Bank Emergency Nurse Practitioners Band 7 ( UTC)
The Royal Free NHS Foundation Trust London is looking to recruit bank Emergency Practitioners. Bank work is available at Chase Farm Hospital Urgent Treatment Centre (UTC) Enfield, Barnet Hospital Urgent Treatment Centre, and the Royal Free Hospital.
The Urgent Treatment Centres are forward-thinking, dynamic, friendly environments offering a 7-day walk-in service for both adults and children with minor injuries and minor illnesses.
As a Practitioner in our UTC, you will have autonomy for patient care but be part of an innovative expert multi-disciplinary team comprising of nurses, paramedics, EDAs, and GPs. You will work in a fast-paced environment with a broad variety of patient presentations and at times dealing with emergency and unexpected situations.
You will be providing emergency care to our local state-of-the-art and pioneering UTCs. The service you provide is critical to see, diagnose, treat, discharge, or refer both walk-in and ambulatory patients whose injuries or illnesses are not so serious as to need full emergency department care. You will see a wide assortment of presentations and provide professional advice to patients, carers, and colleagues; this means you will consult patients independently but seek clinical advice and support where or if required.
Main duties of the job
World Class Care Values: The post holder will offer World Class Care to service users, staff, colleagues, clients, and patients alike.
As an independent practitioner with primary care experience and specialist knowledge in minor illness and injury, the post holder will be expected to:
1. Demonstrate as a clinical expert initial patient contact assessment so that patients/people attending the urgent care centre (UCC) may be signposted, treated, or referred on as appropriate.
2. Provide professional and clinical leadership within the team.
3. Support the role of the Matron in developing and implementing a strategic development plan for practitioner-led services within the department.
4. Lead on the development and implementation of a programme of clinical audit and research within the department.
5. Act as a primary resource for education and clinical development within the service.
6. Work collaboratively with the clinical site manager to ensure correct UCC interdepartmental pathways have been escalated.
7. Manage and be responsible for the supervision and development of the multidisciplinary team consisting of all grades of staff, students, and health care support workers.
As part of the UCC team, in the event of a major/chemical incident being declared at Barnet ED, the post holder will support and respond as requested by the department.
About us
At the Royal Free London, our mission is to be world-class in the provision of care and treatment to our local and wider population, clinical research, and teaching excellence. We aim to deliver kind and compassionate care in all three of our hospitals and satellite areas, to improve lives and help people thrive. We have over 10,000 staff across our various sites, all working towards the same aim, which is to ensure our patients receive the very best care.
Our size, scale, and influence offer you unrivalled career opportunities and a forward-thinking approach to working that works around your lifestyle. From flexible hours and generous benefits to next-level training, we make it easier to take your career to the top.
We are an equal opportunities employer and welcome all applications irrespective of age, disability, gender, sexual orientation, race, or religion.
We offer competitive bank rates of pay.
Job responsibilities
Clinical responsibilities:
1. To be accountable for his/her own practice and utilise available opportunities to sustain and improve knowledge and professional competence.
2. To obtain a detailed and comprehensive patient history and undertake relevant examination and investigations for an unscheduled patient group.
3. To assist the nursing staff in maintaining patients' well-being and dignity in a safe environment and in maintaining patient confidentiality and privacy.
4. To request and interpret investigations as required.
5. To provide advanced level, autonomous care to patients registering within the Urgent Care Centre, to include history taking, assessment, examination, treatment, discharging, referral, and prescribing.
6. To manage and coordinate the clinical area, participating in direct patient care and supervision of staff.
7. Assess patients presenting with acute illness, including being able to recognise and manage appropriately patients who may self-present with emergency or life-threatening conditions.
8. Diagnose, plan, implement, and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis.
Responsibility for patients:
1. To always behave in a manner that is professional, positive, and polite.
2. To act as an effective role model and maintain professional standards when representing the department, courteous and always helpful.
3. To provide a holistic, autonomous care service by attending to physical, psychological, and social needs of patients and where necessary implementation of an agreed management plan for optimum care and treatment of their complex problems or potential problems.
4. To request and interpret diagnostic tests and make referrals. Prescribes drug therapy as part of patients' management where appropriate.
5. To treat safely and effectively, support, direct and manage the public presenting with a wide range of conditions to the UCC supported by other colleagues or independently.
6. To communicate information to patients about their clinical condition in a way which they can understand, and which can at times be highly sensitive or distressing, or there can be significant barriers to.
Responsibility for financial and physical resources:
1. To manage physical resources ordering stock, and non-stock and specialist medication and equipment and consumables.
Responsibility for leading and managing:
1. To act as a clinical and professional role model for the multi-professional team.
2. To lead and support the development of audit and research skills within the team.
3. To deputise for Matron and carry out delegated responsibilities as agreed.
4. To carry out the shift coordinator role on a rotational basis in addition to clinical duties, acting as the main point of contact for queries, issues, or escalation while on shift, and ensuring that all patients are safe and seen in a timely manner.
5. To supervise and/or manage junior staff within the team, taking a lead.
The details above are not exhaustive; therefore, please check the attached JD and PS for further information.
Person Specification
Knowledge
* Understanding of audit process
* Proven use of evidence-based practice
* Advanced specialist clinical knowledge relevant to emergency nursing
* Knowledge of critical analysis to provide evidence-based practice
Personal Qualities & Attributes
* Self-motivated
* Reliable
* Visionary
* Positive
* Ability to work within tight deadlines
* Highly motivated and able to motivate others
* Excellent interpersonal and communication skills
* Calm and assertive even when under pressure
* Flexible and enthusiastic approach.
* Displays high level of personal integrity and has a professional approach
* Understanding of relevant national strategy/policy and how this relates to the service
* Commitment to maintaining own fitness for practice through maintaining a personal profile of practice competencies
* Ability to negotiate effectively with different disciplines
* Ability to work within the multidisciplinary team
Education & Professional Qualifications
* Registered nurse level 1/Registered HPC paramedic practitioner
* Recognised Autonomous Practitioner Qualification
* Teaching and Assessing course/practice educator level 1 & 2.
* Evidence of own continuing professional development
* Educated to degree level
* Independent nurse/non-medical prescriber or working towards
Royal Free World Class Values
* Demonstrable ability to meet the Trust Values
Experience
* Significant post-registration experience within an Emergency Care setting
* Evidence of multidisciplinary working
* Experience within a Primary Care Setting
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.
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