Advanced Neonatal Nurse Practitioner

Job description

Job responsibilities

Clinical Skills:

Attend high risk deliveries initiating and co-ordinating resuscitation procedures, such as endotracheal intubation, umbilical venous catheterisation and the administration of resuscitation drugs and fluids as required.

Stabilise and ensure the safe transfer of the sick baby from point of delivery to the neonatal unit or stabilise the baby for referral to another centre.

Use specialist clinical skills in the care of the neonate such as intubation, central line insertion and chest drain insertion.

Use highly specialist clinical and theoretical knowledge to undertake initial physical examination of the newborn to identify congenital abnormalities in the newborn infant.

Use highly specialised clinical and theoretical knowledge to examine and assess daily the immediate and long-term medical needs of babies in the neonatal unit.

Initiate and evaluate clinical management and treatment and make appropriate referrals to other health care professionals where appropriate.

Prescribe medications and intravenous/intra-arterial fluids according to agreed protocols.

Order investigations such as blood, urine and other laboratory tests, X-rays, ultrasound and electrocardiographs.

Plan, perform, interpret and act on clinical procedures and investigations, such as chest drains and central line insertion, referring to the consultant for advice and when scope of practice is exceeded.

Initiate, monitor and amend the management of mechanical ventilation of babies by taking and interpreting blood gases.

Carry out sepsis screening and treatment for babies on the post-natal areas.

Obtain and record in case notes comprehensive maternal, family, obstetric, medical and social history.

Communicate sensitive news to families in an appropriate manner.

Discharge babies from the neonatal unit and post-natal wards following physical examination.

SStaff Development, Training and Mentorship:

Successfully complete neonatal life support course every 4 years and refresher every year.

Maintain a high standard of clinical competence and professional development through self-directed learning and annual evaluation and appraisal by Matron for Child Health and a Consultant Neonatologist.

Responsible for accessing own continuing education, undertaking modules and courses at masters level and undertake mandatory and role specific training as required by the Trust.

Contribute to the development of nursing/medical knowledge and skills as part of the vision to extend practice within the neonatal unit.

Take an active role in multidisciplinary team education and presentations.

Use specialist knowledge to actively participate in the clinical and theoretical education, training, supervision and support of neonatal nurses, midwives and medical staff.

Participate in competency-based learning programmes to enable development and enhancement of clinical skills and roles and maintain a profile of own advanced clinical skills.

To share the lead in teaching resuscitation in clinical practice.

To disseminate learning from meetings, teachings and reflective practice.

I Proving Patient and Visitor Experience:

To be visible in the clinical area and act as a resource for staff and families.

Enable staff to exercise professional judgement within a framework of accountability to support them to make decisions independently regarding clinical care and priorities.

To act as a clinical leader and role model for staff.

To ensure family views are sought to continuously assess, implement and evaluate care to benefit premature and sick babies.

Consider new ways of working which enhance patient care, presenting outline proposals to the Matron for Child Health/Neonatal Consultant.

Able to give a full comprehensive medical handover at the end of shift for continuity of care.

To deliver sensitive news to families in an appropriate manner.

Using Audit, Evaluation and Research:

Articulate, critique and discuss sources of evidence on which clinical care is based.

Contribute to service development within the managed clinical network

Contribute and lead where appropriate in the development, writing and evaluation of evidence based locally agreed neonatal nursing and medical guidelines, protocols and standards.

To actively participate in developing specialist areas of practice as appropriate.

To develop the role in relation to the Department of Health 10 High Impact Changes (DOH 2004) and the CNO 10 key roles for Nurses (DOH 2002).

Participate in data collection for local and multi-centre research

Participate in the evaluation of new equipment

Participate in perinatal audit, mortality and morbidity and other clinical meetings where the outcomes and recommendations have the potential to enhance quality in care; give case presentations as required.

Conduct audit projects on a regular basis. With help of the audit department, devise audit tools, analyse data, write reports and present findings to the multidisciplinary team.

Will be instrumental in the implementation of change in neonatal practice as required.

Management and Teamwork:

Work a variety of shifts (internal rotation) on the junior medical rotas.

Promote a high standard of advanced specialist nursing and medical care by initiating and co-ordinating the assessment, planning, delivery and evaluation of the holistic needs of the baby/parent/carer through evidence based clinical practice and following agreed protocols and guidelines.

Participate on clinical ward rounds, receive and provide complex case presentations.

Stabilise babies post-delivery and pre-transfer to other hospitals.

Able to communicate implications of care and options to all levels of nursing/medical staff, parents/carers and discuss highly contentious information in a language which promotes understanding.

Hold the 1st tier medical bleep and respond to emergency situations as required.

Co-ordinate resuscitation of the neonate and support juniors where appropriate.

Information Technology (IT) Skills

Competence in the use of the following is essential:

Maintenance of the electronic patient record (Badger), including generating discharge letters and d documentation.

Microsoft word for generating inter-speciality referral letters.

nhs.net email.

PACS.

Incident reporting and management system (DATIX).

Laboratory system specimen requesting & obtaining results.

The national electronic 1st day newborn examination record.

Training will be provided to new appointees in any of the above as is required.

Person Specification

Educations, Training and Qualifications

Essential

• Master's in Advanced Neonatal Nurse Practitioner course.
• Non-medical prescribing course.
• Holds a current NLS certificate.

Desirable

• Immunisation administration course.
• Experience in neonatal simulation training.
• NLS Instructor.

Knowledge

Essential

• Experience of working in a neonatal intensive care environment on a medical rota.
• Experience of working autonomously in the postnatal setting.
• Able to utilise experience to carry out decision making and take the lead in an emergency.
• Evidence of continuous professional development in neonatal care.

Skills

Essential

• Able to carry out clinical procedures such as intubation, central line insertion, NIPE checks etc.
• Able to work at Registrar level where required.
• Able to request clinical investigations and review results prior to action planning.
• Able to organise own work load.
• Physically and mentally able to respond to emergency situations.
• Able to use and adjust medical equipment in response to changing clinical pictures.
• Show competence in the safe use of medical equipment.
• Able use IT systems competently.
• Able to support and teach work colleagues.
• Be able to respond to families in a sensitive manner.
• A willingness to highlight and manage sensitive challenges or confrontation.

Key Competencies, Personal Qualities and Attributes

Essential

• Passionate and committed to bring our Dedicated to Excellence values to life, improving the way we work with each other, particularly focusing on empowerment, equality diversity and inclusion of our staff, patients and service users.
• Able to always work in a compassionate and professional manner.
• Work in an ethical manner always.
• Have a family-centred care approach.
• An ability to function autonomously combined with the capacity to seek support and advice appropriately.
• Enthusiasm, self-motivation, empathy, diplomacy and tact.

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

Northampton General Hospital

Address

Northampton General Hospital

Cliftonville

Northampton

NN1 5BD

Employer's website

https://www.northamptongeneral.nhs.uk/Home.aspx (Opens in a new tab)