Job responsibilities
The following are the core responsibilities
of the Advanced Clinical Practitioner.
This list is intended to summarise the key
responsibilities and is not intended to cover every task that may be required
for the role. There may be, on
occasion, a requirement to carry out other tasks. This will be dependent upon
factors such as workload and colleague levels:
Clinical Knowledge and Skills
Assess and treat a wide range of patients, with
undifferentiated, diagnosed and undiagnosed conditions, in a variety of
settings and the patients own home, both face to face and by telephone
consultation.
Undertake direct clinical management of patients,
including history taking, systemic physical assessment, diagnosis,
formulation of clinical management plan and prescribing appropriate
treatment, in accordance with both national and organisational guidelines.
Manage complex and changing clinical situations including
deteriorating patients, palliative and end of life patients and mental health
presentations.
Prescribe and supply or administer medication and
treatments according to own scope of clinical practice and organisational
policies.
Participate in the OOH triage service if required.
Accurately assess, prioritise and arrange review or referral of patients, if
appropriate, using a variety of techniques to elicit and interpret history of
an event or illness, including past medical history and drug history, in
order to reach a clinical decision. Offer safe and evidence-based advice for
self-care if appropriate.
To refer to and liaise with other agencies, including
secondary care providers, community nursing teams, hospice colleagues as
required.
Use excellent communications skills to ensure patients
and their loved ones or carers gain the fullest understanding of their health
needs and services available, including those who may be at risk because of
barriers to communication.
Maintain accurate and contemporaneous records.
Act as an advocate for the patient.
Act
as a role model for colleagues, providing best practice in all aspects of
care, and ensure care is guided by agreed policies and procedures. This
specifically includes practice relating to safeguarding and medicine
management.
To
work as part of a wider team to ensure that the care of people living with
Frailty is based on relevant best practice guidance including, NSFs and NICE
guidance and ICB policies.
Responsibility for Patient
Care
Recognise
and work within own competence and professional code of conduct as regulated
by the HCPC.
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.
Participate
in the maintenance of quality governance systems and processes across the
organisation and its activities.
In
partnership with other clinical teams, collaborate on improving the quality
of health care responding to local and national policies and initiatives as
appropriate.
Proactive
Patient Care Specific (where required):
Assess,
diagnose, plan, implement and evaluate treatment/interventions and care for
patients.
Clinically
examine and assess patient needs from a physiological and psychological
perspective, and develop person centered and holistic plans of clinical care
accordingly.
Assess,
diagnosis, plan, implement and evaluate interventions/treatments for patients
with complex needs seeking advice as appropriate.
Prescribe
and review medication within personal ability for therapeutic effectiveness,
appropriate to patient needs and in accordance with evidence-based practice
and national and practice protocols, and within scope of practice.
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 and working with our multiple stakeholders to ensure best patient care,
ensuring patients receive the right care at the right time.
Support
patients and their families to adopt health promotion strategies that promote
healthy lifestyles, and apply principles of self-care.
Assess,
identify and refer patients presenting with mental health needs in accordance
with the NSF for Mental Health.
Communication
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 communication.
Utilise
and demonstrate sensitive communication styles, to ensure patients and their
families are fully informed and consent to treatment.
Maintain
effective communication within the practice environment and with external
stakeholders.
Act
as an advocate for patients and colleagues.
Act as a representative of the organisation to ensure One
Wirral CIC is held in high regard
Maintain up to date
professional registration.
Maintain clinical credibility by demonstrating continuous
professional development.
Maintain professional training and registration
requirements for area of responsibility.
Undertake training and education as required and ensure
the highest standard of evidence based practice.
Analytical Tasks
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 SNOMED codes in order to ensure easy and
accurate information retrieval for monitoring and audit processes.
Understand
responsibility of self and others to the practice and primary care trust
regarding the Freedom of Information Act.
Present
clinical data and information to the MDT team to agree patient pathway.
Planning and Organisational Skills
Implement
agreed plans and input ideas for future service developments.
Plan
and organise own duties so that they are completed accurately and within
agreed time frames.
Reflect
and monitor effectiveness and quality of service provisions and work closely
work with service managers to improve delivery.
Physical Skills
Able
to travel across various sites if needed.
Work
is physically challenging and will include physical examination of patients,
lifting and handling of patients and equipment.
Undertake
a range of diagnostics including ECG and phlebotomy and near patient testing
as appropriate.
Keyboard
skills; knowledge of electronic care records and mobile working, databases,
spreadsheet, email, word processing, presentation, email/Internet/Intranet
and clinical software systems
Policy and Service
Development Implementation
Contribute
where necessary to the development of service policies and guidelines for all,
sharing ideas for service improvements within the team meetings.
Monitor
own 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.
Advocate
for policies that reduce environmental health risks, are culturally sensitive
and increase access to health care for all.
Duties may vary from time to time without
changing the general character of the post or the level of responsibility.
