Job overview
The role of the Acute Care Team practitioner is to respond, manage and escalate the care of the deteriorating patient across all ELHT sites. To support the care and rehabilitation needs of critical care step down patients. Maintain safe care of patients requiring enhanced care outside of the critical care setting. Work closely and collaborate with medical teams to ensure appropriate and timely assessment, diagnosis, treatment and management plans. Support service development and workflows aligned with deteriorating patients.
The Acute Care Team are a flexible service that support organisational demands outside of traditional outreach services. The successful applicant will need to be open and engaged to change with drive and motivation to deliver both quality and safety services.
please note this post will be supported as a progressional role working towards Non Medical Prescribing and recruitment will be dependant on current prescribing qualifications and relevant experience.
Main duties of the job
Response to deteriorating patients and Calls 4 Concern across all patient areas including the Emergency Department.
Assess, treat, manage and escalate within scope of practice
Clinical skills such as venepuncture, cannulation, Blood culture & arterial/venous blood sampling and catherterisation.
Manage care at enhanced level for patients requiring support such as nasal high flow and non-invasive ventilation outside of cohort wards.
Assess and manage the care of tracheotomy, laryngectomy patients working closely with parent teams and specialty services.
Work as part of the core cardiac arrest team.
Assess, treat and manage patients specifically presenting with high risk presentations such as Acute Kidney Injury, Rib fractures, Pancreatitis, etc.
Support teaching both formally and informally for the management of deteriorating and high risk patients.
Act as a role model demonstrating professionalism and trust values.
Recognise own limitations and take actions and accountability for personal professional development.
Work closely with and collaborate with the multi disciplinary teams supporting patient care and recovery.
Risk response and management of out of hours services.
Managerial and operational responsibilities associated with team productivity.
Working for our organisation
East Lancashire Hospitals NHS Trust provides acute, community and specialist services to the population of East Lancashire and Lancashire/South Cumbria.
Services are provided from two main sites, the Royal Blackburn Teaching Hospital and Burnley General Teaching Hospital. Acute services are housed on the Blackburn site and include the emergency department, the 32 bedded Critical Care Unit and the acute surgical and medical units. The ED is a trauma unit in the Lancashire Trauma network.
ROYAL BLACKBURN TEACHING HOSPITAL
The Royal Blackburn Teaching Hospital provides acute services in 503 + 70 day case beds
The hospital is situated just off junction 5 of the M65 and is our main hospital site receiving all emergency patients dealing with all emergency inpatient care. All blue light ambulances attend this site.
BURNLEY GENERAL HOSPITAL
Burnley General Teaching Hospital is an acute District General Hospital located in Burnley, Lancashire, England. The hospital provides a full range of services, including general and specialist medical and surgical services, diagnostic services and support services. It also houses an Urgent Care Centre for minor injuries and illnesses.
Detailed job description and main responsibilities
They will review referred and ongoing patients and assess these patients who are considered “at risk” by the referring multi-professional team. They will act as a role model providing support, education and training to the multi-professional team caring for the critically ill patient. The post holder will have a degree of autonomy where they will be responsible for a caseload of patients across a number of specialties, to include an element of lone working.
The post holder will be expected to work within a progressional role if all essential requirements are not met seeking and being supported to develop their experience and the implementation of clinical and non-clinical governance to modernise patient services. In addition, the post holder will be responsible for participating in clinical audit and nursing research, education, leadership and management.
They will be required to work flexibly as an ACT team member to ensure standards are maintained, evaluated and improved. In addition, to the obligatory advanced clinical skills, the practitioner may be required to develop a range of additional skills or techniques that fall outside the usual scope of nursing practice.
Person specification
Meeds essential and desirable criteria
Essential criteria
* NMC registration or equivalent
* Significant post registration experience, ideally within critical care or acute setting, normally a minimum of 3 years.
* Flexible to service demand
* Working knowledge of NHS agendas and issues
* ILS
* Relevant experience in enhanced care environment
* Ability to apply assessment and diagnostic skills to clinical presentations
* Demonstrates Evidenced Based Practice
* Evidence of appropriate delegation and leadership skills
* Recognition of own limitations
Desirable criteria
* Degree or level 6 / 7 academic study
* Specialist qualification
* ALS
* NMP
* Ability to demonstrate negotiation skills
* Influencing skills
* Effective team working
* Positive attitude to service development and improvement practice
* Clinical skills such as venepuncture, cannulation, catherterisation
* Clinical assessment and diagnostic qualification