ISLE OF MAN DEPARTMENT OF HEALTH & SOCIAL CARE

JOB DESCRIPTION

Job Title: Registered Dental Nurse

Location: Noble’s Hospital Surgical Division

Accountable to: Divisional Manager

Reports to: Senior Dental Nurse

Pay Band: 4

Job Evaluation 0095v4/JE/14 Reference No:

Organisation Surgical Divisional Manager Chart: (attached) Surgical Division Senior Nurse

Senior Dental Nurse

Registered Dental Nurse

Senior Health Care Assistant

Health Care Assistant

Housekeeper

JOB PURPOSE

The post holder is required to contribute to the day to day running of the Maxillofacial/Orthodontic clinics in the Outpatient General Department (OPD).

To provide chair side surgery assistance for Clinicians in the performance of their range of complex specialisms in Dental, Maxillofacial and Orthodontic treatments.

Provides pre and post operative dental hygiene advice to patients in specialist areas such as Orthodontics and Maxillofacial.

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Prepares materials, instruments and equipment for the Dental/Maxillofacial/Orthodontic Practitioner.

KNOWLEDGE, TRAINING & EXPERIENCE REQUIRED TO DO THE JOB

 Registration with the General Dental Council.

 Attend personal review interview at least annually and identify own educational and training needs and incorporate them within the needs of the Directorate and the organisation.

 Attend all mandatory training in accordance with the Hospital programme.  Attend other service training as directed for personal and professional development.  Able to obtain information from the Patient Administration System Medway and Picture Archiving Computer System (PACS) as well as use a word processor.

 Maintain and improve professional knowledge, skills and competence to ensure delivery of evidence based practice in line with the GDC Code of Conduct.

MAIN DUTIES & RESPONSIBILITIES

 In conjunction with the Senior Dental Nurse contribute to the planning, implementation and review of the Maxillofacial/Orthodontic service.

 Contribute to the supervision and training of unqualified Dental Nurses, Dental Nurse Students, Health care assistants (HCA’s) in relation to Maxillofacial/Orthodontic clinics in the OPD setting.

 Provide clinical assistance for a Clinician in the performance of their clinical duties which cover a range of procedures from full mouth dental examinations, minor oral surgery to orthodontics, in an OPD setting.

 Must not, by act or omission, endanger the safety of him / herself or others and must report all untoward occurrences.

 In conjunction with the Senior Dental Nurse be responsible for the management and safe usage of all clinical equipment.

 CLINICAL

 Undertaking surgical assistance in Maxillofacial/Orthodontic & Dental procedures, handling sutures, blades & hyperdermic needles.

 Responsible for the cleaning and sterilisation process of dental instruments in accordance with the Hospital Infection Control Policy.

 Ensure accurate preparation and mixing of dental materials and medicaments which requires a high degree of precision, for correct presentation in accordance with hospital policy/statutory guidance and legislation.

 Undertake the cleaning of the clinic areas, and routine minor maintenance of dental equipment and

Registered Dental Nurse Job Description Page 2 of 10 instruments such as the Little Sister Autoclave.

 Responsible for maintaining and updating patient’s contact details and maintain an efficient filing system in line with Data protection Act.

 Ensure that the ordering, storage and administration of medicines are in accordance with the Hospital Medicines Policy.

 Promote practice conducive to reducing the risk of cross infection in accordance with the Hospital Infection Control Policy.

 Ensure that the ordering, storage and administration of drugs are in accordance with the “DH Medicine Policy”.

 Incorporate health education and health promotion within clinical practice through providing verbal and written information to patients/carers/visitors.

 PROFESSIONAL

At all times:

 Be conversant with and comply with hospital policies and procedures.

 Maintain own skills and competencies

 Maintain GDC registration

 Provide a high standard of professional conduct;

 Act as a professional role model to staff/patients/carers/relatives/general public.

 Work within the agreed directorate philosophy;

 Act in such a manner as to promote and safeguard the interests and wellbeing of patients.

 Adhere to the General Dental Council Standards for The Dental Team.

 Establish and maintain effective 2 way communication channels with all members of the multi professional team.

 Dress and conduct should be of a standard that promotes patient and public confidence in the ability of the individual and the service as a whole.

 Attend and participate the personal review interview in accordance with organisational policy to enable continuous professional, personal and service development

 Maintain full and accurate clinical records and be aware of the legal implications of these documents.

 TRAINING, EDUCATION & RESEARCH

 In negotiation with the Surgical Outpatient Senior Nurse and/or Senior Dental Nurse ensure that all mandatory training is completed and updated in line with Hospital policy.  Attend in-service training as required.

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 Implement policies and procedures.

 Identify, collect and participate in the evaluation of information to support multi-disciplinary decision making.

 Undertake clinical audit in line with National/ organisational audit tools, develop and implement action plans as required from results.

 Under direction and supervision participate in clinical trials in accordance with the procedure of the trial.

 Provides advice and education regarding health promotion to patients/relatives/ carers.

 PLANNING & ORGANISATIONAL SKILLS

 Organise equipment and instruments required for minor oral surgery sessions and clinical procedures.

 As requested by Senior Nurse or Division Manager contribute to or represent the Oral Surgery Department on committees/working groups within the hospital.

 Organise own workload to ensure that the needs of the patients are met.

 Responsible for ensuring own mandatory training is up to date in line with hospital policy.

On occasion, in the absence of the Senior Dental Nurse

 Arrange appointments in conjunction with patients.

 Plan, organise and co-ordinate complex activities such as emergency admission to clinics, theatre emergency slots at short notice.

 Contribute to the planning and co-ordination of care for orthodontic patients.

 COMMUNICATION

On a daily basis:

 Ensure that accurate records are kept and are ongoing whilst treating patients in your care.

 Communicate with other members of the multi disciplinary team to discuss and ensure appropriate treatment is delivered to patients.

 Be empathetic and be able to handle difficult and emotional situations where persons may be angry, confused or distressed.

 Provide and receive sensitive and confidential information by telephone, written, electronically and verbally from all healthcare professionals regarding patient care.

 Expected to utilise effective verbal and non-verbal communication and interpersonal skills with patients / carers / relatives / visitors and healthcare professionals with internal departments and external agencies, e.g. community dental clinics;

Registered Dental Nurse Job Description Page 4 of 10  Expected to utilise effective verbal and non-verbal communication and interpersonal skills with patients / carers / relatives / visitors who may be distressed / angry / confrontational.

 Expected to utilise effective verbal and non-verbal communication and interpersonal skills with patients who have learning disabilities, who are dental phobic.

 To maintain effective 2 way communication with patients / relatives / carers and other members of the multidisciplinary team to ensure that appropriate information is shared and patient needs are met.

 Communicates confidential and sensitive information to patients and their families.

Key Liaisons: Senior Nurses, Senior Dental Nurse,Specialist Nurses, Medical staff of all grades, Allied Health Professionals, Infection Control Team, SSD, Radiology, Secretaries, Ancillary staff, , Porters, Theatre Staff

 MANAGERIAL / LEADERSHIP

 Contributes to the effective efficient day to day operational management of the Maxillofacial/Orthodontic clinic in OPD setting.

 Attend and contribute to Team/Directorate meetings.

 Responsible for the daily servicing of dental surgery equipment.

 Promote and work within the agreed directorate Philosophy.

 Supervise junior dental staff and act as a source of advice to ensure that their educational needs are met.

 CLINICAL GOVERNANCE

 Assist in the maintenance and monitoring of an acceptable environment for patients, reporting and taking appropriate action on hazards and faulty equipment.

 Participate in the DH framework of Clinical Governance, clinical effectiveness and risk management and participate in delivering the Directorate agenda.

 Be aware of and comply with policies, procedures and guidelines. This will include the identification of risk (clinical, health and safety and security).

 Record and report all incidents/complaints involving staff, patients or visitors and assist in any investigation as patients or visitors and assist in any investigation as required in accordance with the DH Complaints Procedure/Incident Reporting Procedure.

 Comply with the need for patient confidentiality, including requirements of the Data Protection Act.

 Undertake and action as necessary risk assessment in accordance with Statutory guidance and hospital policy and procedures such as COSHH, moving and handling.

 Provide safe practice and a quality service by ensuring you and your team work within agreed policies, procedures, standards and strategies.

 Incorporate the principles of quality assurance into clinical activity.

Registered Dental Nurse Job Description Page 5 of 10  Maintain good working relationships with all members of the multi-disciplinary team

 Establish and maintain caring relationships with patients and their carers. Respond to any minor complaints promptly and courteously. Ensure that complaints of a more serious nature are dealt with in accordance with Nobles Hospital Complaints procedure taking any immediate action required. Inform the Senior Dental Nurse or Senior Nurse as soon as possible.

 Maintain appropriate knowledge about and involvement in, agreed strategies and programmes to continuously improve the standards of clinical care through:

 Patient and user involvement  Risk and complaint management  Clinical effectiveness and audit programmes  Continuous professional development

 SYSTEMS & EQUIPMENT

 Ensure that all equipment used in the area is maintained and working safely. Also that safe working practices are adhered to in line with Health and Safety Legislation

 Have the ability to use e mail/Medway/PACS

 Ensure accuracy is maintained in the ordering, storage and administration of medications in accordance with local hospital policy.

 Maintain departmental stock levels, through ordering of stores, ensuring economic use of all resources, keeping records in line with hospital policy and procedures.

 Have a knowledge of all equipment used in area.

 Ensure equipment or instruments used have been properly checked, left clean and ready for use in accordance with the Infection Control Manual / hospital policies.

Examples of equipment and machinery used:

Very specialised  Ellman Radiosurgery  Dental Carte  X-ray machine & Developer

Specialised  Mercian surgical Drill  Little Sister Sterilization Unit  Dental instruments used in minor oral surgery  Orthodontic Instruments.

Generic

 Sphygmomanometer  Heart start defibrillator  Suction  Maintenance of patient records.  Working knowledge of IT systems, e.g. Medway / PACS, Basic Word Processing.  Ensure own time sheet is completed.

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 DECISIONS & JUDGEMENTS

 Correct use of decontamination and maintenance of autoclaves, x-ray processes, bottled water systems, suction equipment, hand pieces & scalers.

 Exercise own judgement in emergency situations i.e. fire, cardiac arrest, initiate first responses and report to the relevant persons.

 Exercise clinical judgement in response to the deterioration of a patient’s condition ensuring appropriate action is taken.

 Anticipates the needs of the Clinician during all clinical/surgical procedures.

Confidentiality

In the course of your duties you may have access to confidential material about patients, members of staff or other business of the Department. On no account must information relating to identifiable patients be divulged to anyone other than authorised persons, for example, medical, nursing or other professional staff, as appropriate, who are concerned directly with the care, diagnosis and /or treatment of the patient. If you are in any doubt whatsoever as to the authority of a person or body asking for information of this nature, you must seek advice from your manager. Similarly, no information of a personal or confidential nature concerning individual members of staff should be divulged to anyone without the proper authority having first been given. Failure to observe these rules will be regarded by your employers as gross misconduct which could result in disciplinary action being taken against you. In the case of information held on computer systems, you may be held personally liable if you in any way knowingly contravene the appropriate terms of the Data Protection Act 2002.

Health & Safety/Security

It is the duty of all employees to work in such a way that accidents to themselves and to others are avoided, and to co-operate in maintaining their place of work in a tidy and safe condition, thereby minimising risk. Employees will, therefore, refer any matters of concern through their respective line managers. Similarly, it is each person’s responsibility to ensure a secure environment and bring any breaches of security to the attention of their managers.

JOB DESCRIPTION AGREEMENT

I have read and agree with the content of this job description, and accept that the role will be reviewed annually as part of the development review process.

Job Holder’s name (please print) …………………………………. Date: ………………….

Job Holder’s signature: ………………………………………………

Line Manager’s name (please print) ……………………………... Date: ………………….

Line Manager’s signature: …………………………………………..

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JOB DESCRIPTION APPENDIX 1

PHYSICAL, MENTAL & EMOTIONAL DEMANDS OF THE JOB AND WORKING CONDITIONS

This section should describe the nature, level, frequency and duration with which you will be expected to deal with physical, mental and emotional effort and the nature, level, frequency and duration of demands arising from inevitably adverse environmental conditions.

Physical Effort

 Physical skills and dexterity for clinical procedures such as removal of sutures; wound dressings; setting up equipment required for clinical procedures/minor oral surgery.

 Dexterity required for assembly and use of dental equipment.

On a daily basis:

 Frequent sitting/standing in a restricted position to perform specific tasks, such as assisting clinician in minor oral surgery sessions/clinical procedures.

 Occasional light to moderate physical effort such as movement of patients with the use of movement aids such as hoists, slide sheets.

 Frequent manipulation of fine tools and materials.

 Cleaning and tidying of clinic areas.

Mental Effort

Concentration required when undertaking on a daily basis:

 Prioritise and manage patient caseload / care.

 Frequent concentration required when setting up and preparing instruments for minor oral surgery theatre sessions/clinical procedures.

 Ensuring that patients leave clinic with a full understanding of their condition/treatment options/further investigations/ diagnosis.

 Expected to carry out several tasks at one time switching tasks throughout the shift.

 Subject to regular interruptions and demands from patients / carers / relatives / staff.

 Concentration required for attendance at meetings.

 Concentration is required when checking documents/case notes when talking to patients/relatives/carers. This concentration is subject to frequent interruptions from other patients/carers/relatives/team members or telephone calls

 Concentration required when assessing or observing condition/behaviour that may be unpredictable.

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Emotional Effort

 Deal with difficult patients who are both mentally and physically demanding, difficult families, social circumstances and situations

 Deals with patients who are dental phobic.

 Support of patients/carers/relatives following unwelcome diagnosis/prognosis.

 Communicates with and supports distressed patients/relatives/carers/staff.

 Involvement in sometimes fraught social situations, regular exposure to pain and stress of others, providing support to colleagues and others as and when required.

Working Conditions

 Exposure to:  body fluids / excreta daily  hazardous substances such as cleaning fluids daily  unpleasant odours daily  infectious illness / conditions regularly  sharps, e.g. needles, fine instruments daily  hostility / verbal / physical aggression occasionally

 Disposal of clinical waste daily.

 Frequent use of a visual display unit, e.g. to access patient blood results, patient information, write reports.

 Frequently working in a warm environment.

AGREEMENT OF ABOVE DESCRIPTION

I have read and agree with the above description.

Job Holder’s Name (please print) ………………………………….. Date: …………………

Job Holder’s Signature: ………………………………………………

Line Manager’s Name (please print) ……………………………… Date: …………………

Line Manager’s Signature: ……………………………………………

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OUTPATIENT DIRECTORATE

Registered Dental Nurse

PERSON SPECIFICATION

CRITERIA FOR SELECTION ESSENTIAL REQUIREMENTS DESIRABLE REQUIREMENTS METHOD OF ASSESSMENT LINK TO KNOWLEDGE & (Justifiable as necessary for safe and (A clear definition for the (Where available, elements that contribute to (Application, CV, Portfolio, SKILLS FRAMEWORK effective performance) necessary criteria) improved/immediate performance in the job) Certificates, Interview)

1 QUALIFICATIONS Registration with the General Application Dental Council CV Portfolio Certificates

2 KNOWLEDGE & EXPERIENCE Understanding of professional Computer skills Application accountability CV Evidence of continuing Portfolio professional education Certificates Current professional profile Interview

3 SKILLS & ABILITIES Good organisational/ Application Communication skills CV Good interpersonal skills Portfolio Supportive team member Interview Ability to assist with the implementation of change

4 PERSONAL ATTRIBUTES Professional role model Innovative practitioner Application Motivated Portfolio Flexible to meet the needs of Interview the role

5 OTHER RELEVANT A keen interest in the speciality Able to cope with potentially stressful situations Portfolio REQUIREMENTS A commitment towards quality Certificates Evidence of involvement in Interview quality issues

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