Emergency Care Nurse/Paramedic

Job overview

you will be working as part of a Specialist Team providing expert nursing/midwifery practice and cost-effective service to patients requiring routine and emergency care. To work primarily, but not exclusively, in the resuscitation area to provide, develop and coordinate high quality care to patients attending with emergency and trauma care needs. As a senior nurse or paramedic, you will hold expert clinical skills in patient assessment, recognition of the deteriorating patient, effective escalation and/or handover as well as initial patient management of acute illness and trauma. As a senior member of the nursing team you will participate in and support wider team professional development and work with the wide range of clinicians and teams within the clinical setting.

Main duties of the job

You will be working as part of a Specialist Team providing expert nursing/midwifery practice and cost-effective service to patients requiring routine and emergency care. To work primarily, but not exclusively, in the resuscitation area to provide, develop and coordinate high quality care to patients attending with emergency and trauma care needs. As a senior nurse or paramedic, you will hold expert clinical skills in patient assessment, recognition of the deteriorating patient, effective escalation and/or handover as well as initial patient management of acute illness and trauma. As a senior member of the nursing team you will participate in and support wider team professional development and work with the wide range of clinicians and teams within the clinical setting.

Detailed job description and main responsibilities

To develop skills of history taking and physical assessment to direct appropriate intervention.

• To demonstrate specialist emergency care and trauma expertise underpinned by theory and incorporating evidence-based practice, evidenced by completion of appropriate work-based learning competencies
• To maintain accountability and demonstrate skills in undertaking assessment, planning, implementation and evaluation of patients presenting with emergency care needs without supervision
• To be able to conduct a rapid history and A-E patient assessment, documenting this appropriately, with the ability to effectively hand a patient over to the ED Doctor or Advanced Clinical Practitioner (ACP) in a thorough and timely manner
• To work with the clinical team to ensure that all patients have equitable access to investigations, treatment and follow-up care.
• To work with the clinical team to develop best practice in line with national guidance (such as NICE/ RCEM).
• To work with the multidisciplinary team to deliver quality standards in line with evidence based practice.
• To demonstrate specialist knowledge and skills and share this with others to positively influence patient care.
• To provide a comprehensive nursing service for patients with conditions within the specialty.
• To use clinical judgement and skills in decision making to manage this caseload of patients.
• To review and modify planned interventions in response to the needs of emergency care patients acting independently where appropriate and seeking advice where required
• To order and where appropriate obtain appropriate diagnostic investigations. Such as x-rays, article blood gases and laboratory tests, to assist in managing episodes of care
• To identify deteriorating patients and take the appropriate action to manage the situation, liaising with interdisciplinary team as appropriate.
• To obtain valid and effective consent from patients prior to any investigations and treatment.
• To provide leadership for the nursing team in the resuscitation area to ensure a high standard of patient care, providing support and supervision as required. Providing appropriate escalation if care needs are not being met, to the Nurse-In-Charge and/or Doctor/ ACP in charge of patient care in that area. Working closely with wider Trust multi-professional teams such as critical care and outreach.
• To complete and administer a range of medications under Patient Group Directives (PGDs) once completion of training, to aid patient care
• Partnership: To work with patients and carers to assess their specific educational needs to ensure that they receive full information about their condition.
• Partnership: To provide patient education and appropriate information leaflets.
• Partnership: To provide a seamless service for patients across an integrated pathway of care.
• Partnership: To refer patients to other appropriate specialists to ensure the needs of the patients are met.
• Partnership: To involve patients/carers views in developing a vision for the future of the service by undertaking patient questionnaire reflecting their experiences and outcomes.
• To keep accurate and complete records of activities and communications consistent with legislation, policies and procedures.
• To review and maintain standards of documentation in accordance with NMC and Trust standards for records and record keeping. Organisational management
• To coordinate the admission / reception of new patients and arrange care of their property in accordance with Trust policy
• To work in close liaison with the multi-disciplinary team across the pathway in order to meet the needs of patients and their famillies, and to aim for seamless care.
• To assist in the development of the service
• To vigorously promote the patient’s participation in decision-making, enabling informed choice of treatment.
• To attend meetings relevant to the role and represent views of others in formal surroundings
• To establish effective working relationships with other health care professionals whose role impinges on the service
• To maintain and monitor a safe and clean environment within the clinical area in accordance with the Trust’s Health & Safety policy
• To be familiar with iCare and any other computerised system integral to the running of the department
• Financial: As part of the team, take responsibility for the effective and efficient use of resources, being aware of resource requirements and limitations.
• Financial: Ensure all equipment and supplies in the clinical area are maintained to enable delivery of efficient and safe care.
• Financial: As part of the team, evaluate equipment and make recommendations relevant to purchasing policies in conjunction with Procurement.
• To contribute to the development of local and Trust policies in relation to the implementation of NICE guidance.

Education & Research

• Take a role in the education and assessment of all pre and post registration students in accordance with the University and Trust and NMC/HCPC requirements. Supporting staff in emergency care with a primary focus on resuscitation skills based education.
• To provide clinical and educational support as needed to ensure staff caring for emergency care patients develop and maintain the necessary level of competence
• To work with the team to develop guidelines to enhance optimal management of patients.
• To collect appropriate data against NICE guidance. To use audit as a tool to improve practice and evaluate services.
• To work with the team to implement recommendations from National audits and benchmarking.
• To contribute to any audits requested by the Trust, Commissioners or Nationally.
• To identify areas of research/audit with the aim to improve evidence based care.
• To contribute to the implementation of NICE guidance to ensure the continuous education of staff in appropriate clinical areas in relation to their understanding and utilisation of evidence-based practice.
• To identify objectives for own professional development which reflect local and national service needs, accessing advice, guidance and support as appropriate. Maintain portfolio of evidence to support personal and professional development in line with Trust and HMC/HCPC requirements.
• To develop own specialist clinical knowledge and skills and participate in the development of other staff
• To reflect on own practice through clinical supervision/mentorship
• To contribute both formally and informally to the education, training and development of clinical staff across the integrated pathway of care.
• To keep up-to-date with new innovations/research within the specialty.
• To undertake research projects where appropriate, with other members of the team. General
• To develop and maintain own clinical skills, academic knowledge and expertise as appropriate.
• To act in accordance with the NMC / HCPC code of professional practice for nurses/midwives.
• To comply with all policies and procedures eg Health and Safety at Work Act and the Data Protection Act.
• To exercise sensitivity and diplomacy regarding role boundaries with other healthcare professionals across the Trust
• To ensure skills are up-to-date and relevant to the role, to follow relevant Trust policies and professional codes and to maintain registration where this is a requirement of the role
• To undertake such duties as may be required from time to time as are consistent with the responsibilities of the grade and the needs of the service for the Trust

Applicant requirements

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.