020 3869 8790
Home
About us
< Back
Philosophy
Senior Management
Clinical Leads
Governance
Insourcing frameworks
NHS Partners Network
Partners
NHS Insourcing
Specialities
< Back
Gastroenterology & Endoscopy
Ophthalmology
Dermatology
ENT and Audiology
Neurology
General surgery
Vascular surgery
Urology
Radiology
Gynaecology
Working with us
< Back
Working with us
Clinical Positions
Refer a friend
Case Studies
News & Events
Contact
Interview Outcome Form
Candidate Name
*
First
Last
Specialty
*
Audiology
Breast Surgery
Cardiac Surgery
Cardiology
Dermatology
Endoscopy
ENT
General Surgery
Gynaecology
Ophthalmology
Oral Surgery
Orthopaedics
Outpatients
Radiology
Theatres & Ward
Urology
Vascular Surgery
Nurse in Charge and Senior Nurse
Interview Type
*
Jobatar
Telephone
CV review (Project staff)
Name of Interviewer
*
Candidate Application Form Reviewed
*
Yes
No
Date of Interview
*
DD slash MM slash YYYY
Role(s) Applied For
*
Endoscopy Nurse
Nurse Endoscopist
Decontamination Technician
Endoscopy HCA (Procedure Room)
Specialist Screening Practitioner
Surgery Pre Assessment Nurse
Endoscopy Pre Assessment Nurse
Recovery Nurse
Operating Department Practitioner
Ward Nurse
Gynaecology Ward Nurse
Urogynaecology HCA
Urogynaecology Nurse
Urogynaecology Nurse in Charge
Theatre HCA
Ward HCA
Breast Surgery Scrub Nurse
ENT Scrub Nurse
General Surgery Scrub Nurse
Gynaecology Scrub Nurse
Ophthalmology Scrub Nurse
Oral Surgery Scrub Nurse
Orthopaedic Scrub Nurse
Urology Scrub Nurse
Vascular Scrub Nurse
Non-medical Surgical Assistant
Audiologist
Dental Nurse
Glaucoma Outpatient Nurse
Cataract Outpatient Nurse
Medical Retina Outpatient Nurse
Adnexal/Plastics Outpatient Nurse
Intravitreal Injection Nurse
Ophthalmology Ward Nurse
Ophthalmology Pre-assessment Nurse
Laser Glaucoma PI/Yag Caps Nurse
General Ophthalmology Outpatient Nurse
Ophthalmic Technician
Ophthalmology HCA
Dermatology Outpatient Nurse
Dermatology Surgical Nurse
Dermatology Wound Clinic Nurse
Dermatology HCA
Outpatient Nurse
Outpatient HCA
Endoscopy Nurse in Charge
ENT Outpatient Nurse in Charge
Dermatology Nurse in Charge
Ophthalmology Nurse in Charge
Outpatient Nurse in Charge
Surgery Nurse in Charge
Radiology HCA
Radiographer
Sonographer
Mammographer
Sterile Services Technician
Clinical Nurse Specialist
Cardiac Physiologist
Cardiac Surgery Scrub Nurse
Cardiac Surgery ODP
Essential Competencies Acceptable
*
Yes
No
Please read the essential competencies form and check candidate meets ALL criteria for ALL roles applied for above
Interview questions and answers
1: Key priorities on 18WS NIC shift 2. Allegation of staff bullying 3. How to run Morning Huddle 4. How would you manage conflict within the team 5. Patient Safety 6. Who is responsible for reporting risks:
Outcome
Decision
*
Pass
Fail
Endoscopy Role(s) Approved
*
Endoscopy Nurse
Endoscopy Nurse (EUS)
Endoscopy Nurse (Lv 3+ Polyps)
Endoscopy Senior Nurse
Nurse Endoscopist
Endoscopy Nurse in Charge
Endoscopy Pre-Assessment Nurse
Endoscopy HCA (Procedure Room)
Bowel Screening Practitioner
Endoscopy Decon (Cantel Cabinet)
Endoscopy Decon (Gettinge Cabinet)
Endoscopy Decon (Gettinge Washer)
Endoscopy Decon (Isis Washer)
Endoscopy Decon (Lancer Washer)
Endoscopy Decon (Olympus Cabinet)
Endoscopy Decon (Olympus Washer)
Endoscopy Decon (Rapid AER Washer)
Endoscopy Decon (Soluscope Washer)
Endoscopy Decon (Steelco Washer)
Endoscopy Decon (Sterise Washer)
Endoscopy Decon (Waasenberg Cabinet)
Endoscopy Decon (Waasenberg Washer)
ENT Role(s) approved
*
ENT Scrub Nurse
ENT Outpatient HCA
ENT Outpatient Nurse in Charge
ENT Outpatient Senior Nurse
Audiology Role(s) approved
*
Audiologist
Audiology Competencies
*
Advanced Audiology
Hearing Aid Service
Micro-suction
Vestibular Service
Outpatients role(s) approved
*
Outpatient HCA
Outpatient Nurse
Outpatient Nurse in Charge
Outpatient Senior Nurse
Clinical Nurse Specialist
Oral Surgery role(s) approved
*
Oral Surgery Dental Nurse
Oral Surgery Scrub Nurse
Oral Surgery Nurse in Charge
Vascular Surgery Role approved
*
Vascular Surgery Scrub Nurse
Orthopaedics role approved
*
Orthopaedics Scrub Nurse
General Surgery role(s) approved
*
General Surgery Scrub Nurse
Surgery Nurse in Charge
Surgery Practitioner in Charge
Surgery Pre-Assessment Nurse
Surgery Pre-Assessment Senior Nurse
Surgery Senior Nurse
Theatres & Ward role(s) approved
*
Operating Department Practitioner
Recovery Nurse
Theatre HCA
Ward HCA
Ward Nurse
Gynaecology role(s) approved
Gynaecology Ward Nurse
Gynaecology Scrub Nurse
Gynaecology Senior Nurse
Urogynaecology HCA
Urogynaecology Nurse
Urogynaecology Nurse in Charge
Ophthalmology role(s) approved
*
Ophthalmic Technician
Ophthalmology HCA
Ophthalmology Nurse (General Outpatient)
Ophthalmology Nurse (Adnexal/Plastics Outpatient)
Ophthalmology Nurse (Cataract Outpatient)
Ophthalmology Nurse (Glaucoma Outpatient)
Ophthalmology Nurse (Intravitreal Injection Nurse)
Ophthalmology Nurse (Laser Glaucoma PI/YAG Caps)
Ophthalmology Nurse (Medical Retina Outpatient)
Ophthalmology Nurse (Ozurdex Injection)
Ophthalmology Nurse (Pre-Assessment)
Ophthalmology Nurse (Ward)
Ophthalmology Nurse in Charge
Ophthalmology Scrub Nurse
Ophthalmology Senior Nurse
Ophthalmology Nurse in Charge
Biometry skills (if applicable)
*
Ophthalmology Biometry A Scan
Ophthalmology Biometry IOL Master 500
Ophthalmology Biometry IOL Master 700
Ophthalmology Biometry OCT
Ophthalmology Biometry Visual Fields
Radiology role(s) approved
Mammographer
Radiographer
Sonographer
Radiology HCA
Dermatology role(s) approved
*
Dermatology HCA
Dermatology Outpatient Nurse
Dermatology Surgical Nurse
Dermatology Wound Clinic Nurse
Dermatology Senior Nurse
Dermatology Nurse in Charge
Urology role approved
*
Urology Scrub Nurse
Cardiology role approved
*
Cardiac Physiologist
Cardiac Surgery role approved
*
Cardiac Surgery ODP
Cardiac Surgery Scrub Nurse
Breast Surgery role approved
*
Breast Surgery Scrub Nurse
Scope Manufacturer
Olympus
Pentax
Fujinon
Nurse in Charge and Senior Nurse role(s) approved
Endoscopy Nurse in Charge
Endoscopy Senior Nurse
ENT Outpatient Nurse in Charge
ENT Outpatient Senior Nurse
Outpatient Senior Nurse
Oral Surgery Nurse in Charge
Surgery Nurse in Charge
Surgery Practitioner in Charge
Surgery Pre-Assessment Senior Nurse
Surgery Senior Nurse
Gynaecology Senior Nurse
Ophthalmology Nurse in Charge
Ophthalmology Senior Nurse
Dermatology Nurse in Charge
Dermatology Senior Nurse
Additional skills (if applicable)
Competent in Mitomycin Administration
Competent in Phlebotomy
Competent in Skin Prick Testing
Reasons why candidate has passed or failed
Contact Owner
-- Please Select --
Abdul Hakeem
Aidan Smith
Anna Charles
Ashfaaq Mohomed
Brian Selva
Daisy Laffar
Damien Tennekoon
Deba Izekor
Dinesh Ekanayake
Ismahan Hussein
Jey Jeyaratnam
Melissa Flack
Niro Welagedara
Orla Willoughby
Pansilu Manahara
Sara Weerakulasooriya
Sharaz Anwer
Tanzim Khan
Upeksha Mudalige