Job responsibilities
PRIMARY
DUTIES AND AREAS OF RESPONSIBILITIES CLINICAL NURSING PRACTICE
The Advanced
Nurse Practitioner works autonomously and is accountable for own professional
actions.
Undertakes
Clinical Nursing Practice at an advanced level using expert knowledge and
clinical skills to deliver holistic care to people accessing primary health
care services.
Assesses
diagnoses and treats patients attending primary health care services with a
range of acute, non acute and chronic medical conditions.
Assesses diagnoses and treats patients in
surgery or own home who require acute medical attention and refer to
appropriate agency.
Directly
admits patients to secondary care hospital in acute medical need. Refers
patients to other medical specialities for assessment if deemed appropriate.
Refers
patients as appropriate to other members of the multidisciplinary team,
secondary care and to other statutory and voluntary organisations including
referral for x-ray.
JOB
DESCRIPTION - ADVANCED NURSE PRACTITIONER
Has
undertaken x-ray training as required by hospitals trust.
Interprets a
range of diagnostic tests and routine clinical procedures.
Makes
critical judgements of the highest order to satisfy the expectations and
demands of the job eg first contact with patients presenting acutely and
manages care in the presence and absence of protocols.
Makes
decisions where precedents do not exist, where appropriate without recourse to
others e.g. direct referral of patients to Hospital Consultants without prior
reference to other medical colleagues.
Advises and
supports others where standard protocols do not apply.
Works within
professional guidelines and codes of conduct.
Works within
all relevant practice policies and procedural guidelines e.g. infection
control, chaperoning, risk management.
Extended and
supplementary prescriber.
CARE AND
PROGRAMME MANAGEMENT
Develops and
manages highly specialised programmes of care and care packages and provides
highly specialised advice concerning care normally beyond the scope of normal
Nursing practice eg establishes differential diagnoses, management/treatment
plans and makes referrals as appropriate. Makes fast track referrals.
Communicates
highly sensitive condition related information to patients, relatives and
carers.
Initiates the
process of diagnosis with patients suspected to have a chronic disease eg.
diabetes, COPD, asthma, IHD referring to other clinical staff as appropriate.
Contribute to
practice targets both local and national within the disease management agenda
eg QOF, prescribing incentive scheme.
Contributes
to disease registers.
Audits
outcomes of care against standards and initiate changes as necessary.
Undertakes
annual review of patients understanding and ability to self manage and
medication reviews.
Refers to
other members of the extended primary health care team as appropriate eg
chiropodist, dietician, specialist Nurses.
To actively
implement safeguarding protocols for children and vulnerable adults and to know
who to refer to and how to escalate concerns about radicalisation.
STRATEGIC
DEVELOPMENT OF PRIMARY CARE SERVICES
Contributes
to the strategic development of primary care and public health services to meet
patient and population needs within the practice and across the wider
organisation. Works/liaises across multi-professional and agency boundaries.
Works at the
forefront of practice innovation. Determines how to deal with ambiguous or
unique problems to develop and advance primary care services for the benefit of
patients, carers and communities.
Recognition
and involvement of Cannington Health Centre as a teaching unit and help drive
the Nursing element of training, including trainee NPs.
Develop links
within the CCG and other local and national bodies relevant to primary care
Nursing initiatives.
HEALTH
IMPROVEMENT
Initiates and
carries out programmes of health screening and ensures other team members are
aware of health agendas and screening programmes.
Introduces
innovation in practice to meet on going health need demands of the practice.
Works to
introduce new developments that will improve health outcomes for patients and
is able to demonstrate through written and presentation these developments i.e.
Sexual Health agenda.
Shares
innovation and new learning with others.
Supports
practitioners in profiling the practice population in order to initiate
contribute and promote improved health and prevent disease in individuals and
groups.
Represents
individuals and families interests when they are not able to do so themselves.
Makes
referrals to statutory and voluntary agencies as appropriate.
COMMUNICATION
Provides and
receives highly complex, sensitive or contentious information and frequently
deals with situations which are hostile or emotive.
Uses
developed communication, negotiation, conflict management skills which require
empathy, reassurance and persuasive skills where there can be significant
barriers to acceptance which need to be overcome.
Regularly
communicates service related information to Partners, Business Manager,
Salaried GPs, Nursing and Administrative staff, patients, relatives and
carers.
Makes operational judgements, manages
conflicting views and reconciles inter and intra professional differences of
opinion.
Builds and
communicates therapeutic working relationships with a wide array of statutory
and voluntary organisations for the benefit of patient care and facilitates
good working relationships.
Develops and
delivers presentations to large groups eg local and national conferences,
clinical meetings, empowers staff to develop presentation skills in order to
promote good practice.
MANAGE/LEAD
SELF/OTHERS
Develops a
special interest (dependent on experience) within the practice e.g. teenage
clinic, baby clinic, nursing home, cytology.
Encourage and
motivate others to be forward thinking in ideas that address the health needs
of the practice that will be innovative whilst managing and developing new ways
of working, e.g. implanon clinic, teenage health clinic.
Develops and
leads on evidence based practice.
Promotes
effective communication and relationships within the team.
Partakes in
monthly clinical supervision for own development.
Actively
participates in clinical and practice meetings.
Develops own
knowledge and practice to meet objectives/changes in service, through attendance on study days, self-directed
learning and reflection on practice.
Integrates
theory into practice and establishes formal links with educational
institutions.
Assists in
the mentorship and assessment of trainee Nurse Practitioners.
Acts as
mentor for pre registration students and other staff within the practice.
Leads on
setting standards and promotes best practice.
Operates high
standards of probity.
INFLUENCE
AND DEVELOP POLICY
Responsible
for establishing how policies should be interpreted and translated within the
practice.
Implements
and adheres to local/national, clinical commissioning group and practice
policies, proposes developments and improvements to service delivery.
MANAGE AND
USE INFORMATION
Makes
effective use of the clinical system by ensuring the consistent and accurate
entering of data and use of Read Codes.
Facilitates
the use of up to date information technology in order to collate accurate and
timely information as and when required by the practice.
Ensures a
satisfactory call and recall system of patients.
Assist in the
development of practice protocols for the surgery and clinical protocols for
the clinical team.
Identifies,
monitors and reviews deficiencies in procedures and implements remedial action.
RESEARCH AND
DEVELOPMENT
Continuous
involvement in research/evaluation and/or development work which may be as part
of one or more formal research programmes or activities.
Actively
contributes to Practice/Service/Team audit/Research activity as required.
Instigates
audit activity as required e.g. new services.
Identifies,
applies and disseminates research findings relating to clinical practice.
WORKING
CONDITIONS
Frequent use
of VDU equipment.
Requirement
to travel between different locations e.g. home visits, care homes.
Requirement
to provide extended access in line with practice or external initiatives.
Workload is
unpredictable as may need to change activity due to patient demand and capacity
Exposure to
body fluids