Job responsibilities
JOB
DETAILS
Job
Title: Critical Care Outreach Sister/Charge Nurse
Reports
to: Deputy Matron Critical Care Outreach Team
Accountable
to: Lead Nurse Deteriorating Patient
Band: 7
Unit/Department:
Critical Care Outreach Team
CSU
Directorate: Adult Critical Care
Location
AfC
Job No: 2478c
JOB
PURPOSE
The
post holder will work as an accountable, autonomous practitioner to provide
comprehensive advanced assessment and care of the deteriorating/acutely ill
adult patient leading to early intervention and treatment.
The
post holder will work in partnership with the Allied Healthcare Professionals
Team to initiate appropriate care to prevent further physiological
deterioration, identifying and referring those patients who require admission
to critical care.
The
post holder will act as a clinical role model, promoting quality
evidence-based practice. Multi-disciplinary team liaison, education and
training in the care and management of the deteriorating/acutely ill adult
will be key responsibilities.
The
post holder will hold achievement of the National Outreach Framework Enhanced
Competencies and work towards achievement of The National Outreach Framework
Advanced competencies identified through annual appraisals.
KNOWLEDGE,
SKILLS AND EXPERIENCE REQUIRED
Qualifications
Registered
Nurse (Level 1).
Critical
Care Course or equivalent competencies
Recognised
teaching/assessing qualification.
National
Outreach Framework Enhanced Competencies.
Educated
to post graduate degree level or equivalent experience.
Advanced
Life Support provider.
Experience
Significant
post registration experience.
Significant
Critical Care Outreach experience at sister/charge nurse level.
Working
with a wide range of professionals including; medical, nursing and management
colleagues.
Skills
Ability
to utilise expert/high level communication and interpersonal skills
effectively within a multi-disciplinary team.
Ability
to teach, supervise and assess qualified and unqualified staff.
Ability
to manage time & prioritise own workload effectively.
Proactive
towards change and change management.
Clinical
leadership.
IT
skills.
Excellent
liaison and negotiating skills.
Self-motivated
and able to work independently and autonomously.
Evidence
of managing complex patients in stressful and emotional situations where
life-changing events are being communicated and clinically managed.
Knowledge
In-depth
knowledge and expert clinical competence in the care of the deteriorating
/acutely ill adult.
Insight
into current issues in nursing/professional issues.
Standards
of professional practice.
Personal
Attributes
Professional
and patient focused with a strong commitment to providing high quality care.
Ability
to remain calm and polite under pressure.
Flexible,
adaptable, capable of lateral thinking with well-developed assertiveness
skills.
Excellent
interpersonal skills with advanced oral and written communication skills.
Clinical
role model.
Inspirational
with ability to motivate others
Innovator.
Ability
to identify and manage stress in self and others.
Compassionate
THE
LEEDS WAY VALUES
Our
values are part of what make us different from other trusts, so we see this
as a strength, as well as a responsibility. They have been developed by our
staff and set out what they see as important to how we work. Our five values are:
Patient-centred
Collaborative
Fair
Accountable
Empowered
All
our actions and endeavours will be guided and evaluated through these values
Additionally
the following are core values which relate specifically to this post:
Commitment
to delivering high quality evidence based care.
Commitment
to enhancing care for the critically ill within the Trust.
Commitment
to working in a multi-disciplinary team.
Commitment
to the clinical area, valuing the contribution of all team members,
encouraging a positive and creative working environment.
Commitment
to own personal and professional development and to the development of others
within the team.
Commitment
to support, uphold and demonstrate the core values and behaviours of the
Leeds Teaching Hospitals NHS Trust.
CORE
BEHAVIOURS AND SKILLS
Teaching and assessing skills.
Communication skills.
Time management skills.
Advanced clinical skills
(desirable).
Preceptorship skills.
Understanding of research-based
practice research conscious.
Team player.
Personal Development.
Ability to act professionally at all
times.
Understanding of the process of
change.
Uses initiative to resolve issues
within their own control.
Conflict management/resolution.
Leadership skills.
Organisational skills.
CORE
KNOWLEDGE AND UNDERSTANDING
An
understanding of the organisational structure and working practices of the
organisation
Understanding
of the local and national nursing agenda
Awareness
of Leeds Teaching Hospitals Trust guidelines and policies
PRINCIPAL
DUTIES & AREAS OF RESPONSIBILITY
Clinical
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
indirect 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, tracheostomy decannulation, airway management and cardiopulmonary
resuscitation.
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.
Where
required, 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.
Please
see Job Description for further information
