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 a cute 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 patients 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
Deliver opportunistic health promotion where
appropriate
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
Develops practice administrative and clinical
protocols in line with the needs of the patient and current legislation