Leicester Hospitals is comprised of three hospitals located in the city of Leicester; the Leicester Royal Infirmary, the Glenfield Hospital and the Leicester General Hospital.
Leicester Royal Infirmary (LRI) is located in the city centre. It provides the majority of services for Emergency and Paediatric care for Leicestershire, whilst the Glenfield Hospital includes the East Midlands Congenital Heart Centre and ECMO support.
We are currently in the process of a £48 million development of a new Emergency Department due for completion early 2017. This exciting new build will see the Children’s Emergency Department increasing in size and capacity to include a Paediatric Observation Ward.
WE WILL HELP YOUR PROFESSIONAL DEVELOPMENT
Our department sees children attending with a variety of presentations, from acute and life threatening medical conditions, to trauma and minor injuries. With this in mind, our nurses need to have a broad knowledge base and a range of skills. We can offer career progression that will challenge you both clinically and as a manager.
Our senior nurses manage care delivered in one of the busiest Emergency Departments in Europe, while our Emergency Nurse Practitioners and Paediatric Advanced Nurse Practitioners provide the highest level of clinical care.
Education Practice Development team
We have a dedicated Emergency Practice Development Team to provide support with your continued learning within your area of work. This team will not only ensure your mandatory training and corporate needs are up to date, but will also work shoulder to shoulder with you, making sure that you are aware of how every clinical process and piece of equipment in the department works.
In such a busy department, we want to make sure you are fully supported from the moment you arrive. We offer a ‘buddy’ system for our new starters where you will spend your first few weeks working alongside a nurse of the same grade, helping you to settle in and learn the processes. You will also have an allocated mentor who will support you through the appraisal process, reflecting on your practice and planning further development.
Close links with De Montfort University (DMU)
It is important that nurses continue to learn after registration. Our close links with DMU allow us access to courses specifically designed to help with nurse development. Your appraisal process will help you identify further educational needs and then the Emergency Practice Development Team will guide you in accessing DMU programmes.
BAND 5 DEVELOPMENT
As a Band 5 nurse, you will need to develop as a clinician and as a manager. Through collaboration with your mentor and the Emergency Practice Development Team, we will see that you learn the essential skills of an emergency nurse. These skills will range from suturing, plastering and cannulation, through to assessment and triage, Advanced Paediatric Life Support (APLS) and the Advanced Trauma Nursing Course (ATNC). If you already have emergency nurse skills and can offer evidence of your previous learning, the Leicester Clinical procedure Assessment Tool process (LCAT) will see that time is not wasted in repeating training.
Quality Nursing Care
The staff here at the University Hospitals of Leicester developed ideas about how all people accessing the hospitals whether patients, visitors or staff, should be treated. These ideas were turned into the five values, collectively named ‘Caring at its Best’, that we as a department are wholly committed to:
If you have an idea which matches these core values, no matter how grand or small, then you will be encouraged and supported in developing it for the benefit of your patients or work colleagues.
Of course, we have access to nursing courses run by De Montfort University and put our nurses on a variety of advanced life/trauma support courses held both within our own clinical education department and nationally, but our education and training goes way beyond this.
We have enormous pride in working as one team and as such we meet monthly in our bespoke Critically Careful Forum to review our previous month’s activity. This serves an opportunity highlight the good work that we do and to identify and learn from both what went well and what didn’t go so well.
We also have weekly Advanced Simulation Training and bi-annual simulation training days, using state-of-the-art mannequins to re-enact challenging clinical cases. This work has been nationally recognised with staff representatives at the Royal College of Paediatrics conference (nursing and medical) and the International Paediatric Simulation Symposium.
A 2-year-old boy is brought to the ED by his mum with fast breathing and vomiting...
An 18-month-old is brought to the ED by a babysitter who is struggling to wake her up...
"If you focus on the problem, you can't see the solution."
A 2-year-old with a 7-day history of fever. Today he has stopped eating and drinking.
A pre-alert is made for a 5-year-old boy who is screaming in pain complaining of a sudden onset headache. His GCS drops during assessment…
"An 18 month old with Sickle Cell Anaemia is brought to the ED by mum who is concerned he has a fever and looks pale."
"You are asked to review a 14 old girl in the ED who is in pain with an infected toe. The orthopaedic team have commenced IV Augmentin…"
"A 14 year old girl is called through by paramedics with sats of 89% in air and wheeze. They have given a 5mg Salbutamol nebuliser with little improvement. ETA 5 minutes."
"A 1 year old is brought in by ambulance after he started fitting at home."
"A 15 year old girl is brought through to the triage nurse by a concerned receptionist."
"A 'Red Call' is made for a 4 month old who has been found unresponsive in his cot at home."
Day 3 of our PEST Day #Simblogs: Know Your Final Destination
"A 9 month old child arrives in Resus, he is drowsy with a temperature of 39°C."
"A 5 day old infant is brought to the ED with difficulty feeding and fast breathing."
It's time for more Paediatric Emergency Simulation Training (aka PEST). Five MDT cases all in one day!
Working the ED can often be complicated, there can be distractions and developments that make even a simple case more complex than it should be.
"A 2 week old baby boy is brought to the ED with concerns of poor feeding, vomiting and sleepiness."
"A six month old boy is brought to the ED by mum after screaming continuously for half an hour with no apparent cause."
"A 12 month old is brought to the ED by paramedics. She had pulled to stand against mum’s leg and mum lost her balance, pouring a kettle full of boiling water on her face and chest."
"6 month old child is brought to the ED by her mum with a 3 day history of diarrhoea and vomiting.'
"An 8 month old baby girl is carried into the ED by her mother after a reported fit at home."
"Peter is a 14 year old boy who presented to the ED with sudden onset palpitations whilst getting dressed for school this morning. He feels lightheaded and dizzy."
The story of a girl who left the party at midnight and attends your ED with only one shoe...
"A 5-day-old baby girl is brought to ED by mum with poor feeding, sleepiness and fast breathing."
You enter the cubicle and the patient is gone... what would you do?
Sepsis Kills, we simulated how we identify and manage a child presenting with Sepsis.
Distraught parents, paramedics on the edge, sick neonates, oversized teenage trauma victims…our latest paediatric simulation day had it all!
"4 month old unsettled over the afternoon then found unresponsive in cot. Mum out shopping, baby being looked after by her new partner."
"15 year old, self-presentation. 1 week history of vomiting and lethargy, feeling worse overnight, receptionist concerned patient looks unwell."
"14 year old pedestrian hit by a van in hit & run incident at at least 40mph. Loss of consciousness at scene. Scooped & ran as felt too unstable for transfer to Major Trauma Centre (MTC)."
Specialist Nurse Roles
Staff who have a special interest or skills are encouraged to develop these and become sources of information and support for other staff. We have Emergency Nurse Practitioners (ENP’s) and Paediatric Advanced Nurse Practitioners (PANP’s) working in our department. Our ENP’s see and treat patients attending with minor injuries while our ANP’s see and treat patients attending with any complaint. Both these groups support our nursing and medical teams in delivering the best clinical care possible.
Listening into Action (LiA)
Our Chief Executive John Adler, has introduced the LiA approach – this gives all staff the opportunity to put forward ideas and take action to improve services for patients provided by our staff and for staff benefit. We have now developed the Nursing into Action (NiA) approach, led by Ward Teams.
International Nurse Recruitment
As part of our wider campaign we have recruited number of nurses from Spain, Portugal, Italy and the Republic of Ireland, who have embraced the opportunities offered in Leicester. Their enthusiasm is infectious and they have positively contributed to the nursing culture as well as patient care within UHL.
INTERESTED in working with us?
Register your interest and we can get in touch with more information: