Job summary
As a Critical Care Outreach and Resuscitation Practitioner, you will be responsible for the provision and facilitation of high quality specialist care to all patients with a critical illness diagnosis. This is in conjunction and with your line manager, the Critical Care Consultants and the Trust Critical Care Outreach and Resuscitation Lead. The main aim of this role is to avert admission to Critical Care by timely recognition and intervention, or to ensure that admission to higher level care takes place.
Furthermore you will enable discharge from Critical Care by supporting the continuing recovery of discharged patients on wards, and acting as a resource to other professionals on Critical Care and associated treatments and issues.
You will also be responsible for the delivery of a resuscitation training programme, to ensure all Trust staff are trained to an appropriate level, which meets the mandatory training requirements.
Main duties of the job
You will provide specialist advice to support and facilitate high quality, individualised care to critically ill patients/clients and relatives/carers, without supervision, in collaboration with the multi-disciplinary team, in line with local and national targets and guidelines.
- undertake comprehensive physical and psychological patient assessments resulting in a clear plan of care for critically or acutely ill ward patients. You will implement appropriate measures to enhance patient care and prevent further clinical deterioration and be evaluating the effectiveness of interventions and re-assess at appropriate intervals.
- participate as a member of the cardiac arrest and medical emergency teams, acting as an effective role model and expert to all members of the Trust's staff.
- facilitate appropriate resuscitation training according to the Trust's Resuscitation Policy.
- provide specialist clinical support and guidance in all matters relating to Critical Care Outreach and Resuscitation.
- Ensure the audit process is adhered to in line with Resuscitation Council (UK) Guidelines and Trust policies.
- identify, record and report all clinical incidents according to the Trust policy.
- be willing to develop with the service, providing a 24 hour, 7-day model for acutely unwell patients.
About us
At Imperial College Healthcare you can achieve extraordinary things with extraordinary people, working with leading clinicians pushing boundaries in patient care. Become part of a vibrant team living our values - expert, kind, collaborative and aspirational. You'll get an experience like no other and will fast forward your career.
Benefits include career development, flexible working and wellbeing, staff recognition scheme. Make use of optional benefits including Cycle to work, car lease schemes, season ticket loan or membership options for onsite leisure facilities. We encourage staff to have the Covid vaccination to protect themselves, patients, other colleagues as well as the wider community. Please note it is an operational requirement to comply with infection prevention and control procedures within the Trust such as lateral flow testing, handwashing and the wearing of masks, according to the procedures in place at any time or location. As part of our continued response to Covid19 we are still conducting the majority of our interviews virtually.
We are committed to equal opportunities and improving the working lives of our staff and will consider applications to work flexibly, part-time or job share.
Job description
Job responsibilities
- Provide specialist advice to support and facilitate high quality, individualised care to critically ill patients/clients and relatives/carers, without supervision, in collaboration with the multi-disciplinary team in line with local and national targets and guidelines.
- To undertake comprehensive physical and psychological patient assessment resulting in a clear plan of care for critically or acutely ill ward patients. To implement appropriate measures to enhance patient care and prevent further clinical deterioration and to evaluate the effectiveness of interventions and to re-assess at appropriate intervals.
- Participate as a member of the cardiac arrest and medical emergency teams, acting as an effective role model and expert to all members of the Trusts staff.
- To facilitate appropriate resuscitation training according to the Trusts Resuscitation Policy.
- To provide specialist clinical support and guidance in all matters relating to Critical Care Outreach and Resuscitation.
- Ensure the audit process is adhered to in line with Resuscitation Council (UK) Guidelines and Trust policies. Identify record and report all clinical incidents according to the Trust policy.
- Willing to develop with the service providing a 24 hour, 7-day model for acutely unwell patients.
Communication and relationships
- To provide sound clinical leadership and develop support mechanisms for sharing good practice and current guidelines within the clinical setting and Trust wide.
- Maintain and promote effective communication both verbally and in writing with all members of the multi-disciplinary team, Wards or Departments and course candidates, relating to critical care and resuscitation services. Liaise with the Resuscitation Council (UK) and Trust partners. Communication will take place using formal and informal methods.
- To work in a collaborative manner, providing clear decision making skills in consultation with nursing and medical staff, being prepared to pursue line management structures as needed in order to achieve best outcomes for patients.
- Debriefing the multidisciplinary members of the cardiac arrest team following medical events when required.
- To demonstrate politeness, courtesy and sensitivity in dealing with patients/clients, visitors/relatives and colleagues, maintaining good customer relations.
- Promote the corporate image of Imperial College Healthcare NHS Trust to all individuals, groups and organisations both within the Trust and to the community at large.
Responsibility- Patient / client care
- 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.
- Work as an active member of the Cardiac Arrest and Medical emergency teams providing clinical support and guidance.
- Provide follow up and on-going care for patients discharged from Critical Care.
- Provide direct support at the bedside, as required and in the absence of other members of the cardiac arrest team, until patients are stabilised or relocated to a higher level of care.
- Collaborate with medical colleagues in ensuring that appropriate investigations are performed to complete the patients treatments and their families are fully informed and understand the purpose for these.
- Proactive participation in the development and co-ordination of patient care pathway, across the various settings to maximise patient satisfaction and outcomes.
- Maintain and update own clinical expertise and contribute as role model to ensure the delivery of care is at highest possible level.
- Develop tools to improve the quality of the service.
- Monitor the quality of care and action audit information to achieve agreed standards and take the lead on customer care initiatives. This will include the development and utilisation of local action plans.
- Ensure the provision of care is in accordance with Imperial College Health Care NHS Trusts Polices & procedures. This includes adherence to Resuscitation and Drugs Administration policy.
- Ensure that documentation is maintained to the Trust standard (including electronic records and databases) and implement audits of records to measure and evaluate care planning.
- To act as patient advocate in line with the NHS Plan and to actively apply in depth knowledge of holistic/socio-economic and cultural aspects of the care to clients within your specific speciality, acting as a role model and resource for patients, relatives and staff.
- To investigate complaints, accident reports and untoward incidents within own clinical speciality and in conjunction with the Line Manager and implement recommendations for action.
- Work in partnership with support staff to ensure that care, treatment and service needs are met.
- To be aware of and champion current trends and developments in nursing and in the NHS.
- To be able to undertake additional clinical skills such as; non-invasive ventilation, venepuncture and cannulation, arterial blood gas sampling and analysis, take blood cultures, catheterisation, intra-osseous insertion.
Responsibility - Policy and service
- To work alongside other health care practitioners in the Trust to support advancements and understanding of specialist practitioner roles.
- To participate in National forums for Critical Care Outreach and Resuscitation, presenting and disseminating work as appropriate and contributing to the national agenda.
- To maintain membership of professional bodies and relevant national professional groups to facilitate development within specialist field.
Responsibility- Financial and physical
- To manage the efficient and effective use of supplies, provisions and equipment within delegated budgets.
- Have continuing responsibility for the provision of a suitable, clean, uncluttered and safe environment for the physical and psychological well-being of staff, patients/clients and their relatives.
- In conjunction with Line Manager identify, analyse and discuss cost pressures and financial constraints in a timely manner.
Responsibility - Staff / HR / leadership / training
- Be actively involved in staff education and the development of Critical Care and Resuscitation skills and the expansion of services.
- To act as a mentor and resource for student nurses, adaptation, unqualified members of the team, post graduate students and Allied Health Professionals undertaking critical care and resuscitation courses acting as an assessor when required.
- To assist with the co-ordination of national courses i.e. Immediate Life Support, Advanced Life Support, European Paediatric Advanced Life Support Course, Paediatric Immediate Life Support Course, Advanced Paediatric Life Support Course and the Generic Instructors Course. Also to participate in local courses i.e. ADAPT, Tracheostomy and Non-Invasive Ventilation Study Days as well as any ad-hoc and statutory training.
- Develop education plans with ward areas, as required, to resolve skills deficits and to address clinical issues relating to critically ill patients and/or resuscitation.
- Deliver core training related to critical care and resuscitation for nurses and allied health professionals across the organisation.
- Provide specific training to community staff/GPs to facilitate complex discharge of patients with critical care related needs.
- Maintain, update and develop own personal and professional knowledge and skills and those of team by participating in the Trusts 1:1 process and PDR development.
- Actively manage own annual leave in line with Trust and local Policy and Procedure.
- Develop and maintain a positive learning environment for colleagues, patients and visitors.
- Maintain, update and develop personal and professional knowledge and skills, using the Trusts Performance Review System, enabling standards of patient care to be monitored constantly and improved.
- Participate fully as a team member, sharing knowledge and information and supporting colleagues, including support staff to promote a cohesive team and the achievement of team objectives
Responsibility - Information resources
- Maintain data quality standards as per Trust policy.
- Undertake training for electronic information systems in place & under development.
- Adhere to Trust / local guidelines for ordering relevant tests and access results reported.
- To have an active email account and use this as one of the methods of disseminating information to ward team.
- Role model use of Trust intranet and internet to staff.
Responsibility - Research and development
- Participate in the development and implementation of evidence based practice for patients with critical illness including the use/development of protocols to ensure appropriate, specialist care is provided for improved patient outcome.
- To undertake research and to publish outcomes as appropriate.
- In conjunction with the MDT develop a mechanism for setting goals and benchmarking standards of care related to critical illness.
- Monitor the quality of care and action audit information to achieve agreed standards relating to critical illness management.
Freedom to act
- Freedom to initiate action within broad clinical / professional policies, seeking guidance from others as necessary
- The post holders work is managed, rather than supervised; expected results will be defined jointly with the team and line manager
Research and Audit
- Responsible for ensuring that all education, training and development provisions and opportunities are regularly audited and the results fed back to staff and management.
- Facilitate education audits to maintain a clinical environment that is conducive to learning for both pre and post registration placements.
- Maintain clinical audit and standards of practice and respond proactively to outcomes.
- Maintain databases related to Critical Illness and resuscitation management, reporting as per the Trust policies and providing specific reports as required.
Job description
Job responsibilities
- Provide specialist advice to support and facilitate high quality, individualised care to critically ill patients/clients and relatives/carers, without supervision, in collaboration with the multi-disciplinary team in line with local and national targets and guidelines.
- To undertake comprehensive physical and psychological patient assessment resulting in a clear plan of care for critically or acutely ill ward patients. To implement appropriate measures to enhance patient care and prevent further clinical deterioration and to evaluate the effectiveness of interventions and to re-assess at appropriate intervals.
- Participate as a member of the cardiac arrest and medical emergency teams, acting as an effective role model and expert to all members of the Trusts staff.
- To facilitate appropriate resuscitation training according to the Trusts Resuscitation Policy.
- To provide specialist clinical support and guidance in all matters relating to Critical Care Outreach and Resuscitation.
- Ensure the audit process is adhered to in line with Resuscitation Council (UK) Guidelines and Trust policies. Identify record and report all clinical incidents according to the Trust policy.
- Willing to develop with the service providing a 24 hour, 7-day model for acutely unwell patients.
Communication and relationships
- To provide sound clinical leadership and develop support mechanisms for sharing good practice and current guidelines within the clinical setting and Trust wide.
- Maintain and promote effective communication both verbally and in writing with all members of the multi-disciplinary team, Wards or Departments and course candidates, relating to critical care and resuscitation services. Liaise with the Resuscitation Council (UK) and Trust partners. Communication will take place using formal and informal methods.
- To work in a collaborative manner, providing clear decision making skills in consultation with nursing and medical staff, being prepared to pursue line management structures as needed in order to achieve best outcomes for patients.
- Debriefing the multidisciplinary members of the cardiac arrest team following medical events when required.
- To demonstrate politeness, courtesy and sensitivity in dealing with patients/clients, visitors/relatives and colleagues, maintaining good customer relations.
- Promote the corporate image of Imperial College Healthcare NHS Trust to all individuals, groups and organisations both within the Trust and to the community at large.
Responsibility- Patient / client care
- 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.
- Work as an active member of the Cardiac Arrest and Medical emergency teams providing clinical support and guidance.
- Provide follow up and on-going care for patients discharged from Critical Care.
- Provide direct support at the bedside, as required and in the absence of other members of the cardiac arrest team, until patients are stabilised or relocated to a higher level of care.
- Collaborate with medical colleagues in ensuring that appropriate investigations are performed to complete the patients treatments and their families are fully informed and understand the purpose for these.
- Proactive participation in the development and co-ordination of patient care pathway, across the various settings to maximise patient satisfaction and outcomes.
- Maintain and update own clinical expertise and contribute as role model to ensure the delivery of care is at highest possible level.
- Develop tools to improve the quality of the service.
- Monitor the quality of care and action audit information to achieve agreed standards and take the lead on customer care initiatives. This will include the development and utilisation of local action plans.
- Ensure the provision of care is in accordance with Imperial College Health Care NHS Trusts Polices & procedures. This includes adherence to Resuscitation and Drugs Administration policy.
- Ensure that documentation is maintained to the Trust standard (including electronic records and databases) and implement audits of records to measure and evaluate care planning.
- To act as patient advocate in line with the NHS Plan and to actively apply in depth knowledge of holistic/socio-economic and cultural aspects of the care to clients within your specific speciality, acting as a role model and resource for patients, relatives and staff.
- To investigate complaints, accident reports and untoward incidents within own clinical speciality and in conjunction with the Line Manager and implement recommendations for action.
- Work in partnership with support staff to ensure that care, treatment and service needs are met.
- To be aware of and champion current trends and developments in nursing and in the NHS.
- To be able to undertake additional clinical skills such as; non-invasive ventilation, venepuncture and cannulation, arterial blood gas sampling and analysis, take blood cultures, catheterisation, intra-osseous insertion.
Responsibility - Policy and service
- To work alongside other health care practitioners in the Trust to support advancements and understanding of specialist practitioner roles.
- To participate in National forums for Critical Care Outreach and Resuscitation, presenting and disseminating work as appropriate and contributing to the national agenda.
- To maintain membership of professional bodies and relevant national professional groups to facilitate development within specialist field.
Responsibility- Financial and physical
- To manage the efficient and effective use of supplies, provisions and equipment within delegated budgets.
- Have continuing responsibility for the provision of a suitable, clean, uncluttered and safe environment for the physical and psychological well-being of staff, patients/clients and their relatives.
- In conjunction with Line Manager identify, analyse and discuss cost pressures and financial constraints in a timely manner.
Responsibility - Staff / HR / leadership / training
- Be actively involved in staff education and the development of Critical Care and Resuscitation skills and the expansion of services.
- To act as a mentor and resource for student nurses, adaptation, unqualified members of the team, post graduate students and Allied Health Professionals undertaking critical care and resuscitation courses acting as an assessor when required.
- To assist with the co-ordination of national courses i.e. Immediate Life Support, Advanced Life Support, European Paediatric Advanced Life Support Course, Paediatric Immediate Life Support Course, Advanced Paediatric Life Support Course and the Generic Instructors Course. Also to participate in local courses i.e. ADAPT, Tracheostomy and Non-Invasive Ventilation Study Days as well as any ad-hoc and statutory training.
- Develop education plans with ward areas, as required, to resolve skills deficits and to address clinical issues relating to critically ill patients and/or resuscitation.
- Deliver core training related to critical care and resuscitation for nurses and allied health professionals across the organisation.
- Provide specific training to community staff/GPs to facilitate complex discharge of patients with critical care related needs.
- Maintain, update and develop own personal and professional knowledge and skills and those of team by participating in the Trusts 1:1 process and PDR development.
- Actively manage own annual leave in line with Trust and local Policy and Procedure.
- Develop and maintain a positive learning environment for colleagues, patients and visitors.
- Maintain, update and develop personal and professional knowledge and skills, using the Trusts Performance Review System, enabling standards of patient care to be monitored constantly and improved.
- Participate fully as a team member, sharing knowledge and information and supporting colleagues, including support staff to promote a cohesive team and the achievement of team objectives
Responsibility - Information resources
- Maintain data quality standards as per Trust policy.
- Undertake training for electronic information systems in place & under development.
- Adhere to Trust / local guidelines for ordering relevant tests and access results reported.
- To have an active email account and use this as one of the methods of disseminating information to ward team.
- Role model use of Trust intranet and internet to staff.
Responsibility - Research and development
- Participate in the development and implementation of evidence based practice for patients with critical illness including the use/development of protocols to ensure appropriate, specialist care is provided for improved patient outcome.
- To undertake research and to publish outcomes as appropriate.
- In conjunction with the MDT develop a mechanism for setting goals and benchmarking standards of care related to critical illness.
- Monitor the quality of care and action audit information to achieve agreed standards relating to critical illness management.
Freedom to act
- Freedom to initiate action within broad clinical / professional policies, seeking guidance from others as necessary
- The post holders work is managed, rather than supervised; expected results will be defined jointly with the team and line manager
Research and Audit
- Responsible for ensuring that all education, training and development provisions and opportunities are regularly audited and the results fed back to staff and management.
- Facilitate education audits to maintain a clinical environment that is conducive to learning for both pre and post registration placements.
- Maintain clinical audit and standards of practice and respond proactively to outcomes.
- Maintain databases related to Critical Illness and resuscitation management, reporting as per the Trust policies and providing specific reports as required.
Person Specification
Education/ Qualifications
Essential
- Experienced Registered Health Care Practitioner at Band 6 or above (RN, RGN,HCPC)
- Degree in Nursing / Health Related subject, or working towards this
- Professional clinical qualification in a Critical Care associated speciality or equivalent and appropriate experience in a critical or emergency care area
- RCUK ILS/ALS provider
Experience
Essential
- Evidence of continuing professional development
- Ability to practice within the scope of relevant professional body.
Skills
Essential
- Structured teaching (lecturing) skills
- Evidence of applying current research to practice
- Ability to compile complex written information through effective written and verbal communication skills
Person Specification
Education/ Qualifications
Essential
- Experienced Registered Health Care Practitioner at Band 6 or above (RN, RGN,HCPC)
- Degree in Nursing / Health Related subject, or working towards this
- Professional clinical qualification in a Critical Care associated speciality or equivalent and appropriate experience in a critical or emergency care area
- RCUK ILS/ALS provider
Experience
Essential
- Evidence of continuing professional development
- Ability to practice within the scope of relevant professional body.
Skills
Essential
- Structured teaching (lecturing) skills
- Evidence of applying current research to practice
- Ability to compile complex written information through effective written and verbal communication 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).
