Job summary
We have an exciting opportunity at the Royal Orthopaedic Hospital for a Band 6 Rapid Response Sister/Charge Nurse.
Main duties of the job
The post holder will be expected to:
- As a skilled member of the Rapid Response Team, provide early interventions with appropriate assessment, observation, and treatment for acutely deteriorating patients in the trust environment.
- A credible resource in the field of Critical Care/Acute Care who can provide extensive clinical advice and support to ward based staff, to enhance their knowledge and skills in caring for the acutely/critically ill patient in the ward environment.
- Support the rapid identification and treatment of patients with suspected and/or confirmed sepsis.
- Provide a key role in assessing and assisting in acute pain management plans ensuring all trust standards are maintained and monitored.
- Follow up and assess patients being discharged from a level 2 environment to level 1 environment.
- Assisting with intra and inter hospital transfers of level 2 and level 3 within operational hours
- Form part of the resuscitation team as an advanced life support provider.
- To develop the service through clinical expertise, leadership, education, audit and quality improvement.
- Establish and maintain professional networking relationships with the multidisciplinary healthcare team across the Trust.
About us
The Royal Orthopaedic Hospital NHS Foundation Trust is one of the largest specialist orthopaedic units in Europe. We offer planned orthopaedic surgery to people locally, nationally and internationally.
Our Trust is a very special hospital; big enough to deliver world class services and small enough to offer exceptional patient and staff experience. We offer a working experience unique in the West Midlands and we're always on the lookout for passionate people to join our award-winning team.
The ROH is an equal opportunities employer. We employ people of difference and are committed to growing an inclusive culture, where difference is celebrated, and people feel able to bring their whole and authentic self to work.
We are a Disability Confident Leader and offer a range of inclusive, family friendly and flexible working arrangements and policies, to support our people in the workplace. Flexible working requests will be considered.
The Trust is committed to the Disability Confident Interview Scheme and will offer an interview to disabled applicants who meet the minimum criteria for a vacancy and consider them on their abilities.
If you have a disability and need any support with your application or require any reasonable adjustments to be implemented please do get in touch with the Recruiting Manager for this position so that the team can support you.
Job description
Job responsibilities
MAIN DUTIES AND RESPONSIBILITIES
Clinical Practice
- Be able to participate fully in referral systems i.e., NEWS2, allowing healthcare staff to seek advice on the case of the acutely ill, deteriorating patient.
- Assess, plan and implement and evaluate individualised patient care, providing support and advice to medical, nursing staff.
- To assist in the discharge of patients back to general ward environments, ensuring a seamless transition of care.
- Undertake practical skills as necessary to ensure optimum patient management including advanced patient monitoring and equipment management.
- Undertake a wide range of advanced clinical skills where appropriate training has been completed and competency achieved.
- Manage expected and unexpected clinical events requiring unpredictable levels of physical effort according to patient dependency/clinical need.
- Participate in the management of haemodynamic instability and provide appropriate respiratory and vital organ support.
- Supporting patients, carers and staff during difficult situations arising in the clinical area i.e., delivering bad news.
- Undertake daily ward rounds providing advice to medical, nursing staff and initiate treatment changes as necessary.
- Form part of the acute pain service, reviewing patients with epidurals and supporting the wards with the use of PCAs.
- Act as an expert resource for cardiac arrest prevention and resuscitation related issues and actively participate in the management of cardiac arrest and medical emergencies.
Management and Personal
- Act as an autonomous practitioner, who directs, provides and evidence-based patient care founded on nursing and medical models.
- Act as a professional role model that leads by example in relation to attitudes, conduct and appearance.
- Develop inter-professional collaboration and work in partnership with ward-based staff across Trust.
- Participate in the clinical/nursing follow up of patients discharged from the High Dependency Unit.
- Inform practice development activities by using clinical risk evaluation, complaints, and indent reporting.
- Provide clinical and professional advice and support to ward-based staff as required.
- Manage available resources within financial constraints to achieve optimum patient care.
- Maintain appropriate documentation in accordance with agreed procedures and national standards.
- Participate in the multi-disciplinary review of patients on general wards, including those patients who have been referred to the rapid response team and have remained on the ward and those who have recently been discharged from HDU.
- Liaise with the appropriate clinicians and organise the admission of patients to a critical care bed where appropriate including the Adult Critical Care Co- ordination Transfer Service (ACCOTS)
- Participate in the resuscitation of patients as a cardiac arrest bleep holder.
- Comply with the requirements of the Health and Safety regulations to provide a safe environment for the patients, their families, and members of staff.
- Maintain data collection systems in order to provide information to enable identification of trends to aid decision making processes and to facilitate audit.
- Develop working partnerships with outreach nurses on other sites within the Trust and within the Network.
- Be able to deliver high standards of patient care in order to comply with clinical governance.
- Participate in the development and implementation of guidelines including sepsis and acute pain for staff to assist in the identification and care of patients who may be at risk of deterioration during their stay at ROH.
Education and Training
- Inform and educate Trust personnel about the existence and purpose of the Rapid Response Team
- Contribute to the Rapid Response training day for clinical staff equipping them with the skills and knowledge to identify and manage patients who are at risk of deterioration.
- Assist in the formal and informal education and training of members of staff on general wards who are caring for acutely ill patients out of the critical care environment.
- Actively participate in and develop seminars and teaching, both formally and informally within the clinical environment.
- Deliver resuscitation training in line with Resuscitation Council guidelines.
- Education and training of acute pain management.
Research and Development
- Act as a change agent and support other staff in the implementation of new practices.
- Work in collaboration with the multi-disciplinary team to support and develop research projects.
- Aid improvement in clinical standards within the acute care setting to meet the Clinical Governance agenda within the Trust.
- Participate in the development of evidence based clinical guidelines.
- Participate in clinical audit.
This is not an exhaustive list of duties, and a regular review will take place with the post holder as part of their ongoing development and performance management.
Job description
Job responsibilities
MAIN DUTIES AND RESPONSIBILITIES
Clinical Practice
- Be able to participate fully in referral systems i.e., NEWS2, allowing healthcare staff to seek advice on the case of the acutely ill, deteriorating patient.
- Assess, plan and implement and evaluate individualised patient care, providing support and advice to medical, nursing staff.
- To assist in the discharge of patients back to general ward environments, ensuring a seamless transition of care.
- Undertake practical skills as necessary to ensure optimum patient management including advanced patient monitoring and equipment management.
- Undertake a wide range of advanced clinical skills where appropriate training has been completed and competency achieved.
- Manage expected and unexpected clinical events requiring unpredictable levels of physical effort according to patient dependency/clinical need.
- Participate in the management of haemodynamic instability and provide appropriate respiratory and vital organ support.
- Supporting patients, carers and staff during difficult situations arising in the clinical area i.e., delivering bad news.
- Undertake daily ward rounds providing advice to medical, nursing staff and initiate treatment changes as necessary.
- Form part of the acute pain service, reviewing patients with epidurals and supporting the wards with the use of PCAs.
- Act as an expert resource for cardiac arrest prevention and resuscitation related issues and actively participate in the management of cardiac arrest and medical emergencies.
Management and Personal
- Act as an autonomous practitioner, who directs, provides and evidence-based patient care founded on nursing and medical models.
- Act as a professional role model that leads by example in relation to attitudes, conduct and appearance.
- Develop inter-professional collaboration and work in partnership with ward-based staff across Trust.
- Participate in the clinical/nursing follow up of patients discharged from the High Dependency Unit.
- Inform practice development activities by using clinical risk evaluation, complaints, and indent reporting.
- Provide clinical and professional advice and support to ward-based staff as required.
- Manage available resources within financial constraints to achieve optimum patient care.
- Maintain appropriate documentation in accordance with agreed procedures and national standards.
- Participate in the multi-disciplinary review of patients on general wards, including those patients who have been referred to the rapid response team and have remained on the ward and those who have recently been discharged from HDU.
- Liaise with the appropriate clinicians and organise the admission of patients to a critical care bed where appropriate including the Adult Critical Care Co- ordination Transfer Service (ACCOTS)
- Participate in the resuscitation of patients as a cardiac arrest bleep holder.
- Comply with the requirements of the Health and Safety regulations to provide a safe environment for the patients, their families, and members of staff.
- Maintain data collection systems in order to provide information to enable identification of trends to aid decision making processes and to facilitate audit.
- Develop working partnerships with outreach nurses on other sites within the Trust and within the Network.
- Be able to deliver high standards of patient care in order to comply with clinical governance.
- Participate in the development and implementation of guidelines including sepsis and acute pain for staff to assist in the identification and care of patients who may be at risk of deterioration during their stay at ROH.
Education and Training
- Inform and educate Trust personnel about the existence and purpose of the Rapid Response Team
- Contribute to the Rapid Response training day for clinical staff equipping them with the skills and knowledge to identify and manage patients who are at risk of deterioration.
- Assist in the formal and informal education and training of members of staff on general wards who are caring for acutely ill patients out of the critical care environment.
- Actively participate in and develop seminars and teaching, both formally and informally within the clinical environment.
- Deliver resuscitation training in line with Resuscitation Council guidelines.
- Education and training of acute pain management.
Research and Development
- Act as a change agent and support other staff in the implementation of new practices.
- Work in collaboration with the multi-disciplinary team to support and develop research projects.
- Aid improvement in clinical standards within the acute care setting to meet the Clinical Governance agenda within the Trust.
- Participate in the development of evidence based clinical guidelines.
- Participate in clinical audit.
This is not an exhaustive list of duties, and a regular review will take place with the post holder as part of their ongoing development and performance management.
Person Specification
Skills
Essential
- Relevant/Recent experience in Critical/Acute Care
Desirable
- Critical Care Course or Post Grad equivalent
Qualification
Essential
Desirable
- Previous Critical Care Outreach Experience
Experience
Essential
- Recent/relevant experience in Critical Care/ Acute Care
Desirable
- Previous Outreach Experience
- Critical Care Course / or equivalent post reg course
- ILS/ALS
- Mentorship Course
- NMP
Person Specification
Skills
Essential
- Relevant/Recent experience in Critical/Acute Care
Desirable
- Critical Care Course or Post Grad equivalent
Qualification
Essential
Desirable
- Previous Critical Care Outreach Experience
Experience
Essential
- Recent/relevant experience in Critical Care/ Acute Care
Desirable
- Previous Outreach Experience
- Critical Care Course / or equivalent post reg course
- ILS/ALS
- Mentorship Course
- NMP
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).
