Advanced Nurse Practitioner

Job responsibilities

The following are the core responsibilities of the advanced 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. Manage patients presenting with a range of acute and chronic medical conditions, providing subject matter expert advise to patients

c. Implement and evaluate individual specialised treatment plans for chronic disease patients

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

e. Provide advanced, specialist nursing care to patients as required in accordance with clinical based evidence, NICE and the NSF

f. Provide wound care (ulcer /Doppler etc.) to patients

g. Provide specialist clinics such as ear syringing, contraception etc.

h. Undertake the collection of pathological specimens

i. Provide travel medicine services

j. Request pathology services as necessary

k. Process and interpret pathology and other test results as required

l. Provide chronic disease clinics, delivering patient care as necessary, referring patients to secondary / specialist care as required

m. Maintain accurate clinical records in conjunction with extant legislation

n. Ensure read codes are used effectively

o. Maintain chronic disease registers

p. Develop, implement and embed well woman clinics

q. Develop, implement and embed well man clinics

r. Develop, implement and embed travel clinics

s. Develop, implement and embed an effective call/recall system

t. Be responsible for the implementation of an effective immunisation programme

u. Chaperone patients where necessary

v. Prioritise health issues and intervene appropriately

w. Support the team in dealing with clinical emergencies

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

y. Implement vaccination programmes for adults and children

z. Extended and supplementary prescriber, adhering to extant guidance

aa. Support patients in the use of their prescribed medicines or over the counter medicines (within own scope of practice), reviewing annually as required

bb. Contribute to practice targets (QOF etc.), complying with local and regional guidance

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

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

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

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

gg. Deliver opportunistic health promotion where appropriate

Secondary Responsibilities

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

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

b. Act as the IPC lead for the practice, ensuring compliance, undertaking audit as necessary

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

d. Overall management of the nursing team, providing guidance when necessary, acting as a mentor to students and newly qualified staff

e. Maintain an effective nursing staff rota, ensuring all clinics are staffed appropriately

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

g. Support and participate in shared learning within the practice

h. Develops an area of specialist interest, taking the lead within the practice

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

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

k. Drives the development of nursing services within the practice, liaising external agencies and professional organisations as required

l. Develops practice administrative and clinical protocols in line with the needs of the patient and current legislation

Qualifications

Essential

• Registered Nurse
• Post graduate diploma or degree (Advanced Practice Qualification)
• Qualified Nurse Prescriber
• Qualified Triage Nurse

Desirable

• Minor Illness Qualification
• Teaching Qualification
• ALS, PALS

Experience

Essential

• Experience of working in a primary care environment
• Experience of chronic disease management
• Experience of prescribing and undertaking medication reviews

Desirable

• Experience of working as a practice nurse or community nurse

Skills

Essential

• Excellent communication skills (written and oral)
• Strong IT skills
• Clear, polite telephone manner
• Competent in the use of Office and Outlook
• EMIS / Systmone / Vision user skills
• Effective time management (Planning & Organising)
• Ability to work as a team member and autonomously
• Good interpersonal skills
• Problem solving & analytical skills
• Ability to follow clinical policy and procedure

Desirable

• Experience with audit and able to lead audit programmes
• Experience with clinical risk management

Clinical Knowledge

Essential

• Wound Care / Removal of sutures & staples
• ECGs
• Venepuncture
• New patient medicals
• Chaperone procedure
• Requesting pathology tests and processing the results, advising patients accordingly
• Travel medicine
• Diabetes
• Hypertension
• Asthma
• Spirometry
• CHD
• Immunisations (routine, childhood and travel)
• Womens health (Cervical cytology, contraception, etc.)
• Understands the importance of evidence based practice
• Broad knowledge of clinical governance
• Ability to record accurate clinical notes
• Ability to work within own scope of practice and understanding when to refer to GPs
• Knowledge of health promotion strategies
• Understands the requirement for PGDs and associated policy

Desirable

• Knowledge of public health issues in the local area
• Awareness of issues within the wider health arena

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

UK Registration

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