Job summary This is an exciting opportunity for an experienced qualified Advanced Critical Care Practitioner to join our existing team of four ACCPs. The Critical Care Unit in Guernsey currently consists of 8 beds and provides critical care services for medical and surgical patients requiring level 1-3 care. Due to the increasing demands on the service and as part of the wider hospital modernisation programme, a new purpose-built critical care unit with 12/14 beds is planned to open in the summer of this year. The newly formed ACCP team will have a vital role in providing 24/7 residency as part of the Consultant-Led medical team. The successful candidate will have an opportunity to assist in shaping and developing the ACCP service and will be able to contribute to the development of our trainees. Main duties of the job In this advanced role the post holder will provide expert clinical management and careto patients requiring levels 1-3 care in Critical Care in a role traditionally performed bymedical staff. The post holder will function in a protected role as part of the critical care medicalstaffing lead by a Consultant Intensivist. The post holder will provide enhanced continuity and a high standard of managementfor deteriorating patients across all clinical areas. About us The Island of Guernsey is in the English Channel in the Bay of St Malo, 50km off the north-west coast of France and 120km from the English coast. Guernsey has a population of around 63,000 and in Alderney just under 2,000. Working in a relatively small Health and Social Care Service like ours means you can effectively work with colleagues across the services, health and social care professionals can collaborate not only with each other but also other agencies, the third sector and the community. We offer an attractive relocation policy and competitive salaries with great career opportunities, modern facilities, excellent training, revalidation and registration support and a healthy work-life balance. As a health or social care professional who chooses to join our team, you can look forward to working in an environment that gives you the time to care that you hoped for when choosing this career. Date posted 31 December 2024 Pay scheme Agenda for change Band Band 8a Salary £67,355 to £80,716 a year Contract Permanent Working pattern Full-time Reference number K0005-24-0226 Job locations Princess Elizabeth Hospital Le Vauquiedor St. Martin Guernsey GY4 6UU Job description Job responsibilities The ACCP Clinical Role: Undertakes comprehensive clinical assessment of a patients condition. Requests, performs and interprets data from diagnostic tests eg blood gases, pathology and medical imaging investigations. Initiates and manages clinical treatment plans. Provides accurate and effective handovers. Undertakes invasive interventions within scope of practice including the insertion of arterial catheters, central venous catheters, Vascaths, PICCs, midlines, peripheral venous catheters, nasogastric tubes and urinary catheters. Undertake advanced airway management, including drug assisted endotracheal intubation in accordance with and following successful completion of FICMs Advanced airway management for Advanced Critical Care Practitioners skills framework. Initiates and adjusts mechanical ventilation and other forms of respiratory support. If trained and competent to do so undertakes point of care ultrasound examinations to assist with clinical assessment and decision making. Provides professional leadership and support within a multidisciplinary team. Demonstrates comprehensive knowledge across a range of subject areas relevant to the field of critical care. Critically analyses, evaluates and synthesises different sources of information for the purpose of assessing and managing the care of a critically ill patient. Applies the principles of diagnosis and clinical reasoning that underlie clinical judgement and decision making. Applies theory to practice through a clinical decision-making model. Initiates emergency treatment plans for unanticipated clinical conditions. Undertakes inter and intra-hospital transfers of level 2 and 3 patients. Understands the professional accountability and legal frameworks for advanced practice, fulfils the requirement of the FICM ACCP Curriculum. Applies the principles of evidence-based practice to the management of the critically ill patient. As an Independent Non-Medical Prescriber, prescribe in accordance with HSCs policy. If appropriately qualified as in accordance with HSCs non-medical authorisation blood components policy, authorise the administration of blood products (Policy not yet approved). Understands and performs clinical audit. Communication and Relationship Skills: Actively supports patients and their families through communicating difficult and highly complex information using a variety of methods to ensure effective understanding in a timely manner. Including test results and treatment options. Communicates complex information to patients/carers during the consent process prior to commencement of treatment plans and invasive procedures including explaining treatment options. Proactively supports patients and carers in coming to terms with their illness/condition. Ensures effective communication is maintained between members of the multidisciplinary team to ensure appropriate individuals are informed of changes to the patients conditions or treatment plan. Provides empathy and reassurance through understanding the quality of life issues associated with their illness/condition. Supports the Consultant Intensivist and other medical staff, in providing patients with treatment plans on critical care. Exchanges information with patients and staff regarding appointments, admissions, discharges and follow up care in verbal and written form. Makes direct referrals to other members of the Health Care Team. Provide professional leadership and support within a multi-professional team. Maintains accurate and up to date paper and electronic patient records ensuring security of such information. Core member of the Critical Care multidisciplinary team providing specialist ACCP knowledge working closely with the Clinical Site Co-Ordinator team. Knowledge, Training and Experience: Uses specialist knowledge, leadership and expertise to assess, plan and implement care Interventions for patients requiring critical care for monitoring and organ support. Uses expertise to recommend adjustments/amendments to treatment plans, in consultation with patients, to members of the multi professional team. Maintains up to date knowledge in the specialist field, using information to affect change in practice and ensuring the effective dissemination of new knowledge. Will interpret new knowledge to ensure that practice is up to date and in line with current thinking. The Advanced Critical Care Practitioner is accountable for their own professional actions. Has obtained the theoretical and practical knowledge to a level that allows the job responsibilities to be delivered to a high standard. Maintains a professional portfolio providing evidence of clinical practice to be discussed at annual appraisal. Develop, organise and contribute to teaching on study days and training sessions. Attends / completes additional training required to fulfil the role eg FICM optional skills frameworks. Maintain compliance with Mandatory training. Participates in the supervision and mentorships of students and other trainees. Undertakes and participates in clinical supervision. Will be in possession of UK Resuscitation Council Advanced Life Support Provider qualification. Professional and Service Development Responsibilities: Responsible for managing and prioritising own workload against the needs of patients and service requirements. With the support of the Critical Care Manager and Consultants, makes representation as appropriate at various meetings providing feedback to the organisation on clinical and professional issues which have an impact on care and standards of practice within the sphere of responsibility. Participates in service development. Writes protocols, guidelines and procedures for own remit which impacts on members of the multidisciplinary team. Develops and evaluates these protocols, guidelines and procedures using current literature and research. Implement policies informing members of the multidisciplinary team of any changes. Liaise with the Consultant Intensivist, and Senior Leaders in the development of Critical Care services, contributes ideas and makes recommendations for service improvements. Complies with hospital policies and guidelines including infection control procedures. Reports and removes from service faulty equipment. Actively participates and contributes to the clinical governance agenda, e.g. by ensuring that training programmes are regularly updated, by providing annual reports and undertaking regular benchmarking of clinical practices. If required to participates in the recruitment and selection criteria. Freedom to Act: The Advanced Critical Care Practitioner will have a high degree of autonomy and authority to make clinical decisions, supported by an appropriate medical professional within the scope of his/her professional practice. The ACCP will plan their workload using organisational and National guidance, policies and professional code of conduct in accordance to the needs of the patient group. When qualified as a non-medical independent prescriber, may prescribe medications within their sphere of competence and in accordance with local policy. Uses own initiative, acts independently and take appropriate actions. Job description Job responsibilities The ACCP Clinical Role: Undertakes comprehensive clinical assessment of a patients condition. Requests, performs and interprets data from diagnostic tests eg blood gases, pathology and medical imaging investigations. Initiates and manages clinical treatment plans. Provides accurate and effective handovers. Undertakes invasive interventions within scope of practice including the insertion of arterial catheters, central venous catheters, Vascaths, PICCs, midlines, peripheral venous catheters, nasogastric tubes and urinary catheters. Undertake advanced airway management, including drug assisted endotracheal intubation in accordance with and following successful completion of FICMs Advanced airway management for Advanced Critical Care Practitioners skills framework. Initiates and adjusts mechanical ventilation and other forms of respiratory support. If trained and competent to do so undertakes point of care ultrasound examinations to assist with clinical assessment and decision making. Provides professional leadership and support within a multidisciplinary team. Demonstrates comprehensive knowledge across a range of subject areas relevant to the field of critical care. Critically analyses, evaluates and synthesises different sources of information for the purpose of assessing and managing the care of a critically ill patient. Applies the principles of diagnosis and clinical reasoning that underlie clinical judgement and decision making. Applies theory to practice through a clinical decision-making model. Initiates emergency treatment plans for unanticipated clinical conditions. Undertakes inter and intra-hospital transfers of level 2 and 3 patients. Understands the professional accountability and legal frameworks for advanced practice, fulfils the requirement of the FICM ACCP Curriculum. Applies the principles of evidence-based practice to the management of the critically ill patient. As an Independent Non-Medical Prescriber, prescribe in accordance with HSCs policy. If appropriately qualified as in accordance with HSCs non-medical authorisation blood components policy, authorise the administration of blood products (Policy not yet approved). Understands and performs clinical audit. Communication and Relationship Skills: Actively supports patients and their families through communicating difficult and highly complex information using a variety of methods to ensure effective understanding in a timely manner. Including test results and treatment options. Communicates complex information to patients/carers during the consent process prior to commencement of treatment plans and invasive procedures including explaining treatment options. Proactively supports patients and carers in coming to terms with their illness/condition. Ensures effective communication is maintained between members of the multidisciplinary team to ensure appropriate individuals are informed of changes to the patients conditions or treatment plan. Provides empathy and reassurance through understanding the quality of life issues associated with their illness/condition. Supports the Consultant Intensivist and other medical staff, in providing patients with treatment plans on critical care. Exchanges information with patients and staff regarding appointments, admissions, discharges and follow up care in verbal and written form. Makes direct referrals to other members of the Health Care Team. Provide professional leadership and support within a multi-professional team. Maintains accurate and up to date paper and electronic patient records ensuring security of such information. Core member of the Critical Care multidisciplinary team providing specialist ACCP knowledge working closely with the Clinical Site Co-Ordinator team. Knowledge, Training and Experience: Uses specialist knowledge, leadership and expertise to assess, plan and implement care Interventions for patients requiring critical care for monitoring and organ support. Uses expertise to recommend adjustments/amendments to treatment plans, in consultation with patients, to members of the multi professional team. Maintains up to date knowledge in the specialist field, using information to affect change in practice and ensuring the effective dissemination of new knowledge. Will interpret new knowledge to ensure that practice is up to date and in line with current thinking. The Advanced Critical Care Practitioner is accountable for their own professional actions. Has obtained the theoretical and practical knowledge to a level that allows the job responsibilities to be delivered to a high standard. Maintains a professional portfolio providing evidence of clinical practice to be discussed at annual appraisal. Develop, organise and contribute to teaching on study days and training sessions. Attends / completes additional training required to fulfil the role eg FICM optional skills frameworks. Maintain compliance with Mandatory training. Participates in the supervision and mentorships of students and other trainees. Undertakes and participates in clinical supervision. Will be in possession of UK Resuscitation Council Advanced Life Support Provider qualification. Professional and Service Development Responsibilities: Responsible for managing and prioritising own workload against the needs of patients and service requirements. With the support of the Critical Care Manager and Consultants, makes representation as appropriate at various meetings providing feedback to the organisation on clinical and professional issues which have an impact on care and standards of practice within the sphere of responsibility. Participates in service development. Writes protocols, guidelines and procedures for own remit which impacts on members of the multidisciplinary team. Develops and evaluates these protocols, guidelines and procedures using current literature and research. Implement policies informing members of the multidisciplinary team of any changes. Liaise with the Consultant Intensivist, and Senior Leaders in the development of Critical Care services, contributes ideas and makes recommendations for service improvements. Complies with hospital policies and guidelines including infection control procedures. Reports and removes from service faulty equipment. Actively participates and contributes to the clinical governance agenda, e.g. by ensuring that training programmes are regularly updated, by providing annual reports and undertaking regular benchmarking of clinical practices. If required to participates in the recruitment and selection criteria. Freedom to Act: The Advanced Critical Care Practitioner will have a high degree of autonomy and authority to make clinical decisions, supported by an appropriate medical professional within the scope of his/her professional practice. The ACCP will plan their workload using organisational and National guidance, policies and professional code of conduct in accordance to the needs of the patient group. When qualified as a non-medical independent prescriber, may prescribe medications within their sphere of competence and in accordance with local policy. Uses own initiative, acts independently and take appropriate actions. Person Specification Qualifications Essential Registered Nurse. Teaching and assessing qualification/student assessor. Masters Degree in Advanced Clinical Practice (Advanced Critical Care Practitioner). V300 Non-medical prescribing. Portfolio evidence of the completing FICMs Advanced Critical Care Practitioner competencies. Desirable FICM Associate Membership. Practicing as a qualified ACCP. Evidence of audit or research experience. Competence in advanced airway management and completion of FICMs Advanced Airway Management OSF. NHSBT non-medical authorisation of blood components course and associate clinical competencies. IR(ME)R training. FUSIC point of care ultrasound accreditation or similar. Experience Essential Proven significant Critical Care experience at band 6 or 7. Completion of a 2 year trainee ACCP programme. Person Specification Qualifications Essential Registered Nurse. Teaching and assessing qualification/student assessor. Masters Degree in Advanced Clinical Practice (Advanced Critical Care Practitioner). V300 Non-medical prescribing. Portfolio evidence of the completing FICMs Advanced Critical Care Practitioner competencies. Desirable FICM Associate Membership. Practicing as a qualified ACCP. Evidence of audit or research experience. Competence in advanced airway management and completion of FICMs Advanced Airway Management OSF. NHSBT non-medical authorisation of blood components course and associate clinical competencies. IR(ME)R training. FUSIC point of care ultrasound accreditation or similar. Experience Essential Proven significant Critical Care experience at band 6 or 7. Completion of a 2 year trainee ACCP programme. 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). 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. 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 States of Guernsey Address Princess Elizabeth Hospital Le Vauquiedor St. Martin Guernsey GY4 6UU Employer's website https://www.gov.gg/ (Opens in a new tab)