Job summary
The Emergency Department at St Thomas' Hospital London is looking to recruit a highly motivated, skilled Emergency Practitioner to join our cross site Urgent Care Centre (Guys and St Thomas')
This an exciting opportunity to help shape and support the development of this service.
This is an autonomous position working within a set of parameters to treat patients presenting with minor injuries andminor illness conditions.
The post will be part of a 24 hour Emergency practitioner service provision.
Emergency Department experience is essential for this post.
Closing Date: 16th July 2023
Interview Date: 1st August 2023
Main duties of the job
Act as an autonomous practitioner in the care and management of patients with minor injuries/minor illness attending the Emergency Department, St Thomas' Hospital and the Urgent Care Centre, Guys Hospital
Provides specialist advice in minor injuries/minor illness to patients and the multidisciplinary team
Act as an expert resource and facilitator to educate and train other staff, and students, thus providing specialist care for patients
Responsible for developing communication pathways with key stakeholders including outside agencies, and commissioners.
The post holder will be involved in the development of practice and audit initiatives
Accountable for own specialist professional practice
The post holder will be responsible for contributing to the ongoing development of clinical practice, research and standards of care within the service, including development of policies, protocols and guidelines and contribute to service developments in collaboration with multidisciplinary colleagues.
Ensures the safety and well being of services users, and always working in a manner that promotes dignity and human rights through the adoption of person centered care principles.
About us
Guy's and St Thomas' NHS Foundation Trust comprises five of the UK's best known hospitals - Guy's, St Thomas', Evelina London Children's Hospital, Royal Brompton and Harefield - as well as community services in Lambeth and Southwark, all with a long history of high quality care, clinical excellence, research and innovation.
At Guys and St Thomas' Hospital we prioritize our staff concentrating on development, career progression, work-life balance and staff well being so that you can be the best nurse to your patients.
Job description
Job responsibilities
- To work autonomously, managing a caseload of patients within the specialty whilst working as part of the multidisciplinary team, delivering individualised and personalised direct patient care
- Be responsible for assessing and recognising emergencies in the speciality. To interpret information and take appropriate action and to lead others to do the same.
- Act as an advocate for patients within the department, to ensure a patient orientated approach to the delivery of care and to meet standards within the NHS Plan and other relevant guidelines.
- Ensure that patients receive high quality clinical care and a good patient experience, having regard for their customs, religious beliefs and doctrines.
- Recognise and avoid situations that may be detrimental to the health and wellbeing of the individuals.
- Co-ordinate the provision of specialist services to patients, both within hospital and/or in the community setting, effectively liaising with multidisciplinary colleagues
- Direct, support, encourage and advise clinical teams, by the provision of specialist knowledge and advice in the care of patients within the area.
- Participate in the promotion of patient centred care, and establish and maintain a supportive relationship with the patient and their family during the period of assessment, treatment and after care
- Support and enable patients and carers to make informed decisions relating to their treatment and management.
- Promote high quality clinical care, and assist in the development of the specialist service, through the use of evidence based practice and clinical standards
- Acts as a role model in providing professional and clinical leadership and expertise in the speciality and to act as a resource for education and clinical expertise.
- Demonstrate appropriate expert practice and highly specialist advice in the assessment, planning, implementation and evaluation of patient care. This includes history taking, physical examination and the requesting of agreed diagnostic procedures/clinical investigations.
- Responsible for the correct administration of prescribed medication including transfusion of blood
- Participate in the promotion of the specialist service through dissemination of specialist knowledge, both locally and nationally.
- Actively participate in local, national and international networking to maintain and develop expert level of knowledge in the specialty.
- Participate in the promotion of the specialty by publishing and presenting innovations and research findings locally and nationally.
- To be designated to take charge of the area in the absence of the person holding continuing responsibility.
- To ensure patients and families are given appropriate verbal and written advice regarding care planning
- Maintain adequate patient records and ensure all relevant information is documented in patients notes ensuring that confidentiality of information is adhered to.
- Organise own work and manage own caseload and practice, identifying and maintaining supportive networks for self and other staff members.
- Implement new initiatives where possible to run a cost effective, timely service
- Provide cover for the other Clinical Nurse Specialist as appropriate.
- Develop policies, protocols and clinical guidelines in support of the specialist service.
- Provide specialist education to members of the clinical team, which facilitates learning and individual personal development.
- Implement and work within the Trusts HR policies on all staffing matters, including sickness, capability and disciplinary issues. Take corrective measures if indicated in liaison with Human Resources and the Matron/Lead EP/ACP.
- Work with the Matron and Human Resources Department in the recruitment, selection, appointment and retention of staff.
- Adhere to Trust and departmental policies and procedures, ensuring that all staff do the same.
- Ensure optimised skill mix within the department/ward and reviewing the skill mix as required and monitoring the use of bank and agency staff.
- Organise team meetings at an appropriate frequency, recording and circulating minutes of these. To ensure a good method of communication within the department at all times and to encourage the exchange and implementation of new ideas and evidence based practice.
- Assist the Lead EP/ACP, Head of Nursing, Clinical Lead and Service Manager with the strategic planning for the service within Guys and St Thomas Foundation Trust, as an expert practitioner.
- Maintain the necessary equipment, and order medical and nursing supplies within the agreed financial resources.
- Ensures effective EP cover is maintained, using manpower efficiently anticipating staff shortages and acting appropriately.
Job description
Job responsibilities
- To work autonomously, managing a caseload of patients within the specialty whilst working as part of the multidisciplinary team, delivering individualised and personalised direct patient care
- Be responsible for assessing and recognising emergencies in the speciality. To interpret information and take appropriate action and to lead others to do the same.
- Act as an advocate for patients within the department, to ensure a patient orientated approach to the delivery of care and to meet standards within the NHS Plan and other relevant guidelines.
- Ensure that patients receive high quality clinical care and a good patient experience, having regard for their customs, religious beliefs and doctrines.
- Recognise and avoid situations that may be detrimental to the health and wellbeing of the individuals.
- Co-ordinate the provision of specialist services to patients, both within hospital and/or in the community setting, effectively liaising with multidisciplinary colleagues
- Direct, support, encourage and advise clinical teams, by the provision of specialist knowledge and advice in the care of patients within the area.
- Participate in the promotion of patient centred care, and establish and maintain a supportive relationship with the patient and their family during the period of assessment, treatment and after care
- Support and enable patients and carers to make informed decisions relating to their treatment and management.
- Promote high quality clinical care, and assist in the development of the specialist service, through the use of evidence based practice and clinical standards
- Acts as a role model in providing professional and clinical leadership and expertise in the speciality and to act as a resource for education and clinical expertise.
- Demonstrate appropriate expert practice and highly specialist advice in the assessment, planning, implementation and evaluation of patient care. This includes history taking, physical examination and the requesting of agreed diagnostic procedures/clinical investigations.
- Responsible for the correct administration of prescribed medication including transfusion of blood
- Participate in the promotion of the specialist service through dissemination of specialist knowledge, both locally and nationally.
- Actively participate in local, national and international networking to maintain and develop expert level of knowledge in the specialty.
- Participate in the promotion of the specialty by publishing and presenting innovations and research findings locally and nationally.
- To be designated to take charge of the area in the absence of the person holding continuing responsibility.
- To ensure patients and families are given appropriate verbal and written advice regarding care planning
- Maintain adequate patient records and ensure all relevant information is documented in patients notes ensuring that confidentiality of information is adhered to.
- Organise own work and manage own caseload and practice, identifying and maintaining supportive networks for self and other staff members.
- Implement new initiatives where possible to run a cost effective, timely service
- Provide cover for the other Clinical Nurse Specialist as appropriate.
- Develop policies, protocols and clinical guidelines in support of the specialist service.
- Provide specialist education to members of the clinical team, which facilitates learning and individual personal development.
- Implement and work within the Trusts HR policies on all staffing matters, including sickness, capability and disciplinary issues. Take corrective measures if indicated in liaison with Human Resources and the Matron/Lead EP/ACP.
- Work with the Matron and Human Resources Department in the recruitment, selection, appointment and retention of staff.
- Adhere to Trust and departmental policies and procedures, ensuring that all staff do the same.
- Ensure optimised skill mix within the department/ward and reviewing the skill mix as required and monitoring the use of bank and agency staff.
- Organise team meetings at an appropriate frequency, recording and circulating minutes of these. To ensure a good method of communication within the department at all times and to encourage the exchange and implementation of new ideas and evidence based practice.
- Assist the Lead EP/ACP, Head of Nursing, Clinical Lead and Service Manager with the strategic planning for the service within Guys and St Thomas Foundation Trust, as an expert practitioner.
- Maintain the necessary equipment, and order medical and nursing supplies within the agreed financial resources.
- Ensures effective EP cover is maintained, using manpower efficiently anticipating staff shortages and acting appropriately.
Person Specification
Experience
Essential
- Significant & credible experience in autonomous practice of patients with minor injury and illness
- Substantial experience working in an emergency or urgent care setting with exposure to a wide variety of patients with urgent care needs
Desirable
- Management/leadership experience
- Experience using Patient Group Directions (PGDs) in change management
Skills
Essential
- Ability to lead, manage and motivate self and others
- Developed specialist skills relating to Urgent & Emergency Care e.g. Triage
- In depth understanding of local and national issues relating to urgent & emergency care
- Is fully competent in: oSimple interrupted suturing oPlaster cast application oPhlebotomy & cannulation oSkeletal X-ray interpretation
- Up to date knowledge of relevant NICE guidelines
Desirable
- Demonstrates research based practice
- IT skills in MS Word, PowerPoint & Excel
- Ability to challenge accepted practice as appropriate
Qualifications/ Education
Essential
- Evidence of post registration professional development
- Evidence of completing a recognised Minor Injury/Minor Illness course (of at least 3 months duration)
- Mentoring/assessing or teaching qualification
- 1st degree/ BSc (healthcare related)
Desirable
- Independent Prescribing course (V300) completed and registered prescriber
- Up to date Advanced Life Support (ALS) Course or Intermediate Life Support Course (ILS)
- MSc or Equivalent
- Advanced assessment course
- Leadership qualification
Value and Behaviour
Essential
Professional/ Statutory Registration
Essential
Person Specification
Experience
Essential
- Significant & credible experience in autonomous practice of patients with minor injury and illness
- Substantial experience working in an emergency or urgent care setting with exposure to a wide variety of patients with urgent care needs
Desirable
- Management/leadership experience
- Experience using Patient Group Directions (PGDs) in change management
Skills
Essential
- Ability to lead, manage and motivate self and others
- Developed specialist skills relating to Urgent & Emergency Care e.g. Triage
- In depth understanding of local and national issues relating to urgent & emergency care
- Is fully competent in: oSimple interrupted suturing oPlaster cast application oPhlebotomy & cannulation oSkeletal X-ray interpretation
- Up to date knowledge of relevant NICE guidelines
Desirable
- Demonstrates research based practice
- IT skills in MS Word, PowerPoint & Excel
- Ability to challenge accepted practice as appropriate
Qualifications/ Education
Essential
- Evidence of post registration professional development
- Evidence of completing a recognised Minor Injury/Minor Illness course (of at least 3 months duration)
- Mentoring/assessing or teaching qualification
- 1st degree/ BSc (healthcare related)
Desirable
- Independent Prescribing course (V300) completed and registered prescriber
- Up to date Advanced Life Support (ALS) Course or Intermediate Life Support Course (ILS)
- MSc or Equivalent
- Advanced assessment course
- Leadership qualification
Value and Behaviour
Essential
Professional/ Statutory Registration
Essential
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).
