Critical Care Outreach Sister/Charge Nurse (XR07)

Anexciting opportunity has arisen to join the Critical Care Outreach Team as aSenior Sister / Charge Nurse. The post holder will be experienced in thefield of Critical Care, experience working as part of the Critical CareOutreach Team is desirable.Thesuccessful candidate will be allocated to take charge of shifts, where theywill coordinate the safe running of the team and workload. This includescross site working, lone working and providing ongoing support and leadershipto junior Critical Care Outreach team members.Thesuccessful candidate will provide advanced clinical assessment of thedeteriorating adult patient in a variety of clinical areas throughout theTrust, deliver education to ward-based teams on the recognition andmanagement of the deteriorating adult patient and support the Deputy Matronand Deteriorating Patient Lead to implement Trust wide quality improvementinitiatives.Main duties of the job

Therole provides extensive clinical advice, education and support to ward basedmulti-disciplinary teams across a variety of clinical areas throughout thetrust.Thepost holder will work as an accountable, autonomous practitioner to providecomprehensive advanced assessment and care of the deteriorating/acutely illadult patient leading to early intervention and treatment.Thepost holder will work in partnership with the Allied Healthcare ProfessionalsTeam to initiate appropriate care to prevent further physiologicaldeterioration, identifying and referring those patients who require admissionto critical care.Thepost holder will act as a clinical role model, promoting qualityevidence-based practice. Multi-disciplinary team liaison, education andtraining in the care and management of the deteriorating/acutely ill adultwill be key responsibilities.About us

TheCritical Care Outreach service are a team of experienced individuals, whofocus is to provide the highest quality of care, to patients experiencing adeterioration in their clinical condition.Toachieve the best outcomes in the safest environments alongside an outstandingpatient experienceLeedsTeaching Hospitals is committed to our process of redeploying ''at risk''members of our existing workforce to new roles. As such, all our job advertsare subject to this policy and we reserve the right to close, delay or removeadverts while this process is completed. If you do experience a delay in theshortlisting stage of the recruitment cycle, please bear with us while thisprocess is completed, and contact the named contact if you have anyquestions.Job responsibilities

JOBDETAILSJobTitle: Critical Care Outreach Sister/Charge NurseReportsto: Deputy Matron Critical Care Outreach TeamAccountableto: Lead Nurse Deteriorating PatientBand: 7Unit/Department:Critical Care Outreach TeamCSUDirectorate: Adult Critical CareLocationAfCJob No: 2478cJOBPURPOSEThepost holder will work as an accountable, autonomous practitioner to providecomprehensive advanced assessment and care of the deteriorating/acutely illadult patient leading to early intervention and treatment.Thepost holder will work in partnership with the Allied Healthcare ProfessionalsTeam to initiate appropriate care to prevent further physiologicaldeterioration, identifying and referring those patients who require admissionto critical care.Thepost holder will act as a clinical role model, promoting qualityevidence-based practice. Multi-disciplinary team liaison, education andtraining in the care and management of the deteriorating/acutely ill adultwill be key responsibilities.Thepost holder will hold achievement of the National Outreach Framework EnhancedCompetencies and work towards achievement of The National Outreach FrameworkAdvanced competencies identified through annual appraisals.KNOWLEDGE,SKILLS AND EXPERIENCE REQUIREDQualificationsRegisteredNurse (Level 1).CriticalCare Course or equivalent competenciesRecognisedteaching/assessing qualification.NationalOutreach Framework Enhanced Competencies.Educatedto post graduate degree level or equivalent experience.AdvancedLife Support provider.ExperienceSignificantCritical Care Outreach experience at sister/charge nurse level.Workingwith a wide range of professionals including; medical, nursing and managementcolleagues.SkillsAbilityto utilise expert/high level communication and interpersonal skillseffectively within a multi-disciplinary team.Abilityto teach, supervise and assess qualified and unqualified staff.Abilityto manage time and prioritise own workload effectively.Proactivetowards change and change management.Clinicalleadership.ITskills.Excellentliaison and negotiating skills.Self-motivatedand able to work independently and autonomously.Evidenceof managing complex patients in stressful and emotional situations wherelife-changing events are being communicated and clinically managed.KnowledgeIn-depthknowledge and expert clinical competence in the care of the deteriorating/acutely ill adult.Insightinto current issues in nursing/professional issues.Standardsof professional practice.PersonalAttributesProfessionaland patient focused with a strong commitment to providing high quality care.Abilityto remain calm and polite under pressure.Flexible,adaptable, capable of lateral thinking with well-developed assertivenessskills.Excellentinterpersonal skills with advanced oral and written communication skills.Inspirationalwith ability to motivate othersAbilityto identify and manage stress in self and others.THELEEDS WAY VALUESOurvalues are part of what make us different from other trusts, so we see thisas a strength, as well as a responsibility. They have been developed by ourstaff and set out what they see as important to how we work. Our five values are:AccountableEmpoweredAllour actions and endeavours will be guided and evaluated through these valuesAdditionallythe following are core values which relate specifically to this post:Commitmentto enhancing care for the critically ill within the Trust.Commitmentto working in a multi-disciplinary team.Commitmentto the clinical area, valuing the contribution of all team members,encouraging a positive and creative working environment.Commitmentto own personal and professional development and to the development of otherswithin the team.Commitmentto support, uphold and demonstrate the core values and behaviours of theLeeds Teaching Hospitals NHS Trust.COREBEHAVIOURS AND SKILLSTeaching and assessing skills.Advanced clinical skills(desirable).Understanding of research-basedpractice research conscious.Team player.Personal Development.Ability to act professionally at alltimes.Understanding of the process ofchange.Uses initiative to resolve issueswithin their own control.Organisational skills.COREKNOWLEDGE AND UNDERSTANDINGAnunderstanding of the organisational structure and working practices of theorganisationUnderstandingof the local and national nursing agendaAwarenessof Leeds Teaching Hospitals Trust guidelines and policiesPRINCIPALDUTIES and AREAS OF RESPONSIBILITYClinicalDeliverand maintain a high standard of patient focused care in accordance with LeedsTeaching Hospitals Trust guidelines and policies.Workwithin frequently challenging clinical environments with high levels ofphysical and mental effort.Haveknowledge of pathophysiology, anatomy and physiology in order to assess,plan, implement and evaluate treatment of the critically ill patient. Able tomake expert clinical judgements involving complex situations which requiresanalysis and interpretation to decide on the best course of action/treatment.Competentlyand confidently care for the deteriorating/acutely ill adult utilising expertcritical care skills and knowledge in a variety of clinical settings withindirect supervision as part of the multi-disciplinary teamProviderapid response and support for patients identified by the National EarlyWarning Score.Undertakea comprehensive advanced patient assessment based on history taking andclinical examination and implement a management/treatment plan.Providedirect patient care and support at the bedside until the patient isstabilised or transferred to an area with a higher level of care. Initiatetherapeutic interventions for example to manage haemodynamic and respiratoryinstability.Referto other members of the MDT and other specialities as appropriate.Participatein the stabilisation and transfer of critically ill patients to anappropriate environment.Competentin advanced clinical skills such as venepuncture, cannulation, arterialstabs, tracheostomy decannulation, airway management and cardiopulmonaryresuscitation.Accuratelyrequest pathology and radiological investigations and make clinical decisionsbased upon the results.Utilisehighly developed communication and negotiation skills to deal withchallenging/conflict situations ensuring patient centred care.Workautonomously taking responsibility for own decision making, referring to theappropriate physician/ICU Consultant/Outreach Team Leader when advice andfurther clinical input is needed or when care and treatment goes beyondnormal service parameters or scope of professional practice.Carrythe crash bleep and respond to 2222 calls.Whererequired, carry the critical care bed managers bleep out of hours, liaisingwith the sisters/charge nurses to co-ordinate flow throughout critical care.Respectpatients rights to participate in decisions about their care and be able toadvise them on complex and personal matters.Communicatehighly sensitive information to patients and their relatives, showing empathyand providing psychological support.Maintainup to date clinical records in accordance with the most up-to-date NMC andTrust guidance.Actas a clinical role model, which reflects the philosophy, beliefs and clinicalstandards of the outreach service.Maintaina safe working environment.Demonstratean understanding of key infection prevention and control policies including,hand hygiene, MRSA, transfer of patients.Demonstrateindividual responsibility for infection prevention and control, challengingnon-compliance with policy.Developand implement evidence based standards, policies and guidelines.Actin such a way that safeguards the health and wellbeing of children andvulnerable adults at all times. Is familiar with and adheres to, the LTHTsafeguarding policies.Education and TrainingContributeto the promotion of a positive learning environment within the clinical areasacross the Trust.Promoteevidence based practice wherever possible.Inform,consult and educate members of the multi-professional team regarding thepurpose and function of outreach and the function and use of the EarlyWarning Scoring system.Participatein critical care based education programmes that are set up across the Trustand the University.Leadand participate in identified education/training needs Trust wide for thedeteriorating adult.Deliverand participate in education programmes across the trust to enable ward staffto care for the deteriorating /acutely unwell adult.Participatein preceptorship and mentorship programmes.Undertakecontinuous professional and clinical development, seeking opportunities toenhance skills.Continueto develop specialist advanced clinical skills in response to service need.Maintainannual mandatory training requirements.Keepup-to-date with developments, advancements within critical care by workingclinically in the critical care environment.Activelyparticipate in the development of own personal development plan andperformance review.Pleasesee Job Description for further informationPerson Specification

Skills and behaviours

Professional and patient focused with a strong commitment to providing high quality care.Flexible adaptable and capable of lateral thinking.Additional Requirements

Advanced oral and written communication skills.Ability to organise and prioritise own and others workload.Able to apply NMC guidance for documentation and record keeping.Qualifications

Registered NurseRecognised teaching/assessing qualificationCritical Care Course or equivalent competencies,Evidence of continued professional development in clinical practice within the last 12 months.Significant Critical Care experience at sister/charge nurse level.Educated to post graduate degree level or equivalent experienceAdvanced Life Support providerNational Outreach Framework Enhanced CompetenciesExperience

Working with a wide range of professionals including medical, nursing and management colleagues.Insight into current issues in nursing/ professional issuesProfessional and patient focused with a strong commitment to providing high quality care.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.

#J-18808-Ljbffr