Interview Outcome Form - 18 Week Support

Candidate Name*

First Last

Specialty*

Interview Type*

Jobatar
Telephone
CV review (Project staff)

Name of Interviewer*

Candidate Application Form Reviewed*

Yes
No

Date of Interview*

Role(s) Applied For*

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*

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*

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

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