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Detailed job description and main responsibilities
KEY WORKING RELATIONSHIPS
The Senior Surgical Care Practitioner will work closely with the Cardiac Surgical team structure.
The Senior Surgical Care Practitioner will work closely with all the Perfusion team and will develop relationships with Multidisciplinary teams in theatres such as the Surgical Scrub team and the Anaesthetic team.
There will be key working relationships with Ward staff and Intensive Care Unit staff also and the ECMO team based on the Intensive Care Unit.
The Senior Surgical Care Practitioner will be expected to work closely with the Deputy Principal Perfusionist and the Principal Perfusionist.
KEY RESULT AREAS
Working alongside Consultant surgeons, the Senior Surgical Care Practitioner will participate in operative procedures as well as all aspects of pre and post-operative care. The Senior Surgical Care Practitioner will perform these roles with a high degree of clinical skill, autonomy, specialist knowledge and they will have substantial experience of a wide range of cardiac surgical procedures and techniques.
The Senior Surgical Care Practitioner will be able to work in all aspects of elective and emergency adult and paediatric/congenital cardiac surgery. They will provide expert assistance in adult and paediatric/congenital ECMO and vascular procedures as required.
The Senior Surgical Care Practitioner will work closely within the Consultant cardiac surgical team structure and will be expected to utilise advanced levels of clinical judgment and independent practice in the delivery of safe patient care.
The Senior Surgical Care Practitioner will provide skilled, knowledgeable and experienced support and supervision to all members of the multidisciplinary team.
The Senior Surgical Care Practitioners provide an out-of-hours non-resident on-call service.
Cross site working may be required.
PRINCIPAL RESPONSIBILITIES
OPERATING THEATRES
Act primarily as first assistant as well as also second assistant in both elective and emergency adult or paediatric/congenital cardiac procedures.
To harvest conduit during coronary artery bypass graft surgery. Ensure the conduit is suitable for grafting (including conduit repair) and appropriately close the wound.
Demonstrate the required speed and skill to harvest conduit in time to act as 1st assistant to the Consultant surgeon to establish cardiopulmonary bypass.
Supervise and direct scrub and circulating personnel in emergency cardiac situations, both in Theatre and on ICU
Perform autonomous closure of the sternal wound following surgery, ensuring that appropriate care is taken to achieve asepsis and haemostasis.
Undertake tasks delegated by the consultant surgeon at an independent level.
Removal of Intra - Aortic Balloon Pump catheters, both in Theatre and on the Intensive Care Unit.
Communicate effectively with other members of the multidisciplinary team to recognise and treat complications as they arise.
Insertion of urinary catheters, both urethral and suprapubic.
Train / assist in the training of junior medical and surgical staff in these techniques - providing supervision and support as required.
Train / assist in the training of trainee Surgical Care Practitioners in these techniques - providing supervision and support as required.
Assist other members of multidisciplinary teams including other surgical disciplines, such as Vascular, Renal, Breast and General as appropriate.
Undertake stock control of high cost consumables needed for cardiac surgery - initiate orders when required.
WARDS AND INTENSIVE CARE
Ensure the safety of the patient during transfer from the operating theatre to the intensive care unit and undertake a full handover of the procedure.
Assess the suitability of conduit, including long and short saphenous veins and radial artery, for harvesting and use during cardiac procedures.
Participate in ward rounds with members of the multidisciplinary team.
Ensure plans for care are carried out and communicate effectively with other wards and departments. Provide clinical advice to nursing staff.
Identify the need for further appropriate investigations pre and post operatively and order these, including radiology, electrocardiography, echocardiography and haematology.
Contribute to the clinical care of the post-operative patient, including patient assessment, care planning, and evaluation of care.
Provide patients and family members with clinical advice and education regarding their care.
Recognize common post-operative complications and bring these to the attention of the Registrar or Consultant Surgeon.
Set up invasive and non-invasive monitoring as required.
AUDIT AND INFORMATION
Contribute to research, audit and information collection and interpretation within the department and the Trust. Present this data as appropriate - at a local or national level.
Actively assist with and evaluate innovations and developments in practice within the unit and Trust.
Participate in the evaluation of new surgical materials, tools and equipment.
Initiate and pursue personal audit projects, including assessment of own role and achievement of targets.
Maintain an accurate log of the procedures performed or participated in.
RESPONSIBILITIES
- Ensure Trust, national and professional policies are adhered to, providing a safe, healthy environment for staff and patients.
Develop and review policies with members of the multidisciplinary team.
Develop and review techniques with Consultant colleagues as required.
Understand the requirements of the Data Protection Act 1984 and maintain patient confidentiality.
Work effectively within the team to ensure clinical governance requirements are met.
TRAINING, DEVELOPMENT AND EDUCATION
Ensure that knowledge and skills are developed through formal and informal methods to meet Trust, personal and professional needs.
Maintain a structured approach to continuing professional development.
Adhere to professional and clinical guidelines.
Participate in the revision of clinical guidelines on both a local and national level
Contribute to the formal and informal education and training programmes of the multidisciplinary team. Act as mentor, supervisor or assessor as appropriate.
Actively participate in the training of junior medical staff and Nursing staff.
Undertake DOPS assessments as requested by junior medical colleagues
GENERAL
This job description indicates the main functions and responsibilities of the post. It is not intended to be a complete list. You may be required to undertake other duties from time to time as we may reasonably require.
You will be required to maintain compliance with all statutory and mandatory training requirements.
Person specification
Qualifications
Essential criteria
* Applicable SCP qualification
Desirable criteria
* MSc in Surgical care Practice
Experience
Essential criteria
* 3 years post qualification clinical experience
Desirable criteria
* 5 Years post qualification clinical experience
Clinical Skills
Essential criteria
* 3 years Endoscopic vein harvesting experience
Desirable criteria
* 5 years Endoscopic vein harvesting experience
Additional Information
Please submit your application form without delay to avoid disappointment; we will close vacancies prior to the publishing closing date if we receive a sufficient number of completed application forms.
Please check the email account (including your junk mail) that you supplied as part of your application on a regular basis following the closing date and throughout the recruitment process, as this is how we will communicate with you.
UHL is an equal opportunities employer. We aim to employ a workforce that reflects the diverse communities we serve. We welcome applications from people from all backgrounds who match our job criteria.
Applicants who have a disability and meet the essential criteria for the job will be interviewed if you indicate you wish to be considered under the Guaranteed Interview Scheme. If you require a reasonable adjustment at any stage of the recruitment process please make the recruitment services team aware as soon as possible.
UHL is committed to helping colleagues balance the demands of both their work and personal needs through flexible working arrangements wherever reasonably practicable and subject to service needs.
Disclosure and Barring Service Check
Please note if you are successful in obtaining this position and the post involves regulated activity you will be required to undertake a Disclosure & Barring Service check.
The Trust will pay for the check initially and the money will then be deducted from your salary over a three month period commencing on your first month's payment.
The current price of a check is £38 for an enhanced and £18 for a standard check.
COVID 19 Risk Assessment
Due to the current Covid pandemic we have introduced a staff risk assessment into our pre-employment process. This now forms part of the mandatory pre-employment checks that will be carried out if you receive a conditional offer.
The risk assessment is intended to ensure you are able to safely perform your duties in any of our work areas, and if you have been identified as being particularly vulnerable to coronavirus. Our main aim is to reduce risk and to ensure the safety of all new starters to the Trust as well as current staff, patients and visitors.
If it is identified that you are within a vulnerable category, we will endeavor to make reasonable adjustments to accommodate this through discussions with both Occupational Health and your recruiting manager.
Covid Vaccination Status
Covid-19 vaccination remains the best way to protect yourself, family, colleagues and our patients/service users from the Covid-19 virus. We therefore continue to encourage our current and potential colleagues to get vaccinated.
University Hospitals of Leicester NHS Trust holds the principles of equality, diversity and inclusion at the heart of everything it does and all that it stands for. We are committed to developing a workforce that is representative of the community we serve. We welcome applications from the diverse community of Leicester, Leicester and Rutland, to help deliver healthcare services that meets the needs of our diverse communities.
Employer certification / accreditation badges
Applicant requirements
You must have appropriate UK professional registration.
This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.
Documents to download
* SCP JD/PS (PDF, 480.6KB)
* Understanding your right to work in the UK (PDF, 1.1MB)
* Employee Benefits (PDF, 578.5KB)
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