Critical Care Outreach Practitioner

Royal Marsden; Sutton; On-site; GBP 29,000 - 35,000; Full time

Job summary

The Royal Marsden NHS Foundation Trust in Sutton is seeking a motivated Critical Care Nurse to join the Critical Care Outreach Team. You will assess and treat acutely deteriorating cancer patients, lead interventions and coordinate care for Level 2 patients across Sutton and Chelsea sites.

The role requires autonomous practice, strong leadership and a commitment to the highest standards of patient care in a world-leading cancer centre. Flexible days/nights and weekend work are involved.

Qualifications

• Registered nurse with critical/acute care experience.
• Bachelor’s degree or higher with relevant training/experience.
• Evidence of teaching/mentoring experience.
• ALS/ILS and venepuncture/cannulation competencies are desirable.

Responsibilities

• Assess and treat acutely deteriorating patients within CCOT/CCU settings.
• Lead proactive interventions and coordinate care for Level 2 patients.
• Collaborate with CCU, Medical/Surgical teams and CSP to optimize patient outcomes.
• Maintain accurate documentation and participate in continuous improvement.

Skills

Advanced clinical skills

Autonomous practice

Leadership

Team collaboration

Decision making

Communication skills

Documentation

Staff development

Education

NMC Registered Adult Nurse

Bachelor’s degree

Teaching/Mentoring qualification

Post-registration ICU course

ALS provider certificate

ILS provider certificate

Venepuncture/Cannulation

Non-Medical prescriber

Cancer nursing qualification

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 1.0 WTE substantive post based in Sutton. 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 be expected to work with ward and critical care clinicians and demonstrate excellent clinical skills and evidenced based decision making. 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.

Please note that this position will not attract a work permit or visa and so only applications from individuals already free to work in the UK without restrictions will be considered.

Main duties of the job

To be an active member of the Critical Care Outreach Team assessing and treating the acutely deteriorating patient, or to initiate treatments to prevent a patient from deteriorating and requiring admission to the Critical Care Unit (CCU).

Working for our organisation

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.

Detailed job description and main responsibilities

For further information on this role, please see the attached detailed Job Description and Person Specification

• 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.

Person specification

Education / Qualifications

• Professional Qualification (First Level registration NMC Registered Adult Nurse or HCPC) with relevant experience in a critical/acute care environment
• UK recognised Bachelor’s degree or studying at degree level supplemented by specialist training/experience
• Teaching/Mentoring qualification and/or experience
• Recognised acute care Qualification (e.g Post registration ICU course)
• ALS provider Certificate
• ILS provider Certificate
• Venepuncture/Cannulation
• Non-Medical prescriber
• Cancer nursing qualification

Experience

• Significant and recent experience working in an acute setting and managing a critically ill patient (e.g CCU, A&E)
• Recent clinical experience at AfC Band 6 or above
• Evidence of good leadership and interpersonal skills
• Ability to work autonomously
• Ability to influence, support and develop staff
• Ability to co-ordinate patient care and liaise with multi-disciplinary team members
• Ability to work collaboratively with CCOT and CCU leads
• Evidence of managerial experience
• Ability to innovate and respond to change
• Ability to problem solve, make decisions, organise and prioritise
• Ability to manage conflict situations
• Evidence of commitment to customer care initiatives and incorporation of cultural values into practice
• Knowledge of quality issues
• Understanding of research and its implications on practice development

Skills / Abilities /Knowledge

• Ability to use advanced communication/interpersonal skills when working with staff, patients and carers
• Ability to communicate with and/or give advice to all members of the hospital and community MDT and show good leadership skills
• Good presentation and teaching skills
• Ability to provide clear and concise documentation
• Ability to manage databases, maintain records with integral auditing and to produce annual reports for the service
• Ability to work under pressure in order to meet service and patient priories
• Ability to work within and manage professional boundaries
• Computer literate in Microsoft outlook, office, word, excel and PowerPoint

Other Requirements

• Smart appearance
• Ability to work on both sites of the trust as required
• Flexibility of working hours including night shift, weekends, bank holidays to meet service needs
• Able to manual hand patients and equipment safely

The Royal Marsden values diversity and is committed to the recruitment and retention of underrepresented minority groups. We particularly welcome applications from Black, Asian and minority ethnic candidates, LGBTQ+ candidates and candidates with disabilities.

As a Disability Confident Employer, we are working to create a workplace that enables all staff to reach their full potential. We are committed to this because we know that greater diversity and inclusion will lead to an even greater positive impact for the people we serve.

All applicants will be contacted by email to the address supplied on your application. Applicants are advised to check their email accounts regularly and to ensure that email filters are set to allow our emails.

Flu Vaccination – What We Expect of our Staff

At The Royal Marsden we have an immune compromised patient population who we must protect as much as we can against the flu virus. Each year, seasonal flu affects thousands of people in the UK. Occurring mainly in winter, it is an infectious respiratory disease capable of producing symptoms ranging from those similar to a common cold, through to very severe or even fatal disease.

The wellbeing of our staff and patients is of the upmost importance to us, and it is the expectation of The Royal Marsden that all patient-facing staff have an annual flu vaccination, provided free of charge by the Trust.

Employer certification / accreditation badges

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.