Job summary
Critical Care Outreach Team (Adult)
Band 7 Critical Care Outreach Sister/ Charge Nurse/ AHP
Full time/ Part time (30 hours) Secondment/Maternity cover post
An exciting opportunity has arisen to become part of the Band 7 team within the Adult Critical Care Outreach Team at Nottingham University Hospitals NHS Trust (NUH) . As one of the largest Trusts in the UK the Critical Care Outreach Team provides a diverse and comprehensive CCOT service to all adult patients within NUH which includes specialities such as; Neurosurgery, Haematology, Major Trauma, Renal and Infectious diseases.
The Critical Care Outreach Team (CCOT) at NUH is a highly regarded team who provide a Trust wide resource covering all adult patient areas across our City and Queens Medical Centre campuses, in total providing access to the Critical Care Outreach service to more than 80 wards and clinical areas. The team is multi-professional consisting of highly experienced and skilled Band 7 and 6 nurses, specialised physiotherapists and a CCOT assistants.
Main duties of the job
As a Band 7 you will lead the clinical service, providing ward based advanced clinical assessments, patient interventions and develop management plans with the goal to halt or reverse clinical deterioration. You will also have an opportunity to help shape and develop the service taking on managerial and leadership responsibilities to ensure that the service evolves to meet our patients and service user's needs.
The post holder will be required to demonstrate advanced clinical assessment skills and develop extensive knowledge of common clinical situations encountered within the range of specialities across the trust in particular; management of hypoxia with nasal high flow oxygen therapy, non-invasive ventilation, tracheostomy care and weaning, sepsis management and transfer of the critically unwell patient.
In addition you must have the ability to prioritise the workload of the team as the shift co-ordinator, provide both formal and informal teaching to staff at all levels, resource management such as rota co-coordination, sickness management and contribute to the ongoing development of the service and team members using staff development plans and appraisals.
About us
The Critical Care Outreach service provides an extensive 24 hour, 7 day service, 365 days a year, across both City and Queens's campuses. The post holders will therefore be expected to work a combination of long day and night shifts.
All staff work across both campuses in order to provide a truly flexible service to meets the ever changing needs of the critically ill/ deteriorating ward patient throughout NUH.
The Clinical Support division would especially welcome applications from BAME colleagues who are currently underrepresented at this level.
Applicants will need to have previous Critical Care Outreach experience and have undertaken a degree and critical care course (or equivalent).
You will be supported with a formal induction and training programme, complete Critical Care Outreach clinical competencies, work alongside the teams Clinical Nurse Educator and access a Critical Care Outreach specific advanced training programme.
Job description
Job responsibilities
KEY JOB RESPONSIBILITIES
Clinical
Demonstrate the use of evidence-based specialist skills and practice in the care of critically ill ward-based patients. Participate in key developments relating to CCOT so that high quality patient focused services are promoted.
Demonstrate professional autonomy and the ability to lone work at a higher level, exhibiting effective decision making skills.
Use of specialist knowledge and skills in the assessment, planning, implementation and evaluation of care delivered to the critically ill/deteriorating ward based patient, ensuring the appropriate documentation is maintained and completed.
Demonstrate the interpretation and delivery of appropriate action / treatment / therapy to the critically ill/deteriorating adult patient, ensuring records are updated and maintained.
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.
Assist and participate in the transfer of the critically ill/deteriorating ward patient.
Please see job description for full details .
Job description
Job responsibilities
KEY JOB RESPONSIBILITIES
Clinical
Demonstrate the use of evidence-based specialist skills and practice in the care of critically ill ward-based patients. Participate in key developments relating to CCOT so that high quality patient focused services are promoted.
Demonstrate professional autonomy and the ability to lone work at a higher level, exhibiting effective decision making skills.
Use of specialist knowledge and skills in the assessment, planning, implementation and evaluation of care delivered to the critically ill/deteriorating ward based patient, ensuring the appropriate documentation is maintained and completed.
Demonstrate the interpretation and delivery of appropriate action / treatment / therapy to the critically ill/deteriorating adult patient, ensuring records are updated and maintained.
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.
Assist and participate in the transfer of the critically ill/deteriorating ward patient.
Please see job description for full details .
Person Specification
Training and Qualifications
Essential
- Current level one NMC or HCPC registeration
- Teaching , assessing or mentorship qualification
- Degree or Masters in Health related studies
Desirable
- Formal leadership and / or management training
Experience
Essential
- Experience at Band 6 in CCOT, Critical Care or equivalent area
- Recent clinical experience including caring for tracheostomies (weaning and decannulation), providing level 3 care and interventions and ability to use critical care skills outside of the environment
- Recognition of own level of competence and limitations and continuous professional development
- Evidence of support, supervision and delegation of peers and junior colleagues and providing staff with feedback
Desirable
- demonstrate evidence of change management / project work
- Evidence of audit or research within clinical area
- Evidence of writing policies and clinical guidelines
Communication and relationship
Essential
- Evidence of negotiation and decision making skills both as an independent practitioner and as a support for junior staff
- Can minimise interpersonal conflict and barriers to communication
- Ability to support colleagues, patients and relatives in distressing circumstances
- Evidence of effective written and verbal communication skills including conflict resolution
Desirable
- Demonstrate evidence of formal teaching sessions
- Experience of cross divisional working
Analytical and judgement skill
Essential
- Ability to respond, prioritise and analyse complex problems and ensure effective interventions are implemented
- Demonstrate use of data to influence patient care and services, collating and interpreting data.
- Ability to generate and present reports and documents.
Desirable
- Evidence of data collection and analysis for example in project management
Planning and organisational
Essential
- Ability to prioritise own workload and that of the team, responding to urgent and emergency situations
- Demonstrate effective leadership skills
- Demonstrate an ability to recognise when workload or priorities are inappropriate and intervene
- Demonstrate the personal development of members within the team, completion of annual appraisals and identifying development opportunities
Desirable
- Experience in leading a project
Physical skills
Essential
- Physically able to perform a wide range of clinical duties
- Able to demonstrate using advanced clinical assessment skills
Person Specification
Training and Qualifications
Essential
- Current level one NMC or HCPC registeration
- Teaching , assessing or mentorship qualification
- Degree or Masters in Health related studies
Desirable
- Formal leadership and / or management training
Experience
Essential
- Experience at Band 6 in CCOT, Critical Care or equivalent area
- Recent clinical experience including caring for tracheostomies (weaning and decannulation), providing level 3 care and interventions and ability to use critical care skills outside of the environment
- Recognition of own level of competence and limitations and continuous professional development
- Evidence of support, supervision and delegation of peers and junior colleagues and providing staff with feedback
Desirable
- demonstrate evidence of change management / project work
- Evidence of audit or research within clinical area
- Evidence of writing policies and clinical guidelines
Communication and relationship
Essential
- Evidence of negotiation and decision making skills both as an independent practitioner and as a support for junior staff
- Can minimise interpersonal conflict and barriers to communication
- Ability to support colleagues, patients and relatives in distressing circumstances
- Evidence of effective written and verbal communication skills including conflict resolution
Desirable
- Demonstrate evidence of formal teaching sessions
- Experience of cross divisional working
Analytical and judgement skill
Essential
- Ability to respond, prioritise and analyse complex problems and ensure effective interventions are implemented
- Demonstrate use of data to influence patient care and services, collating and interpreting data.
- Ability to generate and present reports and documents.
Desirable
- Evidence of data collection and analysis for example in project management
Planning and organisational
Essential
- Ability to prioritise own workload and that of the team, responding to urgent and emergency situations
- Demonstrate effective leadership skills
- Demonstrate an ability to recognise when workload or priorities are inappropriate and intervene
- Demonstrate the personal development of members within the team, completion of annual appraisals and identifying development opportunities
Desirable
- Experience in leading a project
Physical skills
Essential
- Physically able to perform a wide range of clinical duties
- Able to demonstrate using advanced clinical assessment skills
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).