We are looking for an enthusiastic individual who has a passion for the delivery of high quality, patient focused care. You will support the Nurse Practitioner Team Leader, Lead Nurse, Matrons and Senior Sisters within all wards in the CSUs to provide expert, holistic care of high standards to both the patients and their relatives. The successful candidate will work Out of Hours alongside the current Nurse Practitioners and the medical team. The role is multifaceted including bed management, staff management and clinical assessment responsibilities. The role covers nights 7 days a week and also weekends and bank holiday days. The Out of Hours Nurse Practitioner Service provides support, advice and clinical expertise to 14 wards/areas out of hours and is mostly an autonomous role. Candidates will have significant experience at Band 5, ideally within the speciality, and be able to demonstrate good leadership qualities, an ability to work autonomously, an ability to work efficiently and effectively, excellent prioritisation skills and ideally extended clinical skills such as cannulation, venepuncture, catheterisation, ECGs, ABGs and Line Bloods. A commitment to personal professional development as well as that of team members and the service is required. You will be required: To assess deteriorating patients on the wards out of hours and be a contact for escalation of deteriorating patients. You will be required to work collaboratively with the Medical Team to ensure appropriate management plans are put in place. You will be carrying the emergency crash bleep for Lincoln wing and Bexley wing and be expected to attend and participant the resuscitation of the unwell patient. To act as the senior nurse out of hours, ensure appropriate staffing levels within individual wards, respond to complaint, support the ward staff to deliver high quality care and maintain the ward rosters. You will be required to uphold standards and promote best practice out of hours. The successful candidate will support the senior nursing teams to robustly manage the wards and support all members of the Nursing teams You will be required to manage beds across AMS working closely with the CSM out of hours. To act as a positive role model to all staff. Particular emphasis is on the need to ensure that all staff recognises their responsibility to deliver services in a high quality, courteous, patient focused manner, and to maintain patient confidentiality at all times. To assess the wards staffing levels and skill mix to ensure they have the most appropriate skills and competencies to ensure the wards are staffed safely and patients are safe. This may mean at times or on occasions there may be a need for you to staff the wards either for a full shift or to support during busy times. We would like to hear from you if you can demonstrate your passion and commitment to the provision of high quality patient centred care. You will be able to demonstrate proven clinical skills, leadership attributes and a drive for achieving and sustaining high clinical standards and to work under pressure. Knowledge Insight into clinical speciality Insight into current issues in nursing/professional issues Standards of professional practice Personal Attributes Ability to work independently and as part of a multidisciplinary team Professional, compassionate and patient centred Professional and patient focused Flexible, adaptable, capable of lateral thinking Excellent interpersonal skills Demonstrates a commitment to personal development Assertive, courageous. THE LEEDS WAY VALUES Our values are part of what make us different from other trusts, so we see this as a strength, as well as a responsibility. They have been developed by our staff and set out what they see as important to how we work. Our five values are: Patient-centred Collaborative Fair Accountable Empowered All our actions and endeavours will be guided and evaluated through these values Additionally the following are core values which relate specifically to this post: The beliefs and attitudes that underpin effective performance within the job role. Emphasis should be on the requirements of the role not the individual when completing this section. Examples might include: quality focus, mistakes are used as a continual learning experience, honesty, integrity etc. CORE BEHAVIOURS AND SKILLS Ability to act professionally at all times Teaching and assessing skills Effective communication skills Effective numeracy skills Time management skills Preceptorship skills Understanding of research based practice research conscious Team player Ability organise self and others Effective team management skills Understanding of the process of change Conflict Management Skills Risk Management Skills CORE KNOWLEDGE AND UNDERSTANDING Understanding of research and evidence based practice An understanding of the organisational structure and working practices of the organisation Understanding of the local and national nursing agenda Awareness of Leeds Teaching Hospitals Trust policies, protocols and guidelines PRINCIPAL DUTIES & AREAS OF RESPONSIBILITY Acts in accordance with the Nursing and Midwifery Council (NMC) Code of Conduct Deliver a high standard of patient focused care in accordance with Leeds Teaching Hospitals Trust guidelines and policies. Independently assess, diagnose, prioritise, treat and safely discharge patients with surgical conditions in accordance with agreed protocols. Initiate pharmacological intervention under group protocol, patient group directions, or as an independent nurse prescriber. Accurately request investigations and make clinical treatment decisions based on their independent interpretation of results in accordance with agreed protocols. Act as a referral agent and co-ordinator of care provision. Establishes effective multi-agency collaboration across the primary/secondary interface to meet the needs of the patients. To promote heath giving health promotion advice when and where appropriate. Act as a role model for the development of clinical skills and knowledge within the department team. Maintain a safe working environment. To maintain accurate, detailed written records in accordance with the NMC and LTHT policies and guidelines. Ensure the safe use and efficient Support the line manager in setting and monitoring standards and seek to management of equipment and supplies. Undertake audit/research as required. Service development in line with local/National initiatives. Undertake duties in other wards and departments as and when required by service demands or patient need 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 area. In conjunction with the line manager ensure all staff have an individual performance development plan. Ensure both self and team members achieve annual mandatory training requirements. Participate in preceptorship and mentorship programmes. Participate in annual appraisal Ensure mandatory training is undertaken within defined timescales Undertake continuous professional and clinical development, seeking opportunities to enhance skills. Participate in clinical supervision. Managerial Working with the line manager to provide leadership to the clinical team, developing new ways of working. Support the line manager in staff rostering, ensuring adequate skill mix. In conjunction with the line manager closely monitor bank and agency usage. Support the line manager in investigating and responding to accidents, complaints, untoward incidents and other significant events. Raise concerns with regards to risk, danger, malpractice or wrong doing by following the LTHT Whistleblowing policy and supporting processes