Download twice weekly community dental staff

1. Job Details
Job Title
DENTAL NURSE BAND 4
Responsible to:
Sister via Senior Dental Nurse
Accountable to:
Clinical Nurse Manager
Locations:
MAXILLOFACIAL UNIT including RESTORATIVE
DENTISTRY AND ORTHODONTIC DEPARTMENT.
Salary:
Band 4
Job Reference:
SG8265
Closing Date:
Wednesday 11th June 2014
The post-holder will be expected to work in all three areas (Maxillofacial Surgery, Restorative
Dentistry and Orthodontics).There are major developments planned in these areas in the coming year
and the job will be reviewed when appropriate to meet the changing needs of the service.
1. JOB PURPOSE
The Dental Nurse will be expected to work in all areas. He/she will become part of our multidisciplinary
team, working together to provide a high standard of care and support to all patients during their visits to
our departments.
The Dental Nurse will act at all times in accordance to the professional guidelines set by the British
Association for Dental Nurses, adhering to NHS Grampian and local policies and procedures, with statutory
registration with the General Dental Council imminent.
Dimensions Maxillofacial/Restorative
SISTER 1 WTE
SENIOR DENTAL NURSE
STAFF NURSE 4.38 WTE
DENTAL NURSE
Vacant
9.93 WTE
NURSING AUXILLIARY 1WTE
DENTAL HYGIENIST
CONSULTANTS
0.40WTE + vacancy
2 RESTORATIVE
4 MAXILLOFACIAL
1 SPECIALIST REGISTRAR and visiting SPR
3 STAFF GRADE
5 SENIOR HOUSE OFFICERS
WEEKLY COMBINED HEAD AND NECK CLINIC ADDITIONAL STAFF
ENT CONSULTANTS X 3 (+ JUNIOR STAFF)
RADIOTHERAPY/ONCOLOGY CONSULTANT X1
SPEECH THERAPIST
DIETICIAN
TWICE WEEKLY COMMUNITY DENTAL STAFF
SENIOR DENTAL OFFICER
SENIOR DENTAL NURSE/DENTAL NURSE
LABORATORY STAFF
1 PRINCIPAL LAB TECHNICIAN
7 LAB TECHNICIANS
1 LAB ASSISTANT
1 FULL TIME AND 3 PART TIME RECEPTIONISTS
3 FULL TIME SECRETARIES AND 2 PART-TIME
3. ORGANISATIONAL CHART
ASSISTANT DIRECTOR OF NURSING

UNIT NURSE MANAGER

SISTER

SENIOR STAFF NURSE
↓
GENERAL NURSES
SENIOR DENTAL NURSE

DENTAL NURSE
DENTAL HYGIENISTS
5. MAIN DUTIES/RESPONSIBILITIES
1.
MAIN DUTIES AND RESPONSIBILITIES
1.1 Ensure that all relevant papers, including Xrays are in the patient's notes and that,
appliances, study models, instruments and
equipment are prepared for each session.
1.2 Undertake safely and effectively the
decontamination,
disinfection
and
sterilization of instruments and equipment to
prevent cross infection or accidents.
1.3 Carry out day to day maintenance of dental
equipment and instruments to ensure that
they are kept in good working order and
regularly check expiry dates of materials to
ensure effective use of products.
1.4 Ensure that adequate supplies of
consumable equipment and materials are
regularly stocked to facilitate treatment.
1.5 Receive and prepare patients for treatment
ensuring a high standard of patient care is
delivered.
1.6 Maintain patient confidentiality.
1.7 Have a sound knowledge of all materials
used during treatment sessions.
1.8 Keep all documentation accurately and up
to date.
1.8 As knowledge and skills develop, the postholder will be expected to participate in the
“extra duties” rotation i.e. ordering of stores,
appointment making
1.9 Participate in the induction of new staff to
the department and after a period of time assist
with ongoing supervision and appraisal .
1.10 Maintain and improve professional
knowledge and competence.
1.11 Perform day to day duties in a caring
professional manner.
1.12 During Local Anaesthetic treatment
perform the duties of both the chairside
assistant and the “floor nurse”.
1.13 Attend theatres as required to assist
KNOWLEDGE, SKILLS AND
COMPETENCIES REQUIRED
Hold either the National certificate or equivalent
qualification.
Extensive experience as a dental nurse.
Knowledge and understanding of the varying
procedures, treatments, materials equipment
and instruments used.
Communicate effectively with patients, carers
and the multi- disciplinary team.
Demonstrate the knowledge and ability to
support both the patient and the medical/dental
staff during treatments/procedures. For example,
during the construction of a dental obturator,
application of fixed Orthodontic appliances.
Participate in the induction and training of new
staff, and assist with their ongoing support.
Good basic understanding of a variety of
medical conditions and their implications in the overall
care of the patient.
Knowledge for the need, and the ability to
perform effective infection control policies.
Orthodontist/Restorative Consultant when
impressions are required of a patient
undergoing a general anaesthetic e.g. cleft
palate babies.
1.14 Demonstrate as required oral hygiene
techniques and care of orthodontic appliances
to the patient and /or relative to assist them
maintain high standards of oral hygiene to
prevent complications during treatment.
1.15 Provide cross-cover for the dental nurses
in the three departments to facilitate the smooth
running of the services on a day to day basis.
1.16 Participate in the Combined Cleft Lip and
Palate Clinic which is held in the main
Children’s Hospital.
1.17 The above list is intended as a guide to the
general role of the dental nurse. The pos-holder
will also be expected to develop the necessary
skills to accommodate changes and
developments within the service.
1.18 Be aware and follow policies of Grampian
University Hospitals, e.g. COSHH, Health and
Safety, Control of Infection, Clinical Waste,
Moving and Handling and any other relevant
policies.
1.19
Participate in the departmental
meetings to discuss problems and
exchange ideas for improving services and
implement changes where appropriate.
1.20
Take part in the development and
trial of new ideas and methods in the
Department for the improvements of the
services provided and to take
action to improve standards as necessary.
1.21
Liaise with all associated
departments, developing and maintaining
good working relationships.
1.22
Support the Senior Dental Nurse in
the performance of her duties.
6.SYSTEMS AND EQUIPMENT
STERILISATION
Washer/Disinfector
Cold disinfection
Sterilisers
ADMINISTRATION
Manual daily records of patient activity
Fax machine
Photocopier
Printer
Computer – Kodac digital Radiography
PAS on the Web
Inter/Intranet
Telephone
SURGICAL
Cryo machine
Electosurgery/Bipolar
Implant equipment
Suction equipment
Drill kit/Handpieces
Adec Dental units
Dental Chairs
1st line equipment
Pulse Oximeter
Oxygen cylinder
Stryker trolley
Nasal Endoscopes
RESTORATIVE/ORTHODONTIC EQUIPMENT
Adec Unit
Alginator
Amalgamator
Apex locator
Aspirator
Endodontic handpiece
GT files (for Endodontics)
Implant abutment kit and washboard
Impregum Penta mixer
Light cure machine
Masseran kit
Microscope
Root treatment kit
Satalec scalers and kavitro
Vitality tester
X-ray machine
7. DECISIONS AND JUDGEMENTS
The post holder will be responsible for the delivery of care to all patients on their allocated clinic or treatment
list. This will be delegated by the person responsible for making up the weekly rota
but ultimately the nurse in charge has overall responsibility.
The post holder will be required to use their own initiative and be able to make decisions,e.g. if a patients
arrives late, can they still be seen or will they be re-appointed.
However they must recognise their own limitations and actively seek out guidance and
supervision when required.
8. COMMUNICATIONS AND RELATIONSHIPS
Clinical Nurse Manager
Consultants
CSD staff
Cytology Lab consultants
Dental Laboratory staff
Dental Nurses
Dietician
Estates staff
General Dental Practitioners and their staff
General Nurses
General Practitioners and their staff
Hygienist
Junior Medical/Dental staff
Medical illustration
Patients and relatives
Portering staff
Secretarial/Reception staff
Speech Therapist
Stores staff
Ward staff
X-Ray department staff
Other hospitals
Internal
The Post holder is required to communicate verbally, and on occasion in writing, with
Patients and members of the multi- disciplinary team.
Communicate with Senior Dental Nurse or Sister regarding certain nursing team and practice issues.
The post holder has to use the skills of reassurance, empathy, encouragement, motivation, clarity,
support and listening on a daily basis, while working with patients who have a wide range of
conditions including dental phobia and general anxieties, teenagers undergoing brace treatment through to
patients who present with
extra difficulties because of treatment received for Head and Neck Cancer or parents of cleft babies.
At times the post holder has to use their communication skills to defuse situations
involving concerned, angry and frustrated patients, relatives and staff.
9. PHYSICAL DEMANDS OF THE JOB
Part of the job entails physical work and the post holder would require moving and
handling skills, which should be kept up to date yearly or more frequently if required.
The post holder is required to work within confined spaces, and will be required to
assist immobile patients.
On a daily basis the post holder will have to sit and stand in awkward positions for prolonged
lengths of time.
There is a need for accuracy in the use of all clinical and other equipment, particularly
regarding the mixing of materials and aspiration.
Good general dexterity for manipulating very small pieces of equipment and implements.
The post holder will be required to be able to initiate appropriate emergency care.
10. MOST CHALLENGING/DIFFICULT PARTS OF THE JOB
Working in the hospital environment compared to community or general dental practice, and at the same
time learning more complex treatment procedures.
To be able to assist the operator and have complete knowledge of the various stages
and components of Dental Implantology. This is from the surgical insertion of the fixture right
through to the completion and fitting of the final bridge, denture or crown, with routine maintenance.
To assist the operator and support patients, whilst a facial prosthesis or dental obturator is constructed for
patients who have had surgery for Head and Neck cancer.
Working with teenagers, helping to keep them motivated during Orthodontic treatment.
12. KNOWLEDGE, TRAINING AND EXPERIENCE REQUIRED TO DO THE JOB
Fully qualified dental nurse with extensive experience.
See also Section 5
NHS GRAMPIAN
PERSON SPECIFICATION
The Person Specification should meet the demands of the job and comply with current legislation. Setting unnecessary standards
may, for example, unfairly discriminate against one sex, the disabled or minority racial groups. Applicants should be assessed in
relation to their ability to meet the real requirements of the job as laid down in the job description.
POST/GRADE
DENTAL NURSE BAND 4.
LOCATION/HOSPITALS
WARD/DEPARTMENT
ABERDEEN ROYAL INFIRMARY
MAXILLOFACIAL UNIT/RESTORATIVE
ATTRIBUTES
ESSENTIAL
DENTISTRY/ORTHODONTICS
DESIRABLE
Qualifications
National certificate or
equivalent.
Member of GDC or in
process of joining.
Experience
Comprehensive experience
in all aspects of general
dental practice.
Previous experience of
working with patients with
facial deformities, patients
undergoing Orthodontic
treatment, minor oral
surgery procedures.
Special Aptitude
Abilities
Flexible/adaptable team
worker. Good
communication skills.
Ability to prioritise workload
and use initiative.
Experience of working on
a rotation with different
dentists.
Disposition
Enthusiastic about change.
Motivated to develop new
skills.
Caring and approachable.
Physical requirements Fit and healthy
Particular
Requirements of the
Post
Keen interest to develop
new skills and work in all
areas of the service.
Ability to work under
pressure.
MAJOR RISKS IN DOING THIS JOB



Position of working chairside in confined space
Needlestick injuries.
Exposure to blood.