Emergency Nurse Practitioner

Job responsibilities

Organisational:

To monitor, maintain and regularly review acceptable standards of care in conjunction with the ENP Team and other members of MDT, taking appropriate action if standards are not met.

Participate in the development of policies, protocols and clinical guidelines necessary to support the development of the service

Maintain national and local standards/protocols pertaining to clinical area, taking remedial action as appropriate and reporting deficits to the A&E Matron / Manager as appropriate.

Contribute to and influence decisions regarding service delivery through the participation in meetings.

Ensure the economical use of all resources.

Recognise and manage areas of potential conflict.

Recognise and manage any complaints from patients/carers, reporting issues to the A&E Matron / Manager as appropriate.

Participate in the setting, implementing and monitoring of organisational/local objectives.

Clinical:

Assess, plan, implement and evaluate individual programmes of care based on agreed protocols and in consideration of individual need.

Provide appropriate strategies for health promotion and health education

Be an effective practitioner with the ability to demonstrate clinical expertise

Demonstrate holistic assessment, planning, diagnosis, implementation and evaluation of patient care.

Request diagnostic tests and undertake interpretation of results

Make decisions regarding patient treatment plans independently.

Ensure appropriate referral to hospital specialists or other services within the community, in accordance with locally established clinical guidelines.

Ensure safe discharge home, with appropriate after care and advice.

Work as an Independent Nurse Prescriber, and Supplementary Nurse Prescriber, in accordance with the Nurse Prescribing Formulary.

Provide clinical information and advice to all members of the multi-disciplinary team, other agencies, patients and relatives

Support the A&E Matron / Manager and Director of Nursing in processes of continuous quality improvement. Formally evaluate the standards of care and lead in the implementation of required change.

Act as a role model to all members of staff including medical staff.

Demonstrate empathetic interpersonal and communication skills in dealing with patients who present with minor injury or illness, and their carers.

Demonstrate own expertise in appropriate areas of role expansion, and support programmes to facilitate this development in others.

Promote best practice.

Act as patient advocate through the application of ethical, legal and professional knowledge and skills.

Professional:

Be professionally accountable for own actions and advance nursing practice

Take responsibility for own professional development, developing own skills within the Scope of Professional Practice and Trust development programmes. Attending any training/development activities required by the Trust and maintaining own personal development profile.

To abide by Infection Prevention and Control policies relevant to your area of work, and undertake the necessary level of training

Participate in networks and forums to promote sharing / benchmarking of evidence based practice

Promote and comply with NMC professional standards and local standards for record keeping.

Promote and support the development of a dynamic and interactive leaning environment which meets the needs of learners and trained staff within the department.

Maximise opportunities to promote health education and health promotion to patients and carers.

Strategic and Service Responsibility:

Promote effective communication within the department, to patients, carers, visitors, members of the multi-disciplinary team and external agencies. Receiving and reporting sensitive information, as appropriate taking into account rules of confidentiality.

In all aspects of work demonstrate an ability to work across organizational and professional boundaries, ensuring high quality of care.

Actively seek to improve and develop the emergency care process.

Governance:

To assist in the development of relevant standards, protocols and procedures in conjunction with the multi-professional team, ensuring that clinical practices are evidenced based and benchmarked against best practice.

Promote clinical excellence through initiating/participating in setting, maintaining and monitoring standards of care with the clinical governance framework and take part in audit and bench marking activities.

To assist in the investigation and take corrective action relating to untoward incidents, accidents and complaints in accordance with Trust policies and procedures.

Be aware of child protection guidelines together with strategies to safe guard vulnerable adults. Seek guidance and support form senior staff where necessary.

Initiate and participate in the delivery of evidence based care.

Maintain awareness of current nursing practice/research with particular reference to own working area, evaluating and disseminating findings.

Demonstrate pro-active approach to audit and evaluation to monitor effectiveness of current therapeutic regimes and to improve health outcomes

Support and participate in department clinical research activities (including clinical trials) and assist in the implementation of any appropriate research findings.

Comply with Departmental, Divisional and Trust policies and procedures.

Participate in training needs analysis, and assist the ENP Team in the ongoing development of the ENP Training Programme, feeding into the departmental Training Strategy.

Health & Safety:

Assess and monitor risk in own other practices/settings. Act on the findings, thereby ensuring safe delivery of care.

In accordance with the Health and Safety at work act comply with the Trusts Health and Safety policies and procedures

To take all reasonable steps to prevent injury to yourself, fellow employees and others affected by your actions or omissions at work.

Be responsible for reporting any defects relating to departmental equipment and any hazardous or potentially hazardous areas of work.

To ensure accurate completion of clinical incident forms in accordance with Trust Policy.

Qualifications

Essential

• RN adult
• Current NMC registration
• Degree level qualification in health-related subject
• Post basic qualification at Diploma/Degree level qualification, specific to the ENP role
• Non-Medical Prescribing
• Competent in Manchester Triage

Desirable

• Leadership/Management qualification
• Tissue viability

Experience

Essential

• Extensive post-registration experience, to include significant ENP experience in A&E/Minor Injuries Unit at band 6
• Evidence of professional development in the last 12 months

Desirable

• Experience of audit initiatives and other quality initiatives
• Evidence of implementing research based practice

Skills

Essential

• Suturing and alternative wound closure
• Ability to perform local anaesthetic blocks
• Ability to manipulate dislocations and fractures in limbs
• Application and removal of Plaster of Paris or Scotchcast
• Requesting and interpreting pathology and imaging investigations
• Provision and preparation of crutches as appropriate and teaching patients to use them safely
• Wound assessment and appropriate dressing application, primary and secondary
• Ability to work across professional and organisational boundaries
• Ability to self-manage and prioritise own workload
• Awareness of evidence based practice, and how to implement
• Understanding of the research process
• Knowledge and understanding of nursing/clinical audit
• Knowledge of change management
• Knowledge of specialty
• Knowledge of NHS priorities
• Ability to participate in educational programmes
• Able to work within a rapidly changing environment
• Influencing and persuasion skills
• Able to support and develop departmental strategies
• Act as a preceptor/mentor as required
• Ability to deliver on deadlines
• Able to use computerised patients information systems, e.g.Lorenzo, PACS

Desirable

• Able to set and monitor standards
• Understanding of the issues surrounding nurses role expansion

Personal Qualities

Essential

• Ability to work independently
• Ability to work as part of a multidisciplinary team
• Effective time management skills
• Ability to recognise own limitations
• Flexible and responsive to change
• Problem solving skills
• Ability to prioritise
• Planning skills
• Commitment to personal and professional development
• Commitment to the development of others

Other

Essential

• Commitment to the ongoing development of the ENP Service
• Ability to work under pressure, in response to a varied and unpredictable workload

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).