Nurse or Paramedic Streaming Role (Urgent and Emergency Care)

Job responsibilities

Job Summary:

We are seeking a dynamic and experienced Registered Nurse or Paramedic to join our team working in the Emergency Department in a Streaming Role. This vital position involves initial assessment of walk-in patients, directing them to the most appropriate care pathway, and ensuring timely access to appropriate services in line with clinical urgency.

As a first point of clinical contact, you will play a key role in improving patient flow, reducing waiting times, and enhancing patient experience by supporting safe, effective streaming and redirection to suitable services including Urgent Care, General Practice (GP), or Emergency Department (ED) services, Pharmacy, Community Urgent Eye Service (CUES).

Key Responsibilities:

• Perform timely clinical assessment (streaming) of patients presenting to Urgent and Emergency Care (UEC) settings.
• Use clinical judgement to identify red flags and signs of serious illness or injury.
• Make autonomous decisions on directing patients to the correct clinical area or service (e.g., ED, urgent treatment centre, GP out-of-hours).
• Escalate appropriately to senior clinicians in complex or high-risk presentations.
• Maintain accurate and concise records of all assessments and clinical decisions.
• Collaborate with multidisciplinary teams to ensure smooth and effective patient flow.
• Promote a safe environment by adhering to infection control, safeguarding, and risk assessment procedures.
• Support service improvements and contribute to audits, training, and development initiatives.

Requirements:

Essential:

• Registered Nurse (RGN) with NMC registration or Paramedic registered with HCPC.
• Significant post-registration experience in urgent, emergency, or pre-hospital care.
• Strong clinical assessment, triage, and decision-making skills.
• Ability to work autonomously in a fast-paced environment.
• Excellent communication and interpersonal skills.
• Proficient IT and documentation abilities.

Desirable:

• Experience in clinical streaming, triage, or primary care settings.
• Advanced Life Support (ALS) or equivalent certification.
• Evidence of continued professional development (e.g., minor injury/minor illness course).
• Knowledge of local urgent care pathways and referral criteria.

Working Conditions:

• Shift-based role including weekends, evenings, and bank holidays.
• Fast-paced, high-pressure clinical environment requiring resilience and adaptability.
• Collaborative team setting with regular multidisciplinary engagement.

Benefits:

• NHS Pension Scheme
• Continuing professional development opportunities
• Supportive and inclusive work environment.
• Access to wellbeing and staff support services

Qualifications

Essential

• Registered Nurse / Paramedic

Desirable

• Evidence of post
• registration education; ENP, minor illness,
• Non-medical prescriber

Computer Skills

Essential

• Experience in the use of computer e.g. word processing skills/ keyboard skills
• Experience in using SystmOne

Desirable

• Experience of nurse triage computer skills
• Experience of computer medical record keeping

Experience

Essential

• Minimum of five years post
• Registration experience in a relevant specialty e.g. General Practice, A&E, Emergency Ambulance

Desirable

• Previous experience
• In the OOH field or triage, minor illness, prescribing or autonomous working will be desirable

Communication skills

Essential

• Good telephone manner
• The ability to communicate professionally
• With the general public/patients attending MKUCS
• The ability to maintain accurate clinical records

Desirable

• Experience of client telephone interaction and/or patient education
• Experience of joint care planning with patients that includes self-care plans

Interpersonal skills

Essential

• - Self and team motivated
• - Good sense of humour
• - Organised
• - Flexibility
• - Ability to work within policies and procedures

Desirable

• Ability to generate ideas and translate into practice

Knowledge

Essential

• Knowledge of professional boundaries and scope of practice to ensure patient safety

Desirable

• Knowledge of audit
• and clinical supervision

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).