Streaming Practitioner

Job responsibilities

Main Responsibilities

Supporting Clinical Excellence

Undertake face to face autonomous assessment and streaming of patients with undifferentiated and undiagnosed presentations attending ED to the most appropriate area in the service to meet their health needs. Recognising red flag signs and symptoms suggestive of the acutely unwell patients to ensuring they are prioritised appropriately.

Carry out physical clinical assessment when required to support the streaming process and ensure patient safety. Carry out investigations which will support clinical decision-making when reviewed by the clinicians.

Within the UTC, triage the direct 111 attendances within 15 mins post registration using the Manchester Triage system to identify patients to manage as a priority whether in the UTC or referring to ED if found to be acutely unwell.

Identifying patients with non-urgent healthcare issues which do not need medical assessment or treatment and effecting a safe discharge back to community services.

Identifying patents who fulfil the criteria of agreed referral pathways direct to speciality and making those referrals.

Identifying when needed and administering medicines under PGD such as analgesia, antihistamines, nebulisers etc. to ensure that the patient comfort and safety during their attendance and enhancing patient experience.

Liaising with the clinical teams within ED and UTC to escalate concerns or agree treatments for patients as necessary.

Liaise between ED/UTC/SDEC and OOH to facilitate the flow of patients and ensure safe appropriate referrals.

Professional Responsibilities

Adhere to the NMC or HCPC Codes of Professional Conduct and always work within their own scope of professional practice.

Ensure professional practice is in accordance with the NMC, HCPC and the Trusts own policies, procedures, and guidelines.

Maintain a professional manner at all time and acts a positive role model for all members of the Urgent Care team.

Ensure accurate contemporaneous record keeping and documentation in line with Trust and NMC or HCPC policy and guidance.

Attend annual appraisals with line manager and maintaining professional registration.

General Responsibilities

Participate in and support service improvement efforts by being flexible and open to changes which better meet service needs.

Participate in clinical audit to identify best practice and areas for improvement.

Have a zero-tolerance approach to bullying and harassment of all kinds and promote equality and diversity in the workplace. Lead by example in this remit.

Work in accordance with the Trusts policies and procedure and comply with Health & Safety Legislation.

Identify and assess risks, reporting adverse incidents and managing emergency situations.

Supports students and junior staff in the form of mentorship, preceptorship, and work shadowing.

Undertake training, including mandatory and role specific training and to ensure training is renewed as required and clinical competence is maintained.

Key Values & Behaviours

Reflective practitioner evaluates and modifies behaviours by reflecting on their own performance.

Able to adapt communication to situation and communicate effectively, honestly, and positively with patients and others about their care.

Actively seeks to contribute to the learning and development of self and colleagues.

Seeks to part of team focused on delivering excellence and embodies the Trusts core values of compassion, accountability, respect, integrity, and courage.

Education, Training & Qualifications

Essential

• A registered health care professional (with the NMC or HCPC)
• Education with to FdSc or equivalent level of education.

Desirable

• Education with to BSc or equivalent level of education.

Knowledge & Experience

Essential

• A practitioner with a broad level of knowledge & experience in the urgent care environment
• Experience in rapidly identifying unwell patients and provide clinical judgement in managing patients urgent care needs
• knowledge in physical health assessment (in a variety of systems)

Desirable

• Knowledge of alternative care pathways in the urgent care environment

Skills

Essential

• Good interpersonal skills including verbal face to face communication skills
• Ability to perform vital signs
• Able to carry out physical health assessments primary survey
• Professional deportment
• Ability to accurately document care interventions electronically
• Works within professional scope of practice
• Able to make informed clinical decisions
• Able to work in challenging environment, potentially having to deal with aggressive patients
• May have to work in unpleasant situations such as managing bodily fluids
• Keyboard skills, basic IT skills
• Be able to concentrate for intermittent periods of time duration of shift while seeing patients
• Be able to stop and start work according to patient inflow demands
• Offer patients and relatives verbal advice as required according to clinical needs

Desirable

• Streaming skills
• Triage skills
• Able to use symphony system
• May occasionally need to push wheel chair short distances
• Able to plan investigations according to patient presentation

Key Competencies/ Personal Qualities & Attributes

Essential

• A direct, efficient, decisive person will be effective in this role.
• Further attributes include being able to interact with patients, relatives and staff and a desire for success and productivity.
• A drive for service improvement
• A desire to work independently as well as part of a wider team

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.

Certificate of Sponsorship

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).