Job summary
An exciting opportunity has arisen to join the Guy's and St Thomas' Urgent Treatment Centre (UTC) team as a Senior staff Nurse/ Assessment Nurse. There is 2 locations, one in Guys Hospital ( near London Bridge) and another in St. Thomas Hospital (attached to the main Emergency department) that is situated on the south bank of the Thames in central London.
Both UTC's, serve a large and diverse population, in the heart of London. The department form's part of a large emergency floor that also includes, an Acute Admission Ward, a 18 bedded Multi Speciality assessment unit, a separate Paediatric ED, medical SDEC, Surgical assessment unit working closely with the Psychiatric Liaison Team and has a dedicated practice Development Team.
The department maintained an Outstanding Rating by the CQC in 2021.
We are inviting applications from experienced Emergency Nurses to join our team as a Band 6 Senior Staff Nurse / Assessment Nurse.You should be ready for a challenge and be passionate about Emergency Nursing! We have an excellent development programme with protected teaching time including support to develop management skills. You will be required to have or be currently studying on an Emergency Nursing course or equivalent to apply for this post, alongside vast Triage/streaming capabilities.
Please note this is a position to work in the Urgent Treatment Centre as a senior staff nurse / assessment nurse.
Main duties of the job
The post holder will be responsible for the assessment, planning and provision of specialist nursing advice and carries out specialist nursing procedures within the Urgent Treatment Centre. The post holder will provide clinical supervision to other staff, students and may participate on research activities and clinical audits in specific area.
Ensuring the safety and well being of services users, and always working in a manner that promotes dignity and human rights through the adoption of person centred care principles.
About us
Guy's and St Thomas' NHS Foundation Trust comprises five of the UK's best known hospitals - Guy's, St Thomas', Evelina London Children's Hospital, Royal Brompton and Harefield - as well as community services in Lambeth and Southwark, all with a long history of high quality care, clinical excellence, research and innovation.We are among the UK's busiest, most successful foundation trusts. We provide specialist care for patients including heart and lung, cancer and renal services as well as a full range of local hospital and community services for people in Lambeth and Southwark.
We have a long tradition of clinical and scientific achievement and - as part of King's Health Partners - we are one of England's eight academic health sciences centres, bringing together world-class clinical services, teaching and research. We have one of the National Institute for Health Research's biomedical research centres, established with King's College London in 2007, as well as dedicated clinical research facilities.
We have around 22,700 staff, making us one of the largest NHS Trusts in the country and one of the biggest employers locally. We aim to reflect the diversity of the communities we serve and continue to develop new and existing partnerships with local people, patients, neighbouring NHS organisations, local authorities and charitable bodies and local General Practices.
Job description
Job responsibilities
- Clinical and Patient Care
- Independently manage a group of patients within the speciality whilst working as part of the multidisciplinary team, delivering individualised and personalised direct patient care
- Demonstrate appropriate practice and specialist advice in the assessment, planning, implementation and evaluation of patient care. This includes history taking, physical examination and the requesting of agreed diagnostic procedures/clinical investigations.
- Responsible for the correct administration of prescribed medication including transfusion of blood and blood products
- Be responsible for assessing and recognising emergencies in the speciality. To interpret information and take appropriate action and to lead others to do the same.
- Act as an advocate for patients within the department, to ensure a patient orientated approach to the delivery of care and to meet standards within the NHS Plan and other relevant guidelines.
- Ensure that patients receive high quality clinical care and a good patient experience, having regard for their customs, religious beliefs and doctrines.
- Recognise and avoid situations that may be detrimental to the health and well being of the individuals.
- To provide leadership, support and guidance to staff in monitoring the planning delivery and evaluation of individualised care.
- Is wholly accountable for own practice in line with the NMC code of professional conduct and takes every reasonable opportunity to sustain and improve his / her knowledge and professional competence.
- Ensure safe and effective care for complex patients requiring advance clinical skills and responsible for carrying out specialist nursing procedures to area.
- To be responsible, for maintaining a safe environment for patients, visitors and other staff within the clinical environment.
- Ensure that sensitive patient records are stored appropriately.
- Ensures the cultural and spiritual needs of patients are recognised and accommodated within resources available.
- Support and enable patients and carers to make informed decisions relating to their treatment and management.
- Participate in case conferences in relation to the management of patients, ensuring the coordination of ongoing care.
- Ensure staff take precautions to minimise the risk of cross infection in relation to the safe disposal of body fluids (including blood).
- A key member of the multidisciplinary team in supporting patients and their carers during the delivery of bad news such as caring for the terminally ill patients and the event of death.
- Assess educational and information needs for patients and families, and devise plans to ensure needs are met.
- To be an effective communicator with patients/carers/families regarding disease treatment and management.
- Promote high quality clinical care, and assist in the development of the specialist service, through the use of evidence based practice and clinical standards
- Provide a seamless, high quality service from referral through to assessment, diagnosis, treatment and review.
- Quality
- Facilitate a high quality, cost effective specialist service through monitoring and audit and other quality initiatives agreed by the Trust
- Lead on and participate in key developments relating to the speciality so that high quality patient focused services are promoted.
- Enhance the interface between staff, patients, community staff and visitors
- Develop and utilise information systems to aid regular audit of the clinical role and to provide a quarterly incidence report for the Health Authority and an annual activity analysis and speciality report.
- Attend and participate in multi-professional team meetings.
- Set, monitor and review standards of care on a regular basis and initiate corrective action plans
- Identify and intervene where circumstances contribute to an unsafe environment for patients and staff. To bring instances to the attention of the Nurse in Charge and Lead Nurse for the area.
- Education and Leadership
- Ensure that the learning environment and specialist training is appropriate for both pre and post registration learners and participate in the development of appropriate programmes
- Contribute in the Trusts clinical supervision programme for staff
- Identify and raise awareness of the educational needs of patients and carers and implement appropriate education programmes
- Support and participate in education and training programmes and develop training packages as required.
- To assist the Lead Nurse and Nurse in charge in developing a culture that is challenging, stimulating, rewarding and supportive.
- Actively participating in the selection, training, and supervision of the NVQ Clinical Support Workers and ensure that all staff are aware of the assessment process.
- Assess the need for, plan and implement suitable staff development programmes for nursing staff within clinical area to ensure the effective care of all patients.
- Assist the Nurse in charge to ensure that all students and newly appointed staff have identified mentors/preceptors.
- To act as mentor/assessor to unqualified staff and to provide education, advice and support to a team of nurses.
- Ensuring within mentorship that student nurses and post-registration students allocated to the area are given appropriate teaching, support and guidance, in accordance with clinical area/personal objectives and that all documentation is complete.
- Contribute and assist the Nurse in charge to foster a learning environment within the clinical area.
- To participate in education on a national and international level by attending, presenting at, and/or assisting in the coordination of study days/seminars/conferences etc.
- Be aware of the local equipment training programme for staff in relation to the Clinical Negligence Scheme for Trusts and maintain training records.
- Research and Development
- Promote and undertake nursing research updating own knowledge to promote excellence in clinical practice.
- Utilise research findings in the delivery of specialist patient care, developing new ways of working and to disseminate relevant information to staff.
- Participate in and be aware of other clinical research trials for patients
- Participate and contribute to audit and research within the speciality in collaboration with colleagues.
- Management and Leadership
- Provide a leadership role model and demonstrate specialist knowledge and high standards of clinical practice and provide support or advice when necessary.
- Develop the role according to patients changing needs and research findings, within the resources available.
- Maintain accurate records of the clinical service and ensuring that confidentiality of information is adhered to.
- Organise own work and manage own caseload and practice, identifying and maintaining supportive networks for self and other staff members.
- To be fully aware of the targets set out in the NHS Plan and Corporate & Directorates objectives and in conjunction with the multi-professional team use the available resources to meet these targets.
- Provide specialist education to members of the clinical team, which facilitates learning and individual personal development.
- In co-ordinating the day-to-day management of the clinical area, delegates duties and care appropriately whilst maintaining overall responsibility. Ensures that staffing and skill mix is maintained, at all times, to a level that does not compromise patient safety.
- Identify the need bank staff within the clinical area escalating to Nurse in charge / Lead Nurse.
- To be involved in the development, assessment and implementation of guidelines, protocols and pathways.
- To deputise for the Nurse in charge in their absence
- Compliance and Governance
- Take an active role in risk assessment, supporting implementation of strategies to minimise risk. Ensuring incidents and near misses are reported, through promoting a no blame culture.
- Ensure all staff act in accordance with Local, Hospital and Statutory Guidelines & Policies including Health and Safety initiatives.
- Will be familiar with the Health and Safety at Works Act, and be aware of its implications and ensure that local unit and departmental policies are followed.
- Will work in accordance with Corporate Objectives and ensure that all staff are aware.
- Will ensure that the Hospitals policy is understood and carried out with regard to the care and custody of drugs/medications, especially with regard to those covered by the Control of Drugs Act.
- Will be familiar with the wards fire, manual handling and C.O.S.H.H. policies and ensure that all nurses in the department are aware of the policies to minimise risks to patients and staff.
- Will be fully conversant with the trust major incident plan, and ensure that all nurses on the department understand the procedure.
- Take all possible precautions to safeguard the welfare and safety of staff, service users, visitors and the public, by implementing all policies related to health, safety, security and risk.
- Communication
- To create an environment that fosters good communication between patient and health care professionals, that meets individuals needs.
- Be an effective communicator and be a role model in liaising with the community and other members of the health care team.
- Provide support mechanisms for sharing good practice within the department and Trust wide.
Job description
Job responsibilities
- Clinical and Patient Care
- Independently manage a group of patients within the speciality whilst working as part of the multidisciplinary team, delivering individualised and personalised direct patient care
- Demonstrate appropriate practice and specialist advice in the assessment, planning, implementation and evaluation of patient care. This includes history taking, physical examination and the requesting of agreed diagnostic procedures/clinical investigations.
- Responsible for the correct administration of prescribed medication including transfusion of blood and blood products
- Be responsible for assessing and recognising emergencies in the speciality. To interpret information and take appropriate action and to lead others to do the same.
- Act as an advocate for patients within the department, to ensure a patient orientated approach to the delivery of care and to meet standards within the NHS Plan and other relevant guidelines.
- Ensure that patients receive high quality clinical care and a good patient experience, having regard for their customs, religious beliefs and doctrines.
- Recognise and avoid situations that may be detrimental to the health and well being of the individuals.
- To provide leadership, support and guidance to staff in monitoring the planning delivery and evaluation of individualised care.
- Is wholly accountable for own practice in line with the NMC code of professional conduct and takes every reasonable opportunity to sustain and improve his / her knowledge and professional competence.
- Ensure safe and effective care for complex patients requiring advance clinical skills and responsible for carrying out specialist nursing procedures to area.
- To be responsible, for maintaining a safe environment for patients, visitors and other staff within the clinical environment.
- Ensure that sensitive patient records are stored appropriately.
- Ensures the cultural and spiritual needs of patients are recognised and accommodated within resources available.
- Support and enable patients and carers to make informed decisions relating to their treatment and management.
- Participate in case conferences in relation to the management of patients, ensuring the coordination of ongoing care.
- Ensure staff take precautions to minimise the risk of cross infection in relation to the safe disposal of body fluids (including blood).
- A key member of the multidisciplinary team in supporting patients and their carers during the delivery of bad news such as caring for the terminally ill patients and the event of death.
- Assess educational and information needs for patients and families, and devise plans to ensure needs are met.
- To be an effective communicator with patients/carers/families regarding disease treatment and management.
- Promote high quality clinical care, and assist in the development of the specialist service, through the use of evidence based practice and clinical standards
- Provide a seamless, high quality service from referral through to assessment, diagnosis, treatment and review.
- Quality
- Facilitate a high quality, cost effective specialist service through monitoring and audit and other quality initiatives agreed by the Trust
- Lead on and participate in key developments relating to the speciality so that high quality patient focused services are promoted.
- Enhance the interface between staff, patients, community staff and visitors
- Develop and utilise information systems to aid regular audit of the clinical role and to provide a quarterly incidence report for the Health Authority and an annual activity analysis and speciality report.
- Attend and participate in multi-professional team meetings.
- Set, monitor and review standards of care on a regular basis and initiate corrective action plans
- Identify and intervene where circumstances contribute to an unsafe environment for patients and staff. To bring instances to the attention of the Nurse in Charge and Lead Nurse for the area.
- Education and Leadership
- Ensure that the learning environment and specialist training is appropriate for both pre and post registration learners and participate in the development of appropriate programmes
- Contribute in the Trusts clinical supervision programme for staff
- Identify and raise awareness of the educational needs of patients and carers and implement appropriate education programmes
- Support and participate in education and training programmes and develop training packages as required.
- To assist the Lead Nurse and Nurse in charge in developing a culture that is challenging, stimulating, rewarding and supportive.
- Actively participating in the selection, training, and supervision of the NVQ Clinical Support Workers and ensure that all staff are aware of the assessment process.
- Assess the need for, plan and implement suitable staff development programmes for nursing staff within clinical area to ensure the effective care of all patients.
- Assist the Nurse in charge to ensure that all students and newly appointed staff have identified mentors/preceptors.
- To act as mentor/assessor to unqualified staff and to provide education, advice and support to a team of nurses.
- Ensuring within mentorship that student nurses and post-registration students allocated to the area are given appropriate teaching, support and guidance, in accordance with clinical area/personal objectives and that all documentation is complete.
- Contribute and assist the Nurse in charge to foster a learning environment within the clinical area.
- To participate in education on a national and international level by attending, presenting at, and/or assisting in the coordination of study days/seminars/conferences etc.
- Be aware of the local equipment training programme for staff in relation to the Clinical Negligence Scheme for Trusts and maintain training records.
- Research and Development
- Promote and undertake nursing research updating own knowledge to promote excellence in clinical practice.
- Utilise research findings in the delivery of specialist patient care, developing new ways of working and to disseminate relevant information to staff.
- Participate in and be aware of other clinical research trials for patients
- Participate and contribute to audit and research within the speciality in collaboration with colleagues.
- Management and Leadership
- Provide a leadership role model and demonstrate specialist knowledge and high standards of clinical practice and provide support or advice when necessary.
- Develop the role according to patients changing needs and research findings, within the resources available.
- Maintain accurate records of the clinical service and ensuring that confidentiality of information is adhered to.
- Organise own work and manage own caseload and practice, identifying and maintaining supportive networks for self and other staff members.
- To be fully aware of the targets set out in the NHS Plan and Corporate & Directorates objectives and in conjunction with the multi-professional team use the available resources to meet these targets.
- Provide specialist education to members of the clinical team, which facilitates learning and individual personal development.
- In co-ordinating the day-to-day management of the clinical area, delegates duties and care appropriately whilst maintaining overall responsibility. Ensures that staffing and skill mix is maintained, at all times, to a level that does not compromise patient safety.
- Identify the need bank staff within the clinical area escalating to Nurse in charge / Lead Nurse.
- To be involved in the development, assessment and implementation of guidelines, protocols and pathways.
- To deputise for the Nurse in charge in their absence
- Compliance and Governance
- Take an active role in risk assessment, supporting implementation of strategies to minimise risk. Ensuring incidents and near misses are reported, through promoting a no blame culture.
- Ensure all staff act in accordance with Local, Hospital and Statutory Guidelines & Policies including Health and Safety initiatives.
- Will be familiar with the Health and Safety at Works Act, and be aware of its implications and ensure that local unit and departmental policies are followed.
- Will work in accordance with Corporate Objectives and ensure that all staff are aware.
- Will ensure that the Hospitals policy is understood and carried out with regard to the care and custody of drugs/medications, especially with regard to those covered by the Control of Drugs Act.
- Will be familiar with the wards fire, manual handling and C.O.S.H.H. policies and ensure that all nurses in the department are aware of the policies to minimise risks to patients and staff.
- Will be fully conversant with the trust major incident plan, and ensure that all nurses on the department understand the procedure.
- Take all possible precautions to safeguard the welfare and safety of staff, service users, visitors and the public, by implementing all policies related to health, safety, security and risk.
- Communication
- To create an environment that fosters good communication between patient and health care professionals, that meets individuals needs.
- Be an effective communicator and be a role model in liaising with the community and other members of the health care team.
- Provide support mechanisms for sharing good practice within the department and Trust wide.
Person Specification
Qualifications / Education
Essential
- Adult Registered Nurse on the NMC register.
- Mentorship
- Immediate Life Support
- Emergency course or equivalent
- IRMER
- Nursing Degree or equivalent
Desirable
- Advance Life Support
- Triage / Streaming course
- Paediatric Life Support
Knowledge
Essential
- Relevant knowledge and understanding of NHS plan and UTC utilisation
- Up to date knowledge of current clinical and professional issues
- Knowledge of evidence based practice
Desirable
- Awareness of clinical governance
Experience
Essential
- Proven post registration experience within the relevant speciality
- Minimum of 3 years working in Emergency context
- Experience of teaching/assessing/supervising others in a clinical setting
- Experiencing of streaming / triage in Emergency department / Urgent Treatment Centre
Desirable
- Leadership/ Management experience
Skills
Essential
- Demonstrates specialist expertise underpinned by theory acquired through CPD
- Venepuncture and cannulation
- Plastering
- Non medical imaging referrer
- IT skills
- Good communication skills and ability to deal with sensitive information
Desirable
- An understanding of audit and research based nursing practice
Person Specification
Qualifications / Education
Essential
- Adult Registered Nurse on the NMC register.
- Mentorship
- Immediate Life Support
- Emergency course or equivalent
- IRMER
- Nursing Degree or equivalent
Desirable
- Advance Life Support
- Triage / Streaming course
- Paediatric Life Support
Knowledge
Essential
- Relevant knowledge and understanding of NHS plan and UTC utilisation
- Up to date knowledge of current clinical and professional issues
- Knowledge of evidence based practice
Desirable
- Awareness of clinical governance
Experience
Essential
- Proven post registration experience within the relevant speciality
- Minimum of 3 years working in Emergency context
- Experience of teaching/assessing/supervising others in a clinical setting
- Experiencing of streaming / triage in Emergency department / Urgent Treatment Centre
Desirable
- Leadership/ Management experience
Skills
Essential
- Demonstrates specialist expertise underpinned by theory acquired through CPD
- Venepuncture and cannulation
- Plastering
- Non medical imaging referrer
- IT skills
- Good communication skills and ability to deal with sensitive information
Desirable
- An understanding of audit and research based nursing practice
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).
