Job overview
The Clinical Night Team (CNT) are a team of established Advanced Clinical Practitioners (ACP), the Qualified ACPs provide advanced clinical cover 19:30 -07:30 across all adult inpatient areas and the emergency department for patients with a decision to admit and awaiting a ward bed. They will arrange appropriate management and treatment plans for in patients, supporting admission areas with the assessment of patients with a variety of undifferentiated presentations whilst working within the trusts guidelines, policy and procedures. The CNT work alongside the on-call medical and surgical teams supporting the medical staff to remain in the admission areas to clerk new admissions. Provide the AKI service over night. The ACPs are supported by a team of Assistant Practitioners.
Main duties of the job
The successful candidate will work within the Clinical Night team independently reviewing and treating patients across all divisions in the organisation.
You will work alongside both resident and senior doctors acting as an autonomous practitioner delivering a high quality service. Responsibilities will include assessments of patients using a range of assessment methods to determine ongoing plans of care.
You will also be responsible for independent reviews of inpatients who are receiving ongoing ward based care and escalate care where escalation is indicated to the relevant speciality and medical staff.
Working for our organisation
We have 10,000 fantastic people working hard to deliver quality services to our patients. Whatever your role, you help look after 370,000 people in our local area & give specialist care to 1.5 million people across Lancashire & Cumbria.
Working with us gives you the knowledge and sense of pride that every activity you do genuinely does make a difference to support our patients & staff, ensuring we keep thriving & delivering outstanding healthcare right across our local towns.
You’ll have access to varied development opportunities, learn new skills, meet fab people & do things you’d never have done. You’ll learn about working in a hospital, interacting with people from all different roles to build skills & enhance your career path.
You’ll make an impact, be challenged to think differently, be bold & help innovate to keep improving things. Everything we do centres around patient care and enhancing their experience which means your role is pivotal and something really to be proud of.
Detailed job description and main responsibilities
You will attend the medical, surgical and orthopaedic handovers at the beginning of a shift receiving tasks from the evening on call teams. You will manage complex and unpredictable events providing leadership, advice and support to the emergency department, in patient ward staff and medical teams, whilst ensuring the safety of patients, families and carers. You will act as a clinical role model / advocate for developing and delivering care that is responsive to changing requirements whilst maintaining effective professional and productive communication with patients, relatives, the multi-disciplinary team
Clinical referrals will be received via the Smart page app and organisational bleep system these responsibilities will include but are not limited to the assessment, diagnosis and treatment of acutely unwell patients, supportive management of chronic conditions as well as general on call ward tasks such as routine prescribing, check bloods and review blood results, interpret 12 lead ECGs. Respond to 2222 calls as core members of the cardiac arrest team.
Person specification
Education & Qualifications
Essential criteria
1. MSc in Advanced Nursing Practice, Clinical Practice or evidence of appropriate level 7 study in a relevant specialist clinical field.
2. Professional clinical qualification.
3. Independent/Supplementary Non-medical Prescribing (where legally able to).
4. Advanced Life Support qualification.
Desirable criteria
5. Leadership/Management qualification
Knowledge & Experience
Essential criteria
6. Highly motivated and experienced practitioner with substantive range of experience within relevant area eg emergency / general medicine
7. Broad & advanced knowledge of clinical pathophysiology
8. Sound level of knowledge in relation to invasive and non-invasive diagnostic and therapeutic procedures
9. Experience in managing chronic and acute health issues
10. Proven leadership experience including delivering to targets and service improvement.
11. Ability to manage conflicting pressures to maintain streamline service delivery
12. Demonstrates current knowledge of professional and NHS issues and the implication for clinical environment.
13. Experience of clinical research
14. Evidence of leading on clinical audit and translation to service development
15. Advanced clinical assessment and diagnostic skills based on interpretation of imaging and pathology results
Desirable criteria
16. Knowledge of more than one area of clinical practice – i.e surgery, medicine, orthopaedics, CRCU
17. Has the knowledge to support safe clinical decision making in relation to discharge