Trainee Advanced Clinical Practitioner

Job description

Job responsibilities

The tEM-ACP post holder will:

Practice in compliance with their respective (NMC, HCPC, GPhC) Code of Professional Conduct being responsible and accountable for their decisions, actions, or omissions at this level of advanced practice.

Act within the required scope of professional practice and in accordance with local and national guidelines, taking responsibility for decisions, actions, and omissions.

Act as a clinical role model and advocate delivering high standards of care which are responsive to the needs of service provision and service users.

Demonstrate comprehensive knowledge of physiology and pathophysiology in a range of clinical conditions and disease processes within Emergency Medicine to plan and manage episodes of care admission to discharge, utilising the multi-professional team and allied health professionals appropriately.

Elicit a patient history appropriate to the clinical situation, which will include, presenting complaint, history of the present illness, past medical history, social history, family history, medications, allergies, review of systems, risk factors and appropriate targeted history.

Perform a physical examination tailored to the needs of the patients and the demands of the clinical situation.

Apply comprehensive knowledge, clinical reasoning, and decision-making skills to instigate, evaluate and interpret pertinent investigations.

Initiate appropriate pharmacological therapies applying critical knowledge of pathophysiology, pharmacodynamics, pharmacokinetics, and polypharmacy.

After approval from the Trusts Independent / Supplementary Prescribing Lead, the trainee will undertake Independent / Supplementary Prescribing Module (V300) where after the trainee will record the achievement on their regulatory bodys professional registration. The (t)EM-ACP will then be able to prescribe medications safely and effectively in line with their scope of practice, utilising local or organisational guidelines, national guidelines, and adhering to the Royal Pharmaceutical Society (RPS) Prescribing Standards, and those of their professional regulatory body (e.g., NMC, HCPC, GPhC).

Develop knowledge and skills to enable safe intravenous medication administration.

Demonstrate professional judgement and emotional intelligence to recognise when additional support is required and access the relevant clinical and psychosocial support for self, multidisciplinary team, and service users.

Collaborate effectively with service users and the multi-disciplinary team to continuously assess, evaluate, and adapt management plans to augment care delivery and outcomes.

Demonstrate comprehensive knowledge and understanding of local and national geographical service delivery factors which influence care pathways to initiate and optimise care and outcomes for service users.

Demonstrate an ability to navigate data technology systems to access, correlate and share relevant information in accordance with local and national policies.

Demonstrates evidence underpinning Emergency Medicine capabilities and competencies, through the development of a professional portfolio for Advanced Clinical Practice in line with the RCEM curriculum.

Actively promotes diversity, including race diversity; both within service delivery and in the management and development of staff within clinical areas. Sustains relationships which promote dignity, rights and responsibilities. Identifies and takes action to address discrimination and oppression.

The list of skills and procedures in which the trainee must become proficient in. For the list of further core procedural and additional skills as part of EM-ACP training see the RCEM ACP Curriculum (www.rcem.ac.uk/acp-curriculum/ ).

Foundation tEM-ACP procedures

Core tEM-ACP procedures

Venepuncture & Peripheral venous cannulation

Arterial blood gas sampling

Prepare and administer IV medications, injections including infusion of blood components

Pleural aspiration of air

Take blood cultures from peripheral sites

Manipulation of fracture / dislocation

Injection of local anaesthetic to skin

Plastering

Use a range of techniques for wound closure

Vascular access in emergency (IO)

Injection: subcutaneous and intramuscular

External pacing

Perform 12 lead ECG

DC Cardioversion

Nasogastric tube insertion

Establish and manage non-invasive ventilation

Aseptic technique

ED management of life-threatening haemorrhage

Perform peak flow measurements

Airway management (including iGEL/LMA) without drugs

Urethral catheters (male & female)

For the tEM-ACP to undertake the relevant practical procedures they need to undertake an ordered and safe approach to the execution of the procedures that takes account of several key elements including the ability to:

• Take informed consent and use appropriate consent documentation
• Describe and identify relevant anatomy and physiology
• Understand the implications, risks and complications associated with the procedure(s)
• Describe and understand methods and techniques
• Ensure safe use and management of equipment including aseptic techniques
• Order relevant investigations
• Prioritise workload order
• Prepare the patient and environment for the procedure
• Ensure a safe approach to, and execution of, the procedure
• Initiate therapeutic strategies and care plans including modification according to patient response
• Manage procedure aftercare and complications
• Request help from appropriate healthcare professional when required

Person Specification

Education, Qualifications & Training

Essential

• Registered Healthcare Professional (NMC, HCPC, GPhC)
• Educated to a minimum of 1st degree level, or able to demonstrate evidence that working towards
• Advanced history taking and clinical assessment module at Masters level

Desirable

• Immediate Life Support / Advanced Life Support Provider for Adults and or Paediatrics
• Mentoring, Facilitating Workplace Learning or Clinical Supervision Qualification
• Leadership course / qualification

Experience

Essential

• Extensive (at least 5 years post registration with a minimum of 3 years) emergency / acute care experience
• Proven evidence of management ability and leadership
• Experience of clinical governance practices, audit, service evaluation or quality improvement in clinical practice

Desirable

• Evidence of existing clinical skills / procedures as per job description
• Experience of successful Change Management

Skills, Knowledge & Abilities

Essential

• Ability to communicate effectively verbally and in writing, including analysing and presenting information of a highly complex, sensitive or contentious nature to a variety of audiences
• Ability to recognise and analyse complex situations, utilising decision-making skills to take appropriate action
• Evidence of effective team working as part of a multi-disciplinary professional team
• Demonstrates attitudes and behaviours which reflect the Trust CARE values and role model these to others.
• Demonstrates a desire to explore new ways of delivering services

Desirable

• Evidence of delivering educational teaching and associated evaluations, internally and/or externally to the organisation

Other

Essential

• Evidence of well-developed IT sills using a wide range of programmes / packages
• Excellent record of attendance, excellent time management skills and flexible approach to work.
• Able to meet the physical demands of the role such as moving and handling of patients, operating and maintaining clinical and training equipment.
• Able to apply and sustain mental effort required to carry out complex and detailed work requiring high levels of concentration, attention to detail and effective time management.
• Ability to work under own initiative to add value and contribute to business success.

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

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

Royal Berkshire NHS Foundation Trust

Address

Royal Berkshire NHS Foundation Trust

London Road

Reading

RG1 5AN

Employer's website

https://www.royalberkshire.nhs.uk/ (Opens in a new tab)