Job Overview
A great opportunity has arisen to join our Medical Same Day Emergency Care Team! Medical SDEC is made up of a team of dynamic nursing staff, doctors, advanced practitioners, pharmacist's and specialist nurses. The unit is fast paced with an emphasis on high quality rapid assessment and accepts patients from a wide variety of specialties.
The unit accepts referrals from GP’s, the Emergency Department, and Southwest Ambulance service, as well as working closely with NHS at Home. Following the expansion of the unit, we now provide speciality services within Acute Medicine, Respiratory Medicine, Infectious Disease, Gastroenterology, Endocrinology, Stroke and Neurology.
Same Day Emergency Care (SDEC) remains at the forefront of NHS England’s urgent, emergency care recovery plan. The unit has received significant investment allowing the service to transform and grow over the last 2.5 years. The purpose designed unit now assesses 35–50 patients per day.
Under this care model, patients presenting at hospital with relevant conditions can be rapidly assessed, diagnosed and treated without being admitted to a ward, and if clinically safe to do so, will go home the same day their care is provided.
Our dynamic, innovated approach to growing the service, along with excellent patient feedback led to SDEC winning the trust’s “we transform services” 2023 award, something we are extremely proud of!
Responsibilities
* To work as a member of the SDEC Team and be responsible for the assessment, development, implementation and evaluation of programmes of care.
* To work in collaboration with the nurse in charge and clinical matron to ensure the delivery of high calibre of evidence based patient care, and to encourage and develop a flexible work force through the efficient use of facilities, manpower and other resources.
* Take personal responsibility for ensuring Trust and local policies and procedures are known and followed and be familiar with advisory guidelines, as laid down by the NMC.
* Supervise junior staff and to teach qualified staff, student nurses and healthcare support workers.
* Be able to rotate into the emergency zone as required.
* Take personal responsibility for the nursing care of patients in the clinical setting without direct supervision.
* Ensure that care needs are assessed, and programmes of care are developed, implemented and evaluated for a patient caseload. Ensure care is documented accurately at every stage of the process, giving a clear profile of care from admission to discharge.
* Plan and evaluate own working practices.
* Take charge of the unit on a day‑to‑day basis as required and for a minimum of one shift per week.
* Provide advice and support to junior team members to enable them to carry out delegated duties and understand responsibilities.
* Ensure maintenance of clinical competence/skills of self and recognise shortfalls/developmental needs, feeding this into the individual development performance review (IDPR) process.
* Ensure clinical competence/skills meet the requirements of Trust Policies and Procedures and are evidence based.
* Ensure all clinical care requirements of patients are communicated effectively at ward handover to allow seamless provision of care from shift to shift.
* Provide information and support to patients/relatives/carers to enable making of informed choices regarding health and social well‑being.
* Manage, report and record clinical/critical incidents in line with Trust Policy.
* Participate in Doctor rounds and multidisciplinary team meetings.
* Work closely and liaise effectively with REACT team.
* Undertake technical treatments, procedures, investigations and complex additional nursing procedures.
* Ensure patient safety at all times, e.g. using staff skills appropriately to escort patients requiring nursing intervention.
* Act as or contribute to the role of Speciality Link Nurse to other areas.
* On behalf of the Unit Manager, contribute to speciality teaching outside the ward environment as appropriate.
* Attend team meetings and contribute to discussions relating to clinical care and standard setting.
* Compliance with all infection control policies and procedures will form an integral part of the practice of all staff involved in direct patient care. The staff member will be responsible for locating the infection control manual in the clinical areas and on the intranet. Staff must keep themselves up to date with new policies distributed with subsequent implementation in practice.
* Clinical staff will seek support and advice from infection control in all instances where cross illness is likely to have occurred or when managing situations involving patients with infections where guidance provided in the policies is not applicable.
* All staff will contact occupational health if they are suffering from any form of infection which may put patients and other staff at risk.
Policy and Service Development
* Implement changes to service delivery as agreed by organisation/unit.
* Ensure that you read new corporate information promptly and encourage others to do so as well.
* Ensure that all Trust policies and procedures are followed at all times.
* Act as unit representative at meetings as appropriate and as requested by unit Manager.
Resource Management
* Ensure resources are used effectively and efficiently.
* Ensure any shortfall in equipment is reported promptly or equipment repaired in a correct and timely manner.
* Complete/maintain personal records as required by the Unit Manager, e.g. annual leave request cards, training records.
* Assist in implementing recommendations of audits.
Education and Training
* Contribute to the facilitation of a suitable educational environment in which to support the development and learning of ward team members and students on placement.
* Act as mentor/assessor to students and/or others on placement.
* On behalf of the Unit Manager, act as a Link Nurse to specialist groups, ensuring feedback to ward team enabling review of practice.
* Participate in teaching students and others as appropriate.
* Act as a Green/Orange Card trainer for clinical equipment.
* Be responsible for using equipment only after relevant training and ensuring that equipment is checked prior to use.
Person Specification
Education/Training/Qualifications
* Essential: Registered Nurse with current live NMC registration.
* Essential: Evidence of continuing professional development relevant to the role.
* Desirable: Teaching and assessing qualification (FLAP or equivalent) or evidence of experience within mentorship and or teaching.
Work Experience
* Essential: Completion of training for additional clinical skills required in the ward/department (IV drug administration, cannulation & venipuncture, male catheterization, blood transfusions, ECG training, obtaining blood cultures and VBG).
* Essential: Recent, post qualification experience in an acute specialty.
* Desirable: Experience within Acute medical Admissions, SDEC or the Emergency Department.
Knowledge / Skills / Abilities
* Essential: Advanced communication skills, verbal & written, to include report writing and record keeping.
* Essential: Basic computer / IT skills and expectation to develop these in line with the needs of the service (IHS, Acis, Email use).
* Essential: Ability to work as part of a team.
* Desirable: Previous nurse in charge/leadership role.
Seniorities and Employment
Seniority level: Entry level.
Employment type: Full‑time.
Job function: Health Care Provider.
Industry: Hospitals and Health Care.
Band: 6 Registered Nurse SDEC GUH - INTERNAL (Bath).
Equal Opportunities
North Bristol NHS Trust are committed to safeguarding and promoting the welfare of children and young people and expects all staff and volunteers to share this commitment. We therefore particularly encourage applications from candidates who are currently underrepresented in NBT’s workforce at Band 8a and above, including people from Black, Asian and minority ethnic backgrounds, disabled people and LGBTQIA+ people.
Contact and Application
If you apply for this vacancy and have not received a communication from North Bristol NHS Trust within three weeks of the closing date, please assume that on this occasion your application has been unsuccessful. Please note that North Bristol NHS Trust does not reimburse travel expenses relating to interview attendance. If you feel you meet the requirements of the Disability Act / Two Ticks scheme and require further support/advice, please contact us on tel 0117 414 1151.
The successful applicant(s) will normally commence at the minimum of the scale unless they have previous NHS service at the same band. Progression through the scale is by annual increments.
At North Bristol Trust (NBT), we know diverse and inclusive environments lead to happier and healthier teams and improved patient care and outcomes. We are committed to equality of opportunity, to being fair and inclusive, and to being a place where we all belong. We therefore particularly encourage applications from candidates who are currently underrepresented in NBT’s workforce at Band 8a and above. These include people from Black, Asian and minority ethnic backgrounds, disabled people and LGBTQIA+ people.
Please note that stringent pre‑employment checks are undertaken on all successful applicants prior to commencement in post.
Please note that stringent pre‑employment checks are undertaken on all successful applicants prior to commencement in post.
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