Job responsibilities
Acts as a role model to inspire and motivate colleagues at all levels within the multi professional team
Is required to provide potentially sensitive, specialised, complex information to patients, carers and / or colleagues
Is required to work collaboratively with key care providers
Maintains accurate and up to date clinical records
Articulate clear verbal and written patient management plans
Is able to communicate effectively
To perform physiological assessment of critically ill patients
Use advanced clinical history taking, clinical examination and interpretation skills
Prescribe and administer a range of drugs as a non-medical prescriber.
Obtain informed consent for routine procedures
Perform physical assessment of patients; reviewing medication, recommend, initiate and manipulate changes according to patients clinical status.
Uses expert assessment skills, identifying any actual or potential problems to minimise inappropriate patient admissions
Facilitate timely admission and discharge from Critical Care
Assess patient suitability for transfer from Critical Care.
Demonstrates advanced assessment
Organisation, interpretation and management a of clinical investigations
To work competently in the role of Advanced Critical Care Practitioner, having awareness of boundaries of role
To undertake intra and inter hospital transfer of the critically ill.
To assist with tracheostomy management in Critical Care and ward environments.
Recognise and take appropriate actions with reference to complications using the appropriate referral system
Maintain effective communication with patients, carers and professionals to ensure seamless service delivery.
Provide specialist clinical advice in accordance with current evidence based practice.
Develop good working relationships with relevant staff within the hospital setting across the relevant clinical directorates.
Maintain accurate patient records and ensure all relevant information is documented in the patients medical and nursing health care records.
Maintain a safe and healthy environment for staff, patients and visitors encouraging others to maintain high standards.
Maintain patients dignity, privacy, respect and well being at all times, showing empathy and compassion in difficult situations
Act as the patients advocate, when relevant, and be able to educate on all the treatment options to enable a patient to make an informed choice, negotiating with the medical team on agreed pathways of care.
Meet the individual needs of the patients physical, psychological, emotional, social and spiritual well being, ensuring they are given accurate information in a manner in which they can understand.
Respect the patients right to participate in decisions about their care and be able to advise them on complex and personal matters.
Provide appropriate information to patients and carers in a form which facilitates their understanding of their condition and which assists them to make choices in lifestyle.
Overcome barriers to understanding when discussing planned care and diagnosis.
Recognise and deal with any violence and aggression according to trust policy ensuring safety of patients, visitors and staff at all times.
Ensure self / staff are health and safety conscious when dealing with body fluids
Be health and safety conscious when lifting/moving heavy items following current lifting policy, especially with unusual or bariatric loads.
Deal with challenging situations and be able to influence clinicians about decisions to ensure the care delivered is in the best interests of the patient utilising highly developed communication and negotiation skills.
Demonstrate the use of information technology to support clinical practice.
Demonstrate an understanding of key infection control policies.
Demonstrate individual responsibility for infection prevention and control, including challenging non-compliance with policy and supporting infection prevention and control related audit activity
Developing Self and Others
Maintain and develop expert knowledge on new and current developments in critical care.
Actively participate in the development and delivery of teaching packages for the multi professional team working in the directorate
Continue to develop specialist advanced extended clinical skills in response to service needs.
Demonstrate specialist clinical knowledge and understanding to an expert level.
Attend all mandatory training as required by trust policy.
Adhere to guidelines set by the NMC Code of Conduct or other relevant professional body.
Comply with and ensure compliance from other staff of policies and procedures laid down by the Trust.
Attend any development days or specialised training events to enhance the role.
Understand the different roles and responsibilities of all members of the professional team and develop integrated working practices.
Avail themselves of opportunities within the trust for professional and personal development.
Ensure research and audit is integrated and supported in practice at all levels.
Be responsible for maintaining a professional profile and achieving revalidation.
Undertake a senior development review (SDR) annually to identify organisational and professional objectives and developmental needs.
Advise on educational opportunities that will facilitate the development of advanced skills and knowledge of advanced practitioner role.
Monitor the effectiveness of the role and its future development
Develop resource and teaching packs for use by patient and/or staff in the clinical and educational settings.
Participate in hospital initiatives
Identify and respond to environmental hazards and eliminate and/or prevent where possible and communicate these issues to the relevant person.
Implement and evaluate systems to monitor risk. Understand the trust risk management policy and ensure staff comply, completing trust incident form when appropriate.
Demonstrate the importance of obtaining, organising and recording information clearly and accurately by self and others both written and computer driven.
Expand and develop the role to meet the changing needs of patients
Be responsible for own professional and clinical development
Contribute to, lead and co-ordinate team meetings monthly to discuss and disseminate pertinent information
Tackle discrimination
Take responsibility for personal development and education
Participate and lead in the collection and evaluation of clinical audit data
Contribute to and lead in relevant directorate audit and research programmes as identified or requested.
Identify topics and develop nursing research in relation to specialist area of practice.
Utilise evidence based knowledge within practice development.
Support and promote an integrated approach to quality, seeking always to improve patient care.
Contribute to the clinical governance agenda within the team and the Trust
Be available for expert advice to other areas and disciplines.
Demonstrate flexibility in developing new specialist clinical & theoretical extended skills to meet a changing service.
Utilise information technology to develop practice.
Demonstrate effective leadership
Develop specialist protocols and policies regarding all aspects of the specialist service
Work in collaboration with the senior management team
Be aware of, and comply with, all Trust infection prevention and control policies.
Prepare for and undertake the protective interventions that is consistent with evidence based practice and maintaining patient safety.
Communicate effectively and maintain positive relationships
Ability to communicate complex patient information
Possess excellent leadership skills, direct and guide members of the Critical Care nursing, medical and the wider multidisciplinary team as required
