Download Emergency Nurse Practitioners

REFERENCE NUMBER: RIE/ED/ENP6/10
JOB TITLE: EMERGENCY NURSE PRACTITIONER
GRADE: BAND 6
LOCATION: THE ROYAL INFIRMARY OF EDINBURGH
CONTRACT DURATION: PERMANENT
HOURS: 37.5 (PART TIME WILL BE CONSIDERED)
CLOSING DATE: 30 JANUARY 2015
SALARY SCALE: £26,041 - £34,876 PER ANNUM
Apply on-line www.jobs.scot.nhs.uk
**Please note – the e-mail address you provide on the application form will be used to
communicate any further correspondence relating to this vacancy**
This post requires the post holder to have a PVG Scheme membership/ record. If the post
holder is not a current PVG member for the required regulatory group (i.e. child and/or adult)
then an application will need to be made to Disclosure Scotland and deemed satisfactory
before they can begin in post.
NHS LOTHIAN JOB APPLICATION PACK
This information package has been compiled to provide prospective candidates with details of the post
advertised.
The contents of this package are as follows:
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General Information for Candidates
Working in Edinburgh and the Lothian’s
Working Time Regulations Form (please complete and return with application form)
Person Specification and Job Description
NHS Lothian - Our Values
Information on Application Process
Workforce Equality Monitoring
Equal Opportunities Policy Statement
GENERAL INFORMATION FOR CANDIDATES
Data Protection Act 1988
Please note that any personal information obtained from you throughout the recruitment process will be
collected, stored and used in line with the Data Protection Act 1998. Information will be available to the
recruiting manager and to the Human Resource staff.
Counter Fraud
NHS Lothian is under a duty to protect the public funds it administers, and to this end will use the information
you have provided on your application form for the prevention and detection of fraud. It will also share this
information with other bodies responsible for auditing or administering public funds for these purposes. More
detail on this responsibility is on NHS Lothian’s intranet (Counter-Fraud and Theft page) and further
information is available at http://www.audit-scotland.gov.uk/work/nfi.php.
References
All jobs are only offered following receipt of two satisfactory written references. At least one reference must
be from your current/most recent employer, or your course tutor if you are currently a student. If you have
not been employed or have been out of employment for a considerable period of time, you may give the
name of someone who knows you well enough to confirm information given and to comment on your ability
to do the job.
Disclosure Scotland
Where a Disclosure or Protection of Vulnerable Groups Check is deemed necessary for a post, the
successful candidate will be required to undergo an appropriate check. Further details on the Recruitment of
Ex-Offenders are available from the recruitment centre.
Work Visa
If you require a Work Visa, please seek further guidance on current immigration rules which can be found on
the Home Office website www.ind.homeoffice.gov.uk
Overseas Registration and Qualifications
NHS Lothian will check you have the necessary professional registration, where appropriate. If you require a
qualification for this role but are not regulated by a professional body (e.g. NMC, GMC, HCPC etc), you will
need to provide an official translation, notarised by a solicitor, of your overseas qualifications to be checked
by the recruiting manager. Please ensure that this is available before applying for this post.
Job Interview Guarantee Scheme
As a Disability Symbol user we recognise the contribution that all individuals can make to the organisation
regardless of their abilities. As part of our ongoing commitment to extending employment opportunities, all
applicants who are disabled and who meet the minimum criteria expressed in the job description will be
guaranteed an interview.
Terms and Conditions
For an overview of our Agenda for Change terms and conditions visit: www.msg.scot.nhs.uk/pay/agenda-forchange
Travel Expenses
Travel expenses are not normally reimbursed for interviews, if you are selected for interview and wish to
enquire about the possibility of being reimbursed then the request should be directed to the recruiting
manager or interview panel chair.
WORKING IN EDINBURGH AND THE LOTHIAN’S
NHS Lothian offers excellent career prospects and a wide range of job opportunities for potential employees.
It employs approximately 24,000 staff and offers training and development opportunities as well as excellent
staff benefits.
The information provided below aims to help support and guide both prospective applicants and new
employees unfamiliar with Edinburgh and the Lothians.
Edinburgh and the Lothian’s
NHS Lothian serves a population of approximately 800,000 people living in and around Edinburgh,
Scotland’s historic capital city. The geographical area known as Lothian region covers 700 square miles,
comprising the City of Edinburgh, Midlothian, East Lothian and West Lothian.
It is a region of exceptional beauty and contrast, from the splendour of Edinburgh to the beauty and variety of
the hills, countryside and coastline. The nearest major town outside of Edinburgh is Livingston, a thriving
location in the heart of West Lothian. As well as many sites of historic interest, the region boasts a host of
recreational activities for all ages.
Useful Contacts
For useful guidance on relocating to Scotland visit: www.talentscotland.com
For a comprehensive list of services to help moving to the City of Edinburgh, please visit the City of
Edinburgh Council Website at: www.edinburgh.gov.uk
.
NHS Lothian
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WORKING TIME REGULATIONS
RECRUITMENT PRO-FORMA
In accordance with Working Time Regulations, no individual should knowingly be
contracted to work for more than an average of 48 hours per week.
For Completion by Applicant (to be submitted along with application form)
- Do you intend on holding any other employment (either NHS or non-NHS)
YES / NO
If yes please complete the details below:
Name and address of additional employer(s)
Average number of hours worked for this employer per week
Signed
Name
For Completion by Appointment Panel
- Would the offer of this post put the applicant in a position whereby they would
exceed the 48-hour working limit?
YES/NO
Signed
Please Note - It is the responsibility of the appointment panel to ascertain whether the
prospective employee intends to retain any other post held in addition to the one for
which they are applying.
Refer to the Recruitment Guidance Pack for further information regarding working
time regulations.
The Royal Infirmary of Edinburgh
51 Little France Crescent
Edinburgh EH16 4SA
Edinburgh
Emergency Nurse Practitioners
EH16 4SA
Emergency Department
37.5hrs per week
(part time will be considered)
Internal rotation including day shifts, night shifts and weekends.
Rotation to other sites within NHS Lothian may be required.
An opportunity has arisen for motivated and experienced individuals to undertake these challenging
posts.
The Emergency Department has a patient attendance of 115 000 patients per year and provides a high
level of care to patients presenting with minor injuries to acute medical and surgical emergencies.
Providing Emergency Care services to the population of Edinburgh, East and Mid Lothian serving a
population of approx 800,000 people. The Emergency Department also provides pre-hospital care
team Medic 1 and trauma services for south east Scotland.
The Nurse Practitioner service is integral to the department , working to a high level of clinical decision
making and a wide scope of practice.
Post holders are expected to have a recognised ENP qualification (Minor Injuries or equivalent). We
will consider applicants who are currently undertaking such training.
Successful applicants will be part of a dynamic team of Nurse Practitioners within the Emergency
Department team. Professional development opportunities will be available to successful candidates,
such as undertaking Acute Illness/Clinical Decision Making training and/or Non-Medical Prescribing.
Applicants will need to demonstrate a comprehensive knowledge of professional and operational
issues within the speciality and have proven record of personal development and expanded practice.
Evidence of continuing professional development, computer literacy and good communication skills are
essential.
These posts will be appointed to NHS Lothian and may involve rotation to other hospital sites though
initially based at the Royal Infirmary of Edinburgh.
Contact for information and informal visits ;Sue Bagley
Clinical Lead - Nurse Practitioner Service.
Emergency Department, RIE
0131 242 1300
For further information / informal visits, please contact Sue Bagley or CNM Chris Connolly on ext
21300.
Application packs available from the Recruitment Office, Livingston. Tel: 0845 60 33 444, or
alternatively email: [email protected] quoting the post reference number.
NHS LOTHIAN
Candidate Interview Assessment Form
Name:
ENP
Emergency Department RIE
Interview Date:
Essential
Personality
traits
Qualification
attainments
Special Skills &
Knowledge
Work or other
experience
Overall rating
Position: Band 6
Desirable
Demonstrates evidence of team working, act as role model.
Ability to communicate with people at all levels.
Professional, but approachable manner. Demonstrates leadership and
management skills
Ability to think quickly and problem-solve
Ability to work under pressure.
Ability to recognise signs of stress in self & others and create and
sustain support mechanisms.
Demonstrates evidence of and the value of good team relationships
Demonstrates insight into own strengths
and weaknesses & recognises
limitations.
Registered nurse.
Minor Injuries Course or equivalent
Evidence of ongoing professional development.
Acute Illness course or equivalent.
Non medical prescribing course
Evidence of study at degree level or
motivation to do so.
Project work associated with clinical
environment.
Demonstrates ability to prioritise workload.- delegation, resource
management. Leadership
Motivated to continue professional development in ED ie: membership of
FEN or ECA or similar organisation.
Understanding of Clinical Governance, HEAT targets, HEI objectives.
Knowledge of contemporary developments in relevant field- journal
article, conference presentations, etc.
Understanding of risk assessment & acting on findings.- Datix incident
reporting
Act as specialist resource in Minor Injuries care, provide support and
mentorship to others
Demonstrates motivation to extend scope of practice
Knowledge of IIP
Mentorship experience.
Teaching experience in relevant field
Motivated to work in speciality.
Relevant experience in a clinical area e.g. Minor Injuries unit or ED
Previous experience of working within
Emergency Medicine.
Teaching experience or motivation to do
so
Previous experience in an Autonomous
role
Conference presentations, published
work.
JOB DESCRIPTION TEMPLATE
JOB IDENTIFICATION
Emergency Nurse Practitioner
Job Title:
Nurse Practitioner
Responsible to
Senior Nurse practitioner/dept manager
Department:
ACCIDENT & EMERGENCY
Directorate:
Accident and Emergency
Operating Division: Medical and Associated Services Division LUHD
No of Job Holders: 6
Last Update (insert date): 4/07/08
2. JOB PURPOSE
The remit of this post is:
The post holder has professional and managerial responsibility for a case load of patients allocated to the
specialist service within Accident & Emergency, Royal Infirmary of Edinburgh. This is in an acute hospital
setting.
The post holder will work hours that meet the service needs, including rotation onto night shift.
Ensure the highest standard of personalised nursing care is delivered to patients and their families in
partnership with all members of the multi disciplinary team.
Responsibility for the assessment of care needs and the delivery and maintenance of optimal care outcomes.
The post holder is expected to motivate staff to provide high standards of care by acting as a role model.
Provide expert professional and clinical care advice to patients, carers and multi-disciplinary team.
Responsible for providing specialist education and training programmes for health care professionals and other
professional groups.
Implement and undertake research activities ensuring evidence-based practice in the specialist area.
3. DIMENSIONS
The post holder contributes to the clinical and management responsibility for the regional patient group/caseload
of minor injury / minor illness patients within the Accident and Emergency Department, Royal Infirmary of
Edinburgh.
The post holder will have responsibility for developing and implementing nurse led clinics within the overall
service provision for patients within the minor injury / minor illness speciality.
Other key staff with whom the post holder will interact includes: Medical/Therapists/Finance/R&D
Office/Procurement/Support Services/Education Facilitators/ Health and Safety, Risk Management Community
Health Practitioners and University Institutions.
The Lothian University Hospitals Division delivers services within the environment of a University Teaching
hospital setting.
4. ORGANISATIONAL POSITION
Clinical Nurse Manager
↑
Lead Nurse Practitioner
↑
Senior Charge Nurse
↑
Senior ENP
↑
Band 6 ENP (this post)
5. ROLE OF DEPARTMENT/SERVICE:
The Department of Accident & Emergency is a nationally and internationally acclaimed unit, providing a
comprehensive A&E and minor injury / minor illness service to the population of the Lothians and South East of
Scotland
To provide a high quality, safe and supportive environment in order to care for patients within the Accident &
Emergency setting meeting the identified physical and psycho-social needs.
6. KEY RESULT AREAS
Professional
Practice at all times within the Nursing and Midwifery Council Code of Professional Conduct
Develop the role by using evidence-based practice and continuously improve own knowledge, following
PREP guidelines.
Conduct clinical evidence based practice in accordance with national SIGN Guidelines and
clinical standards. (e.g. cancer planning nursing framework).
Act as an exemplary professional role model for leading specialist nursing services.
Leadership and Management
Lead relevant nursing staff within the Accident and Emergency service ensuring that patient needs are
assessed, care planned, implemented and evaluated, and that there is consultation and involvement of
patient/carers.
Contribute to specific initiatives within the multidisciplinary team, in the development, implementation and
maintenance of policies, procedures, standards and protocols of the minor injury / minor illness service
throughout Lothian and the South East of Scotland.
Ensure that all nursing staff and members of the multidisciplinary team are aware of, and work within,
local, directorate and Division policies and procedures to ensure that safe working practices are
maintained for both patients and staff.
Contribute to the development, implementation and monitoring of LUHD Corporate and local induction,
recruitment, appraisal and performance management.
Lead relevant nursing staff to ensure appropriate clinical skills and competencies are used effectively
within the allocated financial resource ensuring clinical governance standards are maintained.
The post holder is not responsible for managing the budget but needs to be aware of the resources
available and the need to work within the financial envelope.
Ensure that equipment is ordered and maintained, and that stock is ordered and managed within the
available financial resource.
Contribute to the development in order to further the future service provision and planning for those
patients who present to Accident & Emergency with minor injury / minor illness.
Act timeously in resolving complaints effectively through investigating and responding at local level and
escalate as appropriate.
Ensure patient property and valuables that are received by the post holder for safekeeping are secured
and processed as per LUHD policy.
Clinical
Act as a specialist resource in minor injury / minor illness nursing by promoting the service and
increasing the awareness of the disease in hospital and primary care setting to enhance standards of
care.
Ensure the quality of patient care is reviewed, assessed, implemented and monitored to maintain
standards of care given to patients and their families.
Act as an independent Nurse Prescriber or, dispense medicines in a safe and appropriate manner in
accordance with LUHD NP Patient Group Directions if not in possession of this qualification.
Participate in clinical audit of specialist nursing services for minor injuries / minor illnesses to ensure
evidence based practice.
Participate in the monitoring of standards of care within the defined policies, procedures and protocols of
the service, ward, Directorate and Division to ensure adherence to, and delivery of, a high quality
service.
Contribute to the development of highly specialist programmes for care / care packages for patients with
minor injuries / minor illnesses.
Research
Contribute to the development, research and clinical audit programmes to support best practice, which is
research and evidence based and leads to continuous improvements in care.
Contribute to/or take an active role in key clinical research projects for the minor injury / minor illness
specialty service within Accident & Emergency.
Education
Develop, provide and support appropriate multidisciplinary specialist education and training programmes
to promote a wider understanding of minor injuries / minor illness in the primary and secondary
healthcare setting.
Participate in the delivery of specialist education programmes within a core curriculum for institutes of
higher education.
Promote and advise on health and life style activities for patients, carers, health care professionals and
the general public.
Teach, advise and coach patients and carers with regard to the condition and treatment options.
The post holder will be involved in supervision and support of candidates from the WGH Minor Illness
and Minor Injury programme.
Contribute to the provision of clinical practice for pre registration and post registration learners, to fulfil
curriculum requirements and ensure that appropriate educational opportunities are provided.
Ensure that the on-going personal development needs and professional education and research are
identified and met.
7a. EQUIPMENT AND MACHINERY
Post holder is expected to have knowledge and ability to use all equipment used in the area however may not
have daily clinical involvement.
Specialised
Very Specialised
Generic
Telephone
Patient Hoists – Arjo
Drug Fridge
Computerised
management system
Ice Machine
Infusion Devices
Asena, Grazeby.
Nursing Call System
Blood Pressure Machines –
manual and electronic
Cardiac thumper machine
Database /Computers
Blood glucose machine
High Volume Pressure Infusor /
Blood warmer system
Fire Equipment
Suction Equipment
Anaesthetic machine
Pneumatic Tube System
Thermometers – tympanic, oral
, axilla & rectal
Ophthalmoscope
Pat Slides
Repose Mattress
Auroscope
Supreme 104 Water Boiler
Repose Boots
12-lead Electrocardiograph machine
Walking
Aids
(Zimmer,
Crutches – elbow & axilla,
Walking Sticks)
Oxygen + Entonox equipment,
masks & tubing
Medications – topical, parenteral &
oral
Oxygen Cylinders
Infusion Devices: Alaris
Central Venous Pressure Monitoring
Glide sheets
Syringe Drivers: Asena
Pulse Oximeter
Paging system
Peak flow meter
Invasive Monitoring
Intercom system
Multi-function patient monitors
patient
Patient telemetry monitoring system
& additional cables
Alaris,
Defibrillator – semi automatic and
manual
–
Haemoglobin monitor
Intubation /anaesthetic equipment
Handheld radio
Alcohol meter – nasal & oral
mouthpiece
Plaster casting equipment
Dictaphone
Venepuncture equipment
Plaster cutting electric oscillating
saw
X Ray wall mounted boxes
Cannulation equipment
Suturing equipment
X Ray portable ‘bright-light’ box
Blood
sample
‘vacuum’
containers & needle/cannula
adaptors
Invasive Ventilator
Wheelchairs
Blood culture bottles
Height
trolleys
adjustable
patient
Urine testing sticks
Electrically Controlled Chair –
in eye cubicle
Urine
and
other
sample
containers (sterile/non-sterile)
Plaster trolley
Pregnancy testing equipment
Directable lights – ceiling
mounted and free standing
Wound swabs
Dressings trolleys
Syringes and needles
Ring cutting equipment
Walking stick cutting equipment
Drip stands – portable and fixed
Scalpels
Guillotine for ‘Zimmer’ Splint
Gloves – non-sterile and sterile
Fluids for wound cleansing
Nail trephining equipment
Foot stools
Dressing packs
Minnesota Tube
Photocopier
Dressings materials
Nasal packing equipment
Bandages
Transport Equipment:
Torch
–
rechargeable
battery
and
Ventilation
Monitoring
Fluid Control
Facsimile machine
Surgical tapes and strapping
materials
Wound glue
Personal alarms
Intravenous giving sets
Wound Staples
Fluid repellent staff uniforms
Intravenous fluids
Wound Suture material
Protective masks and visors
Tongue depressors
Eye examination equipment incl.
Illuminated wall-mounted Snellen
chart & slit lamp
Electronic access ID cards
Finger bandage applicators
Hare traction splint
Kitchen resources for patient
refreshments
Compression
applicators
Sam splint
bandage
Eye pads
Patient weighing scales
Kidd Tourniquet machine for use in
MUA / Biers Block
Sling bandages
‘Collar’n’cuff’ sling
Wrist splints
Mallet finger splints
Knee splints
Eye irrigation equipment
Wound
closure
(‘Steristrips’)
strips
Staple removers
Soft & hard patient neck collars
7b. SYSTEMS
Local patient administration system – HIS, TRAK sysytem
Human Resource Administration system.
DATIX Intranet – Manage Incident Reporting
Apex Laboratory System – Specimen Results
Internet and Intranet – Personal and Business including A/E ‘Emibank’ Database
Personal security / alarm system and response procedure
8. ASSIGNMENT AND REVIEW OF WORK
The post is largely self-directed however work maybe assigned by the A&E Consultant Medical staff in response
to the needs of patients in the A&E minor injury / minor illness service.
Referrals to the A&E service are generated from Lothian and South East of Scotland.
Work is reviewed by the Clinical nurse manager of the Accident and Emergency Department, and also by the
A&E Consultant Medical staff on a regular basis.
The Post Holder will have a Professional Personal Development Plan, which is reviewed 6 and 12 monthly by
the delegated line manager.
The post holder will act as an independent Nurse Prescriber, or dispense medications autonomously, under
LUHD NP Patient Group Directions if not in possession of this qualification.
The post holder is expected to participate in other professional areas relating to A&E department in general.
This involves participating in Divisional Unit meetings thus keeping updated on local issues of concern.
The post holder will audit the levels of activity by keeping records of consultations. The patient Trak system can
be used to track NP and patient activity.
9. DECISIONS AND JUDGEMENTS
The post holder will be expected to make clinical and professional autonomous decisions on a daily basis,
including the provision of advice to the multidisciplinary team.
The post holder will work independently and autonomously, and may treat and discharge patients; arrange
follow-up; or refer to another member of the multidisciplinary team for advice / admission.
Informed clinical decision-making with regard to patients’ health care, through stringent monitoring of the
patient’s condition and acting on clinical judgements. NPs have wide discretion to accept those patients whose
presentations are within their parameters of practice. Such decisions may be complex, involving multiple
factors. Judgements are made taking into account priority of patient care and availability of resources.
The post holder will act as an independent Nurse Prescriber, or dispense medications autonomously, under
LUHD NP Patient Group Directions if not in possession of this qualification.
Acting as the patients advocate to ensure their rights are upheld, when identifying, screening and recruiting
subjects into clinical research studies.
Freedom to act is guided by precedent and clearly defined Divisional policies, protocol/procedures and codes of
conduct in accordance with NMC regulations, Clinical and Staff Governance Framework.
10. MOST CHALLENGING/DIFFICULT PARTS OF THE JOB
Improving and streamlining the process of care for patients who present to the ‘Examination room’ in A&E with
undifferentiated and undiagnosed problems
Continued development and promotion of the Nurse Practitioner service within the A&E setting through
challenging the boundaries of the current parameters of practice, in order to enhance personal professional
development and improve patient care.
Making independent clinical decisions in complex patient presentations
Discharging patients from caseload
Improving communications between the professions involved in the care and treatment of patients with minor
injuries and acute illness
Unexpected patient activity and demand.
Addressing the equality and diversity needs of patients and staff.
Dealing with multi facet organisations.
Implementing change effectively in a multidisciplinary environment.
Time Management
11. COMMUNICATIONS AND RELATIONSHIPS
Communicate with the patient, relatives and carers on the delivery of patient care.
Liase with the multidisciplinary team on service needs and requirements.
Other relevant lines of communication will encompass the following internal and external groups to ensure the
gathering and dissemination of information as appropriate:
Internal Communication
Operational
Director of Nursing
Directorate Manager/Assistant Directorate Manager
Principal Nurse
Clinical Director
Multi Disciplinary Leads
Finance
Procurement
Support Services
Human Resource
Health and Safety
Risk Management
Palliative Care Team
Critical Care Teams
Bed Managers
Radiology
Pathology
IT
R & D Department
External Communication
Other Health Boards through out Scotland/Hospitals in South East of Scotland
Develop professional links locally and nationally.
Specialist Support Groups
Voluntary Agencies
Scottish Ambulance Service
Community Health Practitioners in person, by phone and in writing, every day
Social Work, by phone, face to face and in writing
Patients
Carers
General Public
Educational institutes including those that validate internal courses, and staff organisations by phone, in writing
and face to face, several times in a year.
Members of all emergency services in person, by phone, and in writing very regularly
Staff in other hospitals, usually by phone and /or in writing every day
Other institutions, prison service, army, hotels, factories, airports and many others, to deal with illness or injury
on their sites, usually by phone on most days.
12. PHYSICAL, MENTAL, EMOTIONAL AND ENVIRONMENTAL DEMANDS OF THE JOB
Physical Skills:
Techniques of patient physical clinical examination
Administer intravenous injections and or intra-muscular / subcutaneous injections
Administer medication / intravenous fluids using syringe pumps and infusions as required.
Insertion of urinary catheters
Insertion of sutures, staples to wounds, application of glue or wound closure strips to wounds
Administer local anaesthetic injections
Removal of sutures / clips
Wound care management including application of dressings materials and bandaging
Placement of nasogastric tubes
Application of various plaster casts – Plaster of Paris and Synthetic casts
Removal of Plaster of Paris and synthetic casts using plaster saw & other orthopaedic equipment
Manipulation of digit dislocations and displaced fractures
Measuring and fitting of crutches
Measuring and fitting of splintage including mallet finger splint, ‘Zimmer’ type finger / hand splints, wrist & knee
splints
Use of trolley mounted guillotine to cut ‘Zimmer’ type splintage material
12-lead ECGs
Requesting of x-rays and other diagnostic investigations such blood, urine tests and wound swab cultures
Intravenous cannulae / venepuncture
Interpretation of x-rays and investigation results
Intravenous additives
Blood Glucose monitoring
Advanced trauma life support - infant, paediatric and adult
Advanced life support – infant, paediatric and adult
Manual defibrillator
Semi-automatic Defibrillator
Portable ventilator
Continuous Positive Airway Pressure Management
Advanced airway management
Tracheostomy care
Computer and keyboard skills requiring dexterity, accuracy and speed
Moving and handling tasks
Use of complex medical equipment such patient monitoring system, syringe driver – all of which require
additional educational training.
Physical Demands:
Patient movement with use of mechanical aides, manoeuvre patients
Moving and handling some awkwardly shaped, often heavy equipment
Handling of wheelchairs and height adjustable patient trolleys
Push trolleys, wheelchairs
Stand/walking for the majority of shift
Activities of daily living
Ergonomics
Mental demands of the job
Concentration, required due to the nature of the nurse practitioner role. Giving full concentration to a succession
of complex patient presentations throughout a long working day ensuring safety and accuracy of assessment
Multi-tasking several cases at various stages at the same time. Coordinating their management to minimise
waiting but ensuring maintenance of patient safety and accuracy of examination and recording of findings.
Making complex clinical decisions on patient management
Possibility of frequent direct and indirect interruptions from patients, relatives and the multidisciplinary team.
Maintenance of precise and accurate patient records
Concentration required when observing patient behaviours that may be unpredictable
Time management
Communication difficulties (multidisciplinary, multicultural, deaf, blind, learning difficulties, hearing / visual &
speech impairment, foreign language, mental health problems)
Evaluating people who are under the influence of alcohol or drugs
Evaluating the risks when dealing with aggression
Developed leadership skills.
Developed responsibility skills
Service changes
Organisational changes
Political agendas
Workforce planning
Challenging inappropriate/poor clinical practice
Planning, preparing and delivering teaching packages
Frequent writing of clinical notes and other communications
Ensuring safety and accuracy in dispensing of medication under Patient Group Directions and handling of
medication
Emotional demands of the job
Communicating with distressed/anxious/worried - patients/relatives.
Communicating complex issues with the multidisciplinary team.
Balancing the demands of maximising recruitment with respect for patients and other ethical dimensions
Caring for patients following receipt of bad news and supporting relatives.
Coping with sudden death, dealing with traumatised relatives & the deceased
Personal / interpersonal stressors
Spiritual
Dealing with mentally ill patients
Dealing with distressing presentations, e.g. amputated limbs
Ensuring corrective and disciplinary procedures are followed
Environmental and working conditions:
High risk of exposure to body fluids several times each shift
Being aware of potential verbal and physical aggression from patients and members of the public, and dealing
with these issues should they arise, whether directly or indirectly
Temperature / air quality of working environment
Ergonomics
Environment noisy – equipment, telephones, general background noise
13. KNOWLEDGE, TRAINING AND EXPERIENCE REQUIRED TO DO THE JOB
Minimum required to undertake the role
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First level registered nurse with relevant experience demonstrating the appropriate competencies and
skills for the job.
Educated to degree level or working towards is desirable
Evidence of further education including post-graduate certification/diploma/Continuous Professional
Development in relevant area - such as university accredited Nurse Practitioner Minor Injuries +/- Acute
Illness course or Nurse Practitioner Degree.
Evidence of management, education and training
Effective listening and interpersonal skills
Time management skills/ability to prioritise workload
The post holder will be required to demonstrate excellent team working skills with ability to work using
own initiative
Evidence of effective problem solving skills
IT Skills
Expert clinical practice
Willingness to dispense medications following Lothian Joint Formulary guidelines (after appropriate educational
input and assessment), or possession of, or working towards Nurse Prescribing qualification
A track record which shows commitment to the concept of autonomous practice and skills in clinical decision
making
A commitment to the precepts of Clinical Governance, and demonstrated insight into how they can be applied to
the post in areas such as research, audit, risk management, evidence based practice and patient empowerment
14. JOB DESCRIPTION AGREEMENT
A separate job description will need to be signed off by each jobholder to whom
the job description applies.
Job Holder’s Signature:
Date:
Head of Department Signature:
Date:
NHS LOTHIAN - OUR VALUES
NHS Lothian is determined to improve the way their staff works so they have developed a set of common
values and ways of working which they now need to turn into everyday reality - to the benefit of everyone
working in the organisation and, most importantly, to the benefit of their patients.
NHS Lothian – Our Values into Action:
Care and Compassion
• We will demonstrate our compassion and caring through our actions and words
• We will take time to ensure each person feels listened to, secure, understood and is treated
compassionately
• We will be visible, approachable and contribute to creating a calm and friendly atmosphere
• We will provide a safe and caring setting for patients and staff, and an efficient, effective and
seamless care experience
• We will meet people’s needs for information and involvement
in all care, treatment and support decisions.
Dignity and Respect
• We will be polite and courteous in our communications and actions
• We will demonstrate respect for dignity, choice, privacy and confidentiality
• We will recognise and value uniqueness and diversity
• We will be sincere, honest and constructive in giving, and open to receiving, feedback
• We will maintain a professional attitude and appearance.
Quality
• We will demonstrate a commitment to doing our best
• We will encourage and explore ideas for improvement
and innovation
• We will seek out opportunities to enhance our skills
and expertise
• We will work together to achieve high quality services
• We will use our knowledge and enthusiasm to implement positive change and overcome challenges.
Teamwork
• We will understand and value each other’s role and contribution
• We will be fair, thoughtful, welcoming and kind to colleagues
• We will offer support, advice and encouragement to others
• We will maximise each other’s potential and contribution through shared learning and development
• We will recognise, share and celebrate our successes, big and small.
Openness, Honesty and Responsibility
• We will build trust by displaying transparency and doing what we say we will do
• We will commit to doing what is right – even when challenged
• We will welcome feedback as a means of informing improvements
• We will use our resources and each other’s time efficiently and wisely
• We will maintain and enhance public confidence in our service
• We will be a positive role model.
Throughout the recruitment process candidates will need to demonstrate they meet all of Our Values.
NHS SCOTLAND APPLICATION PROCESS
The purpose of an application form is to help evidence that the applicant has all the requirements applicable
to carry out the job applied for.
Once in receipt of the application pack it is essential to read both the job description and person specification
to gain a full understanding of what the job entails and the minimum criteria required.
Please note for equal opportunity purposes NHS Lothian do not accept CV’s as a form of application.
General guidance
There are currently three ways of applying for vacancies within NHS Lothian:
- On-Line: www.jobs.scot.nhs.uk
- Telephone (hard copy): 0131 536 3030
- Email: [email protected]
If you are applying by ‘hard copy’ please use black ink and write clearly in block capitals.

The vacancy reference number, job title and location can be obtained from the job advert.

The candidate number will be populated by recruitment team once the application has been returned.
This is to ensure each application remains anonymous.

Only part C of the application form will be sent for short listing. The application form will be identified by
the candidate number only to ensure that no applicant will be unfairly discriminated against.

Please complete all sections of the application form. Those sections that are not relevant please indicate
‘not applicable’, do not leave blank.

Please feel free to use additional paper if required. Please do not add your name to any additional
information provided; secure it to the relevant section and Recruitment Admin will add a candidate
number.
For general help and advice on how to complete an application form visit:
www.myworldofwork.co.uk/content/job-application-form-advice
Please return completed application forms to:
The Recruitment Centre, Staff Residencies, St John’s Hospital, Howden Road West, Livingston, EH54 6PP
When returning your completed application and any associated enclosures by Royal Mail, please ensure that
the correct postage is paid. Underpaid mail will be retained by the Post Office which will result in applications
not being returned until after the closing date and not being included for shortlisting.
WORKFORCE EQUALITY MONITORING
NHS Lothian is committed to supporting and promoting dignity at work by creating an inclusive working
environment. We believe that all staff should be able to fulfil their potential in a workplace free from
discrimination and harassment where diverse skills, perspectives and backgrounds are valued.
In order to measure and monitor our performance as an equal opportunities employer, it is important that we
collect, store and analyse data about staff. Personal, confidential information will be collected and used to
help us to understand the make-up of our workforce which will enable us to make comparisons locally,
regionally and nationally.
NHS LOTHIAN
EQUAL OPPORTUNITIES POLICY STATEMENT
NHS Lothian considers that it has an important role to play as a major employer and provider of services in
Lothian and accepts its obligations both legal and moral by stating commitment to the promotion of equal
opportunities and elimination of discrimination.
The objectives of its policy are that no person or employee receives less favourable treatment on the
grounds of sex, disability, marital status, age, race (including colour, nationality, ethnic or national origin),
creed, sexuality, responsibility for dependants, political party or trade union membership or activity, HIV/AIDS
status or is disadvantaged by conditions or requirements which cannot be shown to be justifiable.
Our Equal Opportunities in Employment policy can be viewed at:
www.nhslothian.scot.nhs.uk/WorkingWithUs/Employment/Pages/EqualOpportunities.aspx