Emergency Care Nurse/Paramedic

Working as part of a specialist team within ED providing care to emergency patients.

In line with the Trust’s Annual Business Plan 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, butnot 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.

• 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

Lewisham and Greenwich NHS Trust is a community focused provider of local and acute care, providing high quality services to over one million people living across the London boroughs of Lewisham, Greenwich and Bexley. With a turnover of around £700 million, we provide services at Queen Elizabeth Hospital in Woolwich, University Hospital Lewisham and a range of community settings in Lewisham. We also provide some services at Queen Mary’s Hospital in Sidcup.

As an organisation, we’ve made significant improvements for patients and staff in the last two and-a-half years. This is reflected in our most recent Care Quality Commission (CQC) inspection (from February 2020), which found improvements across the organisation and gave us an improved rating of “Good” in the Well-Led and Effective domains, in addition to the rating of “Good” that we had already achieved in the Caring domain. Our staff culture change programme has been key to the Trust’s improvement journey, as we’ve stabilised our workforce by reducing vacancy rates and improving staff retention. We’ve also significantly increased the representation of minority ethnic leaders across our clinical and corporate teams.

• 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