SMART band 6

SMART stands for surgical and medical acute response team. The SMART nurse will work within the existing team and be a clinically credible nurse who is proficient and experienced in looking after the critically ill and deteriorating patient. They will have a thorough understanding of what track, trigger, respond and escalate entails within the scope of the deteriorating patient. They will also form part of the cardiac arrest team and become an ALS provider.
On a daily basis the SMART nurse will review known patients and assess new patients in a time appropriate manner who are considered at risk by the MDT who express a clinical concern or those patients who trigger via the use of NEWS2.
The SMART nurse will ensure all emergency admissions into the Centre are seen within 30minutes ensuring that admission documentation and prescriptions and clinical management plans are implemented in a timely manner.
The SMART nurse will support the thrombectomy service providing clinical support, recovery and maintaining the safety of the patient along the patient pathway.
They will be required to work flexibly as a member of SMART to ensure standards are being maintained, evaluated and where necessary improved.
The role covers a 24hour service 7 days a week by rotating onto days and nights and the willingness to be flexible is essential to ensure the service can be delivered., To perform physical examination and assessment utilising the A-E approach to formulate an appropriate care plan.
Utilise PGD's to manage patients.
To be a non-medical clinical imaging referrer.
To provide ongoing assessment and follow up of all level 2/3 critical care discharged patients
To review daily the weaning progress and formulate a plan of care with the tracheostomy daily MDT and provide support and education to staff looking after these patients.
To form part of the hospital resuscitation team
To be proficient in the safe inter/intra hospital transfer of acutely unwell, critically ill or tracheostomy patients
To help care for patients requiring thrombectomy within the trust in a safe and effective way utilising the resources available.
To understand their scope of practice and be able to seek expert advice and assistance when required and escalate patients in a time appropriate manner.
To act as a mentor and role model to the MDT and disseminate progress with senior members of staff.

The Walton Centre NHS Foundation Trust is the only NHS trust to hold dual accreditation for the Investors in People. We invest in people and we invest in wellbeing standards and have been awarded Gold status for both. The Walton Centre is a leader in the treatment and care of neurology and neurosurgery, placing the patient and their family at the heart of everything we do. As the only specialist hospital trust in the UK dedicated to providing comprehensive neurology, neurosurgery, spinal and pain management services we are proud to be rated as an Outstanding Trust by the Care Quality Commission (CQC), and champion change throughout the field of neuroscience. Originally formed in 1992, the Trust received Foundation Trust status in 2009.
With around 1,450 staff, The Walton Centre treats more than 127,000 outpatients and 18,000 inpatients each year. We have leading specialists and incredibly dedicated staff delivering excellent clinical outcomes for brain, spinal and neurological care nationally and internationally. Teams across our site in Fazakerley, Liverpool, offer a world-class service in diagnosing and treating injuries and illnesses affecting the brain, spine and peripheral nerves and muscles, and in supporting people suffering from a wide range of long-term neurological conditions.