The Royal Marsden NHS Foundation Trust
Clinical Nurse Specialist - Deteriorating Patients , Sepsis & AKI

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An exciting opportunity at The Royal Marsden Hospital
An exciting opportunity has arisen at The Royal Marsden Hospital for a highly motivated and experienced nurse to join our team as a Clinical Nurse Specialist for Deteriorating Patients, Sepsis and AKI.
About the Role
This pivotal role will provide expert clinical leadership across the Trust, supporting the early identification, escalation and management of patients at risk of clinical deterioration. The post holder will work closely with the Lead Nurse and Practice Educator for Deteriorating Patients, Sepsis & AKI, the Critical Care Outreach Team, and multidisciplinary colleagues to enhance patient safety and improve clinical outcomes.
Responsibilities
- Lead education, audit and quality improvement initiatives
- Ensure compliance with national standards and Trust policies
- Support the implementation of Martha’s Rule
- Act as an expert clinical resource, promoting best practice in the recognition and management of sepsis, acute kidney injury and deteriorating patients
- Offer expert guidance and support to staff in assessing and managing deteriorating patients, specifically those affected by sepsis and AKI
- Collaborate with the Lead Nurse and Practice Educator for Deteriorating Patient, Sepsis & AKI, the Outreach service, and medical teams
- Drive educational initiatives, conduct audits, and lead quality improvement projects
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Key Aspects
- Support the Trust’s patient safety agenda
- Facilitate the implementation of component three of Martha’s Rule, in alignment with the NHSE national initiative
- Work in partnership with other healthcare professionals to promote best clinical practices for the recognition, treatment, and care of deteriorating patients, including those with AKI and/or Sepsis
- Help create a dynamic and supportive working environment ensuring the service operates efficiently and effectively
About The Royal Marsden NHS Foundation Trust
The Royal Marsden NHS Foundation Trust is a world-leading cancer centre. Our role is to offer our patients the best cancer care available anywhere in the world, and to continue to make a global contribution to finding better ways of diagnosing and treating cancer. We employ over 4,500 staff in a diverse range of careers including nursing, medical, science, radiography, pharmacy, occupational therapy, finance and administrative services. We have two hospitals – one in Chelsea, London, and one in Sutton, Surrey – as well as a Medical Daycare Unit in Kingston Hospital.


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At The Royal Marsden, we deal with cancer every day, so we understand how valuable life is. When people entrust their lives to us, they have the right to demand the very best. That's why the pursuit of excellence lies at the heart of everything we do.
At the heart of the hospital is our dedicated team. We offer a stimulating and dynamic working environment, a wide range of staff benefits, learning and development opportunities and clear career pathways. There are opportunities to work flexibly across a range of areas and specialities and we welcome flexible working requests from point of hire to support employees work life balance. We are looking for employees who aspire to excellence, share our values and can play a crucial role in our on-going achievements.
Application
Please Note: This is a fixed-term post funded through short-term funding. As recruitment processes is a part of the funding period, the contract may be for less than 12 months.
For further details / informal visits contact:
- Name: Yara Oliveira
- Job title: Matron Critical Care/CCOT
- Email address: Yara.OsmanDeOliveira@rmh.nhs.uk
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