Job summary
The post is for an experienced critical care outreach nurse working at an enhanced level of practice, responsible for workingautonomously to provide patient-centred clinical care to assess, plan, implement and evaluate patient care for the acutely and criticallyill patient outside of the critical care unit. Proficient in critical care nursing and apply their clinical expertise and specialist knowledge toall adult specialities outside of the critical care unit
Main duties of the job
Independently manage their own workload, assessing and managing risk, proactively challenging others about risk where required.o Provide effective clinical and professional leadership and be a role model providing support, education and training to themulti professional team. They will be expected to follow local policy and national guidance, including the national outreach forum'soperational standards (NORF, 2020), the guidelines for the provision of intensive care services (FICM, 2022) and relevant niceguidance (NICE, 2007; NICE 2009).o Overarching responsibility for interfacing critical care outreach across adult clinical specialties within secondary care.o Manage sickness in accordance with health board attendance management policies, responsible for the management of thedevelopment of junior colleagues. Support the investigation of incident reports and complaintso Support and promote the safeguarding of adults and children at risk, following local and all Wales safeguarding policies and throughattending relevant training and liaise with the critical care unit, matron and site leads where required regarding workload,managerial issues and the provision of care to unwell patients across the site.
About us
We believe staff are our best asset and wewant you to be happy and confident about starting your career here in Swansea Bay University Health Board.
As one of the biggest healthcare groups in the UK we can offer a wealth of professional training and development opportunities in an innovative, forward-thinking organisation.
You might be a nurse ordoctor, maybe you specialise in a health science/therapy or can offer skills in one of our support services - wehave a job for you.
There are also apprenticeships, work placementsand volunteering roles available.
We are an inclusive employer and welcome applications from everyone whatever their sex; religion or belief; race; age; sexual orientation; gender identity or, whether they are pregnant or have recently been on maternity leave, married or are in a civil partnership; or, whether they are disabled.
Our values - Caring For Each Other, Working Together and Always Improving, show thatour commitment to equality is at the heart of everything we do.
If you want excellent career and training opportunities while living on the doorstep of some of Europe's most spectacular scenery,with all the benefits of a thriving and cosmopolitan city - look no further.
Job description
Job responsibilities
Communication and engagement Responsible for communicating and maintaining relationships across a range of professional and clinical boundaries. Communicatethe planning and implementation of care in partnership with patients, the parent team and families/carers as appropriate. Maintain current, clear, comprehensive documentation to record interactions and provide continuity of care between patient andthose caring for them in line with the NMC code of conduct (NMC, 2018). Actively promote the critical care outreach team bothwithin and outside of the health board Establish effective relations and communication networks with internal and external agencies, including all Wales and nationalnetworks. Facilitate the sharing of best practice/ideas amongst staff across the health board and externally, including nationalorganisations. Provide strong professional and clinical advocacy for the patient in situations where there are challengingrelationships and conflicts of interestQuality/service improvement Responsible for the development of quality and service improvement strategies, through the auditing and analysis of service data,supporting and developing quality improvement projects. Lead role in continuous improvement and innovation, underpinned by aculture of learning where staff maximise their potential and feel they are part of the success Identifies opportunities for service improvement, this may include identifying the need for change, developing cases for change,leading innovation and implementing the change Demonstrates self-direction and originality in tackling and solving problems and acts autonomously in planning and implementingtasks at a professional level. Lead on and/or support the development of projects and share learning from these processes throughthe presentation of audit and research data in a variety of forums Responsible for supporting the delivery, management and development of critical care outreach services in line with the NationalOutreach Forums Quality and Operational Standards (NORF, 2020) and the Guidelines for the Provision of Intensive Care Services(FICM, 2022)Clinical Deliver clinical care as an outreach practitioner at an enhanced level, working as part of a 24-hour rota supporting the managementof the deteriorating patient. Responding to a range of calls for support from a variety of adult clinical specialties across the hospitalsite, managing and delegating their workload effectively. Assess and treat the acutely deteriorating patient to prevent admission to,or manage safe transfer to critical care in a timely manner in line with health board policy and NICE guidance (2007) Review patients on discharge from critical care within a 48-hour window, assisting in their rehabilitation and to provide ongoingmonitoring. Support the delivery of critical care management strategies outside of the critical care unit Be an active member of the medical emergency team, supporting the management of clinical emergencies across the hospital site Provide safe escort and transfer of acutely/critically ill patients both inter and intra hospital where required9V4-2024Os bydd y rl hon yn newid ac mae angen gwneud newidiadau, cysylltwch BIPBA.GwerthusoSwyddi@wales.nhs.uk am fersiwn y gellir ei golyguIf this role changes and it requires amendments, please contact SBU.jobevaluation@wales.nhs.uk Where appropriate administer and titrate medications in consultation and under direction of the medical team. Administeremergency medications where indicated using specific patient group directives (PGD). Where a non-medical prescribing qualificationis held, can prescribe medications in line with the practitioners agreed scope of practiceManagement & Leadership Responsible for their own development of knowledge and skills and to support the development of others. Maintain and advancetheir own knowledge through continuing professional development (CPD) and support other members of the team in this whererequired and ensure their own statutory and mandatory training is kept up to date Prepare for and take an active part in the PADRprocess in accordance with health board policy, identifying ones own learning and development needs Engage with ones own NMC revalidation to maintain professional registration and support other members of staff in this process Support and contribute to the recruitment, selection of staff within the team Contribute to ongoing learning, education and development at a health board wide level, promoting development around the acutedeterioration agenda, in partnership with invested teams and departments Provide management and leadership both within the team and across the hospital site through their day-to-day interactions withstaff. Carry out PADR reviews for allocated members of staff in line with health board policy To be responsible for supporting the learning and development of student healthcare professionals and staff members spending timewith the critical care outreach team Responsible for the management of the teams roster (off duty) on a rotational basis, ensuring for fairness and equitability inallocation of shifts, considering appropriate management of staff resources in line with health board policy Responsible for the management of the annual leave roster on a rotational basis, ensuring for fairness and equitability in allocationof leave in line with health board policy Share responsibility for the day-to-day management of the team when on shift, negotiating workload and allocation of tasks Attend meetings on behalf of the team, presenting data where required and sharing any relevant information from the meetingswith the teamFinance and resources Responsible for supporting the management of day-to-day activities of the team with consideration to the appropriate managementof resources. Demonstrate an awareness of the financial restraints facing all clinical services, ensuring resources are managed andutilised appropriately. Ensure that health board financial procedures are adhered to, e.g. patient's property procedureDigital and Information Manage data and information across a variety of systems. Use of common Microsoft office software to analyse and present data Responsible in the maintenance of accurate records of care on the critical care outreach database, hosted on medicus Responsible for the accurate recording of episodes of care in the patients records in line with health board policy and the NMC codeof conduct (NMC, 2018) and contribute to handing over of shift data to oncoming shifts, highlighting concerns and issues from theprevious shift.
You will be able to find a full Job description and Person Specification attached within the supporting documents or please click Apply now to view in Trac.
The ability to speak Welsh is desirable for this post; Welsh and/or English speakers are equally welcome to apply.
Job description
Job responsibilities
Communication and engagement Responsible for communicating and maintaining relationships across a range of professional and clinical boundaries. Communicatethe planning and implementation of care in partnership with patients, the parent team and families/carers as appropriate. Maintain current, clear, comprehensive documentation to record interactions and provide continuity of care between patient andthose caring for them in line with the NMC code of conduct (NMC, 2018). Actively promote the critical care outreach team bothwithin and outside of the health board Establish effective relations and communication networks with internal and external agencies, including all Wales and nationalnetworks. Facilitate the sharing of best practice/ideas amongst staff across the health board and externally, including nationalorganisations. Provide strong professional and clinical advocacy for the patient in situations where there are challengingrelationships and conflicts of interestQuality/service improvement Responsible for the development of quality and service improvement strategies, through the auditing and analysis of service data,supporting and developing quality improvement projects. Lead role in continuous improvement and innovation, underpinned by aculture of learning where staff maximise their potential and feel they are part of the success Identifies opportunities for service improvement, this may include identifying the need for change, developing cases for change,leading innovation and implementing the change Demonstrates self-direction and originality in tackling and solving problems and acts autonomously in planning and implementingtasks at a professional level. Lead on and/or support the development of projects and share learning from these processes throughthe presentation of audit and research data in a variety of forums Responsible for supporting the delivery, management and development of critical care outreach services in line with the NationalOutreach Forums Quality and Operational Standards (NORF, 2020) and the Guidelines for the Provision of Intensive Care Services(FICM, 2022)Clinical Deliver clinical care as an outreach practitioner at an enhanced level, working as part of a 24-hour rota supporting the managementof the deteriorating patient. Responding to a range of calls for support from a variety of adult clinical specialties across the hospitalsite, managing and delegating their workload effectively. Assess and treat the acutely deteriorating patient to prevent admission to,or manage safe transfer to critical care in a timely manner in line with health board policy and NICE guidance (2007) Review patients on discharge from critical care within a 48-hour window, assisting in their rehabilitation and to provide ongoingmonitoring. Support the delivery of critical care management strategies outside of the critical care unit Be an active member of the medical emergency team, supporting the management of clinical emergencies across the hospital site Provide safe escort and transfer of acutely/critically ill patients both inter and intra hospital where required9V4-2024Os bydd y rl hon yn newid ac mae angen gwneud newidiadau, cysylltwch BIPBA.GwerthusoSwyddi@wales.nhs.uk am fersiwn y gellir ei golyguIf this role changes and it requires amendments, please contact SBU.jobevaluation@wales.nhs.uk Where appropriate administer and titrate medications in consultation and under direction of the medical team. Administeremergency medications where indicated using specific patient group directives (PGD). Where a non-medical prescribing qualificationis held, can prescribe medications in line with the practitioners agreed scope of practiceManagement & Leadership Responsible for their own development of knowledge and skills and to support the development of others. Maintain and advancetheir own knowledge through continuing professional development (CPD) and support other members of the team in this whererequired and ensure their own statutory and mandatory training is kept up to date Prepare for and take an active part in the PADRprocess in accordance with health board policy, identifying ones own learning and development needs Engage with ones own NMC revalidation to maintain professional registration and support other members of staff in this process Support and contribute to the recruitment, selection of staff within the team Contribute to ongoing learning, education and development at a health board wide level, promoting development around the acutedeterioration agenda, in partnership with invested teams and departments Provide management and leadership both within the team and across the hospital site through their day-to-day interactions withstaff. Carry out PADR reviews for allocated members of staff in line with health board policy To be responsible for supporting the learning and development of student healthcare professionals and staff members spending timewith the critical care outreach team Responsible for the management of the teams roster (off duty) on a rotational basis, ensuring for fairness and equitability inallocation of shifts, considering appropriate management of staff resources in line with health board policy Responsible for the management of the annual leave roster on a rotational basis, ensuring for fairness and equitability in allocationof leave in line with health board policy Share responsibility for the day-to-day management of the team when on shift, negotiating workload and allocation of tasks Attend meetings on behalf of the team, presenting data where required and sharing any relevant information from the meetingswith the teamFinance and resources Responsible for supporting the management of day-to-day activities of the team with consideration to the appropriate managementof resources. Demonstrate an awareness of the financial restraints facing all clinical services, ensuring resources are managed andutilised appropriately. Ensure that health board financial procedures are adhered to, e.g. patient's property procedureDigital and Information Manage data and information across a variety of systems. Use of common Microsoft office software to analyse and present data Responsible in the maintenance of accurate records of care on the critical care outreach database, hosted on medicus Responsible for the accurate recording of episodes of care in the patients records in line with health board policy and the NMC codeof conduct (NMC, 2018) and contribute to handing over of shift data to oncoming shifts, highlighting concerns and issues from theprevious shift.
You will be able to find a full Job description and Person Specification attached within the supporting documents or please click Apply now to view in Trac.
The ability to speak Welsh is desirable for this post; Welsh and/or English speakers are equally welcome to apply.
Person Specification
Clinical
Essential
- Experienced Critical Care Nurse
- Teaching qualification
Desirable
- Advanced Life Support skills provider
- Post graduate study
Clinical
Essential
- Evidence of working in multi-professional teams
Desirable
- Evidence of leading an innovation or change project
Person Specification
Clinical
Essential
- Experienced Critical Care Nurse
- Teaching qualification
Desirable
- Advanced Life Support skills provider
- Post graduate study
Clinical
Essential
- Evidence of working in multi-professional teams
Desirable
- Evidence of leading an innovation or change project
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).
