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. Registered Dental Nurse Job Description Page 1 of 10 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. Registered Dental Nurse Job Description Page 3 of 10 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