Job summary
Advanced practice is delivered by experienced, registered health and care practitioners. It is a level of practice characterised by a high degree of autonomy and complex decision making. This is underpinned by a master's level award that encompasses the four pillars of clinical practice, leadership and management, education and research, with demonstration of core capabilities and area specific clinical competence.
Advanced practice embodies the ability to manage clinical care in partnership with individuals, families and carers. It includes the analysis and synthesis of complex problems across a range of settings, enabling innovative solutions to enhance people's experience and improve outcomes. This definition therefore requires that health and care professionals working at the level of advanced clinical practice will exercise autonomy and decision making in a context of complexity, uncertainty and varying levels of risk, holding accountability for decisions made.
The post holder will be supported through a NHS England accredited apprenticeship programme or an equivalence e-portfolio (supported) route to gaining an Advanced Practice qualification (Digital Badge),.
It is anticipated that 80% of the time will be spent working clinically in the clinical area and a minimum of 20% will be allocated to non-clinical duties in the job plan.
Main duties of the job
The Advanced Practitioner or Trainee Practitioner will join the Respiratory Team to support the development and running of the newly set up Respiratory Support Unit. A pivotal member of a multidisciplinary team aiming to ensure that patients with respiratory enhanced care requirements are provided with the timely initiation and monitoring of treatment in the right environment. This may include and not limited to patients requiring delivery of Non-invasive ventilation, high-flow nasal oxygen, patients at high risk of respiratory deterioration and those requiring enhanced monitoring.
Please see attached job description for further details
About us
We provide acute hospital services from two large district general hospitals, Cheltenham General Hospital and Gloucestershire Royal Hospital. Maternity Services are also provided at Stroud Maternity Hospital.
At the very centre of our organisation is our dedicated nursing, midwifery and care staff, being part of the team here at Gloucestershire Hospitals NHS Foundation Trust is a huge privilege and if successful you will be joining over 2,000 nursing, midwifery and care colleagues each committed to delivering great experience and outcomes for our patients.
Here at Gloucestershire Hospitals NHS Foundation Trust, our patients are at the heart of everything we do, and pivotal to this are our nurses, midwives and care staff, whose dedication, expertise and kindness ensures that patients receive the very best care throughout their treatment. I wish you every success with your application to join this team.
Job description
Job responsibilities
Some of the job requirements include (see attached JD for full expansion)
- Practice in compliance with your code of professional conduct and within your agreed scope of practice, being responsible and accountable for your decisions, actions and omissions at this level of practice.
- Use highly developed clinical knowledge to independently assess, diagnose, plan, implement and evaluate treatments and interventions for patients presenting to the speciality with complex undifferentiated or undefined presentations.
- Undertake physical examination as indicated by the patients condition, autonomously analysing complex clinical signs and investigation results to consider differential diagnoses and initiating treatment as required.
- Perform clinical procedures appropriate to the history and physical examination of the patient including further invasive testing and treatments requiring highly developed skills and precision.
- Request a range of investigations and laboratory tests in accordance with local policies.
- Manage clinical events often requiring unpredictable and high levels of mental and /or physical initiation and leadership and exercise professional judgement to manage risk appropriately.
- Provide clinical cover to the Respiratory Support Unit and Respiratory Unit according to patient and staffing needs.
- Prescribe and review medication (as an independent prescriber) for therapeutic effectiveness appropriate to patient need and in accordance with evidence-based practice and national and local protocols, within the roles scope of practice and legal framework.
- Demonstrate a critical understanding of your broadened level of responsibility and autonomy and the limits of your own competence and professional scope of practice including working with complexity, risk and incomplete information
Job description
Job responsibilities
Some of the job requirements include (see attached JD for full expansion)
- Practice in compliance with your code of professional conduct and within your agreed scope of practice, being responsible and accountable for your decisions, actions and omissions at this level of practice.
- Use highly developed clinical knowledge to independently assess, diagnose, plan, implement and evaluate treatments and interventions for patients presenting to the speciality with complex undifferentiated or undefined presentations.
- Undertake physical examination as indicated by the patients condition, autonomously analysing complex clinical signs and investigation results to consider differential diagnoses and initiating treatment as required.
- Perform clinical procedures appropriate to the history and physical examination of the patient including further invasive testing and treatments requiring highly developed skills and precision.
- Request a range of investigations and laboratory tests in accordance with local policies.
- Manage clinical events often requiring unpredictable and high levels of mental and /or physical initiation and leadership and exercise professional judgement to manage risk appropriately.
- Provide clinical cover to the Respiratory Support Unit and Respiratory Unit according to patient and staffing needs.
- Prescribe and review medication (as an independent prescriber) for therapeutic effectiveness appropriate to patient need and in accordance with evidence-based practice and national and local protocols, within the roles scope of practice and legal framework.
- Demonstrate a critical understanding of your broadened level of responsibility and autonomy and the limits of your own competence and professional scope of practice including working with complexity, risk and incomplete information
Person Specification
Experience
Essential
- Registered Health Care Professional NMC/HCPC
- Extensive years WTE post-qualification experience / appropriate yrs WTE within acute/respiratory setting
- Evidence of GCSE Maths and English Grade C/4 or above or equivalent
- Evidence of management and leadership in practice
Desirable
- Evidence of developing guidelines, governance and audits
- Experience in research
Knowledge
Essential
- Knowledge of management of patient receiving Non-invasive ventilation/High-flow nasal oxygen
- Evidence of continuing professional development in relevant speciality showing ability to work at masters level 7
Desirable
- Recognised post graduate management / leadership qualification
- Recognised post graduate teaching, education or supervision course
Skills
Essential
- Management of the patient receiving Non-invasive ventilation / High-flow nasal oxygen
Desirable
- Independent Non-Medical Prescribing Qualification
- Masters level 7 Advanced Practice / completed Advanced Practice Pathway
Person Specification
Experience
Essential
- Registered Health Care Professional NMC/HCPC
- Extensive years WTE post-qualification experience / appropriate yrs WTE within acute/respiratory setting
- Evidence of GCSE Maths and English Grade C/4 or above or equivalent
- Evidence of management and leadership in practice
Desirable
- Evidence of developing guidelines, governance and audits
- Experience in research
Knowledge
Essential
- Knowledge of management of patient receiving Non-invasive ventilation/High-flow nasal oxygen
- Evidence of continuing professional development in relevant speciality showing ability to work at masters level 7
Desirable
- Recognised post graduate management / leadership qualification
- Recognised post graduate teaching, education or supervision course
Skills
Essential
- Management of the patient receiving Non-invasive ventilation / High-flow nasal oxygen
Desirable
- Independent Non-Medical Prescribing Qualification
- Masters level 7 Advanced Practice / completed Advanced Practice Pathway
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).
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.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
