Job Title

Pre-Operative Assessment Nurse

Department

Surgical Services / Pre-Operative Assessment Unit

Reports To

Pre-Operative Assessment Lead Nurse / Matron

Job Purpose

The Pre-Operative Assessment Nurse is responsible for providing a high-quality pre-assessment service for patients undergoing elective surgical procedures. The post holder will assess patients' fitness for surgery, identify and manage potential risks, coordinate necessary investigations, and provide information and support throughout the patient's surgical journey.

The role is integral to ensuring patients are optimally prepared for surgery, reducing last-minute cancellations, and promoting positive patient outcomes.

Key Responsibilities

Clinical Responsibilities

• Undertake comprehensive nursing assessments for patients scheduled for elective surgery.
• Obtain and evaluate medical histories, current medications, allergies, and previous anaesthetic experiences.
• Identify and escalate clinical concerns that may affect surgical suitability.
• Request and review diagnostic investigations in accordance with local policies and protocols.
• Perform clinical skills including venepuncture, ECG recording, observations, and relevant screening assessments.
• Refer patients to anaesthetists, consultants, pharmacists, and other healthcare professionals as required.
• Ensure patients receive appropriate advice regarding fasting, medications, postoperative recovery, and discharge planning.
• Support patients in making informed decisions regarding their treatment and care.

Patient Care Responsibilities

• Deliver compassionate, patient-centred care at all times.
• Provide clear verbal and written information regarding surgical procedures and pre-operative preparation.
• Address patient concerns and anxieties, offering reassurance and support.
• Act as a patient advocate, ensuring individual needs are recognised and met.

Communication and Teamwork

• Communicate effectively with multidisciplinary teams, including surgeons, anaesthetists, theatre staff, ward teams, and primary care providers.
• Participate in team meetings and service development initiatives.
• Maintain professional relationships with patients, relatives, and colleagues.

Governance and Quality

• Maintain accurate, timely, and legally compliant patient records.
• Adhere to NMC Code requirements, Trust policies, and national guidelines.
• Participate in audits, quality improvement projects, and risk management activities.
• Report incidents, near misses, and safeguarding concerns in accordance with organisational policies.

Professional Responsibilities

• Maintain current NMC registration.
• Demonstrate commitment to continuing professional development.
• Participate in clinical supervision, appraisal, and mandatory training.
• Support the learning and development of students and junior staff where appropriate.