Hospital at Night Practitioner (HAN) Service
The HAN service is provided on all 3 acute sites including the Royal Infirmary of Edinburgh, Western General Hospital, St Johns Hospital, Livingston. They also provide remote support to community hospitals. The team consist of fully qualified Advanced Nurse Practitioners who have completed a post graduate qualification in Advanced Nursing Practice and Trainees. The team have 2 Education facilitators who provide support to Trainee Advanced Nurse Practitioners and Band 6 nurses.
All 3 sites work 12.5hr shift covering nightshift and SJH site also provides a Hospital at weekend service and a Surgical Nurse Practitioner 5 days a week Monday to Friday to support the Surgical FY2.
Capacity and Site Management (C&S) Team
Capacity and Site team is a pan Lothian service covering all 3 adult acute sites including the Royal Infirmary of Edinburgh, Western General Hospital, St Johns Hospital, Livingston. The team consists of senior band 7 nurses who are responsible for the coordination and management of clinical capacity across the hospitals, including clinical decision making in response to the service needs. The team are also responsible for ensuring safe and effective patient flow management in both scheduled and unscheduled care, working closely with all sites to ensure that the 4 hour emergency access standards are met.
The teams work closely with their own management teams and the management teams across all 3 sites using clinical leadership to influence capacity and flow. They provide a first response in the out-of-hours period supporting junior staff within the hospital when required. Exposure as a clinical site coordinator would provide an individual with the relevant experience to progress to a management role within the NHS.
Advanced Critical Care Practitioners
Advanced Critical Care Practitioners (ACCPS) are based across 2 of our 3 critical care units at the Royal Infirmary of Edinburgh and the Western General Hospital.
ACCPs are clinical professionals responsible for patients’ during their critical care admission. They are trained using the National Framework for Advanced Critical Care Practitioners and complete a MSc in Advanced Practice with a Higher Education Institution during their 3 year training programme.
Recruitment requirements include extensive critical care experience and evidence of post basic qualification (CADM or equivalent) and is open to registered nurses and physiotherapists at present. Recruitment selection involves an OSCE skills assessment followed by a competency based panel interview. We also offer opportunities for qualified ACCPs.
In-patient and Chronic Pain Team
The inpatient pain management team across NHS Lothian hospitals is a nurse led service supported by the anaesthetics team and pain management consultants providing specialist services to inpatients in the acute hospitals and advice to partnership hospitals. We review major post operative patients routinely and other patients referred directly by the parent team with complex or challenging pain management needs from a variety of clinical specialties and wards. We assess, plan, implement and evaluate pain management strategies and offer support required to provide effective holistic and person-centred care. We work closely with the drug liaison nurses, palliative care, mental health and chronic pain teams to provide appropriate and effective management to meet the needs of individual patients. Alongside the clinical workload we provided education and teaching both locally at ward level and to specific courses within a number of external universities. We regularly undertake audit and quality improvement projects with the aim to improve the service and patient outcome and experience. We have been involved in the development, trial and implementation of new tools and equipment to support pain assessment and management within the acute setting for all members of the multi-disciplinary team.
This has recently become an Advanced Nurse Practitioner role with opportunities to develop in areas including patient history taking and assessment, specialist pain management techniques, develop specialist skills in pain management and assessment to enable you to provide specialist care. As part of your role you would undertake the advanced nurse practitioner academic modules. There will be opportunities to work alongside and gain knowledge and insight from other specialist teams where there is a key link between the roles.
The chronic pain team has 2 distinct services. It consists of pain clinics run by consultants and nurses who discuss medications, non-pharmacological approaches (e.g. TENS), injections and lifestyle. The pain management side of the service is run by physiotherapists and psychologists who offer service users a much deeper understanding of chronic pain and non-pharmacological management strategies.
Although part of the wider team, we work independently in the clinic environment to assess a very wide variety of patients with a number of different chronic pain presentations. We administer specialist treatments, advise on medications, making recommendations to the patient’s GP, as well as lifestyle factors and assisting patients to manage their symptoms.
We share our knowledge via formal teaching as well as having colleagues in training sit in with us. We have a weekly MDT with our colleagues to facilitate discussion and learning. We liaise and network with colleagues nationally, attending formal education when possible.
Contact:
Please email any queries to datccrecruitment@nhs.scot
