Sister/Charge Nurse - Critical Care Outreach

Sister/Charge Nurse - Critical Care Outreach Band 7

Main area: Critical Care Outreach
Grade: Band 7
Contract: Permanent (Shift work including days, nights, and weekends)
Hours: 37.5 hours per week (Shift work including nights, weekends, and bank holidays)
Job ref: 213-CAX A

Employer: King's College Hospital NHS Foundation Trust
Employer type: NHS
Site: King's College Hospital
Town: London
Salary: £54,320 - £60,981 pro rata per annum including HCA
Salary period: Yearly
Closing: 13/01/:59

Job Overview

We are currently recruiting for permanent members of our team - we have vacancies for one full-time position and one part-time (0.69 WTE equivalent to 9 long days/nights).

As a Critical Care Outreach Nurse, you will play a pivotal role in extending critical care expertise to non-intensive care areas, ensuring early identification and management of deteriorating patients. This position demands a strong commitment to patient safety, effective communication, and collaboration with multidisciplinary teams. The critical care outreach team (iMobile) will act as a support for ward-based staff and the hospital at night team in caring for deteriorating patients.

Services provided by the team will enhance the care of critically ill patients by delivering specified critical care therapy on the ward, with the potential to avoid ICU admission. Where admission to critical care is required, the team will support the patient during the transition from the ward to critical care.

The critical care outreach nurse will also support patients following critical illness after their transition to general wards. You will also be expected to assist the lead nurse with continuous service improvement for the critical care outreach team and trust-wide initiatives to improve deteriorating patient care, such as deteriorating patient education.

Main Duties of the Job

• To work in close co-operation with multi-disciplinary teams, facilitating high standards of health to patients who are critically ill outside the ICU setting.
• Assess the health needs of the deteriorating patient through physical examination, history taking, and diagnostic studies in consultation with the iMobile consultant, senior registrars, or ACPs.
• Develop and manage a plan of care for deteriorating patients, working closely with the MDT, iMobile consultant, senior registrars, and ACPs.
• Work closely with the Hospital at Night team medical, nursing, and AHP on the wards.
• Provide management and leadership support for the iMobile critical care outreach team.
• Assist the iMobile nursing lead to achieve key performance indicators and success measures for the iMobile service.
• Actively be involved in audits, research, and service improvement projects as part of continuous improvement.
• Assist in the training of ward nurses in theoretical knowledge, practical skills, and in expanding their roles.
• Assist with the delivery of deteriorating patient education at the trust.
• To work closely with King's Health Partners and Kings Commercial in the absence of the iMobile nursing lead.

This job description is intended as a guide and is not intended to be definitive or restrictive. It is expected that some of the duties will change over time, and this description will be subject to review in consultation with the post holder.

Working for Our Organisation

King's College Hospital NHS Foundation Trust is one of the UK's largest and busiest teaching Trusts with a turnover of £1 billion, 1.5 million patient contacts a year and around 15,000 staff based across 5 main sites in South East London. The Trust provides a full range of local hospital services across its different sites and specialist services from King's College Hospital (KCH) sites at Denmark Hill in Camberwell and at the Princess Royal University Hospital (PRUH) site in Bromley.

King's is committed to delivering Sustainable Healthcare for All via our Green Plan.

Our values at King's are that we're a kind, respectful team:

• Kind: We show compassion and understanding and bring a positive attitude to our work.
• Respectful: We promote equality, are inclusive and honest, speaking up when needed.
• Team: We support each other, communicate openly, and are reassuringly professional.

The trust-wide strategy Strong Roots, Global Reach is our Vision to be BOLD, Brilliant people, Outstanding care, Leaders in Research, Innovation, and Education, Diversity, Equality, and Inclusion (EDI) at the heart of everything we do. King's is dedicated to embracing the broad diversity of our staff, patients, and communities and stands firmly against all forms of prejudice and discrimination.

Detailed Job Description and Main Responsibilities

Works within agreed protocols to meet the responsibilities of the role required.

To demonstrate advanced clinical expertise in the care of critically ill patients.

Perform advanced critical care skills if appropriately trained to do so.

To undertake comprehensive physical and psychological patient assessment resulting in a clear plan of care for critically ill ward patients.

To implement appropriate measures to enhance patient care and prevent further clinical deterioration.

Provide follow-up and ongoing care for patients discharged from ICU. Provide direct support at the deteriorating patient's bedside, as required, until patients are stabilized or facilitating relocation to a higher level of care.

Makes complex judgments in a wide range of clinical situations which require analysis, assessment, and investigations.

Demonstrates advanced knowledge in recognizing, assessing, and treating critically ill patients.

Facilitates teaching both informally and formally as part of proactive critical care outreach.

Person Specification Education, Skills, and Previous Experience

• ALS Provider
• Significant critical care experience
• Teaching, mentorship, and/or student supervision assessment course
• Evidence of Continuous Professional Development
• Degree or near completion
• Registered adult nurse with current NMC registration
• Advanced assessment skills through formal training or significant clinical experience.
• Competent in Microsoft Office
• Evidence of management and leadership skills
• Experience in completing service improvement projects in healthcare
• Previous experience in critical care outreach
• Independent prescribing
• Advanced Physical Assessment skills course
• MSc in Nursing, critical care, advanced practice, or other relevant subject.
• ALS instructor
• Quality improvement training

Professional Attributes

• Able to work autonomously, but evidenced team working with the MDT.
• Can undertake research/audit and apply to practice.
• Provides holistic care to patients.
• Demonstrate an insight into own professional development, contributing to the process of identifying own educational and clinical training needs.

Skills and Competencies

• Excellent clinical and practical skills.
• Confident in teaching and mentoring skills.
• Able to prioritize and manage own workload.
• Able to instruct, direct, and support others.
• Evidence of formal teaching e.g., workshops, lectures, simulation.

Personal Qualities, Disposition, and Motivation

• Demonstrates personal commitment and enthusiasm.
• Ability to influence and motivate others.

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.

Name: Josephine Dainton
Job title: Senior Sister for critical care outreach
Email address:
Telephone number:
Additional information: Please contact me for further information or to arrange informal visits.