Scrub Nurse/Surgical First Assistant RGN/ODP

Responsible to:

Theatre Manager


• To provide skilled assistance as part of the surgical team to ensure the effective and safe delivery of patient care in the peri-operative environment.
• To provide skilled assistance to the Consultant Surgeon during the peri-operative period utilising skills relevant to the training as surgical first assistant.


• Assist in the safe positioning of the patient with the theatre team
• Prepare skin and apply drapes for surgery
• Nerve and deep tissue retraction. The retractors are to be placed by the Consultant Surgeon
• Tissue and organ manipulation for exposure or access
• Assist with haemostasis to secure a clear operative field, including indirect application of diathermy by the Consultant Surgeon
• Camera manipulation during minimal access surgery
• Assist with wound closure
• Accurately maintain documentation relevant to the peri-operative procedure
• Maintain health, safety and security of self and others,
• Demonstrate effective time management
• Report incidents using datix and inform theatre manager/deputy
• To participate change in practice using evidenced based policy/procedure
• Demonstrate a professional calm attitude when communicating
• Participate in clinical audit
• Participate in the theatre on call rota


• Ensure all mandatory training is undertaken on a yearly basis
• Promote evidenced based practice and participate in any projects applicable to role
• Ensure personal development and professional registration is maintained at all times
• Participate in performance appraisal review
• Act as a resource to junior staff
• Act as a mentor to students and staff undertaking AFPP Competency tool kit for first assistant

In addition to the key job responsibilities detailed in this job description all employees at St Hugh’s Hospital are expected to comply with the following standards:

Infection Prevention
To maintain a clean, safe environment, ensuring adherence to the Hospital’s standards of cleanliness, hygiene and infection prevention.

Health & Safety
To take reasonable care to prevent injury to themselves or others who may be affected by their acts or omissions.

To co-operate fully in discharging HMT policies and procedures with regard to health and safety matters.

To immediately report to their manager any shortcomings in health and safety procedures and practice.

To report any accidents or dangerous incidents to their immediate manager and safety representative as early as possible and submit a completed accident / incident form.

To use protective clothing and equipment where provided.

Whilst the aim of the hospital is to promote a co-operative and constructive view of health and safety concerns in the organisation, all staff must be aware that a wilful or irresponsible disregard for safety matters may give rise to disciplinary proceedings.

Equality & Diversity
Be aware of need for own personal development and be prepared to attend and undertake any necessary training, being aware of the need to develop oneself and to strive to increase personal knowledge.

Contribute to making the clinical environment conductive to learning and development where individuals feel able to discuss ideas and action as well as showing initiative.

Safeguarding children, young people and vulnerable adults
St Hugh’s Hospital is committed to safeguarding and promoting the welfare of children, young people and vulnerable adults. All staff are therefore expected to behave in such a way that supports this commitment.

Information Governance
All staff have an individual responsibility for creating accurate records of their work and for making entries into and managing all patient records effectively in line with all the Health Record Keeping Policies and Procedures in order to meet the Hospital’s legal, regulatory and accountability requirements.

To actively participate in governance activities to ensure that the highest standards of care and business conduct are achieved.

General Policies, Procedures and Practices
To comply with all HMT and Hospital policies, procedures and practices and to be responsible for keeping up to date with any changes to these.

Freedom to Act
The post holder will be accountable for their own actions, using own initiative, acting autonomously within their designated area but working within HMT policies and procedures.

Job Revision
This job description should be regarded as a guide to the duties required and is not definitive or restrictive in any way. The duties of the post may be varied from time to time in response to changing circumstances. This job description does not form part of the contract of employment.


BENEFITS: 25 Statutory days’ holiday plus bank holidays, contributory pension, private medical insurance
We regularly review our employee benefits package, which includes our group personal pension plan, private medical cover, free car parking and a range of retail and entertainment discounts.
All staff have the option to opt into our flexible benefits programme offering substantial savings on items such as childcare vouchers, bicycles, mobile phones and computers.
We encourage our employees to have a positive work-life balance and to consider HMT ‘a great place to work’.


The job holder will work primarily within the hospital with occasional visits to and meetings at other hospitals or centralised function offices.

This is an outline job description setting out general responsibilities and tasks the post-holder may be required to undertake. It is not comprehensive and the post-holder may be required to carry out other duties and responsibilities from time to time as determined by HMT. The job description will also be subject to change in-line with the needs of the Hospital and the Organisation.

Staff will be expected to carry out their duties in line with their terms and conditions and contract of employment, the standards stated in the staff handbook and will be required to follow HMT policies and procedures and as stated in the NMC Code of Conduct 2015.

Staff have a contractual duty to ensure that mandatory training is current and will be expected to participate and undertaken further developmental training specific to their role.


Key Competencies

Qualifications (Academic, Professional & Vocational) Registered Nurse or Registered ODP Registered qualification in surgical assisting Previous Experience Extensive professional clinical experience in appropriate speciality Ability to deal with difficult/sensitive situations Ability to successfully manage people and implement change management IT competent Evidence of leadership skills Demonstrate knowledge of patient group Ability to apply evidenced based practice Knowledge of clinical governance Knowledge of audit Evidence of CPD Ability to practice within scope of NMC/HCPC code of professional conduct Awareness of Health and Safety at Work Act, Infection Control and COSHH Evidence of Particular: - Knowledge - Skills - Aptitudes Excellent verbal communication skills Be patient focused Able to prioritise and meet deadlines effectively Good management of own time and others time Able to use initiative and make decisions Able to analyse problems and implement effective and appropriate solutions Be committed to clinical supervision of staff and staff development.   Personal Qualities Professional at all times Motivated and able to motivate others Calm and objective Approachable Good interpersonal skills