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 receive and triage calls through the bleep system carrying out tasks within own scope of practice where possible. The band 7 role will be pivitol in providing safe care in hospital at night and will become bronze on call and assist in bed management overnight. They will provide both clinical and managerial leadership and support the rest of the team. 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 None-medical prescribing qualifications or 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.

To provide senior managerial cover for the hospital at night carrying the unit manager and bed bleeps