Career development

There are many career development opportunities for nurses at Great Ormond Street Hospital (GOSH). All nurses in critical care are given the opportunity to progress through an orientation and development programme. 

Band 5 nurse orientation programme

All new band 5 nurses will undergo:

  • a hospital induction programme
  • a one week joint intensive care induction
  • a supernumerary period working with a mentor or other education team member tailored according to your needs. This may be as short as four weeks if you are experienced, or as long as three months if you are a newly qualified nurse
  • you will also be issued a band 5 competency folder and a generic hospital skills log. In addition you will be required to complete medication administration competencies

A sample of what to expect in the first six months is below:

  • Week 1 Orientation to intensive care
  • Weeks 2 – 4 Supernumerary time on intensive care with completion of essential competencies; commence IV and oral workbooks; initial interview with team leader or preceptor 
  • Weeks 4 – 12 Continuation of competencies; setting of six-month objectives; by this stage you will be able to care for a high dependency patient by yourself and will have had the chance to work alongside education staff with a ventilated patient
  • Six months Completion of competencies; by this stage you should be caring for simple ventilated patients and taking simple cases back

Ongoing band 5 development

Support, education and development is available to everyone on the intensive cares. You will be able to develop more complex clinical skills, look after students and new starters and will have the support of the education team to enable you to develop. Throughout your first year there will be various study days including foundation in intensive care study days. 

After at least eighteen months on the intensive care, you will be eligible to apply for the Paediatric (PICU/CICU) or Neonatal (NICU) Intensive Care Unit course that starts every September and runs through to July. It includes placements on each of the ICUs at GOSH with competencies to achieve for each, in addition to academic work and assessments required by the university.

After completing the ICU course and returning to intensive care, you will have time to consolidate your learning before being supported in learning how to become a support nurse and developing you to enable you to apply for a senior staff nurse post. There will also be an opportunity to apply for a mentorship qualification. 

Band 6 development

After six to 12 months post-intensive care course, you can think about applying for a band 6 post. We welcome applications from external hospitals for senior staff nurse posts. As with band 5 nursing, there is a structured orientation programme and a shorter supernumerary period.  

As a band 6 you will achieve advanced clinical skills (such as ECMO, CVVH, advanced respiratory) before commencing a period of support to become competent in managing the unit. There will be the chance to attend the hospital band 6 development programmes and to participate in individual performance reviews of band 5 staff within your team. 

For senior band 6 nurses there is the opportunity to attend a leadership programme to prepare you for progressing to band 7 positions.