Job summary
Same - Day Emergency Care (SDEC) Senior Sister/ Senior Charge Nurse
Band 7
Hours per week 18.5 - part time - all MKUH roles will be considered for flexible working
An exciting opportunity has arisen for a Senior Sister/ Senior Charge Nurse to provide nursing leadership to the most dynamic team of Same Day Emergency Care Unit (SDEC) in Maple Center which opened in October 2022 which provides same-day emergency care for patients at our hospital. This means that patients are assessed, treated and can go home the same day without being admitted overnight.
It is a way of providing safe care, designed for the needs of the patient. The service also aims to prevent unnecessary admissions and provide a better experience for patients.
The post holder will be responsible in managing and leading all nursing staff to deliver the highest standards of care in SDEC. The post holder will manage the front door specialist services such as Outpatient Parenteral Antimicrobial Therapy (OPAT), Veno-thromboembolism (VTE), Anticoagulant Bridging Clinic and Planned Care Unit.
If you have a strong focus on improving patient experience and care and you are able to work inter professionally across boundaries, we are keen to hear from you.
Interview date:W/C 16.06.2025
Main duties of the job
The post holder will be responsible and accountable for the delivery of health care to patients within Same Day Emergency Care (SDEC) and the operational management of the Same Day Emergency Care (SDEC) .
The post holder will have continuing responsibility for the assessment of patient care needs; the development, implementation and evaluation of care and the setting of standards of care.
The post holder will manage the deployment and supervision of staff and the teaching of student and orchestrating the timely and appropriate admissions of patients to the Trust.
The post holder will actively support change, service development and roll out of new initiatives to promote patient centred, personal and effective care for all.
The post holder will undertake the leadership and development of an identified group of nurses.The balance between practice and management will vary according to day-to-day priorities but will be negotiated overall with the Lead Nurse / Senior Nurse.
About us
We care We communicate We collaborate We contribute
MKUH staff scored highest for 'I look forward to coming to work' (NHS Staff Survey 2023).
- Free on-site parking
- Free refreshments
- Great flexible workingopportunities
- Discounted gym membership
- Lease car scheme
- Generous annual leave and pension scheme
- On site nursery (chargeable)
- Extensive staff health and well-being programme
Milton Keynes University Hospital NHS Foundation Trust, in partnership with the University of Buckingham, is a University Teaching Hospital; we conduct research and teaching on site to improve the care of our patients. The hospital is undergoing significant investment, and we are proud to be rated good by the CQC. Visit our website to catch up on our latest news.
Job description
Job responsibilities
CLINICAL RESPONSIBILITIES:
To act as coordinator and nurse in charge of the day between Medical and Surgical Same Day Emergency.
To take and exercise clinical judgement in accepting suitable medical referrals from Emergency Department, Urgent Care, South Central Ambulance Service (SCAS), East of England Ambulance service , 111 and General Practice Surgeries according to agreed pathways.
MANAGER of NURSING and ADMINISTRATIVE WORKFORCE:
Organises staff (according to competence) time and equipment for work completion.
Supervises the delivery of quality nursing care.
Praises and guide team members as appropriate and is involved in personal development review of the workforce using KSF/performance review.
MANAGER OF RESOURCES
Plans the deployment of staff within the department and ensures that safe staffing levels are maintained over the expected opening hours using the electronic roster, reporting any deficiencies to the Matron.
Actively contribute to the attainment of national targets in relation to same day emergency care.
ASSESOR /MENTOR of individual nursing for pre-registration nursing staff
Ensure policies are maintained at all times
Facilitate an effective flow of communication within the clinical area.
Interprets the significance of data to the patients condition and progress.
Identify and discuss nursing problems or needs with the patients, their relatives and other staff.
Please refer to the job description for further details.
Job description
Job responsibilities
CLINICAL RESPONSIBILITIES:
To act as coordinator and nurse in charge of the day between Medical and Surgical Same Day Emergency.
To take and exercise clinical judgement in accepting suitable medical referrals from Emergency Department, Urgent Care, South Central Ambulance Service (SCAS), East of England Ambulance service , 111 and General Practice Surgeries according to agreed pathways.
MANAGER of NURSING and ADMINISTRATIVE WORKFORCE:
Organises staff (according to competence) time and equipment for work completion.
Supervises the delivery of quality nursing care.
Praises and guide team members as appropriate and is involved in personal development review of the workforce using KSF/performance review.
MANAGER OF RESOURCES
Plans the deployment of staff within the department and ensures that safe staffing levels are maintained over the expected opening hours using the electronic roster, reporting any deficiencies to the Matron.
Actively contribute to the attainment of national targets in relation to same day emergency care.
ASSESOR /MENTOR of individual nursing for pre-registration nursing staff
Ensure policies are maintained at all times
Facilitate an effective flow of communication within the clinical area.
Interprets the significance of data to the patients condition and progress.
Identify and discuss nursing problems or needs with the patients, their relatives and other staff.
Please refer to the job description for further details.
Person Specification
Qualifications and knowledge
Essential
- RN adult with minimum 5 years post registration
- Current NMC registration.
- ENB 199 or equivalent qualification / experience
- Leadership and/or management qualification or equivalent experience
- ILS Provider
- Undertaken Advanced History Taking and Patient Clinical Physical Examination course or equivalent
Desirable
- Teaching qualification
- Undertaken Triage course or equivalent experience
- Non-medical prescriber qualification (V300)
Experience
Essential
- Managing patient flows in response to Same Day Emergency Care (SDEC) targets
- Competence in extended roles, and able to support this development in others: Triage, Wound Care, Nurse- Requested Chest X -ray, IV therapy, peripheral cannulation and phlebotomy, ECG recording Defibrillation skills; Urinary catheterisation
- Understanding of holistic care
- Knowledge of change management and its application
- Knowledge of specialty
- Knowledge of NHS priorities
- Understanding of group dynamics and the appropriate management to ensure effective team working
- Awareness of key principles of the risk management process
- Able to use competently computerised patients' information systems, e.g., E-care
- Awareness of evidence-based practice, and how to implement
- Delivery of direct personal care to patients.
- Personal contact with relatives/ carers
- Ability to work within high turnover/pressurised environment daily
- Able to work within close/intimate contact with patients (e.g., direct contact with bodily fluids)
- Sound knowledge of Medical and Surgical Ambulatory Care Pathways
- Able to articulate the whole ethos of same day emergency care service provision to support admission avoidance, early supportive discharge and front door frailty.
- Had a good understanding with the different services in the community.
- Sound understanding discharge process in SDEC.
Skills
Essential
- Problem solving skills
- Ability to prioritise
- Planning skills
- Effective time management skills
- Ability to recognise own limitations
- Flexible and responsive to change
- Reliable & Punctual
- Able to manage human resources such as bank and agency usage
- Awareness of departmental and Trust financial position, and restraints
- Able to set, monitor and maintain effective stock levels
- Control and handling of patient property/valuables
- Awareness of budgetary control measures
- Manoeuvring patients, on trolleys, safely to other wards/departments
- Manual dexterity/manipulation skills, e.g., cannulation
- Able to set up equipment to maintain patient safety
- Ability to work under pressure, in response to a varied and unpredictable workload
- Able to respond to competing priorities
- Able to maintain concentration under stressful conditions
- Effective decision maker
- Able to impart sensitive information to patients and carers, support other team members required to do so.
Desirable
- Able to take nominated responsibility for aspects of the budget
- Able to safely carry out manual handling of patients
Personal and people development
Essential
- Ability to work as part of a multidisciplinary team
- Ability to motivate and lead a team
- Commitment to personal and professional development
- Commitment to development of others.
- Evidence of professional development in the last 12 months
- Evidence of previous resource management experience
- Able to delegate
- Able to assess junior staff/ student nurses/support workers
- Act as a preceptor/mentor
- Team leadership skills
- Influencing and persuasion skills
- Able to support and develop departmental strategies
- Able to co-ordinate off duty taking into account skill mix requirements
- Able to escalate clinical concerns and delays in patient care to appropriate
- Able to undertake staff appraisal/Personal Development Reviews
- Ability to deploy first line management skills specifically in managing staff performance and sickness management in the absence of the other Senior Sister
- Able to support staff during/following distressing events
- Able to demonstrate high level of resilience
Communication
Essential
- Proficient in reading and writing in the English language.
- Ability to write and evaluate simple reports and complex plans of care
- Able to record nursing interventions and adverse incidents appropriately
- Able to speak, receive, understand and issue instructions in English and using medical terminology without risk of misunderstanding
- Able to recognise, and break down, barriers to communication
- Ability to communicate with all members of the multidisciplinary team to ensure patient care is timely, effective and appropriate
- Able to communicate effectively via telephone and individual or group discussion and e mail
- Able to plan and deliver a verbal presentation to appropriate target audience, using suitable IT applications
Specific requirements
Essential
- Able to perform the duties of the post with reasonable aids and adaptations
Person Specification
Qualifications and knowledge
Essential
- RN adult with minimum 5 years post registration
- Current NMC registration.
- ENB 199 or equivalent qualification / experience
- Leadership and/or management qualification or equivalent experience
- ILS Provider
- Undertaken Advanced History Taking and Patient Clinical Physical Examination course or equivalent
Desirable
- Teaching qualification
- Undertaken Triage course or equivalent experience
- Non-medical prescriber qualification (V300)
Experience
Essential
- Managing patient flows in response to Same Day Emergency Care (SDEC) targets
- Competence in extended roles, and able to support this development in others: Triage, Wound Care, Nurse- Requested Chest X -ray, IV therapy, peripheral cannulation and phlebotomy, ECG recording Defibrillation skills; Urinary catheterisation
- Understanding of holistic care
- Knowledge of change management and its application
- Knowledge of specialty
- Knowledge of NHS priorities
- Understanding of group dynamics and the appropriate management to ensure effective team working
- Awareness of key principles of the risk management process
- Able to use competently computerised patients' information systems, e.g., E-care
- Awareness of evidence-based practice, and how to implement
- Delivery of direct personal care to patients.
- Personal contact with relatives/ carers
- Ability to work within high turnover/pressurised environment daily
- Able to work within close/intimate contact with patients (e.g., direct contact with bodily fluids)
- Sound knowledge of Medical and Surgical Ambulatory Care Pathways
- Able to articulate the whole ethos of same day emergency care service provision to support admission avoidance, early supportive discharge and front door frailty.
- Had a good understanding with the different services in the community.
- Sound understanding discharge process in SDEC.
Skills
Essential
- Problem solving skills
- Ability to prioritise
- Planning skills
- Effective time management skills
- Ability to recognise own limitations
- Flexible and responsive to change
- Reliable & Punctual
- Able to manage human resources such as bank and agency usage
- Awareness of departmental and Trust financial position, and restraints
- Able to set, monitor and maintain effective stock levels
- Control and handling of patient property/valuables
- Awareness of budgetary control measures
- Manoeuvring patients, on trolleys, safely to other wards/departments
- Manual dexterity/manipulation skills, e.g., cannulation
- Able to set up equipment to maintain patient safety
- Ability to work under pressure, in response to a varied and unpredictable workload
- Able to respond to competing priorities
- Able to maintain concentration under stressful conditions
- Effective decision maker
- Able to impart sensitive information to patients and carers, support other team members required to do so.
Desirable
- Able to take nominated responsibility for aspects of the budget
- Able to safely carry out manual handling of patients
Personal and people development
Essential
- Ability to work as part of a multidisciplinary team
- Ability to motivate and lead a team
- Commitment to personal and professional development
- Commitment to development of others.
- Evidence of professional development in the last 12 months
- Evidence of previous resource management experience
- Able to delegate
- Able to assess junior staff/ student nurses/support workers
- Act as a preceptor/mentor
- Team leadership skills
- Influencing and persuasion skills
- Able to support and develop departmental strategies
- Able to co-ordinate off duty taking into account skill mix requirements
- Able to escalate clinical concerns and delays in patient care to appropriate
- Able to undertake staff appraisal/Personal Development Reviews
- Ability to deploy first line management skills specifically in managing staff performance and sickness management in the absence of the other Senior Sister
- Able to support staff during/following distressing events
- Able to demonstrate high level of resilience
Communication
Essential
- Proficient in reading and writing in the English language.
- Ability to write and evaluate simple reports and complex plans of care
- Able to record nursing interventions and adverse incidents appropriately
- Able to speak, receive, understand and issue instructions in English and using medical terminology without risk of misunderstanding
- Able to recognise, and break down, barriers to communication
- Ability to communicate with all members of the multidisciplinary team to ensure patient care is timely, effective and appropriate
- Able to communicate effectively via telephone and individual or group discussion and e mail
- Able to plan and deliver a verbal presentation to appropriate target audience, using suitable IT applications
Specific requirements
Essential
- Able to perform the duties of the post with reasonable aids and adaptations
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.
