The Surgical Emergency Unit (SEU) is a fast paced and dynamic department at the John Radcliffe Hospital, caring for patients with a wide range of emergency general surgical conditions, covering upper and lower gastrointestinal, and hepatobiliary specialties. The unit has 62 in-patient beds across 3 ward areas and a Emergency Triage that receives patients referred directly by GP, the Emergency Department , paramedic referrals or out-patient clinics. The Ambulatory area sits as part of Triage but sees patients who return daily to receive consultant led care.
- Undertake a range of delegated and specific clinical skills for patients that demonstrate an enhanced level of competency /technical expertise documented in the plan of care .
- Prepare patients, families/carers and the environment for clinical activities supporting and reassuring patients and their families/carers and preparing specific equipment as necessary.
- Monitor closely patients having undergone a clinical activity ensuring their safety, comfort and well –being.
- To assist all patients of all genders with their personal care needs, empowering patients, and/or families/carers and actively encouraging participation. This may involve maintaining hygiene needs for individuals such as helping patients to wash and dress themselves and assisting with toileting needs, maintaining privacy and dignity at all times.
- To demonstrate clinical competence in order to undertake minor dressings and treatment.
Oxford University Hospitals NHS Foundation Trust is one of the largest NHS teaching trusts in the country. It provides a wide range of general and specialist clinical services and is a base for medical education, training and research. The Trust comprises four hospitals - the John Radcliffe Hospital, Churchill Hospital and Nuffield Orthopaedic Centre in Headington and the Horton General Hospital in Banbury. For more information on OUH please view OUH At a Glance by OUHospitals - Issuu
Our values, standards and behaviours define the quality of clinical care we offer and the professional relationships we make with our patients, colleagues and the wider community.
We call this Delivering Compassionate Excellence and its focus is on our values of compassion, respect, learning, delivery, improvement and excellence.
- To actively encourage all patients, families/carers to share the responsibility for maintenance of their health and to promote healthy living where appropriate and identified as part of the care plan.
- Assist patients to mobilise safely taking account of developmental/physical needs, using equipment and techniques as prescribed and recorded in plan of care and contribute to the falls and moving and handling risk assessment.
- Assist in the care of a patient requiring end of life care in accordance within their spiritual and cultural needs.
- Assist as appropriate in the support of families/carers of patients receiving end of life care.
- Recognise when a patient’s condition changes and seek advice and expertise from registered practitioners in accordance with Trust policy.
- Contribute to, understand and report identified patient risk assessments, e.g. nutritional assessment scores, slips, trips and falls assessment, e.g. Humpty Dumpty, use of medical devices as appropriate in line with Trust policy.
- To perform clinical observations (following appropriate assessment of competence) accurately recording using agreed electronic National Early Warning Systems such as SEND and report and escalate any concerns appropriately by reporting to the registered practitioner immediately.
- Participate in the initial assessment of patient needs under the direct supervision of a registered practitioner.
- To assist patients to meet their food and fluid intake giving attention to special diets, supplements, enteral feeding and cultural requirements and to recognise and understand the importance of adequate nutrition and hydration. In order to avoid malnutrition ensure an age appropriate nutritional assessment is undertaken for example, STRONG/MUST. All food, nutritional supplements and fluid intake should be recorded accurately as required.
- Seek support for self and others following an untoward incident.
- Report and raise concerns in relation to poor practice, attitude and behaviour of any health care professional through appropriate channels.
- Undertake patient transfer and escort duties between departments as appropriate and as per policy.
- Recognize where a patient or family member/carer is becoming agitated, disorientated or appears non-compliant with care or treatment, treatment, support colleagues and report immediately to a registered practitioner.
- Respond swiftly to individuals who require immediate assistance, are in pain, distressed, reporting to a registered practitioner.
- Competently obtain specimens as requested such as Mid-Stream Urine, stool, sputum, Urine analysis, hospital acquired infections and any more specialist specimen as directed by the registered practitioner ensuring accurate labelling and transportation as per Trust policy.
- Demonstrate good understanding of Safeguarding Children, the Mental Capacity Act / Deprivation of Liberties and applies principles to everyday practice seeking advice / guidance from the Registered Nurse or registered care professional as required.
