Advanced Nurse Practitioner

Job description

Job responsibilities

Clinical practice

Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis including those with complex needs, whilst demonstrating safe clinical decision making skills.

Clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly

Proactively identify, diagnose and initiate treatment plans for patients at risk of developing a long-term condition (as appropriate)

Diagnose and manage both acute and chronic conditions, integrating both drug- and non-drug-based treatment methods into a management plan

Prescribe and review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and practice protocols, and within scope of practice

Initiates appropriate diagnostic strategies and therapeutic interventions including laboratory request, ECGs and Dopplers with attention to safety, cost invasiveness, acceptability and efficacy.

Interprets and evaluates diagnostic test results in liaison with the patient and their GP and initiates treatment accordingly.

Work with patients in order to support compliance with and adherence to prescribed treatments.

Provide information and advice on prescribed or over-the-counter medication on medication regimens, side-effects and interactions

Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care;

Assess, identify and refer patients presenting with mental health needs in accordance with the practice guidelines for Mental Health

.Delivering a quality service

Recognise and work within own competence and professional code of conduct as regulated by the NMC

Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures

Prioritise, organise and manage own workload in a manner that maintains and promotes quality

Deliver care according to practice protocols, current national guidelines and evidence-based care

Participate in planning and implementing changes within the area of care and responsibility

Assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation

Critically evaluate and review innovations and developments that are relevant to the area of work

Follow infection-control measures within the practice according to local and national guidelines

Participate in the maintenance of quality governance systems and processes across the organisation and its activities

Utilise the audit cycle as a means of evaluating the quality of work, implementing improvements where required

In partnership with other clinical teams, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriate

Evaluate patients response to health care provision and the effectiveness of care

Participate in shared learning across the practice and wider organisation

Participates in the mentoring process, coaching and supporting trainees in clinical development

Review and identify learning from patient complaints, clinical incidents and near-miss events

Understand and apply legal issues that support the identification of vulnerable and abused children and adults, and be aware of statutory child/vulnerable patients health procedures and local guidance

Other

• Understand own role and scope and identify how this may develop over time
• Work as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working
• Use clear referral mechanisms to meet patient need
• Prioritise own workload and ensure effective time-management strategies are adopted.
• Participate in discussion with the team to create opportunities to improve patient care
• Input on the delivery of specifically identified services or projects as agreed with the Lead nurse practitioner

Health & Safety

• The post-holder will assist in promoting and maintaining their own and others health, safety and security as defined in the practice Health & Safety policy, the practice Health & Safety manual, and the practice Infection Control policy and published procedures. This will include:

  Using personal security systems within the workplace according to practice guidelines

  • Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks
  • Making effective use of training to update knowledge and skills
  • Using appropriate infection control procedures, maintaining work areas in a tidy and safe way and free from hazards
  • Actively reporting of health and safety hazards and infection hazards immediately when recognised
  • Keeping own work areas and general / patient areas generally clean, assisting in the maintenance of general standards of cleanliness consistent with the scope of the job holders role
  • Undertaking periodic infection control training (minimum annually)
  • Reporting potential risks identified

Equality and diversity

• The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include:

• Acting in a way that recognizes the importance of peoples rights, interpreting them in a way that is consistent with practice procedures and policies, and current legislation.

  • Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues.
  • Behaving in a manner which is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights.

Personal/Professional development

The post-holder will participate in any training programme implemented by the practice as part of this employment, such training to include: Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development including nurse revalidation. Taking responsibility for own development, learning, and performance and demonstrating skills and activities to others.

Quality

• The post-holder will strive to maintain quality within the practice and service, and will:

  Alert other team members to issues of quality and risk.

  • Assess own performance and take accountability for own actions, either directly or under supervision.
  • Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance.
  • Work effectively with individuals in other agencies to meet patients needs.
  • Effectively manage own time, workload and resources.

Communication:

The post-holder should recognize the importance of effective communication within the team and will:

Communicate effectively with other team members.

• Communicate effectively with patients.
• Recognize peoples needs for alternative methods of communication and respond accordingly.

Administration

To liaise closely with other health care/administration staff members to organise and maintain effective methods of recall systems.

• To enter information on the computer and maintain accurate records.

Training and Professional Development

To be accountable for profession standards of care.

• Participate in programmes of profession training to keep updated and consolidate existing knowledge, demonstrating professional development with practice.
• Using knowledge gained from professional training; disseminate research findings and new knowledge to facilitate change in clinical practice.
• To be responsible for ensuring safe practice adhering to infection control standards and risk management, implementing action in areas of concern.
• Support practice development plans and participate in developing and reviewing practice protocols.
• Participate in multi-disciplinary team meetings, working towards the common goal of the practice.
• The post holder will attend relevant meetings convened by the Practice Manager or GP, Lead Nurse Practitioner to discuss and plan workloads and protocols for care.
• Attendance at in-house clinical meetings will be expected.
• Additional specific training to fulfil competency for role.

Clinical Development of Practice

• Initiate and participate in practice developments to enhance the nursing contribution and quality of care.

  • Initiate the management of skilled holistic care for users and carers in general practice as appropriate.
  • Maintain current professional portfolio and continuous professional development plan.
  • Be prepared to attend annual appraisals where professional development will be discussed and PDPs planned for the following year.
  This is not an exhaustive list of duties. This job description outlines the key responsibilities of the post; it does not form the Main Statements of Terms and Conditions of Employment

Person Specification

Experience

Essential

• Experience of working within a nursing team

Desirable

• Experience of working in a GP practice

Qualifications

Essential

• NMC number
• Nurse Independent/Supplementary Prescriber

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).

Employer details

Employer name

Mercheford House Surgery

Address

28 Elwyn Road

March

Cambs

PE15 9BY

Employer's website

https://www.merchefordhouse.nhs.uk (Opens in a new tab)