Advanced Critical Care Outreach Practitioner

Advanced Critical Care Outreach Practitioner London North West University Healthcare NHS Trust

Advanced Critical Care Outreach Practitioners are clinical professionals who have developed their skills and theoretical knowledge to a very high standard. They are highly experienced and educated members of the critical care outreach team who can diagnose and treat health care needs or refer to an appropriate specialist if needed. They are empowered to make high-level clinical decisions and to work autonomously. The expertise of the Advanced Critical Care Outreach practitioner will be focused in supporting staff and caring for deteriorating patients across the whole hospital.

The post holder is expected to be a clinical expert in assessment, diagnosis and treatment of patients who are unwell or stepped down from the Critical Care Units in LNWUH Trust. The post holder is responsible and accountable for evidenced based practice for management of conditions for which the post holder will prescribe medicine as an Independent Non-Medical Prescriber.

Main duties of the job

1. Clinical / professional:
2. Contribution to a 24 hour per day, 7 day per week critical care outreach service.
3. Support junior medical, nursing, and AHP staff to achieve training and development requirements.
4. Undertake comprehensive clinical assessment of a patient's condition.
5. Request, interpret and respond to laboratory and radiological diagnostic tests as required.
6. Initiate and manage a clinical treatment plan.
7. Support nurses in the management of mechanically ventilated patients at the CMH site, including monitoring blood gases and altering ventilation settings to ensure optimal ventilation on patients waiting to be transferred to a critical care unit.
8. Provide accurate and effective clinical handovers.
9. Assist with invasive interventions, such as arterial cannulation and central venous access within the scope of practice.
10. Provide professional leadership and support within a multi-professional team.
11. Work autonomously in recognised situations.
12. Demonstrate comprehensive knowledge across a range of subject areas relevant to the field of critical care.
13. Attend cardiac arrests/emergencies in UCC.
14. Critically analyse, evaluate, and synthesise different sources of information for the purpose of assessing and managing the care of a critically ill patient.

About us

London North West University Healthcare NHS Trust (LNWH) cares for the people of Brent, Ealing, Harrow and beyond. Our team of more than 8,200 clinical and support staff serve a diverse population of almost one million people.

• Northwick Park Hospital: home to one of the busiest emergency departments (A&E) in the country. The hospital provides a full range of services including the country's top-rated hyper-acute stroke unit and one of only three hyper-acute rehabilitation units in the UK.
• St Mark's Hospital: an internationally renowned specialist centre for bowel disease.
• Ealing Hospital: a busy district general hospital providing a range of clinical services, as well as a 24/7 emergency department and urgent care centre, and specialist care at Meadow House Hospice.
• Central Middlesex Hospital: our planned care site, hosting a range of surgical and outpatient services and collocated with an urgent care centre.

We are a university teaching NHS trust, in recognition of the important role we play in training clinicians of the future and bringing the benefits of research to the public.

Job responsibilities

Please see attached job description and Person Specification for full role duties and responsibilities.

Person Specification Education/ Qualification

• Registered Nurse
• National Critical Care Outreach Forum (NOrF) competencies.
• Advanced Clinical Practice MSc including portfolio of evidence core and speciality specific.
• Independent Non-Medical Prescribing.
• Transfer Training Post Registration teaching and assessing in practice.
• Advanced Life Support Provider.
• IRMER regulation trained.

Knowledge and Experience

• Must have experience of working within Critical Care Outreach for a continuous period.
• Knowledge of providing multi-organ support in the Critical Care.
• Experience of audit, research and evidence-based practice.
• Evidence of participation in audit and data collection.
• Budget management.

Skills abilities and attributes

• Able to work across professional boundaries.
• Ability to work using own initiative and work autonomously.
• Willingness to accept responsibility and provide clinical leadership.

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.

Salary: £59,490 to £66,239 a year pro rata pa Inclusive of High Cost Area Supplement.