Job responsibilities
Key Responsibilities and Duties
The Advanced Nurse Practitioner works
autonomously and is accountable for their own professional actions.
Non-Medical
Prescriber with extensive prescribing competencies.
Undertakes
Clinical Nursing Practice at an advanced level using expert knowledge and
clinical skills to deliver holistic care to people accessing primary health
care services.
Assesses,
diagnoses and treats patients requiring primary health care services with a
range of acute, non acute and chronic medical conditions in the patients own
home or surgery who require acute medical attention.
Directly
admits patients to secondary care hospital in acute medical need.
Refers
patients as appropriate to other members of the multidisciplinary team, and to
other statutory and voluntary organisations including referral for other diagnostic
tests e.g., x-ray etc. or direct referral of patients to secondary care without
the need for prior reference to other medical colleagues unless appropriate.
Undertakes
and interprets a range of diagnostic tests and routine clinical procedures,
venepuncture, blood pressure monitoring etc.
Makes
critical judgements of the highest order to satisfy the expectations and
demands of the job eg first contact with patients presenting acutely and
manages care in the presence and absence of protocols.
Advises
and supports others where standard protocols do not apply.
Works
within professional guidelines and codes of conduct.
Works
within all relevant practice policies and procedural guidelines eg infection
control, chaperoning, risk management.
Care Management
Develops
and manages highly specialised programmes of care and care packages and provides
highly specialised advice concerning care eg establishes differential
diagnoses, management/treatment plans and makes referrals as appropriate. Makes
fast track referrals.
Communicates
highly sensitive, condition related information to patients, relatives, and
carers.
Initiates
the process of diagnosis with patients suspected to have a chronic disease eg.
diabetes, COPD, asthma, IHD referring to other clinical staff as appropriate.
Contribute
to PCN targets both local and national within the disease management agenda eg
QOF, etc
Contributes
to disease registers.
Audits
outcomes of care against standards and initiate changes as necessary.
Undertakes
annual review of patients understanding and ability to self manage.
Refers
to other members of the extended primary health care team as appropriate eg
chiropodist, dietician, specialist Nurses.
Strategic Development Of Primary Care
Services
Contributes
to the strategic development of primary care and public health services to meet
patient and population needs within the PCN. Works/liaises across
multi-professional and agency boundaries.
Works
at the forefront of practice/PCN innovation. Determines how to deal with
ambiguous or unique problems to develop and advance primary care services for
the benefit of patients, carers and communities.
Develop
links within the PCN and other local and national bodies relevant to the role.
Health Improvement
Works
to introduce new developments that will improve health outcomes for patients
Shares
innovation with others.
Supports
practitioners in profiling the practice population to initiate contribute and
promote improved health and prevent disease in individuals and groups.
Represents
individuals and families interests when they are not able to do so themselves.
Communication
Provides
and processes highly complex, sensitive, or contentious information professionally
and sensitively.
Uses
developed communication, negotiation, conflict management skills which require empathy,
reassurance, and persuasive skills where there can be significant barriers to
acceptance which need to be overcome.
Regularly
communicates service-related information to the PCN, Practices, patients,
relatives and carers.
Manage/Lead Self/Others
Encourage
and motivate others to be forward thinking in ideas that address the health
needs of the practice/PCN that will be innovative whilst managing and
developing new ways of working. E.g. establishing MDT working within PCN ARRS
and Practice structure to the benefit of patient outcomes.
Develops
and leads on evidence-based practice.
Promotes
effective communication and relationships within the team.
Partakes
in clinical supervision for own development.
Actively
participates in clinical and practice meetings.
Develops
own knowledge and practice to meet objectives/changes in service.
Be
happy to assist in the mentorship and assessment of trainee Nurse
Practitioners.
Influence And Develop Policy
Responsible
for establishing how policies should be interpreted and translated within the
practice.
Implements
local/national, PCT and practice policies, proposes developments and improvements
to service delivery.
Manage And Use Information
Makes
effective use of the clinical system by ensuring the consistent and accurate
entering of data.
Facilitates
the use of up to date information technology in order to collate accurate and
timely information as and when required by the PCN.
Ensures
a satisfactory call and recall system of patients where required using the wider
PCN ARRS and Practice staff to support this.
Assist
in the development of standardised protocols for the PCN and clinical protocols
for the clinical teams.
Identifies,
monitors and reviews deficiencies in procedures and implements remedial action.
Equality and Diversity
The
post-holder will support the equality, diversity and rights of patients, carers
and colleagues by:
Acting
in a way that recognises the importance of peoples rights, interpreting them in
a way that is consistent with procedures, 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.