Job summary
The post holder will be a clinically credible registered practitioner who is highly experienced and proficient in the management of the acutely unwell patient with a comprehensive background of experience in acute care. They will utilize their clinical expertise and specialist knowledge to deliver high quality evidence / research based care to the critically ill patient. They will review referred and ongoing patients and assess these patients who are considered "at risk" by the referring multi-professional team. They will act as a role model providing support, education and training to the multi-professional team caring for the critically ill patient. The post holder will have a degree of autonomy where they will be responsible for a caseload of patients across a number of specialties, to include an element of lone working.
The post holder will be expected to use their experience to support the implementation of clinical and non-clinical governance and to modernise patient services. In addition the post holder will be responsible for participating in clinical audit and nursing research.
They will be required to work flexibly as a member of the ACT team to ensure standards are being maintained, evaluated and where necessary improved. In addition, to the obligatory advanced clinical skills, the practitioner may be required to develop a range of additional skills or techniques that fall outside the usual scope of nursing practice.
Main duties of the job
- Meet National Outreach Forum competencies and work within service specification for critical care services
- Demonstrate the use of evidence-based specialist skills and practice in the care of critically ill patients, including the use of an effective communication tool (SBAR)
- Demonstrate the use of specialist knowledge and skills in the assessment, planning, implementation and evaluation of care delivered to the critically ill patient, ensuring the appropriate documentation is maintained and completed.
- Demonstrate the interpretation and delivery of appropriate action / treatment / therapy to the critically ill patient, ensuring records are updated and maintained. This includes the transfer of patient's intra-hospital.
- Monitor and evaluate the condition of patients using the National Early Warning Scoring system, recognising and alerting staff to changes in the patients' condition.
- Assist and participate in the follow up care of patients discharged from critical care.
- Negotiate with the ward multi-professional team to improve clinical care given to the "at risk" patient
About us
At East Lancashire Hospitals NHS Trust our vision is to be widely recognised for providing safe, personal and effective care. We currently provide high quality services and treat over 600,000 people across East Lancashire and the surrounding area. We employ over 9,500 staff, many of whom are internationally renowned and have won awards for their work.
We are committed to helping our staff balance their work and home lives and ensure they feel supported, valued and appreciated.
Job description
Job responsibilities
The post holder will be working within the Acute Care Team Critical Care Outreach service at East Lancashire Hospital Trust and will be banded appropriate to knowledge and skills. Those banded as 6 will be expected to work towards band 7 and will undertake appropriate training and development required for this post. The main roles and responsibilities will sit with in the management of deteriorating patients outside of the critical care unit and will facilitate admission avoidance, safe transfer and management of those patients identified for safe step down outside of the critical care. Additional to this the role requires the delivery of education around deteriorating patients, core role on the cardiac arrest team and daily case load of AKI patients. The post covers both the acute and peripheral Burnley site and the remote management of patients in the community sites as an out of hours service.
Job description
Job responsibilities
The post holder will be working within the Acute Care Team Critical Care Outreach service at East Lancashire Hospital Trust and will be banded appropriate to knowledge and skills. Those banded as 6 will be expected to work towards band 7 and will undertake appropriate training and development required for this post. The main roles and responsibilities will sit with in the management of deteriorating patients outside of the critical care unit and will facilitate admission avoidance, safe transfer and management of those patients identified for safe step down outside of the critical care. Additional to this the role requires the delivery of education around deteriorating patients, core role on the cardiac arrest team and daily case load of AKI patients. The post covers both the acute and peripheral Burnley site and the remote management of patients in the community sites as an out of hours service.
Person Specification
Training and Qualifications
Essential
- Current first level NMC registration or equivalent
- Mentorship qualification
- Medicines management competency
- Acute Speciality qualification
- Mandatory training
Desirable
- Degree or working towards
- Evidence of CPD level 6
- Leadership training
- ALS
- Non-Medical Prescribing qualification (essential for band 7 post)
- Assessment diagnostic qualification
Experience
Essential
- Post registration experience, ideally within critical care or acute setting normally minimum of 12 months
- Demonstration of evidence based practice
- Evidence of ability to apply critical care skills outside of the critical care environment
- Evidence of appropriate delegation and leadership skills
- Understanding of change management
- Recognition of own limitations
Desirable
- Demonstrate link nurse/practitioner experience
- Participation in research or audit
- Involvement in project work
- Evidence of conflict management skills
- Ability to demonstrate negotiation skills
- Involvement in guideline development
- Evidence of leadership or management skills
- Ability to provide feedback
- Proven track record of teaching experience
Attributes
Essential
- Excellent communication skills
- Excellent interpersonal skills
- Effective team worker
- Ability to identify learning needs
- Able to respond to stressful situations
- Flexibility to work across divisions and teams
- Supportive of junior staff
- Drive to continuously improve
Desirable
- Influencing skills
- Demonstrate effective team working
Skills / Abilities
Essential
- Can demonstrate ability to undertake comprehensive patient assessment
- Working knowledge of the current NHS agenda and issues
- Ability to work independently
- Effective written and verbal communication skills
- Ability to manage own workload
- Computer literate
- Commitment to education and training programmes
Desirable
- Understanding of complex ethic and legal issues
- Commitment to constantly improving standards
Other
Essential
- Necessity to undertake moving and handling activities
- Ability to work across the 24 hour period
Person Specification
Training and Qualifications
Essential
- Current first level NMC registration or equivalent
- Mentorship qualification
- Medicines management competency
- Acute Speciality qualification
- Mandatory training
Desirable
- Degree or working towards
- Evidence of CPD level 6
- Leadership training
- ALS
- Non-Medical Prescribing qualification (essential for band 7 post)
- Assessment diagnostic qualification
Experience
Essential
- Post registration experience, ideally within critical care or acute setting normally minimum of 12 months
- Demonstration of evidence based practice
- Evidence of ability to apply critical care skills outside of the critical care environment
- Evidence of appropriate delegation and leadership skills
- Understanding of change management
- Recognition of own limitations
Desirable
- Demonstrate link nurse/practitioner experience
- Participation in research or audit
- Involvement in project work
- Evidence of conflict management skills
- Ability to demonstrate negotiation skills
- Involvement in guideline development
- Evidence of leadership or management skills
- Ability to provide feedback
- Proven track record of teaching experience
Attributes
Essential
- Excellent communication skills
- Excellent interpersonal skills
- Effective team worker
- Ability to identify learning needs
- Able to respond to stressful situations
- Flexibility to work across divisions and teams
- Supportive of junior staff
- Drive to continuously improve
Desirable
- Influencing skills
- Demonstrate effective team working
Skills / Abilities
Essential
- Can demonstrate ability to undertake comprehensive patient assessment
- Working knowledge of the current NHS agenda and issues
- Ability to work independently
- Effective written and verbal communication skills
- Ability to manage own workload
- Computer literate
- Commitment to education and training programmes
Desirable
- Understanding of complex ethic and legal issues
- Commitment to constantly improving standards
Other
Essential
- Necessity to undertake moving and handling activities
- Ability to work across the 24 hour period
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).
