Calderdale and Huddersfield NHS Foundation Trust
This is an exciting opportunity to join a new and evolving team, centered around the early identification, recognition, assessment, and treatment of a deteriorating patient across CHFT.
The post holder will be a member of the Resilience, Acute Flow, and Transformation directorate sitting within the Corporate Division, working effectively with fellow ward teams and Divisional Matrons to deliver quality services for patients efficiently. There is a specific focus on the deteriorating patient and improving outcomes for patients. As part of the interview process, all candidates will have an Objective Structured Clinical Examination (OSCE) assessment in addition to the Panel interview.
The post holder will be responsible for the assessment, planning, implementation, and evaluation of care to acutely deteriorating and critically ill patients. This includes non-medical prescribing, ultrasound guided cannulation, arterial blood gas sampling, spirometry out of hours, and review of all tracheostomies/laryngectomy patients, liaising with Critical Care.
* Provide clinical and managerial leadership for nursing and other healthcare professionals.
* Provide advice and support to wider members of the multi-disciplinary team.
* Facilitate the stepdown of patients from Critical Care to ward areas.
* Provide informal and formal education to all healthcare professionals within the Trust.
* Proactively manage the clinical workload at night as necessary.
Main Duties of the Job
* Lead the coordinated response team to ensure safe and effective patient care.
* Assess, plan, implement, and evaluate care to deteriorating patients referred by the ward teams and NEWS2 escalation.
* Work closely with the medical, surgical, and critical care registrars and junior teams, attending medical handovers.
* Provide expert clinical advice and guidance to ward staff in the support of patients 24/7.
* Provide informal and formal education to all staff regarding recognition and care of deteriorating patients and acutely ill patients.
* Manage and support the Nursing associates triage request via the out of hours Management system to coordinate the delivery of care in Out of Hours period.
* Establish and maintain effective communication with all members of the multi-disciplinary teams.
* Liaise and work closely with medical and nursing staff within Critical Care.
* Work in partnership with ward managers to ensure that prescribed standards of patient care are met.
* Support the Clinical lead with Quality Improvement projects across the trust, taking the lead when required.
* Provide relevant and clear information, education, and advice for patients, carers, and family at all times.
About Us
We employ more than 6,500 staff who deliver compassionate care from our two main hospitals, Calderdale Royal Hospital and Huddersfield Royal Infirmary, as well as in community sites, health centres, and in patients' homes. We are also incredibly proud to have almost 150 volunteers here at CHFT.
We provide a range of services including urgent and emergency care; medical; surgical; maternity; gynaecology; critical care; children's and young people's services; end of life care and outpatient and diagnostic imaging services.
We continue to modernise and invest in our health services to build on our strong reputation. Foundation trusts are public leaders in improving quality in health services. They are part of the NHS, yet decisions about what they do and how they do it are driven by independent boards.
Job Responsibilities
* Initiate, lead, and coordinate management of patients identified as clinically at risk, referring to appropriate colleagues when necessary.
* Ensure timely and appropriate care is delivered by the relevant health care professionals.
* Undertake a comprehensive assessment of patients, participating in the assessing, planning, implementation, and evaluation of individualised programmes of care.
* Act as an innovative and enthusiastic role model, providing leadership, guidance, and advice to staff on clinical, operational, and professional issues.
* Demonstrate clinical expertise by role modelling patient-centred practice.
* Ensure that staff adhere to the systems and processes in place to support the provision of patient-centred care to agreed standards.
* Ensure adherence to the CHFT and NMC guidelines for the safe handling, administration, storage, and custody of medicinal products.
* Maintain good communication between staff and relatives to assist in their understanding of care, treatment, and progress of the patient.
* Maintain own personal and professional development in accordance with NMC Code of Professional Conduct and within the Scope of Professional Practice.
* Participate effectively in the multi-professional team providing an expert nursing perspective.
* Contribute to the audit process in line with the National Outreach Forum Standards and utilise results in practice.
* Ensure staff are aware of and work in line with Trust policies.
* Support patient care using technology relating to task management, observations, and handover.
Person Specification
Knowledge, Experience & Expertise
* Extensive & recent management and leadership experience in acute/critical care setting.
* Advanced acute clinical knowledge.
* Ability to coordinate and prioritise workload.
* Possess excellent communication skills and able to work within MDT.
Communication and Relationships (Including Management Responsibilities)
* Excellent written and verbal communication skills.
* Understand complex clinical and technical problems and exercise specialist clinical judgement when assessing and interpreting specialist and acute patient conditions.
* Competent in use of Nerve Centre/willingness to undertake.
* Demonstrate self-confidence and use this to lead, involve, and challenge others as appropriate.
* Display a strong motivation and commitment to success.
Qualifications / Training
* Independent Prescribing or to complete this within 2 years.
* Evidence of post-registration study and development in acute or critical care.
* Teaching and assessing post-registration qualification.
* PG-Certification in acute care/Critical care course or willingness to do this within 2 years.
* Master's Level Qualification/working towards or equivalent highly specialised experience & Knowledge.
* National outreach forum competencies to enhanced level or working towards.
* ALS certificate (or willingness to immediately undertake).
* IRMER (Ionising Radiation), willingness to undertake to enable x-ray requesting.
* Evidence of leadership skills.
* Evidence of mandatory training.
* Competent in cannulation & phlebotomy or willingness to undertake in 3 months including ultrasound guided cannulation.
* Competent in male/female catheterisation or willingness to undertake in 3 months.
* Competent in arterial blood gas sampling or willingness to undertake in 3 months.
* CVAD trained competent/willingness to complete within 3 months.
* Verification of Death or willingness to undertake in 3 months.
* Competent in spirometry/willingness to undertake within 3 months.
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.
Calderdale and Huddersfield NHS Foundation Trust
£46,148 to £52,809 a year, pro rata.
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