Total 30,325 Others critical care provider job vacancies in The United States of America

Deliver and maintain a high standard of patient focused care in accordance with Leeds Teaching Hospitals Trust guidelines and policies. Work within frequently challenging clinical environments with high levels of physical and mental effort. Have knowledge of pathophysiology, anatomy and physiology in order to assess, plan, implement and evaluate treatment of the critically ill patient. Able to make expert clinical judgements involving complex situations which requires analysis and interpretation to decide on the best course of action/treatment. Competently and confidently care for the deteriorating/acutely ill adult utilising expert critical care skills and knowledge in a variety of clinical settings with in direct supervision as part of the multi-disciplinary team Provide rapid response and support for patients identified by the National Early Warning Score. Undertake a comprehensive advanced patient assessment based on history taking and clinical examination and implement a management/treatment plan. Provide direct patient care and support at the bedside until the patient is stabilised or transferred to an area with a higher level of care. Initiate therapeutic interventions for example to manage haemodynamic and respiratory instability. Refer to other members of the MDT and other specialities as appropriate. Participate in the stabilisation and transfer of critically ill patients to an appropriate environment. Competent in advanced clinical skills such as venepuncture, cannulation, arterial stabs, fine bore nasogastric tube insertion, tracheostomy decannulation, airway management and cardiopulmonary resuscitation. Prescribe and administer a range of drugs by patient group directives. Accurately request pathology and radiological investigations and make clinical decisions based upon the results. Utilise highly developed communication and negotiation skills to deal with challenging/conflict situations ensuring patient centred care. Work autonomously taking responsibility for own decision making, referring to the appropriate physician/ICU Consultant/Outreach Team Leader when advice and further clinical input is needed or when care and treatment goes beyond normal service parameters or scope of professional practice. Carry the crash bleep and respond to 2222 calls. Carry the critical care bed managers bleep out of hours, liaising with the sisters/charge nurses to co-ordinate flow throughout critical care. Respect patients rights to participate in decisions about their care and be able to advise them on complex and personal matters. Communicate highly sensitive information to patients and their relatives, showing empathy and providing psychological support. Maintain up to date clinical records in accordance with the most up-to-date NMC and Trust guidance. Act as a clinical role model, which reflects the philosophy, beliefs and clinical standards of the outreach service. Maintain a safe working environment. Demonstrate an understanding of key infection prevention and control policies including, hand hygiene, MRSA, transfer of patients. Demonstrate individual responsibility for infection prevention and control, challenging non-compliance with policy. Develop and implement evidence based standards, policies and guidelines. Act in such a way that safeguards the health and wellbeing of children and vulnerable adults at all times. Is familiar with and adheres to, the LTHT safeguarding policies. Education and Training Contribute to the promotion of a positive learning environment within the clinical areas across the Trust. Promote evidence based practice wherever possible. Inform, consult and educate members of the multi-professional team regarding the purpose and function of outreach and the function and use of the Early Warning Scoring system. Participate in critical care based education programmes that are set up across the Trust and the University. Lead and participate in identified education/training needs Trust wide for the deteriorating adult. Deliver and participate in education programmes across the trust to enable ward staff to care for the deteriorating /acutely unwell adult. Participate in preceptorship and mentorship programmes. Undertake continuous professional and clinical development, seeking opportunities to enhance skills. Continue to develop specialist advanced clinical skills in response to service need. Maintain annual mandatory training requirements. Keep up-to-date with developments, advancements within critical care by working clinically in the critical care environment. Actively participate in the development of own personal development plan and performance review. Work in collaboration with ward managers and clinical educators to identify the learning needs of ward based staff trust wide. Management and Leadership Develop inter-professional collaborative working relationships with staff trust-wide utilising excellent interpersonal skills. Use expert/advanced communication skills to create and sustain new alliances. Investigate and respond to accidents, complaints, untoward incidents and other significant events. Provide leadership, support and direction for junior members of staff. Motivate, inspire and develop other practitioners to achieve excellence in care. Provide leadership for the multidisciplinary team as required when managing acute situations. Act as a positive role model. Raise concerns with regards to risk, danger, malpractice or wrong doing by following the LTHT Whistleblowing policy and supporting processes. Research and Audit Maintain up-to-date knowledge of current research/audit and best practice. Participate in regular audit activity specific to the client group as agreed with the team lead. Lead and participate in the dissemination of audit and research findings.

Main Duties and Responsibilities Day to day management and supervision of ward/ therapy teams including Band 5 therapists and band 3 therapy support workers as well as Occupational Therapystudents. To be looking to improve clinical and professional practice and performance within the therapy services. To act as a source of expertise, demonstrating advanced knowledge and skill in the role and educate other healthcare professionals as to the therapy role. Support to band 7 and 8 Therapy colleagues in the day-to-day running of the acute team including staff appraisals, clinical projects, benchmarking, teaching and serviceevaluation. Undertake evidence-based audit and research projects to further own and teams clinical practice. To promote the achievement of Northampton General Hospitals vision and values. Corporate Responsibilities Build safe working knowledge of all equipment used to provide safe patient care and participate in maintenance and training. Supporting Clinical and Patient Excellence To work autonomously within departmental clinical teams to provide excellent Occupational therapy care to a diverse client group. To increase and expand knowledge base and experience, clinically and non-clinically. To undertake a comprehensive assessment of patients including those with diverse or complex presentation/multiple pathologies; use advanced clinical reasoning skills and manual assessment techniques to provide an accurate diagnosis of their condition. Formulate and deliver a complete specialised Occupational Therapy programme based on 3 sound knowledge of evidence based practise and treatment options. To represent the Therapy service and/or individual patients at multidisciplinary team meetings. This will include discussion of patient care, progress and involvement in discharge planning. To provide spontaneous and planned advice, teaching and instruction to colleagues, relatives and carers when appropriate to promote understanding of the aims of therapy. People / Management Excellence To deputise for band 7 as necessary to ensure smooth running of service. Work alongside team leader to co-ordinate annual leave cover. To be involved in band 5 and support workers appraisals and reviews. Supporting Financial Excellence To make best use of NHS resources Professional Responsibilities, Quality Assurance and Monitoring To work within Trust Core Competencies and objectives (Knowledge and Skills Framework based RCOT guidelines, HCPC standards and code of conduct and to have good working knowledge of national and local standards and policies. Complete all work necessary to maintain registration and encourage others to do so. Monitor own and others quality and standard of practice by appraisal and review. Maintain and monitor standards on health and safety, consent, note keeping, clinical governance, continuous professional development on both a personal, professional and departmental level. To supervise and teach students on placement. Policy and Service Development, Research and Development Responsibilities To use information such as Clinical governance, NICE, and other clinical specific guidelines and evidence of best practice to assist in producing working guidelines, competencies and objectives to develop the service. As part of your introduction to the area and team you will attend a course ran by Kings Commercial An introduction to Occupational Therapy in Critical Care. Which learning objectives are Develop sound understanding of the role of OT in critical care. Consolidate and improve upon exciting knowledge and skill base. Increase confidence when dealing with risk in critically ill patients. Explore outcome measures relevant to different patient populations. Empower OTs to promote their role and efficacy in critical care. Understand the evidence base behind OT practice in critical care.

To work supported within the multidisciplinary team to provide continuing care to critically illpatients in a complex environment.To supervise and teach junior members of staff and learners as required and maintain own personaldevelopment with support.To be a safe and effective practitioner able to provide high quality nursing care to the patient andtheir families, in accordance with agreed policies and within available resources.

On this page you will find a Role Profile which provides information about the hospital and full details about the role. We recommend that you review this and refer to it as you complete your application. Please include how you will meet the Trust Values Compassion, Excellence and Collaboration. If you would like more information about the role or working at Royal Papworth Hospital, please get in touch with the contact for this role.

These positions are based at the John Radcliffe and Churchill Hospitals based in Headington, Oxford. It is roughly three miles from the city centre, with exceptional public transport to and from the hospital as well as onsite parking. If you already live locally the hospital is easily commutable from towns such as Bicester, Didcot, Abingdon and Wantage If you live further afield and you are considering relocating for this position, the recruitment team will be happy to assist you with help and advice on relocating. In addition, we actively welcome applications from Nurses who are overseas. Oxford is well known for its university but aside from being drenched in academic history, its city centre has recently undergone redevelopment including a new shopping centre and a selection of new bars and restaurant. It can confidently claim to have something for everyone!

Key clinical responsibilities To manage a highly complex caseload of patients on the critical care unit and support outpatient clinics as appropriate, act as clinical lead and co-ordinate service improvement projects in this area. To manage a highly complex caseload of patients requiring parenteral nutrition, assisting in service improvement projects in this area. To provide leadership across the critical care and medical team working to ensure the delivery of an effective, high quality, evidence based dietetics service. This will involve working collaboratively with the gastroenterology and surgical dietetics team lead. To have an in-depth understanding of and provide leadership to ensure the effective running of the critical care and medical dietetics service. To accept clinical responsibility for a designated caseload of patients within your own scope of practice and organise this effectively and efficiently with regard to clinical priorities and use of time. To work as an autonomous practitioner by planning and prioritising own workload according to locally agreed priority coding and supporting dietetic assistant practitioners and less experienced dietitians to do the same. To undertake a comprehensive assessment (interpretation of biochemistry, anthropometrics, clinical condition and diet history) of patients including those with highly complex presentations/multi pathologies and use advanced clinical reasoning skills to set nutritional goals for each patient. Develop individual treatment plans for patients by calculating the nutritional requirements and support the prescription of feeds where required. To give expert opinion on highly complex nutrition related issues where numerous social, ethical, psychological and medical factors have to be considered and where there may be conflicting ideas from the multidisciplinary team. To negotiate and agree dietary interventions with patients and their carers, using appropriate counselling and motivational skills to optimise their nutritional status. To make recommendations for appropriate prescription of nutritional products according to local guidelines regarding the use of nutritional supplements and enteral feeding products. To ensure adequate monitoring and review of patients. To assess the suitability of incoming referrals according to the agreed referral criteria and liaise with the dietetic assistant practitioner if further information is required prior to acceptance. To co-ordinate appropriate follow up, discharge arrangements and outward referrals to other services in order to facilitate the safe and timely discharge/transfer of care. To be responsible for safe discharge planning including co-ordination of patients requiring home enteral feeding. To have insight to recognise and act appropriately if vulnerable patients are at risk or deemed to be in need. To be responsible for maintaining accurate and comprehensive patient records in line with BDA, HCPC, Trust and department standards. To take appropriate action using highly advanced problem solving skills to assist patients, health and social care professionals and members of the public with queries relating to your own clinical areas. To work flexibly to support the critical care and medicine dietetics team. To provide cover for other Dietetic teams at short notice to cover unplanned and planned absences within the post holders competency and skill level. Please see attached job description for further details

To provide the highest standard of assessment, planning, implementationand evaluation of individualised, holistic patient care in conjunction with themulti-disciplinary team. The post holder provides care to critically ill patients with supervision and support of senior staff in this area of specialist practice.

Key Working Relationships Other Lead pharmacists within the Trust. Pharmacy Operations Manager. Service leads for all surgical areas, theatres and critical care within the Trust. Consultant medical staff and their teams. Matrons, senior nursing staff and other key professionals in the multi-disciplinary team. Clinical pharmacists. Pharmacy staff. Medicines Management Technicians for the specialty areas served. Other senior healthcare professionals. Patients and carers. Divisional Manager and other senior Trust staff. Result Areas With the assistance of nominated pharmacists and medicines management technicians, to lead the provision of a high level, responsive, and developing clinical pharmacy service to designated specialist surgical wards, theatres, clinics and critical care at Warwick Hospital. To design and deliver packages of pharmaceutical care to individual patients on the designated wards and assist other pharmacists to undertake such duties. To assure the standards of pharmaceutical care provided to patients on the designated wards, ensuring that a satisfactory level of pharmacy service is provided within the staffing resources available. To be actively involved in efficient discharge planning on the designated surgical wards by reviewing patients discharge treatment, facilitating timely supply of discharge medication and, where necessary, liaising and communicating with relevant healthcare practitioners in intermediate or primary care to ensure safe transfer and continuity of care. To be a lead pharmacist in advising the Principal Pharmacist - Clinical Services and the Director of Pharmacy on the strategic development of clinical pharmacy services to the designated specialist surgical services, theatres and critical care within the Trust. To contribute to the development of pharmacy services and standards, the preparation of business cases and the implementation of agreed developments. To maintain an awareness of current developments in pharmacy practice by liaising with relevant bodies, outside agencies, special interest groups and other pharmacists. To inform and advise senior pharmacy staff as appropriate. To assist the relevant drug budget holders in managing their drugs budget and advising on potential improvements in the cost-effective use of drugs. When required, to advise specialty leads and budget managers on issues relating to the use of drugs in their area including potential improvements in the clinical and cost-effective use of drugs. To commission reports from the Pharmacy IT Manager, on drugs usage and costs by Division, specialty, drug, and / or prescriber. To identify trends in prescribing and the use of medicines, and propose ways to address any adverse trend. To attend Divisional meetings, to share information about drug use and costs, and advise of the future implications, and link this where possible to activity and case mix, and to agree action. To identify and propose opportunities to realise a cost improvement in the drugs budget. To recommend increased investment in drugs budgets when this would be cost effective for the overall care of patients. To horizon scan and advise on budget implications of new and developing drug therapies in the designated specialty areas. To support the specialty to write medication-based treatment guidelines and clinical protocols, patient group directions, standard operating procedures, and other documents. To advise on/recommend/adapt clinical treatment guidelines for use in the specialty area that have been produced locally or by national bodies e.g. NICE, NSFs, National Prescribing Centre guidelines etc. To supervise, contribute to and undertake research and audit projects in the specialty areas particularly those concerned with the clinical and cost effective use of drugs, compliance with safer prescribing and drug administration policies, procedures and guidelines, and implementation of pharmacy service developments. To provide reports and present the audit findings within the Trust or to outside organisations or regional or national meetings where appropriate. To highlight any practice which has an implication for Primary Care, or which requires particular attention at the interface when patients are admitted or discharged. To develop and maintain a training programme for clinical pharmacists allocated to the specialty areas and to develop and administer a competency assessment process to ensure the appropriate standards are achieved. To undertake the formal duties of a pre-registration tutor/clinical coordinator for the Clinical Diploma in accordance with the requirements of the General Pharmaceutical Council (GPhC) and Universities. To ensure that all appropriate training is provided, reviews are undertaken at the specified times and liaison with the regulatory body and training providers is carried out as necessary. To provide clinical pharmacy training for undergraduate pharmacy students, vacation students, pre-registration pharmacists (hospital and community-based) and hospital clinical pharmacists. To contribute to the induction and in-service training of nursing, midwifery and medical staff as appropriate. To contribute to the recruitment, induction, management and development of staff and where necessary in grievance and disciplinary matters. To advise senior nursing staff on appropriate use of patient group directions in order to improve the efficiency of healthcare provision on the designated wards and to assist in the development of PGDs. To undertake duties as a clinical pharmacist to other wards in the Trust when necessary, including occasional work at other pharmacies from which a pharmacy service is provided. To advise medical, nursing, other professional staff, managers and patients on any aspect of drug therapy or drug control as required or when considered necessary. To contribute to the audit work of the pharmacy service and developments in service quality. To undertake the reporting of medication incidents when necessary according to the Trusts Incident Reporting Policy, to assist other pharmacists in reporting, to investigate medication incidents as necessary, to provide senior pharmacist input to incident report forms, to recommend improvements and implement agreed improvements. To be an authorised signatory for drug purchase orders and for invoice payments. To undertake routine duties within the dispensary as required and supervising the work of junior pharmacists, pharmacy technicians and (senior) ATOs. To undertake Saturday, Sunday, Bank Holiday and Statutory Day working on rota and to contribute (if required) on rota to the Emergency Duty Commitment of pharmacists providing an out-of-hours emergency Pharmacy service. To deputise for senior pharmacy managers as required. To demonstrate and maintain through annual revalidation a commitment to continuing professional development and encourage members of the team to do likewise.

You will be able to find a full Job description and Person Specification attached within the supporting documents, along with Annex 21 Guidance or please click Apply now to view in Trac The post holder will work within the multi-disciplinary Outreach Team, to deliver a high standard of patient care to the identified Outreach patients. The aim of the Outreach Team is to: To avert admissions to Level 2/3 care. To facilitate discharge from Critical Care. To share Critical Care skills We invite applicants from non-critical care backgrounds with the ability to undertake Independent Prescribing.

Responsible for carrying out clinical practice within designated clinical areas, ensuring that high quality, current evidence-based nursing assessment, care planning, implementation, interventions and evaluations for patients is provided from admission through to discharge. Will be responsible for the application of knowledge across the range of work procedures and practices, underpinned by theoretical knowledge and practical experience. To ensure that patients receive high quality clinical care and a good patient experience, having regard for their customs, religious beliefs and doctrines. Recognise and avoid situations that may be detrimental to the health and wellbeing of the individuals. Recognise the significance of observations made, and use them to develop and initiate nursing assessments and devise a plan of care. Carry out those activities necessary to conduct a comprehensive assessment of a persons nursing requirements. Will ensure that all patients will have a discharge plan that is safe and appropriate for their needs. Carry out nursing procedures and treatments, checking on and maintaining the highest possible standards. Work alongside the multi-disciplinary team to ascertain treatments and advise on nursing priorities. Take a clear and concise history from patients by assessing their health and wellbeing and complete documentation ensuring that all entries are accurate and legible and that all information systems are maintained. Undertake prescribed physical observations as follows: blood pressure, temperature, respirations, blood sugars, urinalysis, weight and height, and report exceptions appropriates. Responsible for the correct administration of prescribed medication including transfusion of blood and blood products. Is wholly accountable for his / her practice in line with the NMC code of professional conduct and takes every reasonable opportunity to sustain and improve his / her knowledge and professional competence. Will be familiar with the Health and Safety at Works Act, and be aware of its implications and ensure that local unit and departmental policies are followed. Will adopt a patient orientated approach to work Will be familiar with the wards fire, manual handling and C.O.S.H.H. policies and ensure that all nurses in the ward are aware of the policies. Will be responsible for the provision and receipt of complex, sensitive or contentious information related to patients, patient care, relatives, staff and other multidisciplinary colleagues. Communicate effectively and efficiently with all members of the multi- disciplinary team regarding patient care. Will communicate with patients and relatives, making reports and liaising, as appropriate; with medical staff other members of the care team and management. Will give and receive day/night reports. Acting as team leader/member/coordinator as necessary.

A full description of the role is available in the attachment: job description. Working for the Trust Across our organisation, people are guided by values that were co-developed with staff: we are kind; we are open; and we pursue excellence. Our values play into our ambition to develop a more diverse workforce, truly representative of our communities. We welcome applications from everyone, while working with our Staff Networks - including our Race Equality, LGBTQ+, Disability and Carers Networks - to increase the number of applications we receive from different backgrounds. If there is anything we can do to make our application process more accessible to you, please contact: yhs-tr.recruitment@nhs.net As part of seeking to become more inclusive, we will consider requests for flexible working from the start of your employment. It may not be suitable for every role, but we will try and be supportive where we can. We would encourage you to speak to the recruiting manager named within this advert to discuss any requirements you may have. Armed Forces Friendly Employer We are holders of the Gold Award from the Defence Employer Recognition Scheme, which is helping actively promote SaBRE - Supporting Britains Reservists and Employers. This means that we have made a statement of intent to support all Defence personnel, including with applications for employment. COVID-19 Vaccination Requirements Our Trust continues to strongly encourage our staff to be vaccinated against COVID19, this remains our best defence to protect our patients, ourselves, and everyone else.

Please see attached Person Specification and Job Description for additional information regarding this post.

At Epworth, it?s a community.
It?s the sense of belonging and being part of an organisation and a team that works to make sure that every patient matters. In addition to this, you will have access to:

Epworth?s enhanced Not for Profit status (and not available in the public sector) provides the opportunity for employees to salary package up to $15,900 pre-tax annually, leading to greater take home pay
The largest educational scholarship program of its kind in Australia
Ability to purchase up to four additional weeks of leave
Reduced cost of health services for you and your family at Epworth
Relocation assistance is available for approved candidates

The annual salary range for full time Registered Nurses ? AUD $66,710 - $93,669 super entitlements depending on registration type, year level and position (prorated for part-time).
Enquire/ Apply
Sound interesting? To apply, click the I'm Interested  button ... Click here to view more detail / apply for Critical Care Registered Nurse-Intensive Care Unit

Please scroll down to access the full Job Description and Person Specification located in Documents to download. If you have further queries please dont hesitate to contact the line manager using the contact details below.

A Vacancy at York and Scarborough Teaching Hospitals NHS Foundation Trust.


We are excited to be advertising a new Band 6 post to work in the Critical Care Outreach Team based at York Teaching Hospital, with occasional cross site cover. Our team deliver a high standard of individualised care to deteriorating and acutely ill patients throughout the hospital 24 hours a day, working closely with the Intensive Care Team and associated multi-disciplinary teams.

To enhance this delivery of care, weco-ordinatebleep filtering both at nights and weekends.This isintegral to the Band 6 CCOT posts. Applicants should be highly motivated and able to demonstrate leadership and advanced communication skills. This will be a challenging but highly rewarding role, providing opportunity to work within a team of highly skilled and experienced nurses.

Delivering formal and informal education is an integral part of the role and successful applicants will take an active part in education around the management of deteriorating patients.

Induction and ongoing training will be provided to ensure competency and safety. The successful applicant will also be involved in service development, improvement and audit.

For further information, please contact LeadNurse,Clare Scott via email or on (01904) 721989.

We look forward to receiving your application!
• Deliver and maintain a high standard of patient focused care in accordance with York and Scarborough Teaching Hospitals NHS Foundation Trust guidelines and policies.
• Work within frequently challenging clinical environments with high levels of physical and mental effort.
• Have knowledge of pathophysiology, anatomy and physiology in order to assess, plan, implement and evaluate treatment of the deteriorating adult.
• Demonstrate clinical competence and confidence in caring for the
deteriorating/acutely ill adult, utilising critical care skills and knowledge in a variety of clinical settings without supervision as part of the multi-disciplinary team.
• Provide rapid response and support for patients identified by the National Early Warning Score (NEWS).
• Undertake a systematic patient assessment based on history taking and clinical examination and implement a management/treatment plan.
• Participate in providing direct patient care and support at the bedside until the patient is stabilised or transferred to an area with a higher level of care.
• Participate in initiating of therapeutic interventions for example to manage haemodynamic and respiratory instability.
• Refer to other members of the MDT and other specialties as appropriate.
• Participate in the transfer of critically ill patients to an appropriate environment
• Prescribe and administer a range of drugs by patient group directives.
• Accurately request pathology investigations and participate in clinical decisions based upon results

Our benefits

We offer a range of benefits to support our staff including:
• Access to the NHS Pension Scheme, providing generous benefits upon retirement, as well as a lump sum and pension for dependants
• 27 days holiday rising to 33 days (depending on NHS Trust service)
• A variety of different types of paid and unpaid leave covering emergency and planned leave
• Confidential advice and support on personal, work, family and relationship issues, 24/7, from our Employee Assistance Programme
• NHS Car Lease scheme and Cycle to Work scheme
• An extensive range of learning and development opportunities
• Discounts on restaurants, getaways, shopping, motoring, cinema and finance from a range of providers

For further information on the fantastic range of benefits we offer please visit the Trust's dedicated Staff Benefits pages.

A full description of the role is available in the attachment: job description.

Working for the Trust

Across our organisation, people are guided by values that were co-developed with staff: we are kind; we are open; and we pursue excellence.

Our values play into our ambition to develop a more diverse workforce, truly representative of our communities. We welcome applications from everyone, while working with our Staff Networks - including our Race Equality, LGBTQ+, Disability and Carers Networks - to increase the number of applications we receive from different backgrounds. If there is anything we can do to make our application process more accessible to you, please contact:recruitment@york.nhs.uk.

As part of seeking to become more inclusive, we will consider requests for flexible working from the start of your employment. It may not be suitable for every role, but we will try and be supportive where we can. We would encourage you to speak to the recruiting manager named within this advert to discuss any requirements you may have.

Armed Forces Friendly Employer

We are holders of the Gold Award from the Defence Employer Recognition Scheme, which is helping actively promote SaBRE - Supporting Britain’s Reservists and Employers. This means that we have made a statement of intent to support all Defence personnel, including with applications for employment.

COVID-19 Vaccination Requirements

Our Trust continues to strongly encourage our staff to be vaccinated against COVID19, this remains our best defence to protect our patients, ourselves and everyone else.


This advert closes on Thursday 2 May 2024

Proud member of the Disability Confident employer scheme