Advanced Critical Care Practitioner

Job description

Job responsibilities

Clinical practice

• Perform history taking, physiological and holistic assessment of critically ill patients regardless of location and respond appropriately

• Requestlaboratory and radiological tests as required

• Monitors patients compliance against treatment plans through interpretation of information from test results and clinical findings

• Utilise critical care expertise and clinical decision-making skills to inform clinical reasoning and appropriate action, in the best interests of the patient

• Prescribe safely and effectively, acknowledging own limitations and scope of practice as a non-medical prescriber

• Authorise blood products as indicated by clinical situation and relevant diagnostic tests

• Undertakes advanced airway management skills, including intubation when relevant assessments have been completed

• Initiates and subsequently manages mechanical ventilation to ensure optimal ventilation

• Assists with tracheostomy management in the critical care units and ward areas, including managing tube changes and de-cannulation

• Assess and retrieve patients requiring critical care from other areas within the hospital

• Initiate admission to, and discharge from the critical care units after discussion with the consultant in charge of the unit

• Undertakes invasive procedures within the scope of practise such as insertion of arterial line, central line, peripherally inserted central catheters, chest drains

• Recognise and take appropriate actions with reference to complications using appropriate referral system

• Lead and respond to emergency cardiothoracic situations utilising expert clinical judgement and decision making

• Undertake intra- and inter-hospital transfer of the critically ill patient according to agreed protocols as deemed appropriate

• Participate in MDT meetings, ward rounds and case presentations which contribute to the decision-making process in the management of the cardiothoracic critical care patient

• Communicates effectively with patients, their relatives and carers, colleagues and students

Leadership, Communication and Teamwork

• Communicates well with staff, personalising their communication approach to ensure teams are conversant with relevant information

• Excellent verbal, written and electronic communication skills so that professional advice or care guidance and instructions are well understood by patients, their relatives and/or carers, and members of the multi-disciplinary team

• To liaise and work closely within the clinical / multidisciplinary team to ensure good working relationships are in place which maximise benefits to patient care

• To build effective networks with other teams across and between organisations, working in collaboration to support efficient patient care

• Provides effective leadership and acts as a positive role model encouraging staff to develop and advance their skill

Governance

• To keep up to date with current guidelines and maintaining best practice

• To develop local clinical guidelines within their specialist area when required

• To play a strong role in all aspects of clinical governance, including clinical

audit and risk management

• To abide by the clinical and corporate governance policies of the OUHFT

• Ensure that all clinical documents are up-to-date, accurate, legible and

appropriately filed

• To report incidents as per OUH protocol and take appropriate action for learning

Research, Audit and Service Development

• Actively engages in undertaking audit, research and service evaluation, using this to inform clinical effectiveness, clinical excellence and best use of resources to develop practice

• To present findings of research, audit and service evaluation as requiredto identify areas of success or requiring improvement within the department

• Promotes and support the application of research and evidence-based practice

• To participate in the delivery of training programmes to hospital staff as appropriate

Education and Development

• Attendance at local, regional and national educational events

• Participate in teaching to medical personnel and the multi-disciplinary team within the directorate, and across critical care areas

• Engages in regular evaluation of teaching activity and act on feedback to ensure delivery is appropriate to service needs

• Undertake Continuing Professional Development (CPD) as defined by their current regulator to maintain and update professional competenceand maintain a professional portfolio

• Participate in annual appraisal with assessment of clinical skills as recommended by FICM

• To monitor the effectiveness and contribute to the development of the ACCP role

• Participate in recruitment, training and supervision of ACCPs

Person Specification

Qualifications

Essential

• MSc Advanced Critical Care Practice/Advanced Clinical Practice
• Registered Health Care Professional
• Independent Prescriber
• Completion of Advanced Critical Care Practitioner training

Desirable

• FICM membership
• Cardiothoracic Critical Care Experience
• Completion of non-medical authorisation of blood products course
• Cardiac Advanced Life Support Certification
• Advanced Life Support Certification

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).

Employer details

Employer name

Oxford University Hospitals NHS Foundation Trust

Address

John Radcliffe Hospital

Headley Way

Oxford

OX3 9DU

Employer's website

https://www.ouh.nhs.uk/ (Opens in a new tab)