Orthopaedic Theatre Scrub Nurse

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Main area Theatres Grade Band 5 Contract Permanent: Shift times: 8am-6pm, 8am-8pm, 8pm-8am; Monday to Sunday Hours Full time - 37.5 hours per week (Combination of shifts 08:00-18:00, 08:00-20:00, 20:00-08:00) Job ref 197-LC8892

Lewisham and Greenwich NHS Trust, (LGT), is a community-focused provider of local and acute care, delivering high-quality services to over one million people living across the London boroughs of Lewisham, Greenwich, and Bexley. We provide whole-life care and are here to support our communities to live healthier lives as well as taking care of them when they need us the most.

Employing almost 7,000 colleagues, affectionately known as Team LGT, we provide services at Queen Elizabeth Hospital in Woolwich, University Hospital Lewisham, and at over a dozen community settings in Lewisham. We also provide some services at Queen Mary's Hospital in Sidcup.

We have recently launched our new vision and values to mark the LGT10 - the tenth anniversary of our Trust forming in 2013. Our trust vision is to be exceptional. In the quality of our patient care; our support for colleagues; and in the difference we make through our partnerships and in our communities.

Our hospitals and community sites provide a wide range of inpatient and outpatient services, as well as emergency and planned care. The Trust is rated as “good” or “outstanding” in over three-quarters of the services inspected by the Care Quality Commission.

Every year our work includes performing 10,000 procedures in our theatres; bringing seven and a half thousand new lives into the world; carrying out 570,000 visits to patients in their homes or communities and providing emergency care for more than 300,000 patients arriving in our busy Urgent and Emergency Departments.

LGT is a centre for the education and training of medical students enrolled with King's College London's GKT School of Medical Education. We are a training centre for nurses, midwives and allied health professionals. We are pioneering new roles that will support the changing needs of our patients and are one of the largest employers of physician associates in the country.

We are committed to working with our partners to deliver the best outcomes for our local communities. This means playing an active role in the South East London Integrated Care System (ICS), and in formal partnerships including the South East London Acute Provider Collaborative, provider partnerships with our local mental health trusts and borough-based boards of the ICS in Bexley, Greenwich and Lewisham.

Job overview

We are seeking dedicated, motivated qualified professional to join us in Queen Elizabeth Hospital Woolwich - Theatres. As a key member of the team, you will deliver high standards of perioperative care, and have the ability to support multidisciplinary team to facilitate excellent patient care in the operating theatres.

You must be a Registered Nurse or have an ODP qualification with a proven record within the perioperative area. In return for your hard work, we offer well-established, structured mentoring and staff development packages to support you in your role.

The post holder will be accountable and responsible for providing a high standard of patient focused individualised care, with an evidenced based practice focus. They will be expected to carry out aspects of patient care without direct supervision. They will be able to communicate effectively with the multidisciplinary team and contribute to the effective running of the theatre / department. Utilising the principles of the national framework and local strategy of Clinical Governance and other national initiatives, they will participate in action on improvements in patient care. The post holder will carry out all duties in accordance with the Nursing and Midwifery (NMC) Codes of Conduct, HCPC and Relevant Trust policies.

Main duties of the job

• To assess, plan, implement and evaluate care of patients in the perioperative theatre setting.
• To assist anaesthetist / surgeon / with emergency / elective procedures in all hospital departments as required.
• To ensure stock levels are adequate for safe surgery and effective perioperative care.
• To maintain effective channels of communication with patients, relatives and the multidisciplinary team involved in providing care.
• To understand the principles of clinical governance and the impact on patient care, i.e. audit and evidenced based practice.
• Ensure that written documentation are maintained in line with the NMC standards for Records and Record Keeping and Trust policy.
• To ensure that medication is given to patients in line with the NMC and Trust policy and guidelines.
• To act safely and develop skills to be effective in emergency situations, e.g. cardiac arrest.
• To practice within the framework of corporate and local policies.
• To be professionally sensitive to the needs of patients and colleagues.
• To participate in the development of your Personal Development Plan and identify your own professional, educational and training needs and goals.
• To ensure your own continual professional development in line with NMC requirements.

Working for our organisation

Our people are our greatest asset. When we feel supported and happy at work, this positivity reaches those very people we are here for, the patients. Engaged employees perform at their best and our Equality, Diversity & Inclusion (EDI) initiatives contribute to cultivate a culture of engagement. We have four staff networks, a corporate EDI Team and a suite of programmes and events which aim to insert the 5 aspirations:

• Improving representation at senior levels of staff with disabilities, from black, Asian, and ethnic minorities background, identify as LGBTQ+ and women, through improved recruitment and leadership development
• Widening access (anchor institution) and employability
• Improving the experience of staff with disability
• Improving the EDI literacy and confidence of trust staff through training and development
• Making equalities mainstream

Detailed job description and main responsibilities

Act as a scrub practitioner for a range of Trauma and Orthopaedic procedures, demonstrating previous orthopaedic and trauma experience, including experience in at least three of the following sub-specialties:

• Shoulder surgery
• Hand surgery
• Foot and ankle surgery
• Knee surgery

Prepare and maintain a sterile surgical field, ensuring all instruments, implants, consumables and equipment are available and ready for planned procedures.

Demonstrate intermediate to advanced knowledge of commonly used trauma and/or orthopaedic surgical instruments, implants and equipment, ensuring their safe and appropriate use during procedures.

Check surgical equipment, instrumentation sets, implants and loan kits before operating lists commence, escalating any concerns, shortages or defects promptly to the Theatre Leadership Team and Operational Team to prevent delays or patient safety risks.

Work effectively under pressure in a busy theatre environment, maintaining professionalism and patient focus during complex or emergency situations.

Be flexible and adaptable to unexpected changes in theatre allocation, case mix, staffing levels or clinical priorities throughout the working day.

Communicate clearly and professionally with surgeons, anaesthetists, nursing colleagues, theatre support workers, operational teams, company representatives and other members of the multidisciplinary team to ensure safe and effective patient care.

Participate in weekend and night duty and extended working arrangements as required by the service.

Maintain accurate documentation and comply with relevant policies, procedures, local safety standards and professional guidelines.

Support and contribute to the training, supervision and development of students, newly qualified staff and colleagues where appropriate.

Demonstrate a willingness to rotate and develop skills across other surgical specialties to support service requirements and personal professional development.

Attend mandatory training, specialist study days and continuing professional development opportunities, with particular emphasis on Trauma and Orthopaedic practice.

Uphold the Trust's values and maintain the highest standards of behaviour, professionalism, respect and compassion when interacting with patients, relatives, colleagues and members of the public.

Contribute to quality improvement initiatives, incident reporting, infection prevention practices and patient safety activities within the theatre department.

Maintain registration and practice in accordance with the Nursing and Midwifery Council (NMC) Code and local organisational policies.

Person specification

Qualifications

• NMC Level 1 Registration/ODP City & Guilds 752 or NVQ3 in ODP Practice.
• Perioperative course

Experience

• Experience caring for surgical patients
• Ability of caring for the ill in a variety of settings as a qualified or student nurse
• Experience working as a scrub nurse in orthopaedic theatres
• Experience in emergency trauma (orthopaedic) theatres (1+ years)
• Relevant specialist course (for example AO Trauma course)

Knowledge

• Effective verbal and written communication skills
• Ability to develop own clinical skills and widen theoretical knowledge
• Evidence based knowledge of essential methods of care
• Basic knowledge of Arthrex, Acumed, Smith+Nebhew and DePuy instrumentation and implants,
• Willingness to develop teaching skills, formally and informally
• Ability to form good interpersonal relationships, and be enthusiastic
• Ability to conduct themselves with professionalism and care in public and private situations
• Demonstrate initiative
• Enthusiasm in trauma and orthopaedic surgery
• Team player
• Confidence in speaking up

We reserve the right to close the post before the stated closing date, please apply early. We do not contact applicants with the outcome of the shortlisting. If you have been shortlisted, you will receive an invite to an assessment day or interview.

As a local employer and anchor institution we work closely with our community to recruit locally and we welcome applications from the widest variety of people to ensure our workforce are reflective of the local communities which we serve. We encourage all suitable candidates to apply including if you are Black, Asian or other ethnic minorities, live with a disability (visible or not) or are LGBT+. We have a number of active staff networks including Disability, LGBT+, Multicultural Inclusion and Women's staff networks to bring staff together and celebrate diversity across our whole workforce.

Please note: Information provided during recruitment and pre-employment checks must be accurate. Misrepresentation may be investigated as fraud and could lead to withdrawal from the process, professional sanctions, or criminal action.

Please note: that sponsorship under the Skilled Worker route is subject to Trust allocation and UK Visas and Immigration (UKVI) approval.

Use of AI in recruitment: We may use artificial intelligence (AI) tools to support the initial review of applications against the essential criteria for this role. Where AI is used, it will support rather than replace human decision-making, and applications will remain subject to appropriate human review.

Employer certification / accreditation badges

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.

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