Job summary SMART stands for surgical and medical acute response team. The SMART nurse will work within the existing team and be a clinically credible nurse who is proficient and experienced in looking after the critically ill and deteriorating patient. They will have a thorough understanding of what track, trigger, respond and escalate entails within the scope of the deteriorating patient. They will also form part of the cardiac arrest team and become an ALS provider.On a daily basis the SMART nurse will review known patients and assess new patients in a time appropriate manner who are considered at risk by the MDT who express a clinical concern or those patients who trigger via the use of NEWS2.The SMART nurse will receive and triage calls through the bleep system carrying out tasks within own scope of practice where possible. The band 7 role will be pivitol in providing safe care in hospital at night and will become bronze on call and assist in bed management overnight. They will provide both clinical and managerial leadership and support the rest of the team. The role covers a 24hour service 7 days a week by rotating onto days and nights and the willingness to be flexible is essential to ensure the service can be delivered. Main duties of the job To perform physical examination and assessment utilising the A-E approach to formulate an appropriate care plan.Utilise None-medical prescribing qualifications or PGD's to manage patients.To be a non-medical clinical imaging referrer.To provide ongoing assessment and follow up of all level 2/3 critical care discharged patients.To review daily the weaning progress and formulate a plan of care with the tracheostomy daily MDT and provide support and education to staff looking after these patients.To form part of the hospital resuscitation teamTo be proficient in the safe inter/intra hospital transfer of acutely unwell, critically ill or tracheostomy patientsTo help care for patients requiring thrombectomy within the trust in a safe and effective way utilising the resources available.To understand their scope of practice and be able to seek expert advice and assistance when required and escalate patients in a time appropriate manner.To act as a mentor and role model to the MDT and disseminate progress with senior members of staff. To provide senior managerial cover for the hospital at night carrying the unit manager and bed bleeps About us The Walton Centre NHS Foundation Trust is the only NHS trust to hold dual accreditation for the Investors in People. We invest in people and we invest in wellbeing standards and have been awarded Gold status for both. The Walton Centre is a leader in the treatment and care of neurology and neurosurgery, placing the patient and their family at the heart of everything we do. As the only specialist hospital trust in the UK dedicated to providing comprehensive neurology, neurosurgery, spinal and pain management services we are proud to be rated as an Outstanding Trust by the Care Quality Commission (CQC), and champion change throughout the field of neuroscience. Originally formed in 1992, the Trust received Foundation Trust status in 2009. With around 1,450 staff, The Walton Centre treats more than 127,000 outpatients and 18,000 inpatients each year. We have leading specialists and incredibly dedicated staff delivering excellent clinical outcomes for brain, spinal and neurological care nationally and internationally. Teams across our site in Fazakerley, Liverpool, offer a world-class service in diagnosing and treating injuries and illnesses affecting the brain, spine and peripheral nerves and muscles, and in supporting people suffering from a wide range of long-term neurological conditions. Date posted 21 March 2025 Pay scheme Agenda for change Band Band 7 Salary £46,148 to £52,809 a year per annum Contract Fixed term Duration 12 months Working pattern Full-time Reference number 160-7059157 Job locations The walton centre lower lane liverpool L9 7LJ Job description Job responsibilities Please see the job description and person specificationdocument for detailed information about the job description for this vacancy Job description Job responsibilities Please see the job description and person specificationdocument for detailed information about the job description for this vacancy Person Specification Qualifications Essential RN qualification ILS Willingness to undertake ALS MSc or working towards Desirable Critical care post graduate course ALS advanced clinical assessment and diagnostics level 7 v300 independent nurse prescriber Knowledge & Experience Essential significant and specialist post registration experience in treating patients with acute conditions/critically ill/deteriorating Extensive knowledge and managerial experience excellent communication skills including ability to communicate complex and sensitive information in an appropriate manner in challenging situations advanced decision making ability to manage complex and operational situations that involve staff from all levels within the organisation Critical care experience or experienced with level one care Desirable Critical care experience level 2 or 3 bed management experience Experience and knowledge in caring for neuroscience patients Skills and Attributes Essential Advanced effective leadership skills teaching and assessing skills evidence of applying current research to practice expert venepuncture /cannulation experience managing patients with tracheostomies Can demonstrate that they are able to perform accurate history taking, clinical assessment and suggest appropriate diagnostic tests. can work as autonomous practitioner or as part of team proven oral and written communication skills IT competent ability to manage difficult situations and prioritise workload accordingly ability to adapt to NHS and trust service developments and new nursing theories for use in the clinical area Use and knowledge of PGD's Extensive experience of working as a collaborate in an MDT environment Highly motivated individual willing to learn and develop the service and support others in doing so. Extensive knowledge and managerial experience Act as a mentor and participate in education and training Desirable v300 independent nurse prescriber ultra sound skills for venepuncture and line placement demonstrates commitment through involvement in trust wide initiatives/committees Ability to perform advanced clinical procedures Experience in the post-operative recovery process for discharge of patients from POCU Personal Qualities Essential ability to adapt to changing needs of the service to be able to lead and drive change o be able to mentor and nurture individuals Other Essential ability to work long days, weekends and nights be prepared to work flexibly across a range of shift patterns across the trust to meet needs of service Person Specification Qualifications Essential RN qualification ILS Willingness to undertake ALS MSc or working towards Desirable Critical care post graduate course ALS advanced clinical assessment and diagnostics level 7 v300 independent nurse prescriber Knowledge & Experience Essential significant and specialist post registration experience in treating patients with acute conditions/critically ill/deteriorating Extensive knowledge and managerial experience excellent communication skills including ability to communicate complex and sensitive information in an appropriate manner in challenging situations advanced decision making ability to manage complex and operational situations that involve staff from all levels within the organisation Critical care experience or experienced with level one care Desirable Critical care experience level 2 or 3 bed management experience Experience and knowledge in caring for neuroscience patients Skills and Attributes Essential Advanced effective leadership skills teaching and assessing skills evidence of applying current research to practice expert venepuncture /cannulation experience managing patients with tracheostomies Can demonstrate that they are able to perform accurate history taking, clinical assessment and suggest appropriate diagnostic tests. can work as autonomous practitioner or as part of team proven oral and written communication skills IT competent ability to manage difficult situations and prioritise workload accordingly ability to adapt to NHS and trust service developments and new nursing theories for use in the clinical area Use and knowledge of PGD's Extensive experience of working as a collaborate in an MDT environment Highly motivated individual willing to learn and develop the service and support others in doing so. Extensive knowledge and managerial experience Act as a mentor and participate in education and training Desirable v300 independent nurse prescriber ultra sound skills for venepuncture and line placement demonstrates commitment through involvement in trust wide initiatives/committees Ability to perform advanced clinical procedures Experience in the post-operative recovery process for discharge of patients from POCU Personal Qualities Essential ability to adapt to changing needs of the service to be able to lead and drive change o be able to mentor and nurture individuals Other Essential ability to work long days, weekends and nights be prepared to work flexibly across a range of shift patterns across the trust to meet needs of service 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 The Walton Centre NHS Foundation Trust Address The walton centre lower lane liverpool L9 7LJ Employer's website https://www.thewaltoncentre.nhs.uk/ (Opens in a new tab)