We are looking for passionate and motivated registered health care professionals to join our dynamic urgent & emergency care team at Northampton General Hospital as Streaming Practitioners.
The Streaming Practitioner role is central in managing the flow of patients into and through the Emergency Department and Urgent Treatment Centre and ensuring that patients are seen by the most appropriate part of the urgent care service to meet their healthcare needs.
Main duties of the job
Working within the streaming hub which is the front door to the Emergency department, the streaming practitioner is responsible for autonomously assessing and directing the patients to the most appropriate pathway for their clinical requirements as well as providing hands-on care to a range of patients presenting including taking baseline observations, physical health assessments, administering analgesia or drugs as prescribed by a practitioner or on PGD, requesting investigations, taking blood samples and providing treatments as directed by the practitioners.
Where possible, the streaming practitioner will identify patients suitable to be directed to specialist services as well as autonomously assessing and discharging non-acute presentations which require primary care rather than urgent care provision.
About us
Northampton General Hospital is one of the largest employers in the area and we are on an exciting journey. All of our divisions are committed to doing things better, with more efficiency as we update, modernise, and advance. We have also entered into a Group Model with neighbouring Kettering General Hospital NHS Foundation Trust and become University Hospitals of Northamptonshire.
Our Excellence Values:
1. Compassion
2. Accountability
3. Respect
4. Integrity
5. Courage
We want to recruit the best people to deliver our services across the University Hospitals of Northamptonshire and help to unleash everyone's full potential. As an organisation, we value how we communicate and promote our vacancies to all communities.
The Hospital Group encourages applications from people who identify from all protected groups, especially those from BAME, Disabled and LGBTQ+ backgrounds as these are underrepresented in our hospitals.
We understand that we need to work with colleagues from diverse backgrounds and make sure the environment they work in is inclusive and collaborative.
We have active Networks that promote and support colleagues from all backgrounds. This ensures everyone feels supported and has a sense of belonging working for Kettering and Northampton General Hospitals.
Job responsibilities
Main Responsibilities:
Supporting Clinical Excellence
Undertake face-to-face autonomous assessment and streaming of patients with undifferentiated and undiagnosed presentations attending ED to the most appropriate area in the service to meet their health needs. Recognising red flag signs and symptoms suggestive of acutely unwell patients to ensure they are prioritised appropriately.
Carry out physical clinical assessment when required to support the streaming process and ensure patient safety. Carry out investigations which will support clinical decision-making when reviewed by the clinicians.
Within the UTC, triage the direct 111 attendances within 15 mins post registration using the Manchester Triage system to identify patients to manage as a priority whether in the UTC or referring to ED if found to be acutely unwell.
Identifying patients with non-urgent healthcare issues which do not need medical assessment or treatment and effecting a safe discharge back to community services.
Identifying patients who fulfil the criteria of agreed referral pathways direct to speciality and making those referrals.
Identifying when needed and administering medicines under PGD such as analgesia, antihistamines, nebulisers, etc. to ensure that patient comfort and safety during their attendance and enhancing patient experience.
Liaising with the clinical teams within ED and UTC to escalate concerns or agree treatments for patients as necessary.
Liaise between ED/UTC/SDEC and OOH to facilitate the flow of patients and ensure safe appropriate referrals.
Professional Responsibilities
Adhere to the NMC or HCPC Codes of Professional Conduct and always work within their own scope of professional practice.
Ensure professional practice is in accordance with the NMC, HCPC and the Trust's own policies, procedures, and guidelines.
Maintain a professional manner at all times and act as a positive role model for all members of the Urgent Care team.
Ensure accurate contemporaneous record keeping and documentation in line with Trust and NMC or HCPC policy and guidance.
Attend annual appraisals with line manager and maintain professional registration.
General Responsibilities
Participate in and support service improvement efforts by being flexible and open to changes which better meet service needs.
Participate in clinical audit to identify best practice and areas for improvement.
Have a zero-tolerance approach to bullying and harassment of all kinds and promote equality and diversity in the workplace. Lead by example in this remit.
Work in accordance with the Trust's policies and procedure and comply with Health & Safety Legislation.
Identify and assess risks, reporting adverse incidents and managing emergency situations.
Support students and junior staff in the form of mentorship, preceptorship, and work shadowing.
Undertake training, including mandatory and role-specific training and ensure training is renewed as required and clinical competence is maintained.
Key Values & Behaviours
Reflective practitioner evaluates and modifies behaviours by reflecting on their own performance.
Able to adapt communication to situation and communicate effectively, honestly, and positively with patients and others about their care.
Actively seeks to contribute to the learning and development of self and colleagues.
Seeks to be part of a team focused on delivering excellence and embodies the Trust's core values of compassion, accountability, respect, integrity, and courage.
Person Specification
Education, Training & Qualifications
* A registered health care professional (with the NMC or HCPC)
* Education with to FdSc or equivalent level of education.
* Education with to BSc or equivalent level of education.
Knowledge & Experience
* A practitioner with a broad level of knowledge & experience in the urgent care environment
* Experience in rapidly identifying unwell patients and providing clinical judgement in managing patients' urgent care needs
* Knowledge in physical health assessment (in a variety of systems)
* Knowledge of alternative care pathways in the urgent care environment
Skills
* Good interpersonal skills including verbal face-to-face communication skills
* Ability to perform vital signs
* Able to carry out physical health assessments primary survey
* Ability to accurately document care interventions electronically
* Works within professional scope of practice
* Able to make informed clinical decisions
* Able to work in a challenging environment, potentially having to deal with aggressive patients
* May have to work in unpleasant situations such as managing bodily fluids
* Be able to concentrate for intermittent periods of time duration of shift while seeing patients
* Be able to stop and start work according to patient inflow demands
* Offer patients and relatives verbal advice as required according to clinical needs
* Able to use the Symphony system
* May occasionally need to push a wheelchair short distances
* Able to plan investigations according to patient presentation
* A direct, efficient, decisive person will be effective in this role.
* Further attributes include being able to interact with patients, relatives, and staff and a desire for success and productivity.
* A drive for service improvement
* A desire to work independently as well as part of a wider team
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.
£35,392 to £42,618 a year Per Annum/ pro rata
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