Advanced Nurse Practitioner

Job responsibilities

Job description

Advanced Nurse Practitioner

Title: Advanced nurse practitioner

Salary Level Recommendation: Guided by Band 8

Hours of duty:to be agreed on appointment Responsible to: GP Accountable to: GP

Line Management Responsibilities: this will be updated by the practice if staff management is required

Job summary

1. 1.Care homes - first port of call for clinical queries from our 3 care homes (130 beds). Working closely with our care co-ordinators on managing home patients, either over the phone or visiting

• New resident care plans following hospital discharge incl RESPECT
• Deterioration of patients including dementia
• Prescription queries
• Minor illness chest infections, UTIs etc
• Weekly MDT with each home
• Liaison with outside agencies eg community nursing team

2. Assist duty team (GP and paramedic) where required, providing care, assessments and treatment plans for our non care home patients.

3. Assisting with chronic disease management (eg hypertension, diabetes, AF). Can involve auditing areas of work to prioritise and optimise the healthcare of such patients.

Key responsibilities

Clinical practice

• Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis
• Clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly
• Assess, diagnosis, plan, implement and evaluate interventions/treatments for patients with complex needs
• Proactively identify, diagnose and manage 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
• Support patients to adopt health promotion strategies that promote healthy lifestyles, and apply principles of self-care
• Communication

• Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment
• Communicate with and support patients who are receiving bad news
• Communicate effectively with patients and carers, including care home staff, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating
• Maintain effective communication within the practice environment and with external stakeholders
• Act as an advocate for patients and colleagues

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 NSF, NICE guidelines and evidence-based care
• Assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation
• Initiate and 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 the work of self and the team, 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
• Support and participate in shared learning across the practice and wider organisation
• Contribute to the appraisal of the performance of the team, providing feedback as appropriate
• 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
• Working with practice management to ensure the whole team have skills and knowledge regarding domestic violence, vulnerable adults, substance abuse and addictive behaviour. Provide guidance and support to ensure appropriate referral if required

Team working

• 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
• Delegate clearly and appropriately, adopting the principles of safe practice and assessment of competence
• Create clear referral mechanisms to meet patient need
• Prioritise own workload and ensure effective time-management strategies are embedded within the culture of the team
• Work effectively with others to clearly define values, direction and policies impacting upon care delivery
• Discuss, highlight and work with the team to create opportunities to improve patient care
• Manage and lead on the delivery of specifically identified services or projects as agreed with the practice management team
• Agree plans and outcomes by which to measure success

Management of risk

• Manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and patients
• Monitor work areas and practices to ensure they are safe and free from hazards and conform to health, safety and security legislation, policies, procedures and guidelines
• Apply infection-control measures within the practice according to local and national guidelines

Managing information

• Use technology and appropriate software as an aid to management in planning, implementation and monitoring of care, presenting and communicating information, including use of System One, Ardens templates and Accurx
• Review and process data using accurate Read codes in order to ensure easy and accurate information retrieval for monitoring and audit processes
• Working with care co-ordinators and practice management, be able to create clinical searches on System One to establish areas of priority
• Collate, analyse and present clinical data and information to the team where appropriate

Learning and development

• Disseminate learning and information gained to other team members in order to share good practice and inform others about current and future developments (eg courses and conferences)
• Assess own learning needs and undertake learning as appropriate
• Provide an educational role to patients, carers, families and colleagues in an environment that facilitates learning

Knowledge

Essential

• Advanced clinical practice skills
• Management of patients with long-term conditions
• Management of patients with complex needs
• Clinical examination skills
• Clinical system IT skills
• Accountability of own role and other roles in a nurse-led service
• Local and national health policy
• Clinical governance issues
• Patient group directions and associated policy

Experience

Essential

• Significant post registration experience
• Recent primary and/or community nursing experience
• Compiling protocols and clinical guidelines
• Audit
• Nurse prescribing

Desirable

• Nurse-led management of minor illness, minor ailments

Qualifications

Essential

• Registered first level nurse MSc or equivalent
• Prescribing qualification

Desirable

• Community nursing specialist qualification

Other skills

Essential

• Self-directed practitioner
• Highly motivated
• Flexibility
• Enthusiasm and compassion
• Team player
• Ability to work across boundaries

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).