Role:                             Pre-assessment Nurse

Function:                    Nursing

Reports to:                 Outpatient Nurse Manager

Key Contacts:            Nurse Manager, Staff Nurses, Healthcare Assistants, Patients, Consultants, other members of the multi-disciplinary team

Location:                     Outpatients – 9 Harley Street

Hours:                         37.5 hours/week


Role Purpose:

To lead and manage the pre-assessment patient pathway ultimately ensuring patient safety, appropriate discharge planning and prevention of same day surgical cancellations. To support the Outpatient team in appropriate diagnostic testing where necessary and the development of referral pathways.


Duties & Responsibilities include but not limited to

Clinical: To work as an autonomous practitioner with specialist skills, assessing, planning, implementing and evaluating patient care within protocols

  • Undertake a risk assessment for the patient anaesthetically and surgically in conjunction with the names Anaesthetist and admitting Consultant
  • Carrying a caseload and organise own workload
  • To act as the named nurse to all patients within the pre-assessment service
  • To undertake a nursing assessment, obtaining a detailed past medical history and ordering of appropriate clinical investigations
  • Once assessed, to identify patients at risk and invite for assessment in person, perform investigations and referrals as necessary
  • Implement intervention based on the results of the assessment and investigations
  • Undertake MRSA screening, Covid-19 PCR swabbing, phlebotomy, ECGs and patient vital signs
  • Identify cultural requirements, communication and other special needs
  • Obtains further specialist advice as required
  • Undertake a role in health promotion
  • Advise patients on their pre-operative medication requirements in conjunction with specialist advice
  • Maintain accurate patient records, completing documentation to ensure seamless multidisciplinary communication
  • Ensure 100% compliance with hand hygiene and infection control policy and procedures.
  • Develop and implement service protocols on nationally accredited guidelines and valid research from recognised bodies
  • Participate in continuous audit of the pre-assessment service
  • Compile reports as required to communicate efficacy and shortcomings of the service to the Senior Management team
  • Report all incidents and complaints to the Line Manager and ensure the appropriate documentation is completed.
  • Ensure all equipment use is maintained in good working order and its location monitored
  • Ensure adherence to requirements from external bodies such as PROMS, and the National Joint Registry Education
  • To support the wider nursing team when the need arises
  • Assist in phlebotomy, post-operative care and advice
  • Proactively support external clinics/secretaries in booking their patients for any appropriate diagnostic tests and referrals within PHG
  • Identify any clinical/diagnostic gaps within PHG which would support patients and consultants and ultimately increase business revenue
  • Working closely with ward and theatre managers to ensure appropriate skillset within clinical staff to manage any individual patient cases
  • Perform any other reasonable duties as required and requested by the Outpatient Nurse Manager, pre-assessment Lead Nurse and/or Director of Operations


In addition:

  • Promote effective communication within all Phoenix departments
  • Adhere to the hospital/clinic and nursing/radiology policies, procedures and standards
  • Attend and participate in staff meetings
  • Contribute to the achievement of the PHG budget by promoting the cost effective utilization of resources
  • Ensure safety checks, consent forms and any other necessary documentation is completed appropriately
  • Report to Director of Operations any queries or concerns
  • Support colleagues and work co-operatively to promote good team morale within PHG
  • Respond appropriately to telephone calls
  • Be able to initiate clinic emergency policies and procedures
  • Participate and take responsibility in personal development, mandatory training and appraisal system
  • Become competent in the use of the in-house computer systems
  • Show initiative and work as a team
  • Take a lead on problem solving when required


Professional Development and Research

  • Ensures that practice is in accordance with the company’s policies and procedures
  • To contribute to the achievements of the targets set by the company
  • The post holder must ensure that mandatory clinical updates are attended. Ensure Health and safety at work requirements are maintained and observed.
  • Demonstrate an awareness of clinical governance issues
  • Demonstrate an awareness of current child protection issues
  • Take responsibility for personal development and education with regard to performance review objectives


  • Identify own learning needs
  • Participate and take responsibility in personal development, mandatory training and appraisal system
  • Provide support, advice and education to other members of the clinical team
  • To identify and develop patient information and documentation
  • To actively participate in both formal and informal teaching programs for all staff within the company.


Communication and Audit

  • To ensure compliance with effective mechanisms that are in place within the team so that all information is disseminated to all members of the team.
  • To actively participate in the audit cycle and clinical governance issues, implementing recommendations for practice.
  • To know clinic policies and procedures and to ensure that they are followed


Patient Confidentiality and Data Protection:

In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately.

In the performance of the duties outlined in this Job Description, the post-holder may have access to confidential information relating to patients and their carers, hospital staff and

other healthcare workers. All such information from any source is to be regarded as strictly confidential.

Information relating to patients, carers, colleagues, other healthcare workers or the business of the practice may only be divulged to authorised persons in accordance with the practice policies and procedures relating to confidentiality and the protection of personal and sensitive data.

Duties include:

  • To ensure safe and secure storage of patient details including card details
  • To implement PHG’s confidentiality policy


Qualifications / Skills & Knowledge / Qualities:

  • Registered Nurse
  • Post registration experience in a surgical environment
  • Experience in Pre-operative assessment
  • Experience in a private hospital environment would be an advantage, but not essential
  • Ability to work confidently unsupervised
  • Enthusiastic and committed, a team player, flexible, physically able to carry out the role, sensitive to patient needs

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