Emergency Nurse Practitioner/Emergency Care Practitioner

Job description

Job responsibilities

The Urgent treatment Centre (UTC) is run by a team of ENPs, ECPs, NAs, HCAs and Administrators alongside a team of GPs.

The UTC offers bookable appointments via the 111 system and a walk in practitioner and GP service for same day care for injury and illness conditions.

The UTC is run in conjunction with and alongside the co-located UTC at Darent Valley Hospital Emergency Department.

1. Clinical responsibilities:

1.01 To work within the relevant professional Code of Conduct at all times.

1.02 To offer an autonomous service for patients presenting with undifferentiated diagnoses of certain minor injuries/illnesses or complaints that self present for care in the UTC.

1.03 The post holder will be expected to practice within set policies and procedures

from assessment, diagnosis, planning and management of immediate and long

term health needs of the patient, through to discharge of patients using agreed

protocols, evidence based practice, National/Local Guidelines and National

Service Frameworks.

1.04 To initiate radiological and other diagnostic investigations, and interpret results within stated guidelines.

1.05 To be proficient in suturing and application of splinting materials

1.06 The post holder will treat, advise and/or refer patients appropriately in a collaborative manor internally or externally to other members of the multi professional team, CCG and GPs

1.07 To manage triage when requested as part of a rotational team.

1.08 To be a clinical expert in the field of practice and to be a resource for clinical advice and to support clinically other members of the multidisciplinary team.

1.09 Ensure effective communication at all times with other members of staff including dissemination of information from team meetings and link nurse meetings.

1.10 Provide and receive highly complex and highly sensitive information to patients/carers/social workers/solicitors/police i.e. sexually transmitted diseases, child protection and abuse

1.11 Assist in the development of an integrated approach to the delivery of excellent patient care involving all relevant stakeholders.

1.12 To use and assist in the development and evaluation of patient group directives, clinical guidelines/pathways and competency tools.

1.13 Following completion of the non-medical prescribing course and professional registration, undertake non-medical prescribing in accordance with the Trusts non-medical prescribing policy, if formulary expanded to meet clinical requirements.

1.14 To participate in review of policies and protocols affiliated to the department.

1.15 Promote clinical excellence and best evidence practice to assist in maintenance of high clinical standards at all times.

1.16 To maintain accurate electronic and paper patient records.

1.17 To be jointly responsible for ordering of clinical stores and some stationary.

1.18 Authorised signatory for timesheets

1.19 Shared responsibility for the security and care of equipment.

1.20 Participate in audits designed to improve the service as required.

1.21 Act as a positive role model to staff and patients.

2. Managerial responsibilities:

2.01 Day to day efficient operational management of the service; deputising for the Clinical Lead in their absence.

2.02 Line management responsibility for assigned junior staff including their Professional Development Review, recruitment.

2.03 By means of role modelling, mentorship, supervision, education and facilitation, help to equip other Health Care Professionals to expand their roles.

2.04 To assist the Trust to meet National/Local targets in relation to the hospital four hour target, waiting times from arrival to admission, transfer or discharge as set out in the NHS Plan 2000. Together with early escalation of any arising problem which may impede achievement of these targets.

2.05 Understands the CQC standards and KLOEs and demonstrate knowledge of how these are being met.

2.06 Participate in the day to day management of the duty rota, arranging cover for sickness in the absence of the matron.

2.07 Take the lead role in the event of a major incident, following the instructions on the major incident card.

2.08 Respond to any clinical emergency within the department, including cardiac arrest

2.09 Follow the appropriate procedure in the event of the fire alarm sounding

2.10 Handling of verbal and formal complaints as required in accordance with Trust policy.

3. Professional responsibilities:

3.01 To treat everyone with whom you come into contact, with dignity and respect.

3.02 To promote equality and diversity and a non discriminatory culture in accordance with legislation and national and local policies; and to take action when other peoples behaviour undermines equality and diversity.

3.03 To ensure correct use of confidential and sensitive information in line with Caldecott

3.04 All staff must be familiar with and adhere to child/adult protection procedures and guidelines.

3.05 To identify and report actual or potential hazards/risks to yourself, others

or to the Trust.

30.6 Participate in annual review of policies, protocols and pathways affiliated to the department

4. Education and development responsibilities:

4.01 The post holder will be expected to integrate theoretical advances and research findings into clinical practice.

4.02 To participate in and assist in the systematic monitoring, review and evaluation of nursing practice through clinical audit; providing feedback results to line manager and staff to improve patient care and to validate quality of practice.

4.03 To support the education of other staff, providing mentorship and clinical supervision to nurses who have been assigned

4.04 Facilitate team meetings, provide and circulate minutes, documents and presentations as appropriate.

4.05 To maintain clinical and professional competence by keeping up to date with nursing and health care trends, and developments.

4.06 Ensure attendance at department training sessions as required for professional/personal/service development and maintain a professional portfolio making sure that it is kept up to date.

4.07 Attend regular link nurse meetings with designated department, and disseminate information back to the rest of the team

4.08 Be involved in health care initiatives and health promotion

4.09 Promote and create a climate of clinical enquiry through practice and basing recommendations of care on valid research where available

DARTFORD AND GRAVESHAM NHS TRUST

PERSON SPECIFICATION

POST: - Advanced Emergency Nurse / Care Practitioner

ESSENTIAL

DESIRABLE

EDUCATION AND TRAINING

Registered Nurse or Paramedic (NMC or HCPC registered)

Post registration qualification in Minor Injuries/Minor Illness (level 3) or equivalent course

Intermediate life support

Child protection training

Evidence of Continuous Professional Development relevant to area( i.e. non medical prescribing, mentorship, coaching, xray interpretation, Irmer)

Experience in Primary Care environment

Paediatric life support

Cannulation and phlebotomy

Counseling course

Independent non medical prescriber

Mentorship certificate

KNOWLEDGE

AND SKILLS

Evidence of ability to practice as an autonomous practitioner

Understanding of clinical governance

Understanding of legal and ethical responsibilities relating to autonomous practice

Understanding of medico-legal aspects of the role

Understanding of nursing and professional issues.

Evidence of extended role skills i.e. suturing,application of splinting materials, x-ray interpretation

Knowledge of National initiatives e.g. NICE guidelines and National Service Frameworks

EXPERIENCE

Experience in minor injuries department or Primary Care

Experience of clinical audit

IT skills

Experience of multi-professional/multi-agency working.

Experience of presenting information to a wide audience

Experience of an understanding of UK National Service Frameworks and NICE guidance relevant to the UTC care setting and its application across health care settings.

Change management experience

Experience of clinical supervision

Experience of managing a team

PERSONAL ATTRIBUTES

Ability to manage own case load and work as a member of a team.

Evidence of ability to manage time effectively.

Leadership skills

Ability to think strategically

Assertiveness

Able to promote equality and value diversity

Developed communication skills

Good decision making skills

Flexible and Adaptable

Person Specification

Person Specification

Essential

• Education and Training

Desirable

• Education and Training

Person Specification

Essential

• Knowledge and skills

Person specification

Essential

• Experience

Desirable

• Experience

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).

Employer details

Employer name

Dartford and Gravesham NHS Trust

Address

Gravesham Community Hospital

Bath Street

Gravesend

DA11 0DG

Employer's website

https://www.dgt.nhs.uk/working-for-us (Opens in a new tab)