Job summary
Job Title: Senior Advanced Neonatal Practitioner
Division: Women, Children & Young People
Care Group: Children & Young People
Band: 8a
Salary: £50,952 - £57,349 per annum
Interview Date: 3rd January 2024
We are recruiting for a Senior Advanced Neonatal Practitionerwho shares our ambition and vision to deliver theBest of Care by the Best Peopleand has the drive to take us forward, by ensuring that the Trust continues to be the first choice for patients and our staff.
The post holder will be required to deliver an advanced level of clinical practice within a collaborative, interdisciplinary team, taking a lead role in the delivery of holistic, evidence-based care under the direction of the Lead Consultant Neonatologist. Working within agreed protocols and guidelines the ANNP will exercise independent judgement to assess, investigate, diagnose, plan, implement and evaluate the clinical care and management of premature, sick babies and their families.
This post has been developed to complement the current medical workforce in the neonatal unit and improve skill mix.
Main duties of the job
Commitment to participate in the middle grade rota
Provides guidance and counselling to parents/carers/guardians regarding clinical management
Provide supervision, advice, support and training to junior doctors and less experienced ANNPs
Promote a high standard of advanced specialist nursing and medical care
Attend high-risk/emergency deliveries initiating and leading basic and advanced resuscitation procedures
Stabilise and ensure safe transfer of the sick new-born baby from labour ward or theatre to the neonatal unit
Undertake the initial new-born physical examination
Participate in the neonatal transport service
Our values are Bold, Every Person Counts, Sharing and Open and Together. It is important that you understand and to refer to our values when completing your application and always reflect our values throughout your employment with the Trust.
We are committed to endorsing diversity, multiculturalism, and inclusion; our policies / procedures ensure that all applicants are treated fairly at every stage of the recruitment process.
To contribute to our exciting future and become part of our team, apply today.
About us
Here at Medway, we pride ourselves on working together as one to ensure that our shared vision of Better, Best, Brilliant is achieved. Our culture and values are what drives the Trust and is the heartbeat of who we are as an organisation.
Our Trust is a great choice for people who want to develop their career in an ambitious environment.
Would you like to work flexibly? In the NHS, we are reminded every day of how important life is. As a flexible working friendly organisation, we want to be sure that you can work in a way that is best for us, for our patients and for you. Speak to us about how we might be able to accommodate a flexible working arrangement which will not mean sacrificing time for personal interests or family commitments. We aim to support you to work flexibly in a way that will suit you and us.
All of our substantive & fixed term employees can enjoy a range of staff benefits, a gym, an active health and wellbeing programme, an on-site nursery and a cycle to work scheme.
We are taking positive action to ensure that we can attract, recruit and retain the best talent and would welcome more applicants from under - represented groups to support the Trusts commitment to a diverse, inclusive and an employer of choice workforce.
All staff at Medway comply the Trust's and the Kent and Medway Safeguarding Board's policies on safeguarding children, young people and vulnerable adults.
Job description
Job responsibilities
The post holder will work within the Nursing and Midwifery professional code of conduct and adhere to national and locally agreed Trust / unit protocols and guidelines
The post holder will provide expert professional advice to junior medical and nursing staff, less experienced ANNPs and parents/carers in respect of the management of their sick baby.
Plan and perform highly skilled diagnostic and therapeutic procedures adhering to agreed protocols and guidelines and under aseptic conditions where appropriate.
Insertion of intubation tubes used for resuscitation and mechanical ventilation.
Initiation and management of mechanical ventilation.
Needle thoracentesis and chest drain insertion.
Intravenous & intra-arterial cannulation.
Arterial blood sampling.
Venepuncture and capillary sampling.
Withdrawal of blood from indwelling arterial or venous lines.
Umbilical venous and arterial catheterization.
Insertion of percutaneous central venous lines.
Insertion of intraosseous cannula.
Lumbar puncture.
Urinary catheterisation.
Supra-pubic aspiration of the bladder.
Exchange transfusion and dilutional transfusions.
Cranial ultrasound scans.
Lung ultrasound scans.
UVC localisation scans.
Neonatal transport.
Communication
Promote, explain and clarify the role of the Advanced Neonatal Nurse Practitioner to the multidisciplinary team and parents/carers to enhance understanding of the scope of their professional practice.
Discuss highly complex medical issues appropriately with parents/carers and other health care professionals using language that aids understanding
Able to effectively communicate with ANNP team members, nurses, doctors and other health professionals when discussing emotive and difficult issues at both personal and professional levels.
Negotiate sensitively with parents/carers where consent is required for treatment that is vital for the welfare and survival of the baby and where there may be barriers to understanding through fear, anxiety, lack of knowledge and language difficulties.
Discuss implications of care options with parents/carers to enable them to make informed decisions using assertiveness, tact, diplomacy and compassion.
Communicate sensitively with and break bad news to families where neonates are born with congenital abnormalities, demonstrate a poor response to intensive care interventions or following the death of a baby.
Write precise, accurate and timely records, letters, reports and statements in accordance with the Data Protection Act 1998.
Listen actively and respond appropriately to verbal information given.
Lead medical shift hand-over, ensuring relevant details are given to the team.
Present and receive complex case histories and summary of management of care on ward rounds.
Recognise when own or others behaviour is not acceptable and report to Line Manager.
Provide constructive feedback to others within the peer group and multidisciplinary team.
Demonstrate use of IT skills for completing clinical records, using clinical management programmes and occasional presentations.
Act as an advocate for babies and parents/carers and offer support to families.
Inform and update parents/carers pre-delivery and postnatally of their babys management of care following delivery when the neonatal care team is involved.
Respond to telephone requests from midwives, junior medical staff or parents/carers for baby management advice by assimilating the information provided, identifying key issues and suggesting appropriate management.
Management / Organisational Responsibilities
Lead role in developing and implementing the neonatal unit quality strategy linked to neonatal service quality indicators.
Participate in workforce planning both for nursing and medical staff which includes developing new ways of working in the neonatal unit.
Undertake nurse led research projects in the neonatal unit to maintain the active research portfolio of the unit.
Work within the multidisciplinary team, within agreed medical, nursing and Medway NHS Trust protocols and guidelines.
Manage own workload.
Assist and support nursing and medical staff to manage their work load.
Work as a member of the multidisciplinary team sharing in the responsibility for the provision of 7-day, 24-hour clinical care.
Promote and adhere to the principles and practice of clinical governance.
Demonstrate safe use of equipment and efficient use of resources.
Demonstrate effective multidisciplinary team working and acknowledge the role of individual team members ensuring that expertise is seen as a resource within the team and the Trust.
Demonstrate knowledge of child protection procedures.
Professional Responsibilities
Takes a lead role in enhancing nursing and medical practice through actively promoting and demonstrating evidence-based best clinical practice.
Models excellence in nursing and medical clinical practice and demonstrate professional behaviour.
Work at all times within the Nursing and Midwifery Council Code of Professional Conduct and Scope of Professional Practice.
Act as a specialist resource and support for other nurses.
Maintain a high standard of clinical competence and professional development through self-education and regular evaluation and appraisal by the lead consultant neonatologist and matron.
Contribute to peer review and supervisory processes.
Attend and positively contribute to team meetings.
Lead or be involved in a programme of clinical audit
Lead or contribute to the investigation and learning from clinical incidents and complaints
Maintain registration with the Nursing and Midwifery Council.
Maintain professional awareness of developments within nursing
Job description
Job responsibilities
The post holder will work within the Nursing and Midwifery professional code of conduct and adhere to national and locally agreed Trust / unit protocols and guidelines
The post holder will provide expert professional advice to junior medical and nursing staff, less experienced ANNPs and parents/carers in respect of the management of their sick baby.
Plan and perform highly skilled diagnostic and therapeutic procedures adhering to agreed protocols and guidelines and under aseptic conditions where appropriate.
Insertion of intubation tubes used for resuscitation and mechanical ventilation.
Initiation and management of mechanical ventilation.
Needle thoracentesis and chest drain insertion.
Intravenous & intra-arterial cannulation.
Arterial blood sampling.
Venepuncture and capillary sampling.
Withdrawal of blood from indwelling arterial or venous lines.
Umbilical venous and arterial catheterization.
Insertion of percutaneous central venous lines.
Insertion of intraosseous cannula.
Lumbar puncture.
Urinary catheterisation.
Supra-pubic aspiration of the bladder.
Exchange transfusion and dilutional transfusions.
Cranial ultrasound scans.
Lung ultrasound scans.
UVC localisation scans.
Neonatal transport.
Communication
Promote, explain and clarify the role of the Advanced Neonatal Nurse Practitioner to the multidisciplinary team and parents/carers to enhance understanding of the scope of their professional practice.
Discuss highly complex medical issues appropriately with parents/carers and other health care professionals using language that aids understanding
Able to effectively communicate with ANNP team members, nurses, doctors and other health professionals when discussing emotive and difficult issues at both personal and professional levels.
Negotiate sensitively with parents/carers where consent is required for treatment that is vital for the welfare and survival of the baby and where there may be barriers to understanding through fear, anxiety, lack of knowledge and language difficulties.
Discuss implications of care options with parents/carers to enable them to make informed decisions using assertiveness, tact, diplomacy and compassion.
Communicate sensitively with and break bad news to families where neonates are born with congenital abnormalities, demonstrate a poor response to intensive care interventions or following the death of a baby.
Write precise, accurate and timely records, letters, reports and statements in accordance with the Data Protection Act 1998.
Listen actively and respond appropriately to verbal information given.
Lead medical shift hand-over, ensuring relevant details are given to the team.
Present and receive complex case histories and summary of management of care on ward rounds.
Recognise when own or others behaviour is not acceptable and report to Line Manager.
Provide constructive feedback to others within the peer group and multidisciplinary team.
Demonstrate use of IT skills for completing clinical records, using clinical management programmes and occasional presentations.
Act as an advocate for babies and parents/carers and offer support to families.
Inform and update parents/carers pre-delivery and postnatally of their babys management of care following delivery when the neonatal care team is involved.
Respond to telephone requests from midwives, junior medical staff or parents/carers for baby management advice by assimilating the information provided, identifying key issues and suggesting appropriate management.
Management / Organisational Responsibilities
Lead role in developing and implementing the neonatal unit quality strategy linked to neonatal service quality indicators.
Participate in workforce planning both for nursing and medical staff which includes developing new ways of working in the neonatal unit.
Undertake nurse led research projects in the neonatal unit to maintain the active research portfolio of the unit.
Work within the multidisciplinary team, within agreed medical, nursing and Medway NHS Trust protocols and guidelines.
Manage own workload.
Assist and support nursing and medical staff to manage their work load.
Work as a member of the multidisciplinary team sharing in the responsibility for the provision of 7-day, 24-hour clinical care.
Promote and adhere to the principles and practice of clinical governance.
Demonstrate safe use of equipment and efficient use of resources.
Demonstrate effective multidisciplinary team working and acknowledge the role of individual team members ensuring that expertise is seen as a resource within the team and the Trust.
Demonstrate knowledge of child protection procedures.
Professional Responsibilities
Takes a lead role in enhancing nursing and medical practice through actively promoting and demonstrating evidence-based best clinical practice.
Models excellence in nursing and medical clinical practice and demonstrate professional behaviour.
Work at all times within the Nursing and Midwifery Council Code of Professional Conduct and Scope of Professional Practice.
Act as a specialist resource and support for other nurses.
Maintain a high standard of clinical competence and professional development through self-education and regular evaluation and appraisal by the lead consultant neonatologist and matron.
Contribute to peer review and supervisory processes.
Attend and positively contribute to team meetings.
Lead or be involved in a programme of clinical audit
Lead or contribute to the investigation and learning from clinical incidents and complaints
Maintain registration with the Nursing and Midwifery Council.
Maintain professional awareness of developments within nursing
Person Specification
Qualifications
Essential
- RN(Child branch) or RSCN with a degree
- ENB 405 (or equivalent)
- ENB 998 (or equivalent)
- ANNP qualification to a masters degree from an accredited UK University provider
Knowledge
Essential
- Ability to support and manage a caseload of patients including assessment, planning, monitoring and evaluation, including the provision of health promotion and education to families and carers
- Ability to organise and deliver a high standard of research-based clinical care
- Ability to demonstrate effective written and verbal communication skills
- Ability to exercise independent clinical judgement within framework of agreed protocols
- Highly developed physical skills and ability to concentrate intensely in order to maintain a high degree of precision when undertaking intubation, umbilical catheter and chest drain insertion, and other highly specialised clinical procedures identified in the job description
- Ability to recognise and manage emergency and critical situations effectively
- Skills in critical analysis and application of research to practice
Experience
Essential
- 4 years previous experience in a neonatal unit undertaking level 2 or 3 neonatal care
- Experience of multidisciplinary working
- Experience in teaching members of the multidisciplinary team and responding to learning needs
- Knowledge of local community and understanding of a multicultural, racially diverse population
- Knowledge and understanding of current changes in NHS
Person Specification
Qualifications
Essential
- RN(Child branch) or RSCN with a degree
- ENB 405 (or equivalent)
- ENB 998 (or equivalent)
- ANNP qualification to a masters degree from an accredited UK University provider
Knowledge
Essential
- Ability to support and manage a caseload of patients including assessment, planning, monitoring and evaluation, including the provision of health promotion and education to families and carers
- Ability to organise and deliver a high standard of research-based clinical care
- Ability to demonstrate effective written and verbal communication skills
- Ability to exercise independent clinical judgement within framework of agreed protocols
- Highly developed physical skills and ability to concentrate intensely in order to maintain a high degree of precision when undertaking intubation, umbilical catheter and chest drain insertion, and other highly specialised clinical procedures identified in the job description
- Ability to recognise and manage emergency and critical situations effectively
- Skills in critical analysis and application of research to practice
Experience
Essential
- 4 years previous experience in a neonatal unit undertaking level 2 or 3 neonatal care
- Experience of multidisciplinary working
- Experience in teaching members of the multidisciplinary team and responding to learning needs
- Knowledge of local community and understanding of a multicultural, racially diverse population
- Knowledge and understanding of current changes in NHS
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.
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).
Additional information
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.
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).
