Critical Care Outreach Sister/Charge Nurse (XR07)

Job description

Job responsibilities

Deliver and maintain a high standard of patient focused care in accordance with Leeds Teaching Hospitals Trust guidelines and policies.

Work within frequently challenging clinical environments with high levels of physical and mental effort.

Have knowledge of pathophysiology, anatomy and physiology in order to assess, plan, implement and evaluate treatment of the critically ill patient. Able to make expert clinical judgements involving complex situations which requires analysis and interpretation to decide on the best course of action/treatment.

Competently and confidently care for the deteriorating/acutely ill adult utilising expert critical care skills and knowledge in a variety of clinical settings with in direct supervision as part of the multi-disciplinary team

Provide rapid response and support for patients identified by the National Early Warning Score.

Undertake a comprehensive advanced patient assessment based on history taking and clinical examination and implement a management/treatment plan.

Provide direct patient care and support at the bedside until the patient is stabilised or transferred to an area with a higher level of care. Initiate therapeutic interventions for example to manage haemodynamic and respiratory instability.

Refer to other members of the MDT and other specialities as appropriate.

Participate in the stabilisation and transfer of critically ill patients to an appropriate environment.

Competent in advanced clinical skills such as venepuncture, cannulation, arterial stabs, fine bore nasogastric tube insertion, tracheostomy decannulation, airway management and cardiopulmonary resuscitation.

Prescribe and administer a range of drugs by patient group directives.

Accurately request pathology and radiological investigations and make clinical decisions based upon the results.

Utilise highly developed communication and negotiation skills to deal with challenging/conflict situations ensuring patient centred care.

Work autonomously taking responsibility for own decision making, referring to the appropriate physician/ICU Consultant/Outreach Team Leader when advice and further clinical input is needed or when care and treatment goes beyond normal service parameters or scope of professional practice.

Carry the crash bleep and respond to 2222 calls.

Carry the critical care bed managers bleep out of hours, liaising with the sisters/charge nurses to co-ordinate flow throughout critical care.

Respect patients rights to participate in decisions about their care and be able to advise them on complex and personal matters.

Communicate highly sensitive information to patients and their relatives, showing empathy and providing psychological support.

Maintain up to date clinical records in accordance with the most up-to-date NMC and Trust guidance.

Act as a clinical role model, which reflects the philosophy, beliefs and clinical standards of the outreach service.

Maintain a safe working environment.

Demonstrate an understanding of key infection prevention and control policies including, hand hygiene, MRSA, transfer of patients.

Demonstrate individual responsibility for infection prevention and control, challenging non-compliance with policy.

Develop and implement evidence based standards, policies and guidelines.

Act in such a way that safeguards the health and wellbeing of children and vulnerable adults at all times. Is familiar with and adheres to, the LTHT safeguarding policies.

Education and Training

Contribute to the promotion of a positive learning environment within the clinical areas across the Trust.

Promote evidence based practice wherever possible.

Inform, consult and educate members of the multi-professional team regarding the purpose and function of outreach and the function and use of the Early Warning Scoring system.

Participate in critical care based education programmes that are set up across the Trust and the University.

Lead and participate in identified education/training needs Trust wide for the deteriorating adult.

Deliver and participate in education programmes across the trust to enable ward staff to care for the deteriorating /acutely unwell adult.

Participate in preceptorship and mentorship programmes.

Undertake continuous professional and clinical development, seeking opportunities to enhance skills.

Continue to develop specialist advanced clinical skills in response to service need.

Maintain annual mandatory training requirements.

Keep up-to-date with developments, advancements within critical care by working clinically in the critical care environment.

Actively participate in the development of own personal development plan and performance review.

Work in collaboration with ward managers and clinical educators to identify the learning needs of ward based staff trust wide.

Management and Leadership

Develop inter-professional collaborative working relationships with staff trust-wide utilising excellent interpersonal skills.

Use expert/advanced communication skills to create and sustain new alliances.

Investigate and respond to accidents, complaints, untoward incidents and other significant events.

Provide leadership, support and direction for junior members of staff.

Motivate, inspire and develop other practitioners to achieve excellence in care.

Provide leadership for the multidisciplinary team as required when managing acute situations. Act as a positive role model.

Raise concerns with regards to risk, danger, malpractice or wrong doing by following the LTHT Whistleblowing policy and supporting processes.

Research and Audit

Maintain up-to-date knowledge of current research/audit and best practice.

Participate in regular audit activity specific to the client group as agreed with the team lead.

Lead and participate in the dissemination of audit and research findings.

Person Specification

Qualifications

Essential

• Registered Nurse
• Educated to Post Graduate Degree level or equivalent clinical experience.
• Recognised teaching/assessing qualification

Desirable

• Post registration certificate in advanced practice

Other

Essential

• Advanced oral and written communication skills.

Experience

Essential

• Significant post registration experience
• Significant critical care at sister/charge nurse or equivalent outreach experience.
• In depth knowledge & clinical competence in the care of the critically ill.
• Insight into current issues in nursing/ professional issues

Skills & Behaviours

Essential

• Professional and patient focused with a strong commitment to providing high quality care.
• Flexible adaptable and capable of lateral thinking.

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.

Certificate of Sponsorship

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).

Employer details

Employer name

Leeds Teaching Hospitals

Address

St. James's University Hospital

Beckett Street

Leeds

LS9 7TF

Employer's website

https://www.leedsth.nhs.uk/ (Opens in a new tab)