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Critical Care Outreach Sister / AHP

Nottingham University Hospitals NHS Trust
£41,659 to £47,672 per annum
Closing date
21 May 2024

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Nurse, Adult nurse, ICU nurse
Band 7
Full Time

Job Details

Critical Care Outreach Team (Adult)

Band 7 Critical Care Outreach Sister/ Charge Nurse/ AHP

Full time/ Part time (30 hours) Secondment/Maternity cover post

An exciting opportunity has arisen to become part of the Band 7 team within the Adult Critical Care Outreach Team at Nottingham University Hospitals NHS Trust (NUH) . As one of the largest Trusts in the UK the Critical Care Outreach Team provides a diverse and comprehensive CCOT service to all adult patients within NUH which includes specialities such as Neurosurgery, Haematology, Major Trauma, Renal and Infectious diseases.

The Critical Care Outreach Team (CCOT) at NUH is a highly regarded team who provide a Trust wide resource covering all adult patient areas across our City and Queens Medical Centre campuses, in total providing access to the Critical Care Outreach service to more than 80 wards and clinical areas. The team is multi-professional consisting of highly experienced and skilled Band 7 and 6 nurses, specialised physiotherapists and a CCOT assistants.

Main duties of the job

As a Band 7 you will lead the clinical service, providing ward based advanced clinical assessments, patient interventions and develop management plans with the goal to halt or reverse clinical deterioration. You will also have an opportunity to help shape and develop the service taking on managerial and leadership responsibilities to ensure that the service evolves to meet our patients and service user's needs.

The post holder will be required to demonstrate advanced clinical assessment skills and develop extensive knowledge of common clinical situations encountered within the range of specialities across the trust in particular management of hypoxia with nasal high flow oxygen therapy, non-invasive ventilation, tracheostomy care and weaning, sepsis management and transfer of the critically unwell patient.

In addition you must have the ability to prioritise the workload of the team as the shift co-ordinator, provide both formal and informal teaching to staff at all levels, resource management such as rota co-coordination, sickness management and contribute to the ongoing development of the service and team members using staff development plans and appraisals.

About us

The Critical Care Outreach service provides an extensive 24 hour, 7 day service, 365 days a year, across both City and Queens's campuses. The post holders will therefore be expected to work a combination of long day and night shifts.

All staff work across both campuses in order to provide a truly flexible service to meets the ever changing needs of the critically ill/ deteriorating ward patient throughout NUH.

The Clinical Support division would especially welcome applications from BAME colleagues who are currently underrepresented at this level.

Applicants will need to have previous Critical Care Outreach experience and have undertaken a degree and critical care course (or equivalent).

You will be supported with a formal induction and training programme, complete Critical Care Outreach clinical competencies, work alongside the teams Clinical Nurse Educator and access a Critical Care Outreach specific advanced training programme.

Job description

Job responsibilities



Demonstrate the use of evidence-based specialist skills and practice in the care of critically ill ward-based patients. Participate in key developments relating to CCOT so that high quality patient focused services are promoted.

Demonstrate professional autonomy and the ability to lone work at a higher level, exhibiting effective decision making skills.

Use of specialist knowledge and skills in the assessment, planning, implementation and evaluation of care delivered to the critically ill/deteriorating ward based patient, ensuring the appropriate documentation is maintained and completed.

Demonstrate the interpretation and delivery of appropriate action / treatment / therapy to the critically ill/deteriorating adult patient, ensuring records are updated and maintained.

Monitor and evaluate the condition of patients using the national early warning scoring system, recognising and alerting staff to changes in the patients condition.

Assist and participate in the follow up care of patients discharged from critical care.

Assist and participate in the transfer of the critically ill/deteriorating ward patient.

Please see job description for full details .

Person Specification

Training and Qualifications


  • Current level one NMC or HCPC registeration
  • Teaching , assessing or mentorship qualification
  • Degree or Masters in Health related studies


  • Formal leadership and / or management training



  • Experience at Band 6 in CCOT, Critical Care or equivalent area
  • Recent clinical experience including caring for tracheostomies (weaning and decannulation), providing level 3 care and interventions and ability to use critical care skills outside of the environment
  • Recognition of own level of competence and limitations and continuous professional development
  • Evidence of support, supervision and delegation of peers and junior colleagues and providing staff with feedback


  • demonstrate evidence of change management / project work
  • Evidence of audit or research within clinical area
  • Evidence of writing policies and clinical guidelines

Communication and relationship


  • Evidence of negotiation and decision making skills both as an independent practitioner and as a support for junior staff
  • Can minimise interpersonal conflict and barriers to communication
  • Ability to support colleagues, patients and relatives in distressing circumstances
  • Evidence of effective written and verbal communication skills including conflict resolution


  • Demonstrate evidence of formal teaching sessions
  • Experience of cross divisional working

Analytical and judgement skill


  • Ability to respond, prioritise and analyse complex problems and ensure effective interventions are implemented
  • Demonstrate use of data to influence patient care and services, collating and interpreting data.
  • Ability to generate and present reports and documents.


  • Evidence of data collection and analysis for example in project management

Planning and organisational


  • Ability to prioritise own workload and that of the team, responding to urgent and emergency situations
  • Demonstrate effective leadership skills
  • Demonstrate an ability to recognise when workload or priorities are inappropriate and intervene
  • Demonstrate the personal development of members within the team, completion of annual appraisals and identifying development opportunities


  • Experience in leading a project

Physical skills


  • Physically able to perform a wide range of clinical duties
  • Able to demonstrate using advanced clinical assessment skills

Employer details

Employer name

Nottingham University Hospitals NHS Trusts





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