Critical Care Outreach Nurse

THE ROYAL MARSDEN; Belmont; On-site; GBP 40,000 - 55,000; Full time

Job summary

The Royal Marsden NHS Foundation Trust is seeking a motivated critical care nurse for a 12-month fixed-term contract to support a 24-hour Critical Care Outreach service across Chelsea and Sutton. You will deliver acute oncology care, perform advanced assessments and lead urgent interventions with autonomous practice.

You will be part of the Resuscitation team, provide education to staff, and participate in audits and service development.

Qualifications

• Registered nurse with current NMC registration.
• Experience in critical care/outreach is preferred.
• ALS provider qualification or capability to lead resuscitation.
• Able to work day, night, weekends as required.

Responsibilities

• Provide a 24-hour Critical Care Outreach service across Chelsea and Sutton.
• Act as an active member of hospital at night (H@N) team.
• Identify acutely deteriorating patients for active treatment.
• Collaborate with CCU, Medical/Surgical teams and CSP to assess and treat deterioration.
• Follow up patients discharged from CCU/step-down to prevent deterioration.
• Be an active member of the hospital resuscitation team.
• Educate nursing and medical staff on deteriorating patients.
• Escort intra/inter-hospital transfers safely when required.
• Perform advanced clinical assessments and skills (arterial/venous access, cannulation).
• Prescribe medications where required via patient group directives or non-medical prescribing.
• Lead proactive interventions for acutely deteriorating cancer patients.
• Coordinate care for Level 2 patients in inpatient/outpatient settings.

Skills

Advanced clinical assessment

Autonomous working

Communication skills

ALS provider

Education

Registered nurse (NMC)

Band 7 leadership experience

Job description

The Royal Marsden NHS Foundation Trust is the largest comprehensive Cancer Centre in Europe and leader in the field of cancer care with successful record of innovation in nursing care, pioneering new treatments and development of anti-cancer drugs., An exciting opportunity has arisen within our proactive Critical Care Outreach Team for a 12 months fixed term contract. We are seeking an enthusiastic experienced and highly motivated critical care nurse who will work with the team to support us in the delivery of a high-quality 24-hour service across both Chelsea and Sutton sites. You will work collaboratively to provide acute oncology care to at risk or deteriorating cancer patients. You will carry out advanced assessment and care of deteriorating patients leading to early intervention and treatment. Excellent communication skills and the ability to work autonomously is essential. You will be part of the Resuscitation team/Hospital@Night and would be required as an ALS provider to lead rescue interventions and facilitate transfers to and from critical care. You will work a mixture of days and nights as well as weekends within the team. You will be involved in the service development, improvement and participate actively in audit and research. You would need to demonstrate leadership and managerial expertise as a Band 7 Charge Nurse/Sister in Critical Care Outreach.

• To provide a 24-hour Critical Care Outreach (CCO) service across the Chelsea and Sutton site.
• To be an active member of the hospital at night (H@N) team.
• To identify patients who are acutely deteriorating and are for active treatment.
• To work in collaboration with the Critical Care Unit team (CCU), Medical/Surgical teams and the Clinical Site Practitioner (CSP) to assess and treat the acutely deteriorating patient.
• To follow up all patients discharged from CCU/Step-up to ensure patients do not deteriorate clinically on step down from the unit.
• To be an active member of the hospital resuscitation team.
• To provide support and education for nursing and medical staff in relation to the acutely deteriorating patient.
• To safely escort patients on intra/inter hospital transfers when required., To work in collaboration with the CCU, Medical/Surgical teams and the CSP to assess and treat the acutely deteriorating patient.
• To perform individual clinical assessment of patients condition utilising advanced clinical assessment skills.
• To utilise advanced nursing skills such as arterial puncture, venepuncture and cannulation to further assess and treat the acutely deteriorating patient.
• To prescribe specific medications when required either as a patient group directive or as a non-medical prescriber.
• To be skilled in the accurate making up of and administration of complex intravenous medications.
• To lead/advise on proactive interventions for the acutely deteriorating cancer patient.
• To initiate and coordinate the care of Level 2 patients being cared for in the inpatient or outpatient environment, or those stepped down from CCU.
  The Royal Marsden NHS Foundation Trust is a world-leading cancer centre. Our role is to offer our patients the best cancer care available anywhere in the world, and to continue to make a global contribution to finding better ways of diagnosing and treating cancer. We employ over 4,500 staff in a diverse range of careers including nursing, medical, science, radiography, pharmacy, occupational therapy, finance and administrative services. We have two hospitals - one in Chelsea, London, and one in Sutton, Surrey - as well as a Medical Daycare Unit in Kingston Hospital.

At The Royal Marsden, we deal with cancer every day, so we understand how valuable life is. When people entrust their lives to us, they have the right to demand the very best. That's why the pursuit of excellence lies at the heart of everything we do. At the heart of the hospital is our dedicated team. We offer a stimulating and dynamic working environment, a wide range of staff benefits, learning and development opportunities and clear career pathways. There are opportunities to work flexibly across a range of areas and specialities and we welcome flexible working requests from point of hire to support employees work life balance. We are looking for employees who aspire to excellence, share our values and can play a crucial role in our on-going achievements.