Job summary
We are currently recruiting for permanent members of our team - we have a vacancy for one full time Band 7 Critical Care Outreach Nurse position.
As a Critical Care Outreach Nurse, you will play a pivotal role in extending critical care expertise to non-intensive care areas, ensuring early identification and management of deteriorating patients. This position demands a strong commitment to patient safety, effective communication, and collaboration with multidisciplinary teams. The critical care outreach team (i-Mobile) will act as a support for ward based staff and hospital at night team in caring for deteriorating patients
Services provided by the team will enhance the care of the critically ill patient in delivering specified critical care therapy on the ward with the potential to avoid ICU admission. Where admission to critical care is required, the team will support the patient during the transition from the ward to critical care.
The critical care outreach nurse will also support patients following critical illness, after their transition to general wards. You will also be expected to assist the lead nurse with continuous service improvement for the critical care outreach team and trust wide initiatives to improve deteriorating patient care, such as deteriorating patient education.
Main duties of the job
- To work in close co-operation with multi-disciplinary teams, facilitating high standards of health to patients who are critically ill outside the ICU setting
- Assess the health needs of the deteriorating patient through physical examination, history taking and diagnostic studies in consultation with the i-Mobile CCOT consultant, senior registrars or ACPs
- Develop and manage a plan of care for deteriorating patients, working closely with the MDT, i-Mobile CCOT consultant, senior registrars and ACPs
- Work closely with the Hospital at Night team (H@N), medical, nursing, and AHP on the wards
- Provide management and leadership support for the i-Mobile CCOT
- Assist the i-Mobile CCOT nursing lead to achieve key performance indicators and success measures for service
- Actively be involved in audits, research and service improvement projects as part of continuous improvement
- Assist in the training of ward nurses in theoretical knowledge, practical skills and in expanding their roles
- Assist with the delivery of deteriorating patient education at the trust
- To work closely with King's Health Partners and Kings Commercial in the absence of the i-Mobile CCOT nursing lead.
This job description is intended as a guide and is not intended to be definitive or restrictive. It is expected that some of the duties will change over time and this description will be subject to review in consultation with the post holder.
About us
King's College Hospital NHS Foundation Trust is one of the UK's largest and busiest teaching Trusts with a turnover of £1 billion, 1.5 million patient contacts a year and around 15,000 staff based across 5 main sites in South East London. The Trust provides a full range of local hospital services across its different sites, and specialist services from King's College Hospital (KCH) sites at Denmark Hill in Camberwell and at the Princess Royal University Hospital (PRUH) site in Bromley.
King's is committed to delivering Sustainable Healthcare for All via our Green Plan.
Our values at King's, are that we're a kind, respectful team
- Kind. We show compassion and understanding and bring a positive attitude to our work
- Respectful. We promote equality, are inclusive and honest, speaking up when needed
- Team. We support each other, communicate openly, and are reassuringly professional
The trust-wide strategy Strong Roots, Global Reach is our Vision to be BOLD, Brilliant people, Outstanding care, Leaders in Research, Innovation and Education, Diversity, Equality and Inclusion (EDI) at the heart of everything we do.King's is dedicated to embracing the broad diversity of our staff, patients and communities and stand firmly against all forms of prejudice and discrimination.
Job description
Job responsibilities
Works within agreed protocols to meet the responsibilities of the role required
To demonstrate advanced clinical expertise in the care of critically ill patients
Perform advanced critical care skills if appropriately trained to do so
To undertake comprehensive physical and psychological patient assessment resulting in a clear plan of care for critically ill ward patients
To implement appropriate measures to enhance patient care and prevent further clinical deterioration
Provide follow up and ongoing care for patients discharged from ICU. Provide direct support at the deteriorating patients bedside, as required, until patients are stabilised or facilitating relocation to a higher level of care
Makes complex judgements in a wide range of clinical situations which require analysis, assessment, and investigations
Demonstrates an advanced knowledge in recognising, assessing, and treating critically ill patients
Facilitates teaching both informally and formally as part of proactive critical care outreach.
Job description
Job responsibilities
Works within agreed protocols to meet the responsibilities of the role required
To demonstrate advanced clinical expertise in the care of critically ill patients
Perform advanced critical care skills if appropriately trained to do so
To undertake comprehensive physical and psychological patient assessment resulting in a clear plan of care for critically ill ward patients
To implement appropriate measures to enhance patient care and prevent further clinical deterioration
Provide follow up and ongoing care for patients discharged from ICU. Provide direct support at the deteriorating patients bedside, as required, until patients are stabilised or facilitating relocation to a higher level of care
Makes complex judgements in a wide range of clinical situations which require analysis, assessment, and investigations
Demonstrates an advanced knowledge in recognising, assessing, and treating critically ill patients
Facilitates teaching both informally and formally as part of proactive critical care outreach.
Person Specification
Education and Qualifications
Essential
- Registered adult nurse with current NMC registration
- Degree (or near completion)
- Intensive care nursing course or equivalent
- Teaching, mentorship and/or student supervision assessment course
- Advanced Life Support Course
- Advanced assessment skills through formal training or significant clinical experience
- Conflict resolution training
Desirable
- Advanced Physical Assessment Skills Module
- MSc in Nursing, critical care, advanced practice or other relevant subject
- Non-Independent prescribing
- Quality improvement training
- Human Factors/Simulation training
Experience
Essential
- Significant critical care experience in the UK at Band 6 or above
- Evidence of shift leading, coordinating MDT, and managing deteriorating patients and/or clinical emergencies
- Competence in interpreting basic diagnostics (ABGs, ECGs, lactate, imaging)
- Proficiency in initiating acute interventions (e.g., non-invasive ventilation, advanced airway management, sepsis management).
- Solid grasp of deterioration protocols and NHS escalation policies (eg. NEWS 2, Martha's rule)
- Evidence of mentoring junior staff and delivering formal/informal teaching (eg sign-off mentor to students/junior colleagues
- Experience in designing, conducting, and reporting service improvement projects in healthcare and applying into practice
- Applying research practices by integrating evidence-based findings into clinical practice to enhance patient outcomes and experience
- Proven ability to explain complex medical information to patients/families and empower them to escalate concerns
Desirable
- Previous experience in critical care outreach
- ALS instructor
- Previous experience in developing clinical guidelines/policies
- Evidence of facilitating patient and family discussions (eg. advanced care planning)
Professional Attributes
Essential
- Able to work autonomously using evidence-based judgment while collaborating with the MDT
- Commitment and evidence to Continuous Professional Development (CPD)
- Works within agreed scope of practice, seeking advice of colleagues
- Ability to assertively communicate critical decisions during emergencies (e.g., escalating care, coordinating MDT) while maintaining a supportive, solution-focused approach
- Demonstrate an insight and reflection into own professional development, contributing to the process of identifying own educational and clinical training needs
Other Skills and Competencies
Essential
- Excellent written and verbal communication skills
- Strong organizational skills for managing patient transfers and service coordination
- Competent in Microsoft office
- Proficient in electronic patient records (e.g., Epic)
- Maintains patient confidentiality at all times
- Able to prioritise and manage own workload
- Able to instruct, direct and support others
- Advocacy skills
Desirable
- Other evidence of formal teaching e.g. workshops, lectures etc.
Personal qualities, disposition, and motivation
Essential
- Good general health and physical and mental resilience
- Smart and professional appearance and demeanour
- Positive and assertive manner
- Demonstrates personal commitment and enthusiasm
- Demonstrated ability to prioritize tasks and delegate effectively during emergencies while fostering teamwork
- Able to cope with a pressurized environment and able to use own initiative
- Willingness to work rotating shifts (days/nights/weekends) and adjust priorities in response to dynamic service needs
- Able to build rapport with ward staff, patients, and families, ensuring concerns are heard and addressed
- Evidence of motivating teams to adopt best practices (e.g., sepsis protocols, NEWS2 compliance) through coaching, feedback, and role modeling
Person Specification
Education and Qualifications
Essential
- Registered adult nurse with current NMC registration
- Degree (or near completion)
- Intensive care nursing course or equivalent
- Teaching, mentorship and/or student supervision assessment course
- Advanced Life Support Course
- Advanced assessment skills through formal training or significant clinical experience
- Conflict resolution training
Desirable
- Advanced Physical Assessment Skills Module
- MSc in Nursing, critical care, advanced practice or other relevant subject
- Non-Independent prescribing
- Quality improvement training
- Human Factors/Simulation training
Experience
Essential
- Significant critical care experience in the UK at Band 6 or above
- Evidence of shift leading, coordinating MDT, and managing deteriorating patients and/or clinical emergencies
- Competence in interpreting basic diagnostics (ABGs, ECGs, lactate, imaging)
- Proficiency in initiating acute interventions (e.g., non-invasive ventilation, advanced airway management, sepsis management).
- Solid grasp of deterioration protocols and NHS escalation policies (eg. NEWS 2, Martha's rule)
- Evidence of mentoring junior staff and delivering formal/informal teaching (eg sign-off mentor to students/junior colleagues
- Experience in designing, conducting, and reporting service improvement projects in healthcare and applying into practice
- Applying research practices by integrating evidence-based findings into clinical practice to enhance patient outcomes and experience
- Proven ability to explain complex medical information to patients/families and empower them to escalate concerns
Desirable
- Previous experience in critical care outreach
- ALS instructor
- Previous experience in developing clinical guidelines/policies
- Evidence of facilitating patient and family discussions (eg. advanced care planning)
Professional Attributes
Essential
- Able to work autonomously using evidence-based judgment while collaborating with the MDT
- Commitment and evidence to Continuous Professional Development (CPD)
- Works within agreed scope of practice, seeking advice of colleagues
- Ability to assertively communicate critical decisions during emergencies (e.g., escalating care, coordinating MDT) while maintaining a supportive, solution-focused approach
- Demonstrate an insight and reflection into own professional development, contributing to the process of identifying own educational and clinical training needs
Other Skills and Competencies
Essential
- Excellent written and verbal communication skills
- Strong organizational skills for managing patient transfers and service coordination
- Competent in Microsoft office
- Proficient in electronic patient records (e.g., Epic)
- Maintains patient confidentiality at all times
- Able to prioritise and manage own workload
- Able to instruct, direct and support others
- Advocacy skills
Desirable
- Other evidence of formal teaching e.g. workshops, lectures etc.
Personal qualities, disposition, and motivation
Essential
- Good general health and physical and mental resilience
- Smart and professional appearance and demeanour
- Positive and assertive manner
- Demonstrates personal commitment and enthusiasm
- Demonstrated ability to prioritize tasks and delegate effectively during emergencies while fostering teamwork
- Able to cope with a pressurized environment and able to use own initiative
- Willingness to work rotating shifts (days/nights/weekends) and adjust priorities in response to dynamic service needs
- Able to build rapport with ward staff, patients, and families, ensuring concerns are heard and addressed
- Evidence of motivating teams to adopt best practices (e.g., sepsis protocols, NEWS2 compliance) through coaching, feedback, and role modeling
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).
