Nurse or Paramedic Streamer (Adults and Children)

Job responsibilities

Title:Nurse or Paramedic Streamer (Adults and Children)

Specialty:Queen Mary Sidcup Urgent Care and Out of Hours Service

Location:Queen Mary Sidcup Urgent Care and Erith Hospital

Employment type: Permanent

Work hours: Flexible

Salary: Band 6 (depending on skills and experience)

Accountable and Responsible to:Emergency Clinical Practitioner and Lead Nurse

Key Working Relationships

Key relationships include but are not limited to:

BHNC Board

BHNC Senior Management Team

UTC Senior Management

BHNC Training Hub

Key Responsibilities

Duties

• The postholder will be responsible for ensuring the delivery of safe and effective nursing care to the Urgent Care patients. The streamer will be involved in dealing with the initial assessment of all (adults and children) ambulatory adult cases arriving at the Urgent Treatment centre.

• Make autonomous decisions on directing patients to the correct clinical area of service.

• Be professionally and legally accountable for all aspects of their professional and clinical work within agreed national, local and professional standards and guidelines.

• As a clinical streamer, they are responsible for the care delivered during the streaming / triage process. The streamer demonstrates critical thinking and skills in clinical decision-making. They will work collaboratively with the whole Urgent Care team to meet the needs of patients, supporting the delivery of policy and procedures.

• Support patients using the streaming and redirection tool at the first point of contact.

• Identifyusing knowledge andexperience,any patients who present with red flag symptoms and escalate effectively.

• Recognise and work within own competence and professional code of conduct as regulated by the NMC regarding wound care, medication administration and observation monitoring.

• Provides medication administration under Patient Group Directions and will follow the necessary legal duties, training and documentation mandated.

• To use enhanced skills and knowledge to assess the physical and psychosocial needs and develop a comprehensiveand concordant plan of care with the patient whenrequired.

• Observe,recordand report all changes to a senior clinicianin a timely manner, depending on acuity and urgency.

• Produceaccurate,contemporaneousand complete records of patient consultation, consistent with legislation,policiesand procedures.

• Prioritise,organiseand manage ownworkload in a manner thatmaintainsand promotes quality,ensure effective time-management strategies are embedded within the culture of the teamusingall available resources.

• Deliver care as an individual and team according to the National Framework 2022(gov.uk),NICE guidelines and evidence-based care.

• Support Emergency Clinical Practitioners, Advanced Clinical Practitioners and Urgent Care GPs, with caseload in minor injuries/illness.

• Excellent decision-making skills under pressure.

• Give accurate and comprehensive hand over to team members at each shift change, ensuring that pertinent information, consideration, acute presentations etc are fully disseminated to colleagues.

• Provide health education and promote healthy lifestyle for patients and carers.

• Provide clinical and professional advice and support to the team.

• Promote safe systems of work andidentifyareas where changes in the Urgent Care would achieve a more effective outcome.

• Ensure resources are used efficiently and effectively and all equipment used in the care of patients is appropriatelymaintainedand used only by those individuals with theappropriate training.

• Work with patientsin order tosupport compliance with and adherence to prescribed treatments.

• Actively challenges unacceptable behaviour and discrimination.

• Prioritisehealth problems and intervene appropriately toassistthe patient in complex, urgent or emergency situations, including initiation of effective emergency care.

• Actively promote the workplace as a learning environment, encouraging everyone to learn from each other and from external good practice.

• Understand own role and scope andidentifyhow this may develop over time.

• Work as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working.

• Delegate clearly and appropriately, adopting the principles of safe practice and assessment of competence.

• Discuss,highlightand work with the team to create opportunities to improve patient care.

Personal andProfessional Development

• Take responsibility for own learning and performance including participating in clinical supervision and acting as a positive role model.

• Participate in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development.

• Participate in any training programme implemented by the management team.

• Assess own performance and development and take accountability for own actions, either directly or under supervision.

• Represent the organisation positively and professionally, behaving as an ambassador for BHNC bydisplaying the organisations values and levels of expected professionalism at all times.

• Demonstrate interpersonal skills when dealing with all levels of staff across the BHNC and PCNs using persuasion, tact and reassurance where necessary.

• Handle confidential patient material in a sensitive and discrete fashion in compliance with Bexley Health Neighbourhood Care policy and procedure.

• To be able to influence, motivate and involve individuals and teams to reach necessary performance target expectations.

• Liaise with other departments,members of the Bexley Health Neighbourhood Care and other organisations to ensure the smooth running of the role toassistthe functioning of the team.

• Work within BHNC policies and procedures.

General

• Maintain confidentiality at all times.

• Represent the organisation positively and professionally, behaving as an ambassador for BHNC bydisplaying the organisations values and levels of expected professionalism at all times.

• Demonstrate interpersonal skills when dealing with all levels of staff across the BHNC and UTCs using persuasion, tact and reassurance where necessary.

• Handle confidential material in a sensitive and discrete fashion in compliance with BHNC policies and procedures.

• To be able to influence, motivate and involve individuals and teams to reach necessary performance target expectations.

• Liaise with other departments and members of BHNC and other organisations to ensure the smooth running of the role.

• Work within BHNC policies and procedures.

Qualifications

Essential

• - Registered Nurse or Paramedic

Desirable

• - Evidence of continued professional development.
• - BLS / ILS.
• - Mentorship / teaching qualification.

Skills / Abilities

Essential

• - Evidence of knowledge of acute and urgent care presentations, including red flag symptoms.
• - Ability to work autonomously in a fast-paced environment.
• - Ability to undertake rapid patient assessments to determine urgency.
• - Broad range of nursing knowledge, interventions and skills.
• - Ability to maintain accurate clinical records.
• - Knowledge of the principles of health promotion and preventing illness.
• - Excellent decision-making skills under pressure
• - Knowledge of local and national urgent care pathways
• - Ability to communicate professionally.
• - Strong communication and interpersonal skills to manage challenging situations.
• - Ability to work autonomously within agreed protocols and escalate appropriately.
• - Developed IT skills using electronic patient record systems
• To safeguard patients of all ages appropriately.
• - Professional, approachable and calm under pressure.
• - Confident and assertive in decision making.
• - Flexible and adaptable to changing clinical priorities.
• - Commitment to high quality, patient centred care.
• - Work effectively as a team with multidisciplinary colleagues.
• - To identify and record patient safety events.

Desirable

• - Evidence of using Cleo IT system.
• - Experience of computer medical record keeping.
• - Cannulation skills.
• - Evidence of leadership qualities.
• - Commitment to service development and quality improvement.

Experience

Essential

• - Minimum 2 years post registration experience.
• - Experience working in a relevant speciality, eg: primary care, urgent care or emergency department setting, ambulance.
• - Demonstrable experience in initial assessment, prioritisation and escalation of patient care of both adults and children.

Desirable

• - Administering medicines under Patient Group Directions in an emergency or urgent care setting.

Other

Essential

• - Willingness to work shifts including evenings, weekends and bank holidays.
• - Up to date immunisations and occupational health clearance.
• - Self and team motivated.
• - Flexibility.
• - Ability to follow workplace policies and protocols.

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).