Critical Care Outreach Practitioner

The Royal Marsden NHS Foundation Trust is the largest comprehensive Cancer Centre in Europe and 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 1.0 WTE substantive post based in Sutton. 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, working with ward and critical care clinicians and demonstrating excellent clinical skills and evidence‑based decision making. 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/Hospital@Night 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.

Please note that this position will not attract a work permit or visa and so only applications from individuals already free to work in the UK without restrictions will be considered.

To be an active member of the Critical Care Outreach Team assessing and treating the acutely deteriorating patient, or to initiate treatments to prevent a patient from deteriorating and requiring admission to the Critical Care Unit (CCU).

For further information on this role, please see the attached detailed Job Description and Person Specification

• To work in collaboration with the CCU, Medical/Surgical teams and the CSP to assess and treat the acutely deteriorating patient.
• 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.

• 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

• 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

• Ability to use advanced…