Temporary Senior Staff Nurse – PACU

• Proficiency and competence within PACU/Recovery nursing practice and provide specialist support and knowledge to patients and staff alike;
  
• Able to manage and coordinate the safe and efficient flow of patients from admission to discharge;
  
• Effective organisational and leadership skills and can deputise in the absence of the charge nurse;
  
• Exemplar of CCL values of Quality and Safety, Empathy, Teamwork, Integrity, Inclusion and Innovation;
  
• “Can Do” attitude
  
  Working in the PACU, the unit will cater a multispecialty patient cohort requiring both complex surgical and medical interventions. A mixture of long (11.5/9.5 hours) and short (7.5 hours) shifts are worked on by the nursing staff from Monday to Friday with some Saturday working requirement.
  
  Job Responsibilities:
  
  Clinical

• Responsible for the planning and delivery of patient care whilst ensuring that high quality, current evidence-based nursing assessment, care planning, implementation, interventions and evaluations for patients is provided from admission through to discharge within the PACU.
  
• To act as advocate for patients at all times, whilst ensuring a patient orientated approach to the delivery of care and having a regard for their beliefs and customs.
  
• Recognises, responds to and appropriately manages emergency situations.
  
• Carry out nursing procedure and treatment in accordance to policies and procedures as a minimum standard within the PACU/Recovery
  
• Airway Management
  
• Immediate post anaesthetic/surgical emergency algorithms
  
• Safely administer medication and blood products as required
  
• Safe admission and discharge of patients
  
• High dependency nursing care
  
• Routine specialty specific post-anaesthetic/surgical care (e.g. Colorectal, Upper GI, Vascular, Thoracic, Neurosurgical, Orthopaedics, Gynaecology, ENT, Urology)
  
• Complete all pertinent nursing documentation relevant to practice
  
• Maintain standards of infection control and prevention at all times
  
  Leadership
  
• Act as deputy charge nurse to all staff working within the PACU: Exercise positive leadership; promote harmonious relations between all staff and work to develop high morale amongst all staff.
  
• Manage the throughput in the PACU and supervise all grades of staff in order to maintain a high standard of patient care. Ensure safe practice is carried out in all areas and undertake appropriate clinical skills teaching in own field of knowledge
  
• Work alongside the Charge Nurse and other team members to ensure the smooth running of the department in an operational capacity on a daily basis.
  
• Ensure that all team members are competent and adequately trained to undertake the roles required of them: Act as a facilitator / mentor as appropriate.
  
• Maintain the training registry of the unit together with the Charge Nurse
  
• Maintain good relationships with the wards and other departments. Attend meetings on behalf of the department as required and disseminate information back to departmental staff.
  
• Be a good professional role model, using evidence based practice and relevant audit tools to achieve ever-increasing quality of care for patients.
  
• Review/validate theatre lists on a daily basis and highlight/challenge any admission anomalies.
  
• Expanded duties may include:
  
• Coordinating departmental off duty.
  
• Take responsibility for all health and safety matters. Ensure staff comply with Health & Safety instructions.
  
• Undertake investigations of incident reports and complaints under the supervision of the Charge Nurse.
  
• Participate in the recruitment and selection of staff as the need arise
  
• Manage the sickness absence of team members in accordance with CCL’s sickness policy
  
• Undertake individual performance reviews for your team. Set key objectives for all qualified staff following discussion with them and review as agreed with the Charge Nurse.
  
• Any other duties identified by the charge nurse (e.g. unit audits, research projects, etc)
  
  Professional
  
• Will maintain a high standard of care and give courteous reception to all patients and visitors.
  
• Is wholly accountable for his / her practice in line with the NMC code of professional conduct and takes every reasonable opportunity to sustain and improve his / her knowledge and professional competence.
  
• Successfully complete all competency assessment document and required mandatory training as required for the post within the agreed time frame (ideally within the probationary period)
  
• Will have read and understood all relevant policies and procedures identified by the line manager that is in scope of practice and will act in accordance with it (i.e. Data Protection/Confidentiality/Caldicott principles/ Health and Safety).
  
• Maintain a high standard of care and give courteous reception to all patients and visitors.
  
• Practice in a cost effective and cost aware manner
  
• Communicate effectively with patients and fellow caregivers appropriately at all times
  
• Report/escalate any incidents immediately to senior staff

• RGN level 1 (minimum)
  
  Certifications:
  
  
• Current adult nursing registration (First Level) through the Nursing & Midwifery Council (NMC) required with no practice restrictions - Essential
  
• Post graduate certifications/courses completed related to the post will be advantageous (e.g. HDU/ ICU course, anaesthetic course etc)
  

• Ability to speak and write in English is required.
  
  Complexity of Work:
  
  
• Ability to work autonomously and also within a team environment where appropriate
  
• Ability to prioritise workload in a complex environment and work under pressure where required, ensuring high quality, safe and effective patient care
  
• Can effectively manage and respond to patients and visitors with challenging behaviour and know when to call for assistance
  
• Demonstrates initiative to proactively problem solve with a solution focus, escalating more complex issues as required
  
• Being reliable and adaptable, demonstrating enthusiasm and commitment
  
• Good oral and written communication skills and computer literacy are essential
  
• Satisfactory attendance record
  

• Experience in coordinating a busy unit is essential.
  
• The post holder will have a comprehensive knowledge of PACU/HDU nursing and will be able to care for a patient from admission to discharge.
  
• Experience in teaching and mentoring is essential
  
• Experience in anaesthetics/ day surgery would be very advantageous
  
• Experience in deputising in the absence of the Charge Nurse is advantageous
  
  Personal Protective Equipment:
  
  
• Follows standard precautions using personal protective equipment as required.
  

About Us

As part of one of the world’s most respected academic medical centres, Cleveland Clinic London offers access to a global network of physicians and specialists. We provide patients with high-quality, integrated care, enabled by technology.

Cleveland Clinic London is part of a global health system that consistently ranks among the top hospitals in the world. We focus on clinical excellence, safety and patient outcomes, all supported by research, medical education, technology and teamwork.

Our mission — caring for life, researching for health, educating those who serve — has driven us to seek continual innovation and improvement over our 100-year history.

Cleveland Clinic London

Cleveland Clinic is an integrated healthcare system with hospitals and outpatient centres in the U.S. (Ohio, Florida and Nevada), Canada (Toronto), the U.A.E. (Abu Dhabi) and now London. Cleveland Clinic’s first healthcare facility in London, Cleveland Clinic Portland Place Outpatient Centre, opened in September 2021. Cleveland Clinic London’s 184-bed hospital followed and opened in Spring 2022.

Cleveland Clinic employs more than 70,000 people globally with patients coming to us from more than 185 countries every year. Cleveland Clinic London offers:

1,250 caregivers, including 270 medical doctors and 450 nurses.

184 inpatient beds.

29 ICU beds.

8 operating theatres.

21 day case rooms for surgery.

42-bed neurological suite for rehabilitation.