information on these checks please contact
the CRB information line on 0870 9090811. Failure to disclose any information relevant to the above could result in
disciplinary action by HMT which may lead to dismissal should you be employed.
DECLARATION
I understand that my appointment will be subject to satisfactory health clearance, references and other statutory requirements. I declare
that the information on this form and any supporting documentation attached herewith e.g. CV, is true and complete and I understand
that any false information may render an offer of employment invalid and lead to termination of employment. I also understand that the
information I have provided will be processed for the purposes of my employment with the hospital and by completing this form I am
giving my explicit consent for this processing to take place within the remit of the Data Protection Act 1998. Processing may include the
monitoring of various hospital policies in line with good employment practice.
Signature:
Date:
HOSPITAL USE ONLY
NAME
POSITION APPLIED FOR
CRB DECLARATION RECEIVED
Y / N
INTERVIEW LETTER SENT
Y / N
INTERVIEW DATE
SUCCESSFUL
Y / N
OFFER LETTER SENT
Y / N
REFERENCES SENT FOR
Y / N
DATE:
OCCUPATIONAL HEALTH APPOINTMENT
Y / N
DATE:
REFERRAL TO OCC. HEALTH DOCTOR
Y / N
DATE:
CLEARANCE FROM OCC. HEALTH RECEIVED
Y / N
DATE:
EMPLOYMENT CONTRACT RECEIVED
Y / N
PHOTOGRAPH RECEIVED
Y / N
SIGNED CONTRACT RECEIVED
Y / N
SIGNED JOB DESCRIPTION RECEIVED
Y / N
CRB SET UP ONLINE
Y / N
DATE:
CRB I.D. CHECK COMPLETED
Y / N
DATE:
COMPLETION OF CRB / CRB FORM SENT TO CRB
Y / N
DATE:
CRB RESULT RECEIVED
Y / N
DATE:
Y / N
DATE:
REFERENCES RECEIVED
1.
2.
Y / N
MANAGEMENT AUTHROISATION TO START WITH 1 REF
DATE:
DATE:
EMPLOYEE DETAILS/P46 RECEIVED
Y / N
OFFER CONFIRMED
Y / N
DATE:
COMMENCED EMPLOYMENT
Y / N
DATE:
INDUCTION COMPLETED/FORM RECEIVED
Y / N
CONTRACTED STAFF ONLY
13 WEEK REVIEW DATE
Y / N
DATE:
PROBATION EXTENDED
Y / N
DATE:
POSITION CONFIRMED
Y / N
6 MONTH REVIEW DATE
Y / N
DATE:
Asylum & Immigration Act 1996
Sancta Maria Hospital has to ensure that employment is only offered to those entitled to live and work in the UK. In order to
ensure that we operate a fair recruitment procedure based on equal opportunity, all applicants invited for interview must
ensure that the identification they bring to interview (as listed on the previous page) includes either one document from List 1 or
two from List 2.
List 1
•
•
•
•
•
•
•
A passport showing that you are a British citizen, or you have right of abode in the UK.
A document showing that you are a national of a European Economic Area (EEA) country or Switzerland. This must be a
national passport or identity card.
A residence permit issued by the Home Office to a national from an EEA country or Switzerland.
A passport or other documentation issued by the Home Office which has an endorsement stating that you have a
current right of residence in the UK as the family member of a national from an EEA country or Switzerland who is
resident in the UK.
A passport or other travel document endorsed to show that you can stay indefinitely in the UK, or have no time limit on
your stay.
A passport or other travel document endorsed to show that you can stay in the UK; and that this endorsement allows
you to do the type of work you are being offered if you do not have a work permit.
An Application Registration Card issued by the Home Office to you as an asylum seeker stating that you are permitted to
take employment.
If you have provided us with one of the documents from List 1, there is no need to provide any further documents (other than
those listed on the previous page).
List 2
First Combination
A
A document giving your permanent National Insurance Number and name. This could be a P45, P60, National Insurance
card, or a letter from a Government agency.
In addition to this document, you must also provide one of the following documents listed in
sections B-H:
B
C
D
E
F
G
H
a full birth certificate issued in the UK, which includes the names of your parents, OR
a birth certificate issued in the Channel Islands, the Isle of Man or Ireland, OR
a certificate of registration or naturalisation stating that you are a British citizen, OR
a letter issued by the Home Office to you which indicates that you can stay indefinitely in the UK, or have no time limit
on your stay, OR
an Immigration Status Document issued by the Home Office to you with an endorsement indicating that you can stay
indefinitely in the UK, or have no time limit on your stay, OR
a letter issued by the Home Office to you which indicates that you can stay in the UK, and this allows you to do the type
of work you have been offered, OR
an Immigration Status Document issued by the Home Office to you with an endorsement indicating that you can stay in
the UK, and this allows you to do the type of work you are being offered.
Second Combination
A
A work permit or other approval to take employment that has been issued by Work Permits UK.
Along with a document issued by Work Permits UK, you should also provide one of the
following documents listed at B-C:
B
a passport or other travel document endorsed to show that you are able to stay in the UK and can take the work permit
employment in question, OR
C
a letter issued by the Home Office to you confirming that you are able to stay in the UK and can take the work permit
employment in question
All documentation will be copied in your presence and returned to you
Declaration form
I understand that the post I have applied for is subject to the following declaration under the Care Standards Act 2000:
Please indicate whether you have been subject to any of the following:
Police investigation and/or prosecution, in the UK or any other country
Yes/No
Convicted of any criminal offence required by law to be disclosed, received a police caution in the UK, or a
criminal conviction in any other country
Yes/No
Any investigation or proceedings by any body having regulatory functions in relation to health/social care
professionals including such a regulatory body in another country. [where applicable to the post]
Yes/No
Disqualification from the practice of a profession or required to practise it subject to specified limitations
following a fitness to practise investigation by a regulatory body, in the UK or another country. [where
applicable to the post]
Yes/No
If you circled ‘Yes’ to any of the above, please list full details here with dates using an additional sheet if
necessary:
In addition to the above, I further declare that I am physically and mentally fit for the post for which I have applied.
I understand that making such a declaration will not necessarily prevent me from being appointed to a suitable post within the
hospital unless such an offence is deemed to make me unsuitable.
Signed……………………………………………………..……………………Date………………………………………………………………………………………………………….
Name (block capitals) …………………………………………………………………………………………………………………………………………………………………….
Address……………………………………………………………………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………………………………………………………………………………..
………………………………………………………………………………………………………………………………………………………………………………………………………..
EQUALITY AND DIVERSITY MONITORING FORM
The Hospital Management Trust is committed to equal opportunities in employment and welcomes
applications from all sections of the community. In order to ensure the effectiveness of this policy and
for no other reason please complete the details requested below.
Name…………………………………………………………………………………………………………………
Address………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………..
……………………………………………………………..……………………………..Postcode…………………
Job applied for ………………………………………………………………………………………………………..
Sex:
Male
Marital status:
□
Female
□
Married/civil partners
Date of Birth………………………………………….
□
Single
□
Divorced
□
Please tick the appropriate box that indicates your cultural background?
White
Mixed
Asian/ Asian British
Black/ Black British
□
□
□
□
□
British
Irish
Other White
Background,
please specify:
□
□
White
Black
Caribbean
White and
Black African
Other Mixed
□
□
□
□
Indian
Pakistani
Bangladeshi
Other Asian
background,
please specify:
□
□
□
Caribbean
African
Widowed
□
Chinese or other
ethnic group
□
□
Other Black
background,
please specify:
Chinese
Other
background,
please specify:
background,
please specify:
The disability discrimination act 1995 defines a disabled person as anyone who has a physical or mental
impairment which has a substantial or long term effect on their ability to carry out normal day to day
activities. Taking this definition into consideration do you consider you have a disability?
Yes
□
No
□
Signature……………………………………………………………….Date………………………………
Please return this form with your application form; however failure to complete this form will not affect your
application.
THIS FORM IS STRICTLY FOR HUMAN RESOURCES USE ONLY AND WILL
NOT BE USED AS PART OF THE SHORTLISTING PROCESS