Medical Nurse Practitioner

Job description

Job responsibilities

Key Result Areas

Key Responsibilities

Expertise & Excellence in Clinical Practice

Contribute to the delivery of evidence-based personalised and compassionate care which places quality at the heart of practice. Care will be responsive to individual needs and reflect current local protocols and national guidelines.

Ensure safe administration of medications within current national and local frameworks and policies using Patient Group Directives.

Identify and facilitate the discharge of medical patients and completion of discharge summaries to affect timely discharges.

Work with clinical teams to ensure each patient has a realistic estimated date of discharge and that these dates are being proactively managed, ensuring this information is put onto the Trust information systems.

Use knowledge of the speciality and treatment to support the development of personalised care pathways for individuals and assist with holistic needs assessment, planning and evaluation of care and all care interventions.

Act as a patient advocate to facilitate the process of shared decision making in respect to health, choice of treatment and care. Use interpersonal and communication skills where there may be significant barriers in order to build confidence.

Advise on disease and symptom management for patients within the speciality in both inpatient and ambulatory settings. Evaluate response to interventions and cascade to relevant colleagues.

Support patients to self-manage their condition where deemed appropriate. Provide education for those who will need guided support to self-manage and those who will need on-going face to face support.

Act as a resource providing specialist advice and support across service boundaries to ensure optimum liaison and co-ordination of care.

Undertake clinical competencies relevant to this service to demonstrate expertise in enhanced nursing roles. Assess and assist in managing individual psychological reactions to diagnosis, treatment and associated side effects of these.

Act as an accessible professional for the multidisciplinary team (MDT) supporting the management of a clinical caseload. This will necessitate a degree of autonomy and advocacy to ensure the delivery of appropriate care.

Contribute to the management of a caseload of patients within specialty and prioritise workload to meet patient and service need.

MANAGEMENT & LEADERSHIP

Act as a role model demonstrating high standards of holistic care and provide clinical leadership to others across the organisation.

Provide support to ensure public and patient involvement is embedded within the sphere of practice.

Assist in setting measurable outcomes for the service and continuous evaluation of practice supporting changes where necessary.

Participate in operational and strategic planning for the development and delivery of the service. Support service improvement activities.

Attend Trust senior nurse meetings and contribute to the agenda and strategic nursing vision.

Represent the Trust by contributing to and participating in meetings locally, regional and nationally relating to the speciality.

Contribute to an annual service review, gathering information to support the annual report.

COMMUNICATION

Take personal responsibility for ensuring effective communication between all service providers.

Act as a role model for excellent communication skills.

Work in partnership with patients, relatives and carers to obtain complex information.

Create a climate in which patients are empowered to make informed choices.

Ensure all clinical practice is documented appropriately in patient records ensuring that the NMC guidelines for documentation are adhered to.

Informally manage complaints with the aim of a satisfactory resolution. Ensure appropriate escalation when this is not achieved.

Demonstrate empathetic interpersonal and communication skills in supporting, informing and advising patients and carers through diagnosis, treatment, disease progression, prognosis and supportive and palliative care where applicable. This will involve occasionally imparting significant news or supporting patients and carers during and following such consultations.

Effectively and sensitively communicate complex and sensitive information to emotionally distressed patients and family/carers at key points along the care pathway on a frequent basis.

EDUCATION

Identify and use educational strategies to deliver information to patients and carers.

Assist in the development of other professionals by contributing to Trust wide specialist education and training.

Support the delivery of formal and informal teaching initiatives as part of the Trusts education strategy as agreed with the appropriate senior nurse to ensure practice development, staff empowerment and improved care for patients.

Take personal responsibility for life-long learning and personal development through clinical supervision and appraisal. Actively engage with learning and development opportunities needed to work as an advancing practitioner and take appropriate action to ensure these needs are met.

Contribute to promoting educational links with local providers of higher education and deliver lectures on a range of courses.

Act as a mentor/assessor/clinical supervisor as appropriate.

QUALITY, AUDIT, INNOVATION AND RESEARCH

Assist in the development of written patient information and use existing appropriate resources to inform users, according to individually assessed need.

Work within the NMC code of professional conduct.

Contribute to the development of policies and clinical guidelines to support the service.

In all aspects of work demonstrate an ability to work across organisational and professional boundaries, ensuring the delivery of high quality care

Promote collaborative working relationships and effective communication between all members of the multidisciplinary team.

Develop the evolving skill set required of the Medical Nurse Practitioner role, ensuring that they reflect the individuals holistic needs and fit within the nursing agenda.

GOVERNANCE

Assist in the development of relevant standards, protocols and procedures in conjunction with the multi-professional team in relation to the Medical Nurse Practitioner role, ensuring that clinical practices are evidence based and benchmarked against best practice.

Achieve competency in core skills for the role and to continue to explore new ways in which clinical practice can be further developed.

Ensure compliance with all Trust policies and procedures at all times

Contribute to the clinical governance agenda.

STATUTORY REQUIREMENTS

The post holder will at all times act in accordance with the NMC Code of Conduct and Practice, Scope of Professional Practice and all MNC guidelines.

All staff are subject to the Trusts policies, procedures and conditions of service, with reference to the Health and Safety at work act.

Person Specification

Qualifications

Essential

• Level One Registered General Nurse with active NMC registration
• First Degree in a relevant subject
• Post-registration qualification
• Evidence of continued professional development

Experience

Essential

• A minimum of three years post registration experience
• Extensive clinical experience in an Acute setting
• Evidence of continuing professional development
• AIMS/ALERT
• Teaching experience

Desirable

• ALS

Skills

Essential

• Clinical, and leadership skills
• Proven listening skills
• Up to date knowledge of current clinical and professional issues
• Excellent verbal, written, interpersonal and communication skills
• Ability to prioritise workload
• Good decision making abilities
• Evidence of negotiation skills, informing, enquiring, persuading and directing as appropriate
• Understanding of the change management process
• Knowledge of quality standards and relevant NICE guidelines and KPIs
• Team player

Personal Qualities

Essential

• Able to demonstrate commitment to and evidence of working in accordance with Trust values
• Flexible and positive approach to work
• Recognition of own development requirements and willingness to undertake education and training necessary to meet role requirements

Other

Essential

• Able to work across 7 days per week including various shift patterns

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

South Warwickshire University NHS Foundation Trust

Address

Ambulatory Emergency Care

Warwick Hospital, Lakin Road

Warwick

CV34 5BW

Employer's website

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