Advanced Nurse Practitioner

Job description

Job responsibilities

ADVANCED NURSE PRACTITIONER

MBPCC Community Diagnostic Centres

Job Description

Post:Advanced Nurse Practitioner

Accountable to:Morecambe Bay Primary Care Collaborative

Hours:37.5 hours per week

Salary:£32.00 per hour

Base:Heysham Health Centre

Job Purpose:

• Morecambe Bay Primary Care Collaborative are involved in the delivery of Community Diagnostics, the role is to support patients through a diagnostic pathway. Community Diagnostics is a group of diagnostic test and procedures that require skills and competencies to provide the diagnostics interpret results and direct patients to next stages.

• To support and deliver the Community Diagnostic Services, working as part of the services multidisciplinary team, delivering their scope of practice to the entitled patient population.

Key Duties & Responsibilities:

• Advanced Nurse Practitioners are dependent practitioners but can work autonomously with appropriate support. However, you will need to stay within the limits of your scope of practice and know when to refer to doctors and other healthcare professionals.

• As an Advanced Nurse Practitioner, you'll need to:

• take patient medical histories during face-to-face and/or telephone consultations

• carry out physical examinations

• order diagnostic tests and analyse results

• make diagnoses and clinical assessments

• carry out a range of diagnostic and therapeutic procedures within the scope of your role as et out below;

• General treatment room skills

• Urinalysis

• Spirometry

• Warfarin (INR) monitoring

• ECG

• BT, BP and Weight

• Hypertension

• Diabetes

• Asthma/COPD

• CHD

• develop and deliver appropriate treatment and care management plans in consultation with patients, their relatives, and carers

• organise further investigations, treatment, and referral to a doctor/other healthcare professional where appropriate

• evaluate the effectiveness of care management plans

• provide patients with advice and counselling on health promotion and disease prevention

• maintain accurate clinical records

• complete paperwork and other administration duties, including writing reports, letters, and other correspondence.

• Performance Reporting

• Support the implementation of evidence-based guidelines in conjunction with the team.

• Participate in an annual appraisal.

Communication

• Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment.

• Communicate effectively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background, and preferred ways of communicating.

• Anticipate barriers to communication and take action to improve where practicably possible.

• 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.

• Use a structured framework (eg root-cause analysis) to manage, review and identify learning from patient complaints, clinical incidents, and near-miss events.

• Assess the impact of policy implementation on care delivery.

• 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.

• Have skills and knowledge regarding domestic violence, vulnerable adults, substance abuse and addictive behaviour.

Leadership personal and people development

• Take responsibility for own learning and performance including participating in clinical supervision and acting as a positive role model.

• Support staff development in order to maximise potential.

• Actively promote the workplace as a learning environment, encouraging everyone to learn from each other and from external good practice.

• Encourage others to make realistic self-assessment of their application of knowledge and skills, challenging any complacency or actions that are not in the interest of the public and/or users of services.

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

• Enlist support and influence stakeholders and decision-makers in order to bring about new developments in the provision of services.

• Take a lead role in planning and implementing changes within the area of care and responsibility.

• Contribute to the development of local guidelines, protocols, and standards.

• Maintain effective communication with those responsible for the overall commissioning and procurement process.

• Maintain active involvement in the planning and processes of practice-based commissioning or similar initiatives.

• Market the role of the nurse practitioner in general practice

Team working

• Understand own role and scope and identify how this may develop over time.

• Work as an effective and responsible team leader and 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 utilised.

• 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.

• Advocate for policies that reduce environmental health risks, are culturally sensitive and increase access to health care for all.

• Interpret national strategies and policies into local implementation strategies that are aligned to the values and culture of general practice.

Managing information

• Use technology and appropriate software as an aid to management in planning, implementation and monitoring of care, presenting, and communicating information.

• Review and process data using accurate clinical codes in order to ensure easy and accurate information retrieval for monitoring and audit processes.

• Manage information searches using the internet and local library databases.

• Understand responsibility of self and others to the practice and primary care trust regarding the Freedom and Information Act.

Learning and development

• Undertake mentorship for more junior staff, assessing competence against set standards.

• Disseminate learning and information gained to other team members in order to share good practice and inform others about current and future developments.

• 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.

This job description is neither definitive nor exhaustive and may be reviewed in the light of changing circumstances at a personal or organisational level. Any changes will be made in consultation with the post holder through the appraisal and review process.

All staff have an individual responsibility to comply with the organisations policies and practices.

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.

Person Specification

Experience

Essential

• Working autonomously in an advanced nursing role
• Audit
• Research
• Nurse prescribing

Desirable

• Working with community development initiatives
• Health needs assessment
• Experience of working within a primary care or General Practice
• Experience of case management
• Nurse led triage

Qualifications

Essential

• Essential
• Registered first level nurse MSc or equivalent
• Relevant nursing/health degree
• Mentor/teaching qualification
• Clinical supervision training
• Independent prescribing qualification

Desirable

• Long term conditions qualification

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

Morecambe Bay Primary Care Collaborative

Address

Heysham Primary Care Centre

Middleton Way

Heysham

Morecambe

Lancashire

LA3 2LE

Employer's website

https://mbpcc.co.uk/ (Opens in a new tab)