Staff Role Data Collection Form

Name
Title First Last
Phone
Email
Address
ZIP / Postal Code
Specialty

Please select all of the following that apply to our role. More information will display below based on your selection.
Specialty
- Endoscopy
- Surgery
- ENT, Oral and Maxillofacial
- Ophthalmology
- Dermatology
- Outpatient Department
Endoscopy
Endoscopy Roles
- Endoscopy Registered Nurse
- Nurse Endoscopist
- Decontamination Technician
- Nurse in Charge
- HCA
- HCA - Endoscopy procedure room
- Bowel Specialist Screening Practitioner
Essential Skills (Endoscopy Registered Nurse)
- 1 year minimum recent experience within an acute Endoscopy Unit
- Signed off as a competent Endoscopy Nurse with the ability to manage and participate in emergency situations and GI bleeds
- Able to assist in therapeutic emergencies
- Ability to work in unfamiliar work environments, using initiative and experience
- Able to administer IV medication and fluids
- Identify and escalate a deteriorating patient
Desired Skills (Endoscopy Registered Nurse)
- Endoscopy based training course
- Ability to gain IV access
- Mentorship course
Essential Skills (Nurse Endoscopist)
- Trained to the same standard as a medical practitioner and completed the JETS/ JAG portfolio, either through the traditional training programme or by the accelerated Health Education England (HEE) and JAG programme
- Have a minimum of 2 years experience post training within an acute endoscopy unit and completed a minimum of 400 colonoscopies, 400 OGDs and 200 flexible sigmoidoscopies post training
- 2 years post-JAG accreditation in colonoscopy
- 2 years post-JAG accreditation in Upper GI endoscopy
- Undertaken successful snare technique / polypectomy without complications on at least 30 patients
- Achieved a 93% Caecal Intubation Rate
- Achieved an Adenoma Detection Rate of 15%
- Achieved a Poly Detection Rate of 20%
- Achieved a Polyp Retrieval Rate of 90%
- Perforation Rate Lowers: 1:1000 patients and Uppers 1:5000 patients
- Hold an E- Portfolio (JAG/JETS ) and JAG certification
- Meet annual quality/safety/audit requirements
Other Essential requirements (Nurse Endoscopist)
- Completed the required JAG basic skills course and are JAG accredited
- Fully completed portfolio and sign off
- Colonoscopy with a recognized polypectomy course and lesion recognition course
- Evidence of continuing post registration education.
- Member of the British Society of Gastroenterology or other professional body related to GI /Endoscopy.
- Ability to critically evaluate and recognise indications/contraindications/possible side effects
- Ability to undertake level 2 and above polypectomy
- Ability to achieve haemostasis in an emergency situation
- Clinically evaluate patients
- Possess clear and unambiguous methods of communication
- Ability to undertake informed consent and mental capacity assessment
- Possess a Safe Sedation Course / Module
- Theoretical Advanced Endoscopy Level 7
- Non- Medical Prescribing Level 7
- Investigation and initial management of GI disease
- Critically analyse the principals and practice of the use and administration of pharmacological medicines, including gaining IV access and administration of medication
- Make informed decisions regarding principles of patient and practitioner safety
- Two references, one from Lead Endoscopist in their current employment
Desirable Skills (Nurse Endoscopist)
- Advanced Life Support course
- Educated to Degree /Masters Level
- Advanced Cancer Communication Course
Essential Skills (Decontamination Technician)
- 2 years minimum experience as a decontamination technician within an acute endoscopy unit
- Possess NVQ Decontamination or IDSc decontamination
Washers & cabinets
- Cantel cabinet
- Gettinge cabinet
- Gettinge washer
- Isis washer
- Lancer washer
- Olympus cabinet
- Olympus washer
- Rapid AER washer
- Soluscope washer
- Sterise washer
- Waasenberg cabinet
- Waasenberg washer
Essential Requirements (Nurse in Charge - Endoscopy)
- 3 years' minimum experience at band 6 level and above in Endoscopy (or 2 years working as a Nurse in Charge for 18WS)
- Current experience of clinical practice in relevant specialty
- Evidence of post registration experience in relevant specialty
- Bachelors degree, or working towards, or equivalent experience
- Management or leadership course
Essential Skills (HCA Endoscopy)
- 2 years experience working at Agenda for Change Bands 3 - 4 HCA in an endoscopy unit procedure room at an acute hospital
- Completion of an inhouse competency programme in an acute trust
- Proven ability to carry out the role of nurse 2 in a safe and timely manner
Desirable Skills (HCA Endoscopy)
- Phlebotomy certificate/experience
Essential Skills (SSP)
- Minimum of 2 years recent experience as a specialist screening practitioner (SSP)
- Completed SSP education (including Liverpool John Moores University)
- Signed off as competent with the ability to manage and participate in emergency situations
- Completed the BSCP computer programme training and able to access the Open Exeter IT system
- Attended a recognised advanced communication course
- Ability to work in unfamiliar work environments using initative and experience
- Able to carry out all aspects of the data entry required pre-, peri- and post-procedure
- Care for patients undergoing bowel screening endoscopic procedures pre-, peri- and post-procedure
- Admit patients for bowel scope list in a timely organised fashion
- Discharge all patients attending the unit under the BSCP programmes in a timely fashion
Desirable Skills (SSP)
- Communicate effectively with the team
- Uphold infection control policies and ensure the work environment is clean and tidy
Surgery
Surgery Roles
- Pre-assessment Registered Nurse
- Operating Department Practitioner
- Recovery Registered Nurse
- Ward Nurse
- Theatre HCA
- Ward HCA
- Scrub Registered Nurse
- Nurse in Charge
- Non-medical Surgical First Assistant
Essential Skills (Preoperative Registered Nurse)
- 1 year's minimum experience in preoperative assessment in an acute setting
- Current or recent practice in preoperative assessment in an acute setting
- Current or recent practice in phlebotomy and ECGs
Essential Skills (Operating Department Practitioner)
- Anaesthetic training certificate
- Minimum of 2 years' experience in various types of anaesthetic induction
- Current practice as an ODP in permanent/part time/bank or agency post
- ALS or ILS course
- Recent experience of rapid induction techniques and difficult intubation
- IV administration of medication certificate
Desirable Skills (Operating Department Practitioner)
- IV cannulation certificate
- Sedation certificate
Essential Skills (Recovery Registered Nurse)
- Recovery training certificate
- Minimum of 2 years' experience in various types of theatre recovery
- Current practice in recovery (permanent/part time/bank/agency)
- ILS or ALS course
- IV medication administration certificate
Desirable Skills (Recovery Registered Nurse)
- Airway management certificate
- Pain management certificate
- IV cannulation
Essential Skills (Ward Nurse)
- 1 year's post-registration experience in an acute surgical setting
- Current pradctice in an acute surgical setting
- ALERT course or equivalent
Desirable Skills (Ward Nurse)
- IV administration of medication certificate
- ILS course
- Wound management course/experience
Essential Skills (HCA Surgery) - Theatre HCA
- 1 year's experience in the specialty in an acute setting
- Current practice in the specialty in an acute setting
Desirable Skills (HCA Surgery) - Theatre HCA
- Phlebotomy certificate/experience
- Experience of undertaking ECGs and bladder scanning
Essential Skills (HCA Surgery) - Ward HCA
- 1 year's experience in the specialty in an acute setting
- Current practice in the specialty in an acute setting
Desirable Skills (HCA Surgery) - Ward HCA
- Phlebotomy certificate/experience
- Experience of undertaking ECGs and bladder scanning
Essential Skills (Scrub Registered Nurse)
- Minimum 2 years' post registration experience in theatre scrub nursing in an acute setting
- Current practice as a scrub nurse in an acute setting
- Minimum 1 year's post registration experience in one or more scrub specialties. Please detail below:
Scrub nurse Specialties
- ENT
- General surgery
- Gynaecology
- Ophthalmology
- Oral Surgery
- Orthopaedics
- Urology
- Vascular surgery
Desirable Skills (Scrub Registered Nurse)
- Post registration theatre scrub qualification
Essential Requirements (Nurse in Charge - Surgery)
- 3 years' minimum experience at band 6 level and above in Surgery (or 2 years working as a Nurse in Charge for 18WS)
- Current experience of clinical practice in relevant specialty
- Evidence of post registration experience in relevant specialty
- Bachelors degree, or working towards, or equivalent experience
- Management or leadership course
Essential Skills (Non-medical Surgical First Assistant)
- 2 years' post registration experience in an acute theatre environment (scrub nurse or ODP or theatre practitioner or surgical first assistant)
- Current practice in an acute theatre environment (scrub nurse or ODP or theatre practitioner or surgical first assistant), preferably surgical first assistant
- Completion of nationally recognised programme of study approved by the Perioperative Care Collaborative
Desirable Skills (Non-medical Surgical First Assistant)
- IV access and administration of medication
- ILS or ALS
ENT, Oral and Maxillofacial
ENT, Oral and Maxillofacial Roles
- Dental Nurse
- Audiologist
Essential Skills (Dental Nurse)
- National Examination Board for Dental Nursing Diploma in Dental Nursing
- 2 years' post qualification in a dental/OMF acute setting
- Current practice as a dental nurse in an acute setting
Desirable Skills (Dental Nurse)
- NEBDN Diploma in Dental Sedation Nursing
- Experienced in providing advice to patients following maxillofacial procedures
- Specific knowledge in the running of a max fax surgical list (ward, theatre and recovery)
Essential Skills (Audiologist)
- BSc Audiology or equivalent such as B Tech ONC in medical physics and physiological measurement
- Registered with RCCP or HCPC
- Minimum 2 years' experience in NHS Audiology setting supporting ENT services
- Recent practice experience in NHS Audiology setting and significant post graduate experience of assessment and management of patients with audiological disorders; including hearing status assessment, balance disorders, hearing aid rehabilitation and fitting, assessment of suitability for auditory implantation
- IT literate and experience of audiology operating systems (auditbase and practice navigator)
Desirable Skills (Audiologist)
- MSc Audiology
- Membership of BAA and/or BSA
- Assessment and management of bone conduction hearing aids
Ophthalmology
Ophthalmology Roles
- Registered Nurse (Outpatient and Ward)
- Ophthalmic Technician
- HCA
- Nurse in Charge
Ophthalmology Nursing Competencies - Registered Nurse
- Glaucoma Outpatient
- Cataract Outpatient
- Medical Retina Outpatient
- Adnexal Outpatient
- Intravitreal Injection Nurse
- Ward
Essential Skills (Glaucoma Outpatient)
- Minimum 2 years’ experience in ophthalmology nursing
- Recent practice experience in ophthalmology nursing
- Proven ability/experience of visual acuity and visual field testing
- Proven ability/experience of testing with slit lamp
- Proven ability/experience of basic examination of the anterior chamber of the eye
- Proven ability/experience of using pachymeter
- Proven ability/experience of measuring intra ocular pressure by tonometer (GAT)
- Proven ability/experience of checking Van Herrick and anterior chamber depth
- Proven ability/experience of checking Relative Afferent Pupillary Defect
- Proven ability/experience administer full range of common medications and provide patient advice on same
- Proven ability/experience to undertake phasing
Essential Skills (Cataract Outpatient)
- Minimum 2 years’ experience in ophthalmology nursing
- Recent practice experience in ophthalmology nursing
- Proven ability/experience of visual acuity and visual field testing
- Proven ability/experience of testing with slit lamp
- Proven ability/experience of basic examination of the anterior chamber of the eye
- Proven ability/experience of measuring intra ocular pressure by tonometer (GAT)
- Proven ability/experience of checking Relative Afferent Pupillary Defect
- Proven ability/experience administer full range of common medications and provide patient advice on same
- Proven ability/experience to use Auto Refraction
- Proven ability/experience to undertake basic biometry
- Proven ability/experience of preoperative assessment
- Proven ability/experience to interpret ocular coherence topography images and act on results
- Proven ability/experience to assess and treat : raised intra ocular pressure; cystoid macular oedema; inflammation of the eye
- Proven ability/experience in the use of atmospheric lenses to examine and check the fundus and posterior pole of the eye
Essential Skills (Medical Retina Outpatient)
- Minimum 2 years’ experience in ophthalmology nursing
- Recent practice experience in ophthalmology nursing
- Proven ability/experience of visual acuity and visual field testing
- Proven ability/experience of testing with slit lamp
- Proven ability/experience of basic examination of the anterior chamber of the eye
- Proven ability/experience of measuring intra ocular pressure by tonometer (GAT)
- Proven ability/experience of checking Relative Afferent Pupillary Defect
- Proven ability/experience administer full range of common medications and provide patient advice on same
- Proven ability/experience to undertake blood glucose and BP testing
- Assist as a runner in an intravitreal clinic
- Proven ability/experience to assist in Fluorescine Angiography
Essential Skills (Adnexal Outpatient)
- Minimum 2 years’ experience in ophthalmology nursing
- Recent practice experience in ophthalmology nursing
- Proven ability/experience of visual acuity and visual field testing
- Proven ability/experience of measuring intra ocular pressure by tonometer (GAT) and ICare
- Proven ability/experience of checking Relative Afferent Pupillary Defect
- Proven ability/experience to check Ishihara
- Proven ability/experience to undertake probing and syringing of the lacrimal sac
- Proven ability/experience in minor surgery
- Proven ability/experience of preoperative assessment
Essential Skills (Intravitreal Injection Nurse)
- Minimum 2 years’ experience in ophthalmology nursing
- Recent practice experience in ophthalmology nursing
- Proven ability/experience of visual acuity and visual field testing
- Proven ability/experience of testing with slit lamp
- Proven ability/experience of measuring intra ocular pressure by tonometer (GAT)
- Proven ability/experience of checking Relative Afferent Pupillary Defect
- Proven ability/experience administer full range of common medications and provide patient advice on same
- Proven ability/experience in successful intravitreal injection and post procedure care and advice
Essential Skills (Ward - Ophthalmology)
- Minimum 2 years’ experience in ophthalmology nursing
- Recent practice experience in ophthalmology nursing
- Proven ability/experience in admission and discharge of patients including follow up and post op care and advice
- Proven ability/experience administer full range of common medications and provide patient advice on same
Essential Skills (Ophthalmic Technician)
- Ophthalmic certificated course or assistant practitioner certificate
- Minimum 2 years' practice experience
- Accurately measure and verify correct eye glass prescription using Focimetre machine
- Assess and measure fields of vision using an automated perimeter machine
- Take and print optic disk and maculae images using OCT machines
- Diagnostically capture photos of the circulation of the retina and choroid using fluorescent dye and specific camera
- Measure the refractions of the eye using the autorefractor machine
Essential Skills (HCA Ophthalmology)
- 1 year's experience in the specialty in an acute setting
- Current practice in the specialty in an acute setting
Essential Requirements (Nurse in Charge - Ophthalmology)
- 3 years' minimum experience at band 6 level and above in Ophthalmology (or 2 years working as a Nurse in Charge for 18WS)
- Current experience of clinical practice in relevant specialty
- Evidence of post registration experience in relevant specialty
- Bachelors degree, or working towards, or equivalent experience
- Management or leadership course
Dermatology
Dermatology Roles
- Outpatient Registered Nurse
- Surgical Registered Nurse
- Wound Clinic Nurse
- HCA
- Nurse in Charge
Essential Skills (Outpatient Registered Nurse Registered Nurse - Dermatology)
- Minimum of 1 year's post registration experience in dermatology in an acute setting
- Current practice in dermatology in an acute setting
Desired Skills (Outpatient Registered Nurse Registered Nurse - Dermatology)
- Wound management/tissue viability course
- Experience of allergy testing
- Recognised dermatology qualification
Essential Skills (Surgical Registered Nurse - Dermatology)
- Minimum of 1 year's post registration experience in dermatology in an acute setting
- Current practice in dermatology in an acute setting
Desired Skills (Surgical Registered Nurse - Dermatology)
- Wound management/tissue viability qualification
- Recognised dermatology qualification
- 1 year's experience of assisting in dermatological surgery
- Administration of local anaesthetics
Essential Skills (Wound Clinic Nurse - Dermatology)
- Minimum of 1 year's post registration experience in dermatology in an acute setting
- Current practice in dermatology in an acute setting
- Experienced in surgical wound care
Desired Skills (Wound Clinic Nurse - Dermatology)
- Wound management/tissue viability course
- Experience of allergy testing
- Recognised dermatology qualification
Essential Skills (HCA Dermatology)
- 1 year's experience in the specialty in an acute setting
- Current practice in the specialty in an acute setting
Desirable Skills (HCA Dermatology)
- Phlebotomy certificate/experience
Essential Requirements (Nurse in Charge - Dermatology)
- 3 years' minimum experience at band 6 level and above in Dermatology specialty (or 2 years working as a Nurse in Charge for 18WS)
- Current experience of clinical practice in relevant specialty
- Evidence of post registration experience in relevant specialty
- Bachelors degree, or working towards, or equivalent experience
- Management or leadership course
Outpatient Department
Outpatient Department Roles
- Registered Nurse
- HCA
Essential Skills (Outpatient Registered Nurse)
- 1 year's post-registration experience and an outpatient or ambulatory acute setting
Desirable Skills (Outpatient Registered Nurse)
- Phlebotomy certificate/experience
- Experience of undertaking ECGs and bladder scanning
Essential Skills (HCA Outpatient)
- 1 year's experience in the specialty in an acute setting
- Current practice in the specialty in an acute setting
Desirable Skills (HCA Outpatient)
- Phlebotomy certificate/experience
- Experience of undertaking ECGs and bladder scanning

Specialty

Endoscopy

Surgery

ENT, Oral and Maxillofacial

Ophthalmology

Dermatology

Outpatient Department