NATIONAL PROFILES FOR THEATRE PRACTITIONERS CONTENTS Profile Title AfC Banding Page Theatre Assistant Practitioner* 4 2 Theatre Practitioner Entry Level 4 3 Theatre Practitioner 5 4 Theatre Practitioner Higher Level 6 5 Theatre Practitioner Team Manager 7 6 Anaesthesia Practitioner 7 7 * new in February 2007
Profile Label: Theatre Assistant Practitioner Job Statement: 1. Supports a theatre team in the care of patients prior to and during surgery 2. Cleans and prepares theatre equipment and instruments used for surgical procedures 3. Assists surgical medical staff for minor surgical procedures 4. Undertakes patient observations undergoing surgery to monitor condition Factor Relevant Job Information JE Level JE Score 1. Communication & Relationship Provide and receive routine information requiring tact or persuasive skills Communicates information to patients concerning theatre procedures, patients may be elderly or confused. 3(a) 21 2. Knowledge, Training & Experience 3. Analytical & Judgemental 4. Planning & Organisational Range of work procedures and practices, majority non-routine; intermediate level theoretical knowledge Knowledge of theatre procedures/protocols including surgical assistance, clinical observations, acquired through NVQ level 3 plus further training and experience to diploma level or equivalent Judgements involving facts or situations, some requiring analysis Monitors and assess patient condition during operating procedures Plan and organise straightforward activities, some ongoing Organises and adjusts own work load in line and prepares theatre equipment and instrumentation in accordance with theatre list 5. Physical Developed physical skills; manipulation of objects, people; narrow margins for error; Highly developed physical skills, accuracy important; manipulation of fine tools, materials Assists in the transfer & positioning of patients, prepares theatre equipment; handles theatre instrumentation when assisting 6. Responsibility for Patient/Client Care 7.Responsibility for Policy/Service Development 8. Responsibility for Financial & Physical 9. Responsibility for Human 10. Responsibility for Information 11. Responsibility for Research & Development Implement clinical care/ care packages Patient observations, assists surgical medical team for a range of minor surgical procedures Follow policies in own role, may be required to comment Implements policies and contributes to the development of the theatre organisation and services Safe use of equipment other than equipment used personally; Maintain stock control; Safe use of highly complex equipment Prepares surgical equipment used by others, maintains theatre stocks and supplies, prepares expensive & complex machinery for specified operative procedures and theatre list Demonstrate own activities to new or less experienced employees Supports HCAs and junior ATP staff. by demonstrating own duties and theatre procedures Record personally generated information Records patient observations, patient data and other theatre data required for auditing/quality issues Undertake surveys or audits, as necessary to own work. Carries out audit procedures as necessary 12. Freedom to Act Standard operating procedures, someone available for reference Implements duties in line with theatre procedures and policies, works under the direction of registered practitioners and medical staff. 13. Physical Effort Frequent sitting or standing in a restricted position / occasional/frequent moderate effort for several short periods Standing at operating table; manoeuvres equipment & patients for procedures / assistance in the transfer and positioning of patients several times during shift 14. Mental Effort Frequent concentration; work pattern predictable; Concentration required for patient observations, monitoring patients condition, preparing equipment & instrumentation and when assisting surgical team 15. Emotional Effort Occasional / Frequent distressing or emotional circumstances Deals with distressed patients when admitted to theatre / unexpected deaths Frequent highly unpleasant conditions Exposure to body fluids and foul linen 4 88 2 15 2 15 3 (a) (b) 27 4 (a) 22 1 5 2 (b) (c) (e) 1 5 1 4 1 5 12 2 12 2 (a) (d) 3 (c) 2 (a) 7 2 (a) 3 (a) 7-12 11-18 16. Working 4 (b) 18 Conditions JE Score/Band Band 4 274-286 Page 2
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Profile Label: Anaesthesia Practitioner Job Statement: 1. Administers prescribed anaesthesia, monitors and maintains condition of patients 2. Prepares, equips and maintains environment for anaesthesia 3. May prescribe intra-operative fluids, post-operative analgesia and anti-emetics 4. May undertake post-operative assessment of patients, provide anaesthetic skills in care of patients in ward situations Factor Relevant Job Information JE level 1. Communication & Relationship Communicates complex, sensitive information, barriers to understanding Communicates condition related information to patients, relatives, requires empathy, reassurance 4(a) 2. Knowledge, Training & Experience 3. Analytical & Judgemental 4. Planning & Organisational Highly developed specialist knowledge, underpinned by theory and experience Professional knowledge acquired through postgraduate diploma plus further theoretical knowledge acquired through specialist training to master s level equivalent Complex facts or situations, requiring analysis, interpretation, comparison of range of options for assessing & interpreting specialist acute patient conditions, taking appropriate action, recognising and managing emergency situations Plan, organise complex activities, programmes, requiring formulation, adjustment Plans anaesthetic provision within prescribed framework 5. Physical High degree of precision High levels of dexterity and accuracy required for e.g. insertion of spinal/ epidural, suturing of arterial/ neck lines, airway management 6. Responsibility for Patient/Client Care 7. Responsibility for Policy/Service Development Develop specialised programmes of care; provide specialised advice in relation to care Assesses, develops & implements anaesthetic programmes within prescribed framework; provides advice to surgeon on anaesthetic care of patient Implement policies, propose policy, service changes for own area Comments on policies and protocols, contributes to changes Safe use of expensive/highly complex equipment Responsible for safe use, setting up of anaesthetic equipment Clinical supervision Clinically supervises anaesthetic assistant Record personally generated clinical observations Updates patient records Occasionally/ regularly undertake R&D, lead clinical audits Participates in research, lead clinical audit in own area 8. Responsibility for Financial & Physical 9. Responsibility for Human 10. Responsibility for Information 11. Responsibility for Research & Development 12. Freedom to Act Broad occupational policies Accountable for own professional actions: works in accordance within professional anaesthetic standards and competencies, specialist in monitoring and maintaining anaesthesia in normal situations 7 4 2 4 6(a) (c) 2 2(e) 2(b) 1 1-2(a) 13. Physical Effort Frequent sitting or standing in a restricted position/ frequent 2(a)-3(c) moderate effort for several short periods Works in restricted position in operating theatre/ manoeuvres patients from table to bed, bed to table 14. Mental Effort Occasional/ frequent prolonged concentration 3(b)/4(a) Concentration on patient anaesthesia for lengthy periods 15. Emotional Effort Occasional highly distressing circumstances 3(b) Unexpected deterioration of patient 16. Working Conditions Frequent highly unpleasant conditions 4 (b) Body fluids, open wounds JE Score/Band JE Score 498-516 Band 7 4 Page 7 of 7