Job summary
We are looking for dynamic and enthusiastic applicants to become trainee practitioners in a supportive environment, learning to provide excellent care to a wide range of patients with urgent minor injury and minor illness problems. The training programme which will be fully funded by the Trust will consist of an initial 3 week intensive lecture programme on the assessment and management of minor injury & minor illness. This will be delivered by our consultant nursing and medical staff and specialist practitioners. A period of 4-6 weeks supervised practice will follow where you will be expected to work towards achieving competent safe practice. During the training programme you will have a personal Emergency Practitioner mentor as well as the support of the senior nursing team, which includes two Consultant Nurses who specialise in advanced practice in the UTC. You will be supported through your practice development, on both an individual basis and in peer teaching sessions with other practitioners.
For the duration of the training period, applicants will be paid at Band 6 and once deemed competent to work independently will progress to Band 7.
Successful applicants must be ready to start the intensive in house education/skills training programme on the 25th April 2022 & will be expected to attend all study days for the first three weeks.
Applicants need to demonstrate at least 3 years post registration experience, in either an Emergency Department or Pre-hospital setting.
Main duties of the job
* To assess, diagnose, treat and discharge or refer patients without reference to a doctor
* To provide a service that is complementary to GP's
* To encourage and participate in the development of protocols and pathways to improve patient care
* To be an independent prescriber (experienced EP essential)
* Manage a discrete nursing team to include annual appraisal, mandatory training, staffing rotas, recruitment and selection and the supervision of students
* To support Matron /lead nurse as needed in delivering local and national audits
* To actively participate in the departmental teaching programme
* To act as a Link practitioner for a specialty and to disseminate new guidance and information from that speciality keeping colleagues updated
* To monitor standards of nursing care, taking action when appropriate to maintain and improve standards which includes Trusts Infection and Prevention Control policy
* To assist in achieving Emergency Department quality indicators by ensuring timely review/transfer/discharge of patients
* To have expert skills in plastering, suturing, streaming and to teach these skills to juniors
* To work with the Nurse Consultant and Lead Practitioner in responding to complaints
* To be willing to undertake any professional development and training necessary to progress the service.
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.
IMPORTANT:
As part of our continued response to COVID19 we are conducting the majority of our interviews virtually.
Covid-19 full vaccination is a condition of employment for this role unless exemption applies. During the recruitment process we will request proof of full vaccination.
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. Please talk to us at interview about flexibility you may need.
The Trust reserves the right to close this vacancy early if we receive 50 applications before the advertised closing date. When the vacancy has closed your application will transfer to Trac Recruitment System.
Please ensure you check your emails regularly throughout the recruitment process.
Date posted: 08 April 2025
Pay scheme: Agenda for change
Band: Band 7
Salary: £40.10 to £50.20 an hour Will vary on day, night, and weekends
Contract: Bank
Working pattern: Flexible working
Reference number: C9290-25-0457
Job locations: Charing Cross Hospital, London, W6 8RF
Job description Job responsibilities
Clinical Responsibilities
* Act as a clinical expert within your sphere of work
* To assess, diagnose, treat and discharge or refer patients without reference to a doctor
* Ensure the assessment, planning, implementation and evaluation of evidence based, individualised patient care.
* Assist and advise staff, both registered and unregistered in the delivery of patient care.
* Maintain and update own clinical expertise and contribute as role model to ensure the delivery of care is at highest possible level to meet patient care.
* Ensure all staff maintain accurate clinical observations of the patient and act accordingly
* Have responsibility for the correct administration and custody of medicines according to Trust policy
* Ensure registered nurses monitor patients progress, work towards safe and timely discharge and ensure barriers to discharge are identified, escalated and acted on appropriately.
* Deal with concerns raised by patients and visitors in a proactive manner, investigate any complaints and take remedial action as necessary.
* Act as the patients advocate for patients attending the Emergency Department and the UTC.
* To maintain a very high quality of care for all patients attending the Emergency Department and UTC
* To act as a role model for all nurses within the Trust.
Managerial
* Contribute to and endorse a philosophy of care for the EP working in the Emergency Department and the UTC
* Help develop and expand the service provided by EP to be in-line with evidenced based practice (e.g. NICE guidelines).
* To act as a Team Leader for a group of Emergency Department Nurses, and ensuring that each nurse has had an appraisal and is fully supported at work.
* Work collaboratively with the shift leader to ensure the smooth running of the Emergency Department.
* To be aware of the Emergency Departments quality indicators and be resourceful in supporting the team to meet these targets
* Undertake and fully participate in the audit process.
* To support and deputise for the Lead nurse in managing stock levels within the confines of the departmental budget
Educational
* To maintain and progress own knowledge and skills to practice effectively and safely
* To teach pre and post registration junior nursing staff working with you
* To be aware of current nursing trends and developments in nursing/paramedical science.
* To act as a resource and guidance for junior nurses and junior doctors and GPs in the ED/UTC
* The EP will also be required to teach and mentor nurses undertaking the Autonomous Practice course and those undertaking non- medical prescribing.
Autonomous Practice
* The EP practices autonomously with respect to patients presenting with a wide range of injuries and ailments.
* The EP will assess and examine the patient, order relevant investigations, interpret signs and symptoms, review results of investigations, diagnose and treat the patient.
* Newly qualified EP will administer medication under PGDs but will be expected to progress to independent prescribing.
The EP will work to national and hospital guidelines in relation to evidence-based best practice he/she will exercise his/her judgement in seeking specialist medical/surgical or orthopaedic opinion or will autonomously proceed to definitive treatment within his/her scope of professional practice. The EP is authorised to discharge patients within his /her remit without reference to any medical clinician.
The Trust accepts vicarious liability for the actions of the nurse who acts autonomously as an EP and follows set guidelines within the Emergency Department and UTC at Imperial College Healthcare Trust at Charing Cross and Hammersmith sites.
Service Development.
The EP is individually and collectively responsible for the professional development of nursing and the EP service within the Emergency Department and the UTC.
They will:
* Ensure that he/she remains up to date with the developments and proactively uses his/her knowledge as required to develop the service.
* Be collectively responsible for expanding the scope of practice and developing guidelines to deliver care.
* Undertake clinical audit using the results to improve care delivery.
* Identify areas of research in nursing practice that can be improved through evidence-based practice, taking the initiative to search for evidence and, after critical appraisal of the literature implement the findings.
Person Specification
Education Essential
* Registered Nurse - Degree level with NMC Registration or Registered healthcare professional with the HCPC
* Recognised ENP / ECP Qualification at minimum of degree level or equivalent (if not applying for training post)
Skills Essential
* Evidence of applying current research to practice.
* Understanding of Microsoft office including Excel and Powerpoint
Experience Essential
* 3 years in Emergency Department or pre hospital medicine with at least 1-2 years at band 6
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.
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: Imperial College Healthcare NHS Trust
Address: Charing Cross Hospital, London, W6 8RF
Employer's website: https://www.imperial.nhs.uk/ (Opens in a new tab)
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