Job summary
Exciting opportunity for a senior critical care nurse to gain experience in a senior leadership role of Medical Emergency Team Nurse
The post holder must be an experienced critical care nurse with detailed knowledge and skills to act as a positive role model through the provision of effective professional leadership and demonstration of competent, accountable clinical practice. The post holder must be competent to work under emergency situations within the MDT and able to prioritise their skill set for the needs of the patient needs.
Trainee Opportunity
The person specification for this role is attached to the advert. If you are interested in this position as a training / development opportunity, please review the person specification. We do require a level of skill and experience, but the complexity and breadth can be developed as you progress within the role.
Interviews will be held 3rd October 2023 and will be competency based and applicants may be required to complete a seen or unseen presentation as part of this interview process.
An Enhanced DBS Certificate with Adults' Barred Lists is required for this post.
Main duties of the job
- Perform autonomous comprehensive assessments of critically ill patients, plan, implement and evaluate care delivery according to changing health needs and varying levels of complexity.
- Provide appropriate care of level 2 and 3 patients delivering treatment and monitoring in ward areas/departments if admission into critical care is not available or inappropriate.
- Work collaboratively with other professionals and agencies to ensure patients critical care needs are met.
- Co-ordinate & maintain effective communications between critical care, and other ward/departments, managing conflicting views where necessary.
- Effective management of complications, which may occur during and/or post insertion of VADs including; blood stream and exit site infection, thrombus, arterial puncture, nerve damage, malposition/migration of VAD tip, fracture/sever, occlusion and withdrawal occlusion.
- Autonomous decision making regarding the clinical priorities of those patients referred to the PICC/Midline referral service including chemotherapy, OPAT and TPN
- Delegated responsibility for supervision and education of new PICC/line inserters of the team and other inserters within the trust prior to sign off from MET lead.
- CPR / Advanced Life Support Provider as part of the cardiac arrest team.
- Initiating sepsis screening at MET and TIER 1 calls to detect early signs of sepsis in patients allowing prompt treatment and decisive medical management within the first hour of red flag sepsis.
About us
The Secretary of State has approved the partnership between St Helens & Knowsley and Southport & Ormskirk Hospitals.
From 1st July we have come together as a single organisation under the name Mersey & West Lancashire Teaching Hospitals NHS Trust.
The Trust delivers acute hospital care, intermediate care, community, and primary care services to a population of over 600,000 people with a combined workforce of around 9000 dedicated and skilled staff from 17 locations including Whiston, Southport & Formby, St Helens, Ormskirk and Newton hospitals.
The Trust provides regional services for burns, plastic surgery and spinal injuries to more than 4 million people across Mersey and West Lancashire, Cheshire, the Isle of Man and North Wales.
Our Vision is to deliver 5 Star Patient Care:
- CAREthat is evidence based, high quality and compassionate
- SAFETY that is of the highest standards
- COMMUNICATION that is open, inclusive and respectful
- SYSTEMS that are efficient, patient centred and reliable
- PATHWAYS that are best practice and embedded, but also respect the individual needs of patients
Our achievements include:
- Trust rated Outstanding by CQC Inspection August 2018
- Top 100 places to work in the NHS (NHS Employers & Health Service Journal)
- Awarded National Preceptorship Accreditation (2023) for our Nursing & AHP Preceptorship Programme
Please see our Wellbeing & Benefits booklet for more information on our staff benefits. Accessible version available upon request.
Job description
Job responsibilities
KEY DUTIES
- To support a Critical Care Outreach and Emergency Response service within the hospital and to attend external calls within the hospital grounds and outbuildings.
CLINICAL & PROFESSIONAL RESPONSIBILITIES
- Perform autonomous comprehensive assessments of critically ill patients, plan, implement and evaluate care delivery according to changing health needs and varying levels of complexity.
- To act as a non-medical prescriber.
- Independently identifying patients at risk, both prior to and following discharge from critical care.
- Provide appropriate care of level 2 and 3 patients delivering treatment and monitoring in ward areas/departments if admission into critical care is not available or inappropriate.
- Responds to referrals to acutely ill patients throughout the hospital as part of the Trust Medical Emergency Team.
- Work collaboratively with other professionals and agencies to ensure patients critical care needs are met.
- Co-ordinate & maintain effective communications between critical care, and other ward/departments, managing conflicting views where necessary.
- Ensure patient records are maintained and that documentation reflects care provided.
- Ensure the likelihood of hospital acquired infections occurring to patients is minimised.
- Always complies with Hospital Infection Control and Prevention Policy.
- Provide a service within the expanded role of the nurse practitioner, including:
-
- Analysis of blood results
- Venepuncture
- Arterial blood gas sampling and interpretation of results
- Cannulation / PICC insertion utilising ultrasound guidance as per NICE guidelines
- Effective management of complications, which may occur during and/or post insertion of VADs including blood stream and exit site infection, thrombus, arterial puncture, nerve damage, malposition/migration of VAD tip, fracture/sever, occlusion and withdrawal occlusion.
- Autonomous decision making regarding the clinical priorities of those patients referred to the PICC/Midline referral service including chemotherapy, OPAT and TPN
- Delegated responsibility for supervision and education of new PICC/line inserters of the team and other inserters within the trust prior to sign off from MET lead.
- CPR / Advanced Life Support Provider as part of the cardiac arrest team.
- Advice re: care and management of C.V.P lines to both nurses and medical staff. This extends to VADs inserted by other medical and nursing staff within and across organisational boundaries.
- Initiation of x-ray requests and advice on interpretation of PICC line position with members of the multi-disciplinary team
- Act as an out of hours support service for patients receiving patient-controlled analgesia.
- Initiating sepsis screening at MET and TIER 1 calls to detect early signs of sepsis in patients allowing prompt treatment and decisive medical management within the first hour of red flag sepsis.
- Co-ordinate the intra-hospital transfer of acutely ill Level 1, 2 and 3 patients for investigations or to area for a higher level of monitoring
- Maintenance of Track and Trigger score and escalation of care when required.
- Provide training and education of nursing and medical staff around Tracheostomy and Laryngectomy care.
- Other clinical skills as the role expands.
- Monitor and evaluate health, safety and security of self and others and implement best practice in the ward/department areas.
- Report concerns from self or service users to MET/Outreach nurse lead.
- Follows MET/Outreach policies, procedures and guidelines and disseminates them trust wide.
- Ensure compliance with policies, procedures and clinical guidelines for self and others.
- Participates in research within the remit of the MET/Outreach service under the guidance of the MET/Outreach nurse lead.
- Continually monitors standards of care through benchmarking against current audit and research.
- Provide response to patient and relatives complaints where required.
- Promote peoples equality, diversity and rights.
- Rotate onto intensive care to maintain skills.
- To work autonomously alongside medical staff in managing a caseload of patients who are of concern or who are being stepped up or down from the critical care area; in addition to patients referred by either medical or nursing staff.
- To work autonomously as MET coordinator including at multiple simultaneous MET calls to ensure patients of the highest acuity are prioritised.
- To provide clinical support/supervision to new members of the team.
- To work autonomously identifying deteriorating patients at MET calls for further follow up assessments and speciality review as required optimising treatment.
- Represent the service at professional and academic forum as required.
- Clinical lead at TIER 1 and MET calls in the absence of medical staff.
- Rotate into ICU to maintain skills.
ADMINISTRATIVE RESPONSIBILITIES
- Co-ordinate & participate in MET/Outreach audit data collection, analysis and reporting to MET nurse lead, promoting patient safety throughout the trust.
- Support the critical care co-ordinator and bed management teams within the Trust to ensure best use of clinical resources, in implementing best practice in patient flow, admission and discharge arrangements thereby maximising critical care capacity.
- Identify stock requirements of MET/Outreach specialist equipment to match service needs and keep accurate record of monthly cross charges to other areas.
TEACHING & TRAINING RESPONSBILITIES
- Develop own clinical knowledge and participate in the development of others clinical knowledge and development through participation in MET/Outreach training and education.
- To assess competency and provide bedside teaching and supervision in PICC/ midline insertion; port-a-Cath needling and use.
- Ensure own compliance about mandatory training and REVALIDATION requirements, maintaining records of training and development undertaken.
- Take an active role in supporting and teaching nursing/junior medical staff in the delivery of of care to patients at risk of deterioration.
- To act as faculty member for the ALERT training course.
RESEARCH & AUDIT
- To participate in research, audits and projects led by MET/Outreach nurse lead in response to local, Network and National initiatives and/or recommendations pertaining to Outreach.
- Delegated responsibility for monthly data collection audits of all MET and cardiac arrest calls with quarterly totals
- Monthly collection of patient activity data for both local and regional representation as part of the Cheshire and Mersey Adult Critical Care Network
- Attending at the Critical Care Outreach Network Meetings for current evidence based best practice.
LEADERSHIP RESPONSIBILITIES
- Delegated responsibility to produce off duty via e-roster and administration of annual leave requests whilst maintaining adequate skill mix in staffing to provide a seamless service.
- To manage sickness and absence.
- To be responsible for maintaining adequate of skill mix based on clinical activity.
- To participate in selection, recruitment and retention of staff.
- To participate in appraising members of the team.
- To act as a clinical supervisor to members of the team.
- Development of local guidelines, protocols, clinical pathways, and standards.
- Maintain and update, as appropriate, preceptorship, rotational and other development programmes.
- To carry out profiling of skill mix managing staff rostering incorporating annual leave and sickness/maternity leave.
Job description
Job responsibilities
KEY DUTIES
- To support a Critical Care Outreach and Emergency Response service within the hospital and to attend external calls within the hospital grounds and outbuildings.
CLINICAL & PROFESSIONAL RESPONSIBILITIES
- Perform autonomous comprehensive assessments of critically ill patients, plan, implement and evaluate care delivery according to changing health needs and varying levels of complexity.
- To act as a non-medical prescriber.
- Independently identifying patients at risk, both prior to and following discharge from critical care.
- Provide appropriate care of level 2 and 3 patients delivering treatment and monitoring in ward areas/departments if admission into critical care is not available or inappropriate.
- Responds to referrals to acutely ill patients throughout the hospital as part of the Trust Medical Emergency Team.
- Work collaboratively with other professionals and agencies to ensure patients critical care needs are met.
- Co-ordinate & maintain effective communications between critical care, and other ward/departments, managing conflicting views where necessary.
- Ensure patient records are maintained and that documentation reflects care provided.
- Ensure the likelihood of hospital acquired infections occurring to patients is minimised.
- Always complies with Hospital Infection Control and Prevention Policy.
- Provide a service within the expanded role of the nurse practitioner, including:
-
- Analysis of blood results
- Venepuncture
- Arterial blood gas sampling and interpretation of results
- Cannulation / PICC insertion utilising ultrasound guidance as per NICE guidelines
- Effective management of complications, which may occur during and/or post insertion of VADs including blood stream and exit site infection, thrombus, arterial puncture, nerve damage, malposition/migration of VAD tip, fracture/sever, occlusion and withdrawal occlusion.
- Autonomous decision making regarding the clinical priorities of those patients referred to the PICC/Midline referral service including chemotherapy, OPAT and TPN
- Delegated responsibility for supervision and education of new PICC/line inserters of the team and other inserters within the trust prior to sign off from MET lead.
- CPR / Advanced Life Support Provider as part of the cardiac arrest team.
- Advice re: care and management of C.V.P lines to both nurses and medical staff. This extends to VADs inserted by other medical and nursing staff within and across organisational boundaries.
- Initiation of x-ray requests and advice on interpretation of PICC line position with members of the multi-disciplinary team
- Act as an out of hours support service for patients receiving patient-controlled analgesia.
- Initiating sepsis screening at MET and TIER 1 calls to detect early signs of sepsis in patients allowing prompt treatment and decisive medical management within the first hour of red flag sepsis.
- Co-ordinate the intra-hospital transfer of acutely ill Level 1, 2 and 3 patients for investigations or to area for a higher level of monitoring
- Maintenance of Track and Trigger score and escalation of care when required.
- Provide training and education of nursing and medical staff around Tracheostomy and Laryngectomy care.
- Other clinical skills as the role expands.
- Monitor and evaluate health, safety and security of self and others and implement best practice in the ward/department areas.
- Report concerns from self or service users to MET/Outreach nurse lead.
- Follows MET/Outreach policies, procedures and guidelines and disseminates them trust wide.
- Ensure compliance with policies, procedures and clinical guidelines for self and others.
- Participates in research within the remit of the MET/Outreach service under the guidance of the MET/Outreach nurse lead.
- Continually monitors standards of care through benchmarking against current audit and research.
- Provide response to patient and relatives complaints where required.
- Promote peoples equality, diversity and rights.
- Rotate onto intensive care to maintain skills.
- To work autonomously alongside medical staff in managing a caseload of patients who are of concern or who are being stepped up or down from the critical care area; in addition to patients referred by either medical or nursing staff.
- To work autonomously as MET coordinator including at multiple simultaneous MET calls to ensure patients of the highest acuity are prioritised.
- To provide clinical support/supervision to new members of the team.
- To work autonomously identifying deteriorating patients at MET calls for further follow up assessments and speciality review as required optimising treatment.
- Represent the service at professional and academic forum as required.
- Clinical lead at TIER 1 and MET calls in the absence of medical staff.
- Rotate into ICU to maintain skills.
ADMINISTRATIVE RESPONSIBILITIES
- Co-ordinate & participate in MET/Outreach audit data collection, analysis and reporting to MET nurse lead, promoting patient safety throughout the trust.
- Support the critical care co-ordinator and bed management teams within the Trust to ensure best use of clinical resources, in implementing best practice in patient flow, admission and discharge arrangements thereby maximising critical care capacity.
- Identify stock requirements of MET/Outreach specialist equipment to match service needs and keep accurate record of monthly cross charges to other areas.
TEACHING & TRAINING RESPONSBILITIES
- Develop own clinical knowledge and participate in the development of others clinical knowledge and development through participation in MET/Outreach training and education.
- To assess competency and provide bedside teaching and supervision in PICC/ midline insertion; port-a-Cath needling and use.
- Ensure own compliance about mandatory training and REVALIDATION requirements, maintaining records of training and development undertaken.
- Take an active role in supporting and teaching nursing/junior medical staff in the delivery of of care to patients at risk of deterioration.
- To act as faculty member for the ALERT training course.
RESEARCH & AUDIT
- To participate in research, audits and projects led by MET/Outreach nurse lead in response to local, Network and National initiatives and/or recommendations pertaining to Outreach.
- Delegated responsibility for monthly data collection audits of all MET and cardiac arrest calls with quarterly totals
- Monthly collection of patient activity data for both local and regional representation as part of the Cheshire and Mersey Adult Critical Care Network
- Attending at the Critical Care Outreach Network Meetings for current evidence based best practice.
LEADERSHIP RESPONSIBILITIES
- Delegated responsibility to produce off duty via e-roster and administration of annual leave requests whilst maintaining adequate skill mix in staffing to provide a seamless service.
- To manage sickness and absence.
- To be responsible for maintaining adequate of skill mix based on clinical activity.
- To participate in selection, recruitment and retention of staff.
- To participate in appraising members of the team.
- To act as a clinical supervisor to members of the team.
- Development of local guidelines, protocols, clinical pathways, and standards.
- Maintain and update, as appropriate, preceptorship, rotational and other development programmes.
- To carry out profiling of skill mix managing staff rostering incorporating annual leave and sickness/maternity leave.
Person Specification
Qualifications
Essential
- Evidence of maintaining CPD
- Current NMC registration - 1st Level Nurse
- Post-registration qualification in Critical Care or emergency/acute care
- Teaching / Assessing / Mentorship qualification or relevant experience
- ALS/ILS/ALERT course or equivalent
- Management / Leadership qualification / equivalent experience or willingness to work towards (annex 21)
- Clinical examination qualification at MSc level (annex 21)
- Clinical diagnostics qualification at MSc level(annex 21)
- Non-medical prescribing qualification or willingness to work towards (annex 21)
Knowledge & Experience
Essential
- Substantial experience at band 6 in critical care outreach/Emergency response care, or equivalent
- Demonstrates a high level of clinical skill
- Demonstrates capacity to develop new skills
Desirable
- Has undertaken project work, research, audit
Skills
Essential
- Able to assess/plan/implement/ and evaluate care needs of the critically ill
- Innovative and responsive to change
- Leadership / Management skills
- Influencing and negotiating skills
- Able to facilitate joint / co-operative working
Other
Essential
- Approachable.
- Excellent communicator.
- Positive and optimistic.
- Displays confidence.
- Proven stability, calm under pressure.
- Takes responsibility and consistently reliable.
- Flexible and creative in approach to role.
- A commitment to clinical supervision and staff development.
Desirable
- Evidence of having initiated a change or development in service.
Person Specification
Qualifications
Essential
- Evidence of maintaining CPD
- Current NMC registration - 1st Level Nurse
- Post-registration qualification in Critical Care or emergency/acute care
- Teaching / Assessing / Mentorship qualification or relevant experience
- ALS/ILS/ALERT course or equivalent
- Management / Leadership qualification / equivalent experience or willingness to work towards (annex 21)
- Clinical examination qualification at MSc level (annex 21)
- Clinical diagnostics qualification at MSc level(annex 21)
- Non-medical prescribing qualification or willingness to work towards (annex 21)
Knowledge & Experience
Essential
- Substantial experience at band 6 in critical care outreach/Emergency response care, or equivalent
- Demonstrates a high level of clinical skill
- Demonstrates capacity to develop new skills
Desirable
- Has undertaken project work, research, audit
Skills
Essential
- Able to assess/plan/implement/ and evaluate care needs of the critically ill
- Innovative and responsive to change
- Leadership / Management skills
- Influencing and negotiating skills
- Able to facilitate joint / co-operative working
Other
Essential
- Approachable.
- Excellent communicator.
- Positive and optimistic.
- Displays confidence.
- Proven stability, calm under pressure.
- Takes responsibility and consistently reliable.
- Flexible and creative in approach to role.
- A commitment to clinical supervision and staff development.
Desirable
- Evidence of having initiated a change or development in service.
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.
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.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
