Critical Care Outreach Nurse in London

The Royal Marsden NHS Foundation Trust is the largest comprehensive Cancer Centre in Europe and a leader in the field of cancer care with a 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 are essential. You will be part of the Resuscitation team 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 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.

Main duties of the job:

• 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 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.

Detailed job description and main responsibilities:

• 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:

• 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 priorities.
• Ability to work within and manage professional boundaries.
• Computer literate in Microsoft Outlook, Office, Word, Excel and PowerPoint.

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.

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 utmost 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.

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.