Job summary
- Main area
- Orthopaedics. MSK disorders, wound care
- Grade
- NHS AfC: Band 4 or NHS AfC: Band 5
- Contract
- Permanent
- Hours
- Part time - 24 hours per week (available any day of week to meet service need)
- Job ref
- 224-PA20250302565
- Employer
- The Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust
- Employer type
- NHS
- Site
- Main Outpatients
- Town
- Oswestry
- Salary
- £26,530 - £36,483 starting salary dependant on experience
- Salary period
- Yearly
- Closing
- Today at 23:59
Employer heading

Registered Nurse (Out-Patients)
NHS AfC: Band 4 or NHS AfC: Band 5
Here at the Robert Jones and Agnes Hunt Orthopaedic Trust, we are very proud of our reputation for providing outstanding care to our patients. Our continued success is accomplished through the skills and expertise of our staff, which is underpinned by our values: Friendly, Caring, Excellence, Professional and Respect. If your values align to ours, and you would like to join us in aspiring to deliver world class patient care, we would love to hear from you.
Job overview
We have an exciting opportunity for a Registered Nurse or Registered Nurse Associate to join our small Out-patient Department team, working in a Trust that is rated outstanding for its care and delivers the best patient experience in the NHS (according to the Adult Inpatient Survey)
You will work within a multi-disciplinary environment, supporting musculo-skeletal out-patients, focusing primarily on wound care, effective daily organisation of the team and department, and working clinically in our day case facility.
We are unable to accept applications from candidates who require OSCE in order to register with the NMC as we have a separate and limit process for these appointments.
Applications from job seekers who require current Skilled Worker Sponsorship to work in the UK are welcome and will be considered alongside all other applications. Job seekers should be aware that not all roles will be eligible for Skilled Worker Sponsorship. For further information visit UK Visas and Immigration - GOV.UK (www.gov.uk)
Main duties of the job
Our Out-patient nurses are responsible for the delivery of safe, skilled ,quality patient centered care within the fields of Adult Orthopaedic Outpatients which includes Surgery, Metabolic and Rheumatology clinics/ services and day case surgical procedures
Participating in direct patient care and assisting in the provision of clinical and professional advice, expertise, and support, developing practice and monitoring performance.
Daily Assessment, treatment, and evaluation of orthopaedic surgical and chronic wounds, alongside the multidisciplinary team.
Managing clinic space and staffing resources effectively , working closely with the administration team .
Manage the procedure / post procedure room team, as a team leader, participating as an active member of the scrub and admission / discharge team.
Working for our organisation
The Robert Jones and Agnes Hunt Orthopaedic NHS Trust (RJAH) is one of the leading orthopaedic hospitals in the country, with some of the highest levels of staff and patient satisfaction, as well as a strong reputation for research and innovation.
Joining RJAH is more than just a job – we want our people to have the best opportunities to thrive in their role.
We have a range of fantastic staff benefits on offer to everyone who joins RJAH and you'll have access to outstanding professional development opportunities and state-of-the-art facilities – including our Headley Court Veterans’ Orthopaedic Centre (the first unit of its kind in the UK).
RJAH has strong links with a range of universities including Staffordshire, Keele, Glyndwr, Chester and Birmingham.
The hospital is located on a site outside Oswestry in Oswestry, just off the A5. The nearest train station is in Gobowen, approximately two miles from the hospital. The station is part of the Chester to Birmingham line.
We are based in North Shropshire, close to the border with North and Mid Wales. It is one of the most attractive parts of the country, with a rich historic culture and excellent transport links. It offers outstanding opportunities for anyone who enjoys an outdoor lifestyle or is looking to raise a family.
Please note we are unable to support applicants who require OSCE, as the Trust has a separate and limited application process.
Detailed job description and main responsibilities
Be accountable and responsible for maintaining own nursing practice and take every reasonable opportunity to sustain and improve knowledge and professional competence.
To be responsible for the delivery of safe, quality patient centered care within the Department
Maintaining own specialist knowledge and clinical skills (especially within the field of, Orthopaedic surgical, neurology, metabolic and rheumatology clinics/ services, relevant orthopaedic day case surgical procedures & plaster room.
Participating in direct patient care and uphold evidence of
continuing education standards as required by the NMC.
The post holder must be able to demonstrate extremely developed dexterous skills during clinical practice and the capability to manage periods of moderate physical effort during the shift worked.
Assist the Departmental manager in the provision of clinical and professional advice, expertise, and support, developing practice and monitoring performance.
Keep abreast of current political issues within the NHS, and future nursing trends.
To provide leadership to all staff, promoting a culture of positive and effective teamwork., and openness
Assess care required, requesting medical input as necessary and devising appropriate care programmes for the patient, implementing care , admitting patients, and evaluating care during their visit to the department .
Assess, treat, and evaluate surgical / trauma & chronic wounds, alongside the multidisciplinary team, using appropriate evidence-based practice, daily.
To provide a high standard of nursing care based on the assessment of care needs - in consultation with the patient, their relatives, and the multidisciplinary team.
To continuously evaluate the quality of care given, and regularly re-assess the needs of the patient, in consultation with the patient, other carers and the multidisciplinary team to effect change required to achieve planned goals.
Liaise with other professionals to ensure cohesive patient care.
Ensure a patient / client-focused approach to care, ensuring due regard is given to the customs, values and spiritual beliefs of the patient family, carers, and staff.
Ensure due regard is given to the safety of patients’ belongings.
Providing and receiving complex or sensitive information about patients, dealing with confrontation where you will be able to reassure, calm and defuse difficult
Advise on issues within own scope of practice relating to health promotion
To identify the learning needs of the patient, relatives, and staff, and in consultation with the department team, will plan and implement
Facilitate and maintain patient records to ensure information is accurate and up to date for future reference and complies with the Data Protection Act, NMC Patient Record Keeping Guidelines.
Provide support and information to patients, relatives/carers in all aspect of treatment in the Outpatient Department.
Ensure that communication is effective, that the sending and receiving of information is conveyed and received in such a manner as to foster excellent relationships, between clinicians, allied health care professionals, patients, and relatives.
Maintain good interpersonal relationships with patients, relatives /carers & inside and outside agencies. Provide relevant advice on issues relating to health promotion, maintaining confidentiality, and working closely with all members of the multidisciplinary team.
Ensure that the established system of continuous communication is effective for the assessment and reporting of patient care and activity
Provide and receive complex or sensitive information about patients, be able to deal will confrontation & be able to reassure, calm and defuse difficult situations.
Deal with anxious relatives / staff, providing support & liaising with appropriate support networks.
Enable the patient to cooperate with prescribed treatments and care required – through appropriate / effective communication / explanation
Communication with patients with special needs where the recognition and understanding of nonverbal communication essential, possibly daily.
Daily act as a resource for nursing and allied health care professionals in the delivery of care.
Respond to telephone enquiries, following an analysis / interpretation of the situation you will share your clinical judgment offering appropriate advice and referring to appropriate personnel. Maintaining a recording in appropriate place.
Disseminate information to staff through handovers, team briefs, ward meetings and memos daily.
Attend meetings as directed and provide feedback /contribute to action plans/ provide information as appropriate.
To be able to manage time effectively, ensuring patients are ready for planned procedures and staff receive adequate breaks during the working day and finish at the appropriate time.
Ensure the safe delivery of medicines by the prescribed route adhering to national and Trust guidelines.
Undertake venepuncture and ECGs, when trained appropriately and to maintain / update clinical skills.
Assist the OPD team to ensure the department meets risk management standards, working with all health care professionals.
Frequent provision of patient care, which requires the use physical effort to roll, manoeuvre and stand patients. The use of department manual handling equipment / training is essential, to reduce physical strain and maintain safety of the patient. Annual manual handling training is mandatory. Staff member is responsible for the implementation of own safe manual handling activities.
Frequent handling of waste body fluids, ensuring correct disposal.
Participate in appraisal process, setting personal objectives for own professional development plan
Attend relevant training sessions which is pertinent to own clinical practice, to enhance knowledge and skill & maintain competencies
Develop and maintain an excellent working relationship with other Health Care Professionals in both hospital & community settings, through a high level of communication & interpersonal skills.
Manage clinic space & staffing effectively with efficient use of resources and clinic/room requests appropriately working effectively & closely with the Access team
Being responsible for monitoring, organizing, and coordinating activities within the designated area when allocated as the Nurse in Charge /Team leader on a regular basis
Manage the procedure / post procedure room team, as a team leader, participating as an active member of the scrub & circulating team.
Manage safe effective admission, preparation for procedure, post procedure recovery & discharge through the procedure room, including liaising with wider team about amendments or
changes to lists, informing all team members
Responsible for ensuring procedure room list runs smoothly & safely, involving cooperation of & communication with multidisciplinary team
Liaise with the Health Care Records / Access Team in organizing extra/changes to clinics that are required.
To be competent to prepare for, organize and visit /run peripheral clinics and work autonomously in these clinics
Responsible for documenting & monitoring safe use of all equipment & economic use of supplies. Manage levels of stock and equipment, using Oracle system to make purchases as an
Authorized signatory in the absence of the Departmental Manager or her deputy
In the absence of the Manager/Deputy will collect data required for monthly/ weekly monitoring, audits and communicate this information to the relevant manager or department.
Provide leadership & be a source of support for the nursing and wider outpatient services team, acting as a role model.
Facilitate and support others to deliver in-house training.
Conduct Individual Performance Review and wellbeing meetings of junior trained and untrained staff as directed by the Departmental Manager/Deputy in accordance with Trust policies.
With the support of the Department Manager / deputy, evaluate and implement new ideas and recommendations appropriate to the department
Ensure the department is staffed adequately with appropriate skill mix on each shift for each area
Participate in the orientation/induction of new staff to the department.
Act as a resource advisor for junior colleagues in the delivery of nursing care.
Provide adequate mentorship/training for untrained staff and students/visitors from other disciplines.
Participate in continuing assessment scheme for learners if applicable.
Ensure staff wear identity badges and adhere to uniform policy
Assist in the creation of a positive working atmosphere.
To deputize for the Departmental Manager/Department sister as and when necessary
Develop and maintain a working knowledge of all digital management systems used within the department.
Person specification
Knowledge
Essential criteria
- 12 months post registration experience of working with a team as an NMC registered Nurse
Qualifications/Training
Essential criteria
- Registration with NMC both parts of register or have date agreed for completion of training
Desirable criteria
- Degree/Diploma in Nursing
Skills and Competencies
Essential criteria
- Able to work autonomously and under pressure
- Good communication skills. Written, oral and electronic.
- Willingness to undertake admission, scrub and recovery training for day case facilities - Local anaesthetic procedures- & maintain competencie
- Willingness to undertake venepuncture training &maintain competencies
- Able to lead an effective team
- Recent experience in surgical or chronic wound care
Desirable criteria
- 1 year experience post full NMC registration as Registered nurse or registered nursing associate
Applicant requirements
You must have appropriate UK professional registration.
This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.
Documents to download
Further details / informal visits contact
- Name
- Elizabeth Reece
- Job title
- Main Outpatient Manager
- Email address
- [email protected]
- Telephone number
- 01691 404572
- Additional information
Sara Lalam
Main Outpatient Sister
01691 404572
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