Clinical Nurse Lead Hospital at Night

Job overview

An exciting new opportunity has arisen for a dynamic, highly motivated individual with extensive clinical and operational experience to lead our ‘Hospital at Night’, out of Hour’s service at Bedford Hospital.

The role will provide visible and accessible leadership for the out of hour’s period offering a broad spectrum of experience, knowledge and advanced nursing skills.

The role will require you to work clinically in partnership with the Site Operations and multidisciplinary teams to ensure the safe delivery of care out of hours.

This is a fast paced role that will require strong leadership skills, a flair for problem solving and able to work creatively under pressure.

The out of hour’s service runs overnight and 24 hours over the weekend therefore the post holder will predominately work out of hour’s covering nights and long days at weekends.

Main duties of the job

• To provide visible and accessible leadership for the out of hours period                      ensuring optimal acute patient care is delivered
• To provide professional, advanced clinical support and advice to medical,                nursing staff and other members of the multidisciplinary team working out of      hours
• Co-ordinate the Hospital at Night triaging system utilising teams capabilities to appropriately allocate jobs accordingly, maintaining fairness, safety, and efficiency
• Be a single point of access for all Hospital at Night clinical tasks, ensuring           optimal, safe, and effective patient care is delivered efficiently out of hours
• To ensure appropriate escalation and timely management of deteriorating           patients
• Identifying patients at risk of clinical deterioration, prioritising their needs           with appropriate assessment, intervention and on-ongoing management
• Use of advanced clinical skills to assist with clinical interventions within scope    of practice
• Attend out of hours emergency team calls including cardiac arrest, fire and           security calls
• Oversee workforce provision across the Trust to ensure effective and safe        staffing levels are maintained out of hours
• To ensure the safe and effective use of resources to ensure the provision of           high quality patient care and experience

Detailed job description and main responsibilities

• ·       To work collaboratively with the Site Operations Team, supporting the               management of capacity and flow through the Trust
• ·      Take a Lead role for Site Operations Operationally on site as required
• To co-ordinate the H@N team rota to ensure adequate provision provided     for  the service in conjunction with the Site Operations Lead
• Work collaboratively with the out of hours teams including Critical Care          Outreach, medical and surgical out of hours on call teams
• ·      To act as an expert resource, providing advice on nursing issues in relation     to  clinical interventions, policies, protocols, service delivery and service          development
• ·   To assist with redesign initiatives and improvements for the Hospital at Night  Service in conjunction with the Lead Nurse for Operations
• ·      Develop and improve the out of hours handover processes within the              Hospital    at night teams
• ·      Oversee staffing of the Hospital at Night team in conjunction with the Site     Operations Lead Nurse
• ·      To assist with management of appraisals and sickness management
• ·    To support the ongoing digital developments with the introduction of         Nerve Centre functionalities e.g. extending the Alerts and escalation     functions
• ·      Support education and training for ward teams on escalation of the                    deteriorating patient quality improvement work
• ·      To ensure appropriate policies and standard operating procedures are in       place in relation to the Hospital at Night service are in place and           operational
• ·      Investigate complaints and clinical incidents arising within or associated         with  the service and ensure that remedial action and learning takes place      as a result of complaints and incidents.
• ·      To work within locally agreed advanced clinical practice scope of practice,      competence and capability being responsible and accountable for their           decisions, actions and omissions at this level of practice
• ·      To support the development of, and promote, the Trust's mission, values          aims  and objectives
• ·      To respond to patient, relative and public complaints in line with the Trust       complaints policy referring to Matrons, PALS/Complaints staff as                         appropriate
• ·      To assist with redesign initiatives and improvements for the Hospital at            Night  service
• ·      Ensure systems for clinical governance are in place across the service area
• ·      Ensure systems are in place for the collection and analysis of information   required to manage workload patient activity and resources
• ·      Ensure that acquiring competencies and skills for role/self-development are undertaken in a timely and appropriate manner.
• ·      To maintain current awareness of all relevant trust policies especially those  relating to the transfer of patients, local and national targets and pathways of care.
• ·      Ensure systems are in place for the collection and analysis of information to monitor performance of the service
• ·      Produce accurate, timely and high quality reports for the Trust
• ·      Communicate sensitive information to a variety of audiences
• ·      To assist in achieving corporate priorities and key national performance   targets