Lewisham and Greenwich NHS Trust

Emergency Clinical Practitioner

This job is now closed

Job summary

To provide expert autonomous clinical care for patients attending the Emergency Department / Urgent Care Centre.

The post holder will assess and order appropriate investigations, diagnose and treat patients within departmental parameters of practice and clinical guidelines/protocols, discharge or refer to specialist team, those patients who wish to be seen by an Emergency Clinical Practitioner / Emergency Nurse Practitioner without initial reference to a doctor.

The post holder will support the Lead ENP and Matrons in set ways in which the patients are managed and in the implementation of necessary changes according to local and national targets.

Main duties of the job

The assessment, examination, diagnosis and referral of patients attending the Urgent Care Centre with a minor injury or minor illness.

Act as a role model and a resource to colleagues and all members of the multi-disciplinary team.

Participate in the orientation of all new members of staff and students to the ED/UCC

Act as a trainer and assessor to post-registration students within agreed parameters of practice

Facilitate educational practice development for junior staff within the department giving appropriate teaching, support and guidance in accordance with the department's objectives

Participates in in-house teaching programmes

About us

Our people are our greatest asset. When we feel supported and happy at work, this positivity reaches those very people we are here for, the patients. Engaged employees perform at their best and our Equality, Diversity & Inclusion (EDI) initiatives contribute to cultivate a culture of engagement. We have four staff networks, a corporate EDI Team and a suite of programmes and events which aim to insert the 5 aspirations:

Improving representation at senior levels of staff with disabilities, from black, Asian, and ethnic minorities background, identify as LGBTQ+ and women, through improved recruitment and leadership development
Widening access (anchor institution) and employability
Improving the experience of staff with disability
Improving the EDI literacy and confidence of trust staff through training and development
Making equalities mainstream

Date posted

09 August 2024

Pay scheme

Agenda for change

Band

Band 7

Salary

£46,148 to £52,809 a year per annum plus HCA

Contract

Permanent

Working pattern

Full-time

Reference number

197-AJ5668

Job locations

Urgent Care Centre, University Hospital Lewisham

London

SE13 6LH

Job description

Job responsibilities

Through evidence based practice, autonomously assess, treat and discharge patients against defined parameters of practice, including specialist referral; within own Scope of Professional Practice and professional body (NMC / HCPC)

Obtain history; examine patient; initiate/interpret investigations and develop/carry out treatment plans as appropriate on patients with complaints/injuries. Those with conditions outside Parameters of Practice need to be referred for review by a doctor or on-call team

Act on behalf of or at the discretion of the senior ED team, in setting standards of care

Orders necessary investigations, and provides initial interpretation of results and delivers treatment and care both individually, as part of a team, and through referral to other agencies.

Prescribe and administer a range of medication according to patient group directives and in accordance with Trust Policy and / or approved nurse prescribing qualification as appropriate

Work in collaboration with the senior ED staff and other agencies to ensure appropriate management of ongoing care, and monitor the planning, delivering and evaluation of individualised nursing care by initiating regular audit in line with clinical effectiveness

Participate in Clinical Benchmarking as appropriate

Performs a range of expanded/advanced level practice, including manipulation of fractures and joints

Identifies children and/or vulnerable adults who have been or are at risk of being harmed and/or neglected, and is aware of how to report this

Provide accurate records, which are complete, legible and reflect the holistic assessment according to clinical guidelines and local policy whilst demonstrating the need for respecting confidentiality

Work in conjunction with the senior ED team to ensure that the Divisional aims and objectives are maintained.

Awareness of local, national and international health improvement/public health initiatives and/or legislations

Understands mechanisms for reporting infectious diseases

Be responsible for establishing an environment, which promotes academic and practice credibility.

Assist in the investigation of Clinical Incidents and complaints.

Job description

Job responsibilities

Act on behalf of or at the discretion of the senior ED team, in setting standards of care

Orders necessary investigations, and provides initial interpretation of results and delivers treatment and care both individually, as part of a team, and through referral to other agencies.

Prescribe and administer a range of medication according to patient group directives and in accordance with Trust Policy and / or approved nurse prescribing qualification as appropriate

Participate in Clinical Benchmarking as appropriate

Performs a range of expanded/advanced level practice, including manipulation of fractures and joints

Identifies children and/or vulnerable adults who have been or are at risk of being harmed and/or neglected, and is aware of how to report this

Work in conjunction with the senior ED team to ensure that the Divisional aims and objectives are maintained.

Awareness of local, national and international health improvement/public health initiatives and/or legislations

Understands mechanisms for reporting infectious diseases

Be responsible for establishing an environment, which promotes academic and practice credibility.

Assist in the investigation of Clinical Incidents and complaints.

Person Specification

Attainments

Essential

NMC registered Nurse / Other allied health care professional (HCPC) Degree in relevant health subject
ILS or equivalent Teaching / assessment / Mentorship Qualification

Desirable

Approved autonomous practice course in minor injury and illness. Post-registration qualification in autonomous / specialist / advanced assessment practice* Non-medical Prescribing course* Master's in advanced practice * Leadership qualification

Work Experience

Essential

Significant acute care experience (5 years), which includes working at a minimum of band 6 or equivalent.
Teaching and assessment experience in clinical practice Experience of leadership experience

Desirable

Minimum of 1 years' experience at trainee level or prior experience in an autonomous practitioner role Experience of service / practice development* Experience in a range of acute care settings*

Skills, Knowledge and Ability

Essential

Fundamental emergency skills (such as plastering, cannulation, wound closure etc.)
Critical decision making skills Medicines Management: Experience at working with Patient Group Directives (PGDs)

Desirable

Advanced clinical assessment and documentation skills Evidence of radiology requesting Autonomous clinical assessment skills Competence in radiology requesting and interpretation Clinical Audit and interest in research* Knowledge of pathophysiology and clinical diagnostics*

Person Specification

Attainments

Essential

NMC registered Nurse / Other allied health care professional (HCPC) Degree in relevant health subject
ILS or equivalent Teaching / assessment / Mentorship Qualification

Desirable

Approved autonomous practice course in minor injury and illness. Post-registration qualification in autonomous / specialist / advanced assessment practice* Non-medical Prescribing course* Master's in advanced practice * Leadership qualification

Work Experience

Essential

Significant acute care experience (5 years), which includes working at a minimum of band 6 or equivalent.
Teaching and assessment experience in clinical practice Experience of leadership experience

Desirable

Minimum of 1 years' experience at trainee level or prior experience in an autonomous practitioner role Experience of service / practice development* Experience in a range of acute care settings*

Skills, Knowledge and Ability

Essential

Fundamental emergency skills (such as plastering, cannulation, wound closure etc.)
Critical decision making skills Medicines Management: Experience at working with Patient Group Directives (PGDs)

Desirable

Advanced clinical assessment and documentation skills Evidence of radiology requesting Autonomous clinical assessment skills Competence in radiology requesting and interpretation Clinical Audit and interest in research* Knowledge of pathophysiology and clinical diagnostics*

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).

Additional information

Disclosure and Barring Service Check

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

Lewisham and Greenwich NHS Trust

Address

Urgent Care Centre, University Hospital Lewisham

London

SE13 6LH

Employer's website

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

Employer details

Employer name

Lewisham and Greenwich NHS Trust

Address

Urgent Care Centre, University Hospital Lewisham

London

SE13 6LH

Employer's website

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