Job summary
Critical Care Outreach Team (Adult)
Band 7 Critical Care Outreach Sister/ Charge Nurse/ AHP
Full time/ Part time (30 hours) Secondment/Maternity cover post
An exciting opportunity has arisen to become part of the Band 7 team within the Adult Critical Care Outreach Team at Nottingham University Hospitals NHS Trust (NUH) . As one of the largest Trusts in the UK the Critical Care Outreach Team provides a diverse and comprehensive CCOT service to all adult patients within NUH which includes specialities such as; Neurosurgery, Haematology, Major Trauma, Renal and Infectious diseases.
The Critical Care Outreach Team (CCOT) at NUH is a highly regarded team who provide a Trust wide resource covering all adult patient areas across our City and Queens Medical Centre campuses, in total providing access to the Critical Care Outreach service to more than 80 wards and clinical areas. The team is multi-professional consisting of highly experienced and skilled Band 7 and 6 nurses, specialised physiotherapists and a CCOT assistants.
Main duties of the job
As a Band 7 you will lead the clinical service, providing ward based advanced clinical assessments, patient interventions and develop management plans with the goal to halt or reverse clinical deterioration. You will also have an opportunity to help shape and develop the service taking on managerial and leadership responsibilities to ensure that the service evolves to meet our patients and service user's needs.
The post holder will be required to demonstrate advanced clinical assessment skills and develop extensive knowledge of common clinical situations encountered within the range of specialities across the trust in particular; management of hypoxia with nasal high flow oxygen therapy, non-invasive ventilation, tracheostomy care and weaning, sepsis management and transfer of the critically unwell patient.
In addition you must have the ability to prioritise the workload of the team as the shift co-ordinator, provide both formal and informal teaching to staff at all levels, resource management such as rota co-coordination, sickness management and contribute to the ongoing development of the service and team members using staff development plans and appraisals.
About us
Nottingham University Hospitals NHS Trust is one of the largest in the UK and has the Major Trauma Centre for the East Midlands. It has one of the busiest emergency departments in the UK and is a major teaching Trust, NUH enjoys close links with the city's universities and attracts and develops the highest calibre of staff. It continues to be the hospital of choice for patients and remains at the forefront of research. NUH is currently looking to be internationally recognised through Magnet status.
The Critical Care Outreach service provides an extensive 24 hour, 7 day service, 365 days a year, across both City and Queens's campuses. The post holders will therefore be expected to work a combination of long day and night shifts.
All staff work across both campuses in order to provide a truly flexible service to meets the ever changing needs of the critically ill/ deteriorating ward patient throughout NUH.
The Clinical Support division would especially welcome applications from BAME colleagues who are currently underrepresented at this level.
Applicants will need to have previous Critical Care Outreach experience and have undertaken a degree and critical care course (or equivalent).
You will be supported with a formal induction and training programme, complete Critical Care Outreach clinical competencies, work alongside the teams Clinical Nurse Educator and access a Critical Care Outreach specific advanced training programme.
Job description
Job responsibilities
With over 19,000 staff,we are one of the biggest employers in the city with a central role in supporting the health and wellbeing of our local population. We play a leading role in research, education and innovation.
Come and join our wonderful team at NUH. We are big believers in diversity and welcome new ideas to help develop our team in order to deliver world class healthcare to the vast patient populations we serve. With endless personal development opportunities available, at NUH we will endeavour to turn your job into a career!
We particularly welcome applications from people who identify as Black, Asian and Minority Ethnic, or Disabled, as we are striving to be better represented at NUH
Job description
Job responsibilities
With over 19,000 staff,we are one of the biggest employers in the city with a central role in supporting the health and wellbeing of our local population. We play a leading role in research, education and innovation.
Come and join our wonderful team at NUH. We are big believers in diversity and welcome new ideas to help develop our team in order to deliver world class healthcare to the vast patient populations we serve. With endless personal development opportunities available, at NUH we will endeavour to turn your job into a career!
We particularly welcome applications from people who identify as Black, Asian and Minority Ethnic, or Disabled, as we are striving to be better represented at NUH
Person Specification
Trust Values and Behaviours
Essential
- Must be able to demonstrate behaviours consistent with the Trust's "We are here for you" behavioural standards
Training & Qualifications
Essential
- Current registration with the relevant professional body
- Post-basic training critical care course
- Competent in medicines management
- Teaching and Assessing Qualification
- Possession of Mentoring Course
- Degree in health / nursing/physiotherapy related studies or equivalent level of study
- Evidence of extension CPD/Reflective profile
- Able to demonstrate advanced patient assessment skills
- NORF enhanced competencies
- CC3N Step Competency steps 1-4
- Formal leadership and management training
- Resus UK advanced life support qualification
Desirable
- Masters in health / nursing/physiotherapy related Studies
- Research training/ experience
- Non medical prescribing
- Advanced clinical assessment module at level 7
- Clinical reasoning and decision-making module level 7
- ALS instructor
Planning and organisation
Essential
- Able to prioritise own and others workload and respond appropriately in urgent and emergency situations within an unpredictable working environment
- Awareness of budget constraints and ordering of specialist supplies
- Excellent triage skills
- Demonstrate effective time and effective resource management skills
Desirable
- Experience of reviewing the service ensuring compliance with national standards
- Formal QI training
Communication skills
Essential
- Demonstrate ability to communicate highly complex and emotive information through written, verbal routes including SBAR
- Evidence of minimising interpersonal conflict and barriers to communication using negotiating and influencing skills
- Demonstrates ability to convey sensitive information in an empathic manner to relatives/ carers, patients and staff
- Evidence off leading productive team working
- Demonstrates enhanced IT and keyboard skills
Desirable
- Advanced communication course
- Mediation training
Analytical skills
Essential
- Able to lead on assessment, planning, delivery ,prioritisation and evaluation of patient care in context of acute deterioration
- Can act autonomously in decision-making within the specialty and competence
- Able to recognise own level of competence and limitations and communicate these appropriately
- Able to lead on the development, implementation and monitoring of local objectives and plans
- Able to interpret and analyse highly complex clinical and non-clinical information, applying enhanced clinical reasoning skills to support care and intervention planning
- Able to support other staff members in the prioritisation of the care they deliver
- Able to critically analyse and evaluate research findings and apply these to practice
- Has knowledge of current issues relating to the NHS and critical care outreach services
Experience
Essential
- Significant experience at Band 6 level within critical care environment or equivalent
- Experience of managing team of autonomous practitioners 24 hrs of the day
- Experience of tracheostomy management, weaning and decannulation
- Budget management
- Experience of utilising critical care skills outside of the critical care environment
- Experience of delegation to , support and supervision of peers and junior staff
- Experience of teaching staff members complex concepts
- Experience of producing timely, accurate and electronic patient records and documents
- Experience of using hospital IT systems proficiently
- Experience of leading a portfolio of work with tight timelines
- Experience of delivering an audit cycle
- Experience of delivering feedback and use of KSF
- Experience of managing staff through NHS HR policies and procedures in a kind and compassionate way
Desirable
- Evidence of participation in audit or research within a clinical area
- Evidence of presenting at meetings/ conferences
- Evidence of writing for publication
- Evidence of experience of change management
- Experience in forming policy at local or national level
Physical skills
Essential
- Able to perform full range of clinical duties including CPR, assist in intubation and other urgent medical procedures
- Demonstrate dexterity and accuracy in undertaking clinical skills and use of equipment and documentation
- Able to use DSE equipment for prolonged periods of time
- Able to mobilise long distances with equipment or patients
- Able to undertake patient and non-patient manual handling manoeuvres, including moving heavy medical devices in line with policy and procedure
Other requirements
Essential
- Flexible, adaptable and confident
- Caring, enthusiastic and well-motivated
- Enhanced CRB clearance
- Ability to work 12 hour shift, bank holidays, weekends and nights
- Able to work flexibly on either hospital campus and from home
- Participate in the CCOT/critical care rotation programme and work in critical care areas as service demands
Person Specification
Trust Values and Behaviours
Essential
- Must be able to demonstrate behaviours consistent with the Trust's "We are here for you" behavioural standards
Training & Qualifications
Essential
- Current registration with the relevant professional body
- Post-basic training critical care course
- Competent in medicines management
- Teaching and Assessing Qualification
- Possession of Mentoring Course
- Degree in health / nursing/physiotherapy related studies or equivalent level of study
- Evidence of extension CPD/Reflective profile
- Able to demonstrate advanced patient assessment skills
- NORF enhanced competencies
- CC3N Step Competency steps 1-4
- Formal leadership and management training
- Resus UK advanced life support qualification
Desirable
- Masters in health / nursing/physiotherapy related Studies
- Research training/ experience
- Non medical prescribing
- Advanced clinical assessment module at level 7
- Clinical reasoning and decision-making module level 7
- ALS instructor
Planning and organisation
Essential
- Able to prioritise own and others workload and respond appropriately in urgent and emergency situations within an unpredictable working environment
- Awareness of budget constraints and ordering of specialist supplies
- Excellent triage skills
- Demonstrate effective time and effective resource management skills
Desirable
- Experience of reviewing the service ensuring compliance with national standards
- Formal QI training
Communication skills
Essential
- Demonstrate ability to communicate highly complex and emotive information through written, verbal routes including SBAR
- Evidence of minimising interpersonal conflict and barriers to communication using negotiating and influencing skills
- Demonstrates ability to convey sensitive information in an empathic manner to relatives/ carers, patients and staff
- Evidence off leading productive team working
- Demonstrates enhanced IT and keyboard skills
Desirable
- Advanced communication course
- Mediation training
Analytical skills
Essential
- Able to lead on assessment, planning, delivery ,prioritisation and evaluation of patient care in context of acute deterioration
- Can act autonomously in decision-making within the specialty and competence
- Able to recognise own level of competence and limitations and communicate these appropriately
- Able to lead on the development, implementation and monitoring of local objectives and plans
- Able to interpret and analyse highly complex clinical and non-clinical information, applying enhanced clinical reasoning skills to support care and intervention planning
- Able to support other staff members in the prioritisation of the care they deliver
- Able to critically analyse and evaluate research findings and apply these to practice
- Has knowledge of current issues relating to the NHS and critical care outreach services
Experience
Essential
- Significant experience at Band 6 level within critical care environment or equivalent
- Experience of managing team of autonomous practitioners 24 hrs of the day
- Experience of tracheostomy management, weaning and decannulation
- Budget management
- Experience of utilising critical care skills outside of the critical care environment
- Experience of delegation to , support and supervision of peers and junior staff
- Experience of teaching staff members complex concepts
- Experience of producing timely, accurate and electronic patient records and documents
- Experience of using hospital IT systems proficiently
- Experience of leading a portfolio of work with tight timelines
- Experience of delivering an audit cycle
- Experience of delivering feedback and use of KSF
- Experience of managing staff through NHS HR policies and procedures in a kind and compassionate way
Desirable
- Evidence of participation in audit or research within a clinical area
- Evidence of presenting at meetings/ conferences
- Evidence of writing for publication
- Evidence of experience of change management
- Experience in forming policy at local or national level
Physical skills
Essential
- Able to perform full range of clinical duties including CPR, assist in intubation and other urgent medical procedures
- Demonstrate dexterity and accuracy in undertaking clinical skills and use of equipment and documentation
- Able to use DSE equipment for prolonged periods of time
- Able to mobilise long distances with equipment or patients
- Able to undertake patient and non-patient manual handling manoeuvres, including moving heavy medical devices in line with policy and procedure
Other requirements
Essential
- Flexible, adaptable and confident
- Caring, enthusiastic and well-motivated
- Enhanced CRB clearance
- Ability to work 12 hour shift, bank holidays, weekends and nights
- Able to work flexibly on either hospital campus and from home
- Participate in the CCOT/critical care rotation programme and work in critical care areas as service demands
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Additional information
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).