Job summary
SMART stands for surgical and medical acute response team. This role is an exciting and continually evolving role, the individual will act within their professional boundaries and they will demonstrate safe clinical decision-making skills. The SMART nurse will be a clinically credible nurse who is proficient and experienced in looking after the critically ill and deteriorating patient. They will utilise their clinical expertise and specialist knowledge to deliver high quality evidence-based care to the critically ill patient. They will have a thorough understanding of what track, trigger, respond and escalate entails within the scope of the deteriorating patient. They will support the wider provision of a critical care outreach service assisting timely admissions as well as avoiding admissions to critical care, provide a follow-up service for all discharges from critical care and provide an ongoing plan of care for the patients in the ward setting. They will also form part of the cardiac arrest team and become an ALS provider.
Main duties of the job
On a daily basis the SMART nurse will review known patients and assess new patients in a time appropriate manner who are considered at risk by the MDT who express a clinical concern or those patients who trigger via the use of NEWS2.
The SMART nurse will ensure all emergency admissions into the Centre are seen triaged and clerked within 30minutes ensuring that admission documentation and clinical management plans are implemented in a timely manner.
The SMART nurse will have the exciting opportunity to support and develop various new services such as supporting a vascular access and insertion service and the thrombectomy service. The thrombectomy service will involve providing clinical support, recovery and maintaining the safety of the patient along the patient pathway acting as the clinical advocate in the delivery of the care that the patient requires.
They will be required to work flexibly as a member of SMART to ensure standards are being maintained, evaluated and where necessary improved.
The SMART role provides and prides itself on support and education given to other members of the MDT and the post holder will be expected to act as a role model and participate and take a lead on providing education to the wider MDT.
To be competent in tracheostomy care and management and work along side and support the MDT tracheostomy ward round.
About us
The Walton Centre
NHS Foundation Trust is the only NHS trust to hold dual accreditation for the
Investors in People we invest in people and we invest in wellbeing
standards and has been awarded Gold status for both. The
Walton Centre is a leader in the treatment and care of neurology and
neurosurgery, placing the patient and their family at the heart of everything
we do. As the only specialist hospital trust in the UK dedicated to providing
comprehensive neurology, neurosurgery, spinal and pain management services we
are proud to be rated as an Outstanding Trust by the Care Quality Commission
(CQC), and champion change throughout the field of neuroscience. Originally
formed in 1992, the Trust received Foundation Trust status in 2009.
With
around 1,450 staff, The Walton Centre treats more than 127,000 outpatients and
18,000 inpatients each year. We have leading specialists and incredibly
dedicated staff delivering excellent clinical outcomes for brain, spinal and
neurological care nationally and internationally. Teams across our site in
Fazakerley, Liverpool, offer a world-class service in diagnosing and treating
injuries and illnesses affecting the brain, spine and peripheral nerves and
muscles, and in supporting people suffering from a wide range of long-term
neurological conditions.
Job description
Job responsibilities
Role summary
SMART stands for surgical and medical acute response team. This role is an exciting and continually evolving autonomous role, the individual will act within their professional boundaries and they will demonstrate safe clinical decision-making skills. The SMART nurse will be a clinically credible nurse who is proficient and experienced in looking after the critically ill and deteriorating patient. They will utilise their clinical expertise and specialist knowledge to deliver high quality evidence-based care to the critically ill patient. They will have a thorough understanding of what track, trigger, respond and escalate entails within the scope of the deteriorating patient. They will support the wider provision of a critical care outreach service assisting timely admissions as well as avoiding admissions to critical care, provide a follow-up service for all discharges from critical care and provide an ongoing plan of care for the patients in the ward setting. They will also form part of the cardiac arrest team and become an ALS provider.
On a daily basis the SMART nurse will review known patients and assess new patients in a time appropriate manner who are considered at risk by the MDT who express a clinical concern or those patients who trigger via the use of NEWS2. They will also act as an advocate for the patient and work in their best interest at all times while taking into account the individuals wishes and decisions.
The post holder is an essential part of the Workforce Transformation Project, in the support offered and given to Junior Doctors particularly at night. The SMART nurse will receive and triage all calls through the bleep system carrying out tasks within own scope of practice where possible.
The SMART nurse will ensure all emergency admissions into the Centre are seen triaged and clerked within 30minutes ensuring that admission documentation and prescriptions and clinical management plans are implemented in a timely manner.
The SMART nurse will have the exciting opportunity to support and develop various new services such as supporting a vascular access and insertion service and the thrombectomy service. The thrombectomy service will involve providing clinical support, recovery and maintaining the safety of the patient along the whole patient pathway acting as the clinical advocate in the delivery of the care that the patient requires.
They will be required to work flexibly as a member of SMART to ensure standards are being maintained, evaluated and where necessary improved. In addition to advanced clinical skills they may be required to develop a range of additional skills that fall outside the usual scope of nursing practice.
The SMART role is ever evolving and individuals will be expected to contribute to audit, research and quality improvements projects ensuring high quality service development. The SMART role provides and prides itself on support and education given to other members of the MDT and the post holder will be expected to act as a role model and participate and take a lead on providing education to the wider MDT. They will also be expected to take the lead on developing themselves with support of their manager in line with the role and continued professional development to support the service provision.
The role covers a 24hour service 7 days a week by rotating onto days and nights and the willingness to be flexible is essential to ensure the service can be delivered.
key responsibilities
To have knowledge of, and to work within, the trust nursing policies and objectives.
To perform physical examination, assessment and diagnose patients to formulate an appropriate care management plan
Utilise prescribing qualifications or PGDs to manage patients and support the junior doctors.
To be a non-medical clinical imaging referrer.
To provide daily review of all referred patients until discharge from smart management.
To provide specific management related to the following patients:
- provide ongoing assessment and follow up of all level 2/3 critical care discharged patients
- To manage patients with a tracheostomy, review daily the weaning progress and formulate a plan of care with the tracheostomy daily MDT and provide support and education to staff looking after these patients.
- To identify and manage patients with aki/sepsis/cardiovascular instability
- To act as part of the hospital resuscitation team, carrying the cardiac arrests bleep and actively contributing to patient management in arrest scenarios
- To be able to care for an intubated and ventilated patient, whilst stabilising them prior to transfer to higher level care
- To be proficient in the safe inter/intra hospital transfer of acutely unwell, critically ill or tracheostomy patients
- To care for patients requiring thrombectomy throughout the pathway within the trust in a safe and effective way utilising the resources available.
To understand their scope of practice and be able to seek expert advice and assistance when required and escalate patients in a time appropriate manner.
To act as a mentor and role model to the MDT and disseminate progress with senior members of staff.
To use best evidence to support clinical guidelines and integrate research into their clinical practice, and continue their professional development.
Other duties
This job description is intended as a basic guide to the scope and responsibilities of the post and is not exhaustive. It will be subject to regular review and amendment as necessary in consultation with the post holder.
Job description
Job responsibilities
Role summary
SMART stands for surgical and medical acute response team. This role is an exciting and continually evolving autonomous role, the individual will act within their professional boundaries and they will demonstrate safe clinical decision-making skills. The SMART nurse will be a clinically credible nurse who is proficient and experienced in looking after the critically ill and deteriorating patient. They will utilise their clinical expertise and specialist knowledge to deliver high quality evidence-based care to the critically ill patient. They will have a thorough understanding of what track, trigger, respond and escalate entails within the scope of the deteriorating patient. They will support the wider provision of a critical care outreach service assisting timely admissions as well as avoiding admissions to critical care, provide a follow-up service for all discharges from critical care and provide an ongoing plan of care for the patients in the ward setting. They will also form part of the cardiac arrest team and become an ALS provider.
On a daily basis the SMART nurse will review known patients and assess new patients in a time appropriate manner who are considered at risk by the MDT who express a clinical concern or those patients who trigger via the use of NEWS2. They will also act as an advocate for the patient and work in their best interest at all times while taking into account the individuals wishes and decisions.
The post holder is an essential part of the Workforce Transformation Project, in the support offered and given to Junior Doctors particularly at night. The SMART nurse will receive and triage all calls through the bleep system carrying out tasks within own scope of practice where possible.
The SMART nurse will ensure all emergency admissions into the Centre are seen triaged and clerked within 30minutes ensuring that admission documentation and prescriptions and clinical management plans are implemented in a timely manner.
The SMART nurse will have the exciting opportunity to support and develop various new services such as supporting a vascular access and insertion service and the thrombectomy service. The thrombectomy service will involve providing clinical support, recovery and maintaining the safety of the patient along the whole patient pathway acting as the clinical advocate in the delivery of the care that the patient requires.
They will be required to work flexibly as a member of SMART to ensure standards are being maintained, evaluated and where necessary improved. In addition to advanced clinical skills they may be required to develop a range of additional skills that fall outside the usual scope of nursing practice.
The SMART role is ever evolving and individuals will be expected to contribute to audit, research and quality improvements projects ensuring high quality service development. The SMART role provides and prides itself on support and education given to other members of the MDT and the post holder will be expected to act as a role model and participate and take a lead on providing education to the wider MDT. They will also be expected to take the lead on developing themselves with support of their manager in line with the role and continued professional development to support the service provision.
The role covers a 24hour service 7 days a week by rotating onto days and nights and the willingness to be flexible is essential to ensure the service can be delivered.
key responsibilities
To have knowledge of, and to work within, the trust nursing policies and objectives.
To perform physical examination, assessment and diagnose patients to formulate an appropriate care management plan
Utilise prescribing qualifications or PGDs to manage patients and support the junior doctors.
To be a non-medical clinical imaging referrer.
To provide daily review of all referred patients until discharge from smart management.
To provide specific management related to the following patients:
- provide ongoing assessment and follow up of all level 2/3 critical care discharged patients
- To manage patients with a tracheostomy, review daily the weaning progress and formulate a plan of care with the tracheostomy daily MDT and provide support and education to staff looking after these patients.
- To identify and manage patients with aki/sepsis/cardiovascular instability
- To act as part of the hospital resuscitation team, carrying the cardiac arrests bleep and actively contributing to patient management in arrest scenarios
- To be able to care for an intubated and ventilated patient, whilst stabilising them prior to transfer to higher level care
- To be proficient in the safe inter/intra hospital transfer of acutely unwell, critically ill or tracheostomy patients
- To care for patients requiring thrombectomy throughout the pathway within the trust in a safe and effective way utilising the resources available.
To understand their scope of practice and be able to seek expert advice and assistance when required and escalate patients in a time appropriate manner.
To act as a mentor and role model to the MDT and disseminate progress with senior members of staff.
To use best evidence to support clinical guidelines and integrate research into their clinical practice, and continue their professional development.
Other duties
This job description is intended as a basic guide to the scope and responsibilities of the post and is not exhaustive. It will be subject to regular review and amendment as necessary in consultation with the post holder.
Person Specification
Qualifications
Essential
- RN qualification
- BSc or working towards
- Up to date portfolio of evidence demonstrating ongoing professional study and personal development.
- ILS qualification
Desirable
- Clinical examination and diagnostics qualification
- Post graduate module in neurosciences
- ALS qualification
- v300 independent nurse prescriber
Experience
Essential
- Significant post registration
- experience in treating patients with acute and deteriorating conditions
- Critical care experience or experienced with level one care
Desirable
- Critical care experience level 2 or 3
- Experience caring for neuroscience patients
Other
Essential
- Be prepared to work flexibly across a range of shift patterns across the trust to meet the needs of service
Desirable
- ability to adapt to changing needs of the service
Skills & Attributes
Essential
- Use and knowledge of PGDs
- Expert venepuncture /cannulation skills
- Experience managing patients with tracheostomies
- Can demonstrate that they are able to perform accurate history taking, clinical assessment and suggest appropriate diagnostic tests.
- Ability to work as an autonomous practitioner or as part of team
- Ability to manage and priorities own work load
- Experience of working as a collaborate in an MDT environment
- Highly motivated individual willing to learn and develop the service.
- Management and leadership experience
- IT competent
Desirable
- Ability to perform advanced clinical procedures.
- Audit and research experience
- Management experience of complex and competing issues remaining calm under pressure
- Experience in the post operative recovery process for discharge of patients from POCU
- Act as a mentor and participate in education and training
Person Specification
Qualifications
Essential
- RN qualification
- BSc or working towards
- Up to date portfolio of evidence demonstrating ongoing professional study and personal development.
- ILS qualification
Desirable
- Clinical examination and diagnostics qualification
- Post graduate module in neurosciences
- ALS qualification
- v300 independent nurse prescriber
Experience
Essential
- Significant post registration
- experience in treating patients with acute and deteriorating conditions
- Critical care experience or experienced with level one care
Desirable
- Critical care experience level 2 or 3
- Experience caring for neuroscience patients
Other
Essential
- Be prepared to work flexibly across a range of shift patterns across the trust to meet the needs of service
Desirable
- ability to adapt to changing needs of the service
Skills & Attributes
Essential
- Use and knowledge of PGDs
- Expert venepuncture /cannulation skills
- Experience managing patients with tracheostomies
- Can demonstrate that they are able to perform accurate history taking, clinical assessment and suggest appropriate diagnostic tests.
- Ability to work as an autonomous practitioner or as part of team
- Ability to manage and priorities own work load
- Experience of working as a collaborate in an MDT environment
- Highly motivated individual willing to learn and develop the service.
- Management and leadership experience
- IT competent
Desirable
- Ability to perform advanced clinical procedures.
- Audit and research experience
- Management experience of complex and competing issues remaining calm under pressure
- Experience in the post operative recovery process for discharge of patients from POCU
- Act as a mentor and participate in education and training
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).
