About this role
Job summary
Registered nurse working within a Critical Care unit individually and as a team, responsible for assessing, planning, implementing and evaluating patient care to deliver a high standard of care. Who will need to maintain own professional development through ongoing education and development, ensuring that Critical Care competences are met together with all mandatory training.
Main duties of the job
PROFESSIONAL
As a registered nurse the post holder is personally accountable for their practice and must adhere to the NMC standards expected of them.
Be an effective professional role model for staff.
Maintain own professional development through ongoing education and development, ensuring that PREP requirements are met together with all mandatory training.
Adhere to the Trust Policy on Scope of Professional Practice, developing own sphere of practice with guidance from Ward/Department Manager.
CLINICAL
Undertake comprehensive and holistic assessment of the patient's nursing care needs.
Use this assessment to develop a plan of care, which is evidence based and planned in partnership with the patient wherever possible.
Implement the planned program of care, delegating duties appropriately and teaching and coordinating other members of the healthcare team.
Evaluate the effectiveness of the nursing care provided and adjust the care plan as necessary.
Maintain clinical records in accordance with NMC 'Guidelines on Record Keeping' and Trust policies.
Provide statements as necessary, within required time frames.
Act as an advocate for patients.
Ensure that multi-disciplinary care programs as identified through ward rounds or multi-disciplinary meetings are implemented.
About us
The Humber Health Partnership is one of the largest acute and community Partnership arrangements in the NHS, seeing well over one million patients every year and managing a budget of over £1.3 billion.
Made up of two Trusts - Northern Lincolnshire and Goole NHS Foundation Trust (NLAG) and Hull University Teaching Hospitals NHS Trust (HUTH) - our Partnership has significant ambitions and is committed to delivering world-class hospital and community services for the 1.65 million people we serve.
Together we employ nearly 20,000 staff. Our five main hospital sites are Diana, Princess of Wales Hospital, Scunthorpe General Hospital and Goole and District Hospital, for NLAG and Hull Royal Infirmary and Castle Hill Hospital for HUTH.
As Teaching Hospitals working with the Hull York Medical School, we both lead and contribute to research in many areas - biomedical research, primary care, palliative medicine, cardiovascular and respiratory medicine, vascular surgery, cancer surgery and oncology.
We believe that by developing a diverse, inclusive, innovative, skilled and caring workforce, we can deliver excellent care to our patients and a great future for our employees, our Partnership and our community.
Job description Job responsibilities
CLINICAL
Ensure medicines are stored, supplied and administered in accordance with Trust Medicines Code and NMC Guidelines for the Administration of Medicines and maintain own competence in this respect, reporting any learning needs to Ward Manager.
Perform required clinical procedures (including specialty specific procedures) competently.
Respond to health emergencies and contribute to the resuscitation of patients as needed.
Inform the Ward Manager of any circumstances in which safe care cannot or has not been provided. In the absence of the Ward Manager act upon these concerns.
Competently use clinical equipment, undertaking relevant training as required.
Use IT Patient Information systems as necessary and in accordance with Trust policies, undertaking training as required.
Ensure appropriate and timely communication with patients and relatives/carers, advising, instructing and supporting them as needed and making use of support systems as appropriate (e.g. interpreters, chaplaincy).
Contribute to the development of patient information leaflets.
DUTIES AND RESPONSIBILITIES OF THE POST HOLDER
LEADERSHIP/MANAGEMENT
Allocate work to junior members of the ward/departmental team ensuring this is completed to an appropriate standard.
Ensure patients property is handled in accordance with Trust policy.
Deal with any untoward incidents or complaints, in accordance with Trust Policies and Procedures and assist in their investigation and resolution in a timely manner.
Contribute to the evaluation of clinical practice through audit.
Attend ward meetings
Ensure the ward environment is clean and welcoming taking steps to address any concerns and ensuring compliance with:
Health & Safety
Infection Control
Fire Prevention Management
Risk Management
COSHH
Act as a Link Nurse for a special interest area, as needed.
EDUCATION AND PRACTICE DEVELOPMENT
Participate in appraisal process, taking opportunity to identify and discuss own learning needs with appraiser.
Support the induction of new staff (including bank/agency), taking on the role of preceptor.
Demonstrate and teach nursing procedure to other staff, students (including post registration students) and patients as necessary.
Participate in clinical supervision and act as Clinical Supervisor to nominated staff as required.
Act as mentor to nursing students.
Act as NVQ Assessor.
Assist in developing and implementing innovative clinical and working practices, in consultation with senior nursing and medical staff.
INVASIVE MONITORING
Preparation and institution of arterial and central flushs and monitoring systems.
Maintain arterial and central Flush systems in situ.
Care of arterial catheters and central venous catheters.
Perform zero checks and obtain blood samples for analysis.
Interpret pressure monitoring tracings and troubleshoot problems.
Interpret cardiac tracings and report appropriate anomalies.
Perform haemodynamic measurements/calculations.
To safety and competently attached the Lidco haemodynamic monitoring and interpret results and apply to treatment alterations as required.
Titrate inotropic therapies according to prescribed parameters.
Management and titration of multiple therapeutic infusions.
To competently and safely perform those clinical extended skills to which the individual has undergone
appropriate training and assessment for:
Recording of ECGs
Venepuncture
Cannulation
Male catheterisation
The mixing and administration of intravenous antibiotics and a variety of critical care medications.
To competently and safely manage patients who have epidural
or PCAS infusions.
To assist with and care for the patient undergoing insertion of chest
drains.
HAEMOFILTRATION
Establishing renal haemofiltration therapy as prescribed by clinician.
Care for patients whilst undergoing renal replacement therapy.
Modify regime according to clinicians directives.
Troubleshoot equipment problems hardware and consumables.
Discontinue/suspend equipment/therapy according to local protocols.
PATIENT TRANSFERS
Organise and co-ordinate the transfer of critically ill patients according to Divisional guidelines and by liaising with other ICUs, bed bureau, Paramedic/ambulance staff and any appropriate medical staff.
Transfer critically ill patients to intra-site (e.g. CT scan, MRI, Radiology and rehabilitation areas) and inter-site destinations maintaining all invasive/non-invasive monitored parameters ensuring comprehensive and accurate handover to any receiving nursing staff.
Competently caring for critically ill paediatric admissions during stabilization period and whilst waiting for specialist PICU retrieval team to take over care of the child.
CARE OF THE DYING PATIENT/ORGAN DONATION
Support the patient/family and medical staff when caring for the dying patient and during any decision processes regarding withdrawal of treatment of a patient.
Ensuring clear channels of communication exist thorough out the multidisciplinary team and significant others when implementing or evoking a Do Not Resuscitate order.
Assist the medical staff in the procedures to determine whether patients have suffered brain stem death.
Initiate and co-ordinate the process of organ donation when appropriate
Liaise with the Transplant Team and participate in the organ donation process following brain stem death.
Support the family during the organ donation process involving the Transplant Co-ordinator as appropriate.
ENDOSCOPY
Reprocessing and preparation of endoscopes.
Perform safety checks and validate sterilisation status.
OUTREACH
Provide/co-ordinate outreach service/advice to other wards and departments when Outreach service is not available; within available resources.
Participate in Outreach to other wards/departments when appropriate.
Participate in the pre-operative preparation of patients undergoing major surgery by visiting and
providing information in anticipation of elective ad
EDUCATION /TRAINING
Liaise with the Practice Development Nurse to:
Support and teach new staff working through speciality-specific competencies as listed in the unit competency booklet.
Assess and document speciality-specific competencies as they are achieved.
Competently fulfil link nurse role, ensuring current research is communicated to ICU team, and undertake formal and informal training. Contribute to evidence-based guidelines as appropriate.
PAEDIATRICS
Liaise with multidisciplinary team regarding accepting an appropriate paediatric admission to ICU.
Assess and implement a plan of care following discussion with anaesthetic and paediatric medical input.
Liaise with PICUs to transfer patient to nearest specialist unit.
Assist anaesthetist with complex procedures e.g. intubation, invasive lines, investigations etc
Understand and be able to use paediatric drug formulas.
Have a working knowledge of paediatric anatomy and physiology and understand normal values and be able to act upon the abnormal.
Understand and be able to use specialist paediatric paperwork in conjunction with PICU departments and give a comprehensive hand over to retrieval team or accepting hospital.
Lend emotional support to parents and significant others.
For more detailed information, please read the job description linked below.
As a Trust we are keen to offer and encourage flexible working opportunities to address health and wellbeing and work-life balance for our employees, this will have a positive impact on the care we provide.
Flexible working is part of a wider commitment to improve the quality and experience of working life and we recognise that it is a key contributor for the recruitment and retention of our employees.
We therefore support and encourage open conversations around a specific working pattern to suit your work-life balance or a multi-role career, if it works for you and works for the role, we'll do our best to make it happen.
Local flexible working arrangements are developed in partnership between the line manager and employee in order to ensure equality of access to flexible working, as far as practicable, regardless of role, shift pattern, team or pay, based on: patient/service user and staff experience, service delivery and work-life balance of colleagues.
We are committed to creating and maintaining a fair and supportive working environment and culture, where contributions are fully recognised and valued by all and staff feel empowered to carry out their duties to the best of their abilities. As employers we are committed to promoting and protecting the physical and mental health and well-being of all our staff. This underpins our values as set out in the NHS Constitution, supports us to be an Employer of Choice and ultimately enables our employees to support the effective care of our patients.
We strongly value the different perspectives and ideas a diverse workforce brings to deliver better outcomes for our patients. We welcome applications irrespective of peoples age, disability, sex, gender identity and gender expression, race or ethnicity, religion or belief, sexual orientation, or other personal circumstances.
To learn more about Northern Lincolnshire and Goole NHS Foundation Trust, and discover the unique benefits on offer to employees, view our latest videos, plus more, please visit our recruitment website at https://join.humberhealthpartnership.nhs.uk/
In line with the General Data Protection Regulation (GDPR), the Recruitment & Workforce team will use and hold your personal data for the intended purpose and in line with the Recruitment & Workforce Privacy Statement.
We are committed to safeguarding the welfare of children/vulnerable adults and expect the same commitment from all staff and volunteers.
Please be aware that all new employees starting work with us will be charged for the cost of their DBS check, if it is required for their role.
Person Specification
education Essential
Registered Nurse Level 1 To be able to plan, assess, evaluate and implement patient care
Desirable
Ability to maintain own professional development through ongoing education and development 6 months post registration experience desirable but not essential Has step one competencies
Clinical Essential
To be able to plan, assess, evaluate and implement patient care
Desirable
Knowledge of patient admin IT systems
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 Northern Lincolnshire and Goole NHS Foundation Trust
Address SGH
Scunthorpe General Hospital
Scunthorpe
DN15 7BH
Employer's website https://www.nlg.nhs.uk/ (Opens in a new tab)