Job summary An opportunity has arisen for a highly motivated, experienced nurse to join our 24-hour Critical Care Outreach Team. The successful candidate will have a post registration qualification in Adult Critical Care Nursing and will have been practicing in the critical care environment for a minimum of 2 years. You will be joining a team of skilled and highly motivated staff who provide high quality care on a Trust wide basis. Critical Care Outreach at SWFT provide a number of clinical duties including: recognition and assessment of the acutely deteriorating patient, timely and efficient transfers of the critically ill to the intensive care unit, provision of a step down service for ICU discharges and a central role in supporting the NIV service and tracheostomy care throughout the Trust. The post is an excellent opportunity to advance your clinical leadership knowledge and skills further in the critical care outreach speciality. The successful candidate will be confident in teaching and providing education for members of the multidisciplinary team across the Trust. At Warwick ICU we promote a flexible workforce and the successful candidate will be expected to rotate on to the Intensive Care Unit. Please note that our Critical Care Outreach team provide a 24/7 service and therefore the post holder will be required to work a full selection of shifts including long days, nights and weekends. Main duties of the job The post holder will work as part of the 24-hour Critical Care Outreach Team to primarily provide advice and support for acute deteriorating patients in the Trust environment. Working both night and day shifts, the successful applicant will be involved in the early detection and management of acutely ill patients, assist in timely admission to theCritical Care area and involve the appropriate members of the MDT in the decision-making process when determining escalation plans. Discharges from Critical Care are also followed up to ensure smooth transition from level 2 to level 1 environment. Assisting with level 2/3 transfers within the organization when required. The team is pivotal in the provision of NIV services and supporting ward staff in the care of tracheostomy patients within the ward environment. Informal and formal teaching to MDT members, pre-registration nursing students and medical students where needed. Assisting with audit of services and the implementation of strategies to maximum service provision. Participating in the Outreach/ICU rotational system, supporting the Acute Pain Service and ensuring that all Trust standards are maintained and monitored to improve quality of care for all service users. About us Come and join a Trust rated Outstanding by the CQC. South Warwickshire University NHS Foundation Trust have been rated as outstanding following our latest inspection by the CQC and we are recruiting new staff to come and help us improve even further. In addition our staff survey results have placed us 4th in the country for recommended place to work. We provide services across Warwickshire and beyond ranging from Hospitals in Warwick, Stratford-Upon-Avon, Royal Leamington Spa and Shipston-on Stour to Community Services across the county. We are a progressive, expanding organisation with great ambition around improving quality, integrating pathways and delivering high levels of productivity.Our values can be summed up in one sentence. We are 'Trusted to provide safe, inclusive, effective and compassionate care'. Throughout the recruitment process you will be asked to think about how you demonstrate these values and how they impact on your work. It doesn't matter what role you do, whether it is patient facing or not, we are all working in the same way with our values at the core. Date posted 21 January 2025 Pay scheme Agenda for change Band Band 6 Salary £37,338 to £44,962 a year Per annum Contract Permanent Working pattern Full-time, Part-time Reference number 203-EL868 Job locations Warwick Hospital Lakin Road Warwick CV34 5BW Job description Job responsibilities Knowledge skills and experience required: Experience within the ICU setting and post-registration qualification in Critical Care. Be able to participate fully in the Critical Care Outreach referral system, ie NEWS, allowing healthcare staff to seek advice on the case of the acutely ill, deteriorating patient. Follow up patients who have been discharged from HDU to ward areas. Participate in the provision of NIV to appropriate patients in the appropriate environment. Assess, plan, implement and evaluate individualised patient care, providing support and advice to medical, nursing staff and to initiate treatment changes as necessary Undertake practical skills as necessary to ensure optimum patient management including advanced patient monitoring, equipment management. Utilise IT systems to secure accurate and timely patient information. Manage expected and unexpected clinical events requiring unpredictable levels of physical effort according to patient dependency/clinical need. Support patients, carers and staff during difficult situations arising in the clinical area, ie delivering bad news. Be able to deliver high standards of patient care in order to comply with clinical governance. Participate in the development and implementation of guidelines for staff to assist in the identification and care of patients who may be at risk of deterioration during their admission. Assist in co-ordination of services to satisfy patient needs, ie liaise with physiotherapy, ENT CNS. Support the Acute Pain Service by reviewing patients with epidurals in the CNS absence. Supporting wards with the use of PCAs. Effectively communicate with all members of the MDT. Promote positive learning environments and formal teaching where necessary. Highly developed communication skills enabling maintenance of high quality service and ensuring timely management of events and situations. Knowledgeable leader, supporting staff and users. Be able to manage and reconcile conflict during emotional situations. Maintain patient confidentiality at all times. Measurable Result areas: Undertake at least once daily team review of Outreach patients, providing support and advice to medical, nursing staff and to initiate treatment changes as necessary. Input data onto Medicus IPAQ system to record Outreach activity and to enable audit of information. Maintain accurate record keeping as per Trust Policy. Act as a positive role model at all times and promote a professional atmosphere by personal example. Be responsible for own professional registration and ensure that you have valid NMC registration. Be fully conversant with the NMC Code of Professional Conduct and associated guidelines and abide by their guidance. Actively partake in annual IPR and develop and assist team to enhance performance. Promote evidence-based practice and maintain the highest clinical standards in providing care for deteriorating patients. Participate in the internal rotation into the intensive care unit to help maintain core skills and contribute to a flexible workforce. To support the implementation and evaluation of the quality initiatives and to lead and participate in the change process. Have an awareness of the financial implications involved in caring for critically ill patients and help ensure that equipment and consumables are used appropriately and effectively. Communications and Working Relationships: Maximise learning opportunities for self and other team-members. Adhere to Trust guidelines and ensure adequate service delivery. Facilitate learning within the team. Participate in Clinical Supervision, team meetings and Critical Care Outreach study days. To provide short-term cover for colleagues during periods of leave. To ensure that all Trust standards are maintained and monitored to improve the quality of care to all whom come into contact with services provided by South Warwickshire NHS Foundation Trust. Every employee has a duty to take reasonable care of the health and safety of him/herself and of other persons who may be affected by his/her acts or omissions at work, and to co-operate with the South Warwickshire NHS Foundation Trust to ensure that statutory and Trust regulations are complied with. To participate in appraisals and personal reviews and work to achieve agreed set objectives. To participate in appropriate training and development activities To participate in team, professional and personal development activities and promote commitment to continuous development and improvement. Ensure that all staff consciously review mistakes, complaints and incidents/near misses as well as successes to improve performance and the level of customer care. Allemployees will havean organisational and individual responsibility towards safeguarding vulnerable adults, young people and children. Where employees are working with children, young people and families they have a responsibility to cooperate in national safeguarding policy around early intervention activities appropriate to improving health outcomes. As a major provider of health care, South Warwickshire NHS Foundation Trust operate a Smoke Free Policy by providing a totally smoke free environment to help aid patients recovery, promote health and wellbeing and minimize the risks of complications attributed to smoking tobacco and second hand smoke. To abide by Infection Prevention and Control policies relevant to their area of work, and undertake the necessary level of training. This will be appraised through the KSF review process or other relevant professional review process. To accept responsibility for the provision of effective infection prevention and control within the Trust in liaison with the Trust's Infection Control Team. To act as a role model in applying good infection control practice and ensures compliance with all Infection Control policies. To promote and demonstrate implementation of the Trust's Carbon Management strategy and policy, ensuring team members are fully aware of the policy and are contributing to this. This job description is subject to review at any time in consultation with the post holder. Job description Job responsibilities Knowledge skills and experience required: Experience within the ICU setting and post-registration qualification in Critical Care. Be able to participate fully in the Critical Care Outreach referral system, ie NEWS, allowing healthcare staff to seek advice on the case of the acutely ill, deteriorating patient. Follow up patients who have been discharged from HDU to ward areas. Participate in the provision of NIV to appropriate patients in the appropriate environment. Assess, plan, implement and evaluate individualised patient care, providing support and advice to medical, nursing staff and to initiate treatment changes as necessary Undertake practical skills as necessary to ensure optimum patient management including advanced patient monitoring, equipment management. Utilise IT systems to secure accurate and timely patient information. Manage expected and unexpected clinical events requiring unpredictable levels of physical effort according to patient dependency/clinical need. Support patients, carers and staff during difficult situations arising in the clinical area, ie delivering bad news. Be able to deliver high standards of patient care in order to comply with clinical governance. Participate in the development and implementation of guidelines for staff to assist in the identification and care of patients who may be at risk of deterioration during their admission. Assist in co-ordination of services to satisfy patient needs, ie liaise with physiotherapy, ENT CNS. Support the Acute Pain Service by reviewing patients with epidurals in the CNS absence. Supporting wards with the use of PCAs. Effectively communicate with all members of the MDT. Promote positive learning environments and formal teaching where necessary. Highly developed communication skills enabling maintenance of high quality service and ensuring timely management of events and situations. Knowledgeable leader, supporting staff and users. Be able to manage and reconcile conflict during emotional situations. Maintain patient confidentiality at all times. Measurable Result areas: Undertake at least once daily team review of Outreach patients, providing support and advice to medical, nursing staff and to initiate treatment changes as necessary. Input data onto Medicus IPAQ system to record Outreach activity and to enable audit of information. Maintain accurate record keeping as per Trust Policy. Act as a positive role model at all times and promote a professional atmosphere by personal example. Be responsible for own professional registration and ensure that you have valid NMC registration. Be fully conversant with the NMC Code of Professional Conduct and associated guidelines and abide by their guidance. Actively partake in annual IPR and develop and assist team to enhance performance. Promote evidence-based practice and maintain the highest clinical standards in providing care for deteriorating patients. Participate in the internal rotation into the intensive care unit to help maintain core skills and contribute to a flexible workforce. To support the implementation and evaluation of the quality initiatives and to lead and participate in the change process. Have an awareness of the financial implications involved in caring for critically ill patients and help ensure that equipment and consumables are used appropriately and effectively. Communications and Working Relationships: Maximise learning opportunities for self and other team-members. Adhere to Trust guidelines and ensure adequate service delivery. Facilitate learning within the team. Participate in Clinical Supervision, team meetings and Critical Care Outreach study days. To provide short-term cover for colleagues during periods of leave. To ensure that all Trust standards are maintained and monitored to improve the quality of care to all whom come into contact with services provided by South Warwickshire NHS Foundation Trust. Every employee has a duty to take reasonable care of the health and safety of him/herself and of other persons who may be affected by his/her acts or omissions at work, and to co-operate with the South Warwickshire NHS Foundation Trust to ensure that statutory and Trust regulations are complied with. To participate in appraisals and personal reviews and work to achieve agreed set objectives. To participate in appropriate training and development activities To participate in team, professional and personal development activities and promote commitment to continuous development and improvement. Ensure that all staff consciously review mistakes, complaints and incidents/near misses as well as successes to improve performance and the level of customer care. Allemployees will havean organisational and individual responsibility towards safeguarding vulnerable adults, young people and children. Where employees are working with children, young people and families they have a responsibility to cooperate in national safeguarding policy around early intervention activities appropriate to improving health outcomes. As a major provider of health care, South Warwickshire NHS Foundation Trust operate a Smoke Free Policy by providing a totally smoke free environment to help aid patients recovery, promote health and wellbeing and minimize the risks of complications attributed to smoking tobacco and second hand smoke. To abide by Infection Prevention and Control policies relevant to their area of work, and undertake the necessary level of training. This will be appraised through the KSF review process or other relevant professional review process. To accept responsibility for the provision of effective infection prevention and control within the Trust in liaison with the Trust's Infection Control Team. To act as a role model in applying good infection control practice and ensures compliance with all Infection Control policies. To promote and demonstrate implementation of the Trust's Carbon Management strategy and policy, ensuring team members are fully aware of the policy and are contributing to this. This job description is subject to review at any time in consultation with the post holder. Person Specification Qualifications Essential First level nurse Degree in Professional Nursing/Health Studies Current Professional Registration with NMC Post Registration qualification in Critical Care Teaching and Assessing qualification Desirable Health Assessment qualification or willingness to undertake Experience Essential Relevant clinical experience, ie minimum of two years at Band 6 in an Intensive Care setting. Developed clinical assessment and communication skills Desirable Experience of Critical Care Outreach Skills Essential Evidence of continuing professional development Effective IT skills and database awareness Knowledge of evidence-based practice. Knowledge of audit process. Knowledge of clinical governance Desirable ALS or willing to attend Clinical skills - phlebotomy, cannulation, catheterisation, peripheral ABG (or willing to undertake training) Personal Qualities Essential Demonstrate good time management skills Supportive team member but also able to work independently whilst acknowledging limitations. Positive role model to team members and to other members of the MDT. Problem solving Awareness of professional limitations Ability to deal with complex and difficult situations. Desirable Awareness of change management. Other Job Requirements Essential Passes Occupational Health Clearance. Flexible and adaptable in meeting changing service demand. Able to work unsocial hours. Person Specification Qualifications Essential First level nurse Degree in Professional Nursing/Health Studies Current Professional Registration with NMC Post Registration qualification in Critical Care Teaching and Assessing qualification Desirable Health Assessment qualification or willingness to undertake Experience Essential Relevant clinical experience, ie minimum of two years at Band 6 in an Intensive Care setting. Developed clinical assessment and communication skills Desirable Experience of Critical Care Outreach Skills Essential Evidence of continuing professional development Effective IT skills and database awareness Knowledge of evidence-based practice. Knowledge of audit process. Knowledge of clinical governance Desirable ALS or willing to attend Clinical skills - phlebotomy, cannulation, catheterisation, peripheral ABG (or willing to undertake training) Personal Qualities Essential Demonstrate good time management skills Supportive team member but also able to work independently whilst acknowledging limitations. Positive role model to team members and to other members of the MDT. Problem solving Awareness of professional limitations Ability to deal with complex and difficult situations. Desirable Awareness of change management. Other Job Requirements Essential Passes Occupational Health Clearance. Flexible and adaptable in meeting changing service demand. Able to work unsocial hours. 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 South Warwickshire University NHS Foundation Trust Address Warwick Hospital Lakin Road Warwick CV34 5BW Employer's website https://www.swft.nhs.uk/ (Opens in a new tab)