Advanced Nurse Practitioner

Job description

Job responsibilities

To be responsible for the delivery of practice nursing services, working as part of the practice multidisciplinary team, delivering care within their scope of practice to the entitled patient population. The practice nurse will be responsible for a number of clinical areas such as health promotion, chronic disease management, health prevention, cervical cytology, immunisations, as well as supporting the management team in the reviewing of clinical policy and procedure.

Generic Responsibilities

All staff at The Orchard Medical Centre have a duty to conform to the following:

Equality, Diversity & Inclusion

A good attitude and positive action towards ED&I creates and environment where all individuals are able to achieve their full potential. Creating such an environment is important for three reasons: it improves operational effectiveness, it is morally the right thing to do, and it is required by law.

Patients and their families have the right to be treated fairly and be routinely involved in decisions about their treatment and care. They can expect to be treated with dignity and respect and will not be discriminated against on any grounds including age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex or sexual orientation. Patients have a responsibility to treat other patients and our staff with dignity and respect.

Staff have the right to be treated fairly in recruitment and career progression. Staff can expect to work in an environment where diversity is valued and equality of opportunity is promoted. Staff will not be discriminated against on any grounds including age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex or sexual orientation. Staff have a responsibility to ensure that you treat our patients and their colleagues with dignity and respect.

Safety, Health, Environment and Fire (SHEF)

This practice is committed to supporting and promoting opportunities to for staff to maintain their health, well-being and safety. You have a duty to take reasonable care of health and safety at work for you, your team and others, and to cooperate with employers to ensure compliance with health and safety requirements. All personnel are to comply with the Health and Safety at Work Act 1974, Environmental Protection Act 1990, Environment Act 1995, Fire Precautions (workplace) Regulations 1999 and other statutory legislation.

Confidentiality

This practice is committed to maintaining an outstanding confidential service. Patients entrust and permit us to collect and retain sensitive information relating to their health and other matters, pertaining to their care. They do so in confidence and have a right to expect all staff will respect their privacy and maintain confidentiality at all times. It is essential that if, the legal requirements are to be met and the trust of our patients is to be retained that all staff protect patient information and provide a confidential service.

Quality & Continuous Improvement (CI)

To preserve and improve the quality of our output, all personnel are required to think not only of what they do, but how they achieve it. By continually re-examining our processes, we will be able to develop and improve the overall effectiveness of the way we work. The responsibility for this rests with everyone working within the practice to look for opportunities to improve quality and share good practice.

This practice continually strives to improve work processes which deliver health care with improved results across all areas of our service provision. We promote a culture of continuous improvement, where everyone counts and staff are permitted to make suggestions and contributions to improve our service delivery and enhance patient care.

Induction Training

On arrival at the practice all personnel are to complete a practice induction programme; this is managed by the Deputy Practice Manager.

Learning and Development

The effective use of training and development is fundamental in ensuring that all staff are equipped with the appropriate skills, knowledge, attitude and competences to perform their role. All staff will be required to partake and complete mandatory training as directed by the training coordinator, as well as participating in the practice training programme. Staff will also be permitted (subject to approval) to undertake external training courses which will enhance their knowledge and skills, progress their career and ultimately, enable them to improve processes and service delivery.

Collaborative Working

All staff are to recognise the significance of collaborative working. Teamwork is essential in multidisciplinary environments. Effective communication is essential and all staff must ensure they communicate in a manner which enables the sharing of information in an appropriate manner.

Service Delivery

Staff at The Orchard Medical Centremust adhere to the information contained with practice policies and regional directives, ensuring protocols are adhered to at all times. Staff will be given detailed information during the induction process regarding policy and procedure.

Security

The security of the practice is the responsibility of all personnel. Staff must ensure they remain vigilant at all times and report any suspicious activity immediately to their line manager. Under no circumstances are staff to share the codes for the door locks to anyone and are to ensure that restricted areas remain effectively secured.

Professional Conduct

At The Orchard Medical Centre, staff are required to dress appropriately for their role. Administrative staff will be provided with a uniform whilst clinical staff must dress in accordance with their role.

Leave

All personnel are entitled to take leave. Line managers are to ensure all of their staff are afforded the opportunity to take a minimum of The Orchard Medical Centre days leave each year, and should be encouraged to take all of their leave entitlement.

Primary Responsibilities

The following are the core responsibilities of the nurse practitioner. There may be on occasion, a requirement to carry out other tasks; this will be dependent upon factors such as workload and staffing levels:

a. Develop, implement and embed health promotion and well-being programmes

b. Provide a triage service, actively managing or referring patients or treating patients within own scope of practice

c. Identify, manage and support patients as risk of developing long-term conditions, preventing adverse effects on the patients health

d. Provide routine nursing care to patients as required in accordance with clinical based evidence, NICE

e. Request pathology services as necessary, processing and interpreting results as required

f. Refer patients directly to other services as appropriate

g. Maintain accurate clinical records in conjunction with extant legislation

h. Ensure read codes and templates are used effectively

i. Chaperone patients where necessary

j. Prioritise health issues and intervene appropriately

k. Support the team in dealing with clinical emergencies

l. Recognise, assess and refer patients presenting with mental health needs

m. Recognise, assess and refer patients with community health needs, developing strategies for effective care pathways

n. Implement vaccination programmes for adults and children

o. Liaise with external services / agencies to ensure the patient is supported appropriately (vulnerable patients etc.)

p. Delegate clinical responsibilities appropriately (ensuring safe practice and the task is within the scope of practice of the individual)

q. Support the clinical team with all safeguarding matters, in accordance with local and national policies

r. Understand practice and local policies for substance abuse and addictive behaviour, referring patients appropriately

Deliver opportunistic health promotion where appropriate

Deliver opportunistic health promotion where appropriate

In addition to the primary responsibilities, the nurse practitioner may be requested to:

a. If an independent prescriber, prescribe in a safe an effective manner, in accordance with PGD and extant legislation

b. Act as the audit lead, effectively utilising the audit cycle

c. Monitor and ensure the safe storage, rotation and disposal of medicaments

d. Contribute to the implementation of an effective training programme for staff and students within the practice

e. Provide clinical supervision for the nursing team

f. Participate in local initiatives to enhance service delivery and patient care

g. Support and participate in shared learning within the practice

h. Continually review clinical practices, responding to national policies and initiatives where appropriate

i. Be aware of and contribute to the planning and implementation of CCG patient pathway initiatives

j. Participate in the review of significant and near-miss events applying a structured approach i.e. root cause analysis (RCA).

k. Maintain professional registration and adhere to revalidation requirements

Person Specification

Knowledge and skills

Essential

• Please provide detailed information of how you feel that your knowledge and skills are suitable for this roles. Please refer to the job description and person specification for this.

Qualifications

Essential

• Registered Nurse with the NMC
• Non-medical prescriber
• MSC in advanced practice or working towards

Experience

Essential

• Experience of working in a primary care environment.
• Experience of working autonomously
• Please provide detailed information on how you feel your experience is suitable for this role

Desirable

• Experience of working in a GP practice
• Interest in sexual health and contraceptive implants

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

The Orchard Medical Centre

Address

Macdonald Walk

Kingswood

Bristol

South Gloucestershire

BS15 8NJ

Employer's website

https://www.orchardmedicalcentre.co.uk/ (Opens in a new tab)