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Enhanced Nurse Practitioner - Pre Operative Assessment

University Hospitals Bristol and Weston NHS Foundation Trust (UHBW)
£35,392 to £42,618 a year pa pro rata
Closing date
7 Jun 2024

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Nurse, Adult nurse, Theatre nurse
Band 6
Part Time
To work in conjunction with the Senior nurses in POA to develop and implement a quality peri-operative assessment service to meet the needs of all clients requiring anaesthesia and surgery. The post holder will work within the department to provide the highest standards of patient care using research evidence-based practice, national and local protocols.

To perform the competencies of a trained pre assessment nurse and in addition any competencies associated to the allocated speciality. To undertake the teaching and assessment of Junior personnel.

The post holder will assess, plan, implement and evaluate programmes of care for patients undergoing theatre procedures. To act autonomously within given competencies and recognise when to make appropriate referrals.

The post holder will co-operate with staff from other departments to develop effective channels of communication and to provide a safe and caring environment for patients, relatives, and members of the multidisciplinary team.

Main duties of the job

Specialist knowledge in the field of Pre operative assessment (POA). Provide advice /support to junior colleagues and supporting their decision making and diagnoses.

Support and assist the POA team in case managing cardiology and cardiac surgery patients by liaising with the Multidisciplinary Team

Fitness for anaesthesia and surgery is assessed and patients are prepared pre-operatively.

Maintain a dynamic enthusiastic role model providing clinical leadership regarding pre-operative assessment and preparation to ensure a high standard of care.

To work with initiative and independently within the extended role seeking support in line with local protocol.

Understand the risks and benefits of surgery and anaesthesia with appropriate intervention.

History taking ensuring relevant medical and social history.

Interpretation of clinical findings

Incorporating evidence / research-based practice. The post holder will assess, plan implement and evaluate individualised programmes of care of patients during pre-operative and peri-operative period.

Initiate appropriate referrals, investigation, education, and treatment in light of assessment.

Evaluate the patients programme of care with other members of the care team

Demonstrate initiative, decision making and good time management.

About us

University Hospitals Bristol and Weston NHS Foundation Trust (UHBW) is one of the largest acute Trusts in the country, bringing together a combined workforce of over 13,000 staff and over 100 different clinical services across 10 different sites, serving a core population of more than 500,000 people across South West England. UHBW has been rated by the CQC as 'Good' overall and our staff are proud to deliver excellent care to the people of Bristol, Weston and beyond. As a forward-thinking multi-award winning Trust and a digital exemplar committed to improving patient care, our world-leading research and innovations are having a positive local and global impact. Our hospitals are spread across Bristol and Weston, join us and you can enjoy the very best of both worlds city living within a stone's throw of the countryside or beside the seaside, both with easy access to all that the South West has to offer. UHBW is committed to safeguarding and promoting the welfare of children, young people and vulnerable adults. As an equal opportunities employer actively working towards a diverse workforce we aim to recruit and retain a workforce which represents the rich diversity of the local population at all levels and are committed to designing our services around the needs of individual patients and those around them. Anonymous information will be used from your application in order to ensure we're meeting our pledge.

Job description

Job responsibilities

For a more detailed job description and main responsibilities, please refer to the job description document attached to this vacancy.

Person Specification

Qualifications & Training


  • Current NMC Registration
  • 1st Degree in Nursing or health related subject or working towards
  • Relevant accredited post registration qualification (PACR)
  • Qualification in teaching assessment and mentoring

Skills & Abilities


  • Physical assessment and diagnostic reasoning skills
  • Demonstrate the ability to make decisions, solve problems and work autonomously whilst recognising own limitation and seeking advice and support
  • Non-medical prescriber qualification (willing to undertake or working towards
  • Competence cardio-pulmonary assessment
  • Ability to work independently or as part of a team as required
  • Basic database management skills
  • Good organisational skills
  • Assertiveness skills and the ability to deal with interpersonal conflict
  • Ability to adapt communication styles that facilitate building honest & trusting partnerships with patients, families, & carers
  • Ability to respond to, prioritise and analyse complex health conditions and ensure that effective interventions are actioned in a safe and timely manner
  • Self-motivation with evidence of efficient time and deadline management
  • Flexibility, adaptability to meet the needs of a changing service


  • Presentation skills

Knowledge & Experience


  • Substantial experience of pre op assessment
  • Recent evidence of caring for people in pre operative clinic setting taking responsibility for the pre operative assessment of a named caseload of patients coordinating care and services in order to improve the patients surgical pathway and experience
  • Specialist knowledge of assessment, treatment and management of people with multiple conditions prior to elective surgery
  • Experience acting as the patient advocate, supporting them to navigate and make informed choices at all stages of the Pre-Assessment processes
  • Formal and informal teaching experience
  • Relevant pharmaceutical knowledge
  • Demonstrates knowledge of relevant research (medical and non-medical


  • Experiences of ensuring patients are fully informed of the planned treatment, including post-operative care and instructions
  • Experience of supporting the team with clinical governance, quality assurance and quality management systems
  • Previous experience in team management/leadership, service development, and audit



  • Advanced communication skills
  • Assertive and self-aware
  • Able to gain credibility with and influence colleagues including influencing clinical changes where appropriate
  • Empathetic attitude
  • Flexible and reliable
  • Demonstrates initiative and is innovative
  • Be Supportive, Be Respectful, Be Collaborative, Be Innovative

Employer details

Employer name

University Hospitals Bristol and Weston NHS Foundation Trust (UHBW)


Bristol Heart Institute

Terrel Street



Any attachments will be accessible after you click to apply.


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