Advanced Clinical Practitioner ED

Job description

Job responsibilities

Work towards health promotion and prevention and comprehensively assess patients for risk factors and early signs of illness

Draw on a diverse range of knowledge in their decision-making to determine evidence-based therapeutic interventions, which will include prescribing medication where legally allowed and actively monitoring the effectiveness of therapeutic interventions

Plan and manage complete episodes of care, working in partnership with others, delegating and referring as appropriate to optimise health outcomes and resource use, and provide direct support to patients and clients

Work in partnership with patients and support them to manage and live their live

Key Duties:

Clinical:

Assess and prioritise patients undergoing treatment

Undertake under supervision holistic assessment, planning, implementation and evaluation of patients care needs. Once completed Health assessment and non- medical prescribing to undertake autonomous holistic assessments from beginning to end of the patients journey.

Providing clinical/technical care, which contributes to the diagnosis, specialist care and treatment plans for these highly complex patients. In the absence of medical staff and within predetermined parameters, using advanced clinical-reasoning skills the post holder will initiate treatment plans and support to ensure the on-going safety of the patient

Demonstrate continual evaluation of practice within the defined specialist area and take responsibility for making agreed changes where appropriate

Request and arrange necessary investigations including X-rays, ultrasound scans, VQ scans, endoscopy, spirometry, echocardiography, and exercise tolerance tests, interpreting and reporting findings to appropriate clinicians

Discuss and agree assessment outcomes with patients, carers and other healthcare professionals, to enable them to make informed decisions regarding treatment

Ensure that accurate, essential and appropriate written and verbal information is relayed to staff, ensuring adequate facilities are in place to maintain safety in the environment, ensuring effective management of this group of patients

Ensure that patients are referred to appropriate practitioner when needs and risks are not within own scope of practice. Ensure dignity, privacy, and cultural and religious beliefs are respected at all times

Professional:

Act as a role model by demonstrating high standards of holistic care

Ensure that documentation is of a very high standard, adhering to local and national guidelines

Take on a pivotal role in the development and promotion of a care philosophy, ensuring clinical practice is reflective of this ideology

Take key responsibility for supporting medical colleagues, nursing colleagues and the matron for services

Maintain a current and up-to-date personal professional profile in accordance with guidelines

Maintain competency

Ensure that all aspects of clinical practice are research and evidence based

Managerial/Leadership:

Assess and monitor risk in own and others practice, acting on results, thereby ensuring safe delivery of care

Monitor and develop quality initiatives in line with local and national requirements and guidelines; take a lead role in the facilitation of such initiatives

Identify the skills set and terms of reference required of the Advanced Nurse Practitioner role, ensuring they reflect the individual, holistic needs of patients undergoing care

Work pro-actively in managing change in own speciality, to improve practice and health outcomes

Attend relevant meetings regularly to influence and make decisions regarding service delivery provision and further development of the service

Manage own diary and workload

Act in such a way as to be a credible, effective leader, demonstrating effective clinical leadership on a daily basis

Educational:

Support the development of protocols for the management of patients

Contribute to and participate in the Organisation Education Strategy

Promote the service offered through formal and informal presentations within and outside the organisation through study days, conferences and written papers

Carry out training needs analysis, using the results to design, develop and deliver a teaching programme promoting practice development for those staff caring for patients in the speciality. This will include the development of links with other organisations and innovative approaches to staff development

Deliver formal and informal teaching initiatives as part of the above programme

Receive clinical supervision in order to clinically improve knowledge and the quality of care to patients

Contribute to the training of medical colleagues and other non-medical professionals in areas suitable to the service

Contribute to the training of colleagues and peers in aspects of service delivery provision and to support the service

Identify own personal developmental and educational needs to work at an advanced level and beyond. Ensure appropriate action is taken to maintain and further develop such skills

Attend mandatory lectures and training as required by the organisation

Multi-disciplinary liaison:

Establish and maintain excellent communication with individuals and groups exploring complex issues relating to care options and decisions

In all aspects of work, challenge and demonstrate an ability to work autonomously across organisational and professional boundaries

Promote collaborative working relationships and effective communication between all members of the team

Co-ordinate closely with managers the timely movement of patients to ensure appropriate use of resources within the provision

Work with other areas, specialities and services to adjust boundaries across the specialist are

Develop formal and informal links outside the organisation, sharing good practice innovative ideas, and promote staff and service development

Establish and maintain a regional and national network of contacts relevant to the service

Research and Audit:

Identify the educational needs of the specialist group of patients and their carers, and ensure that these are met through the service provided

Identify areas of practice that may expand or be enhanced, to ensure the best clinical outcome for patients

In collaboration with other senior staff, at all times ensure clinical practice is patient centred and research based, in accordance with professional practice, guidelines, and national and local benchmarks

Encourage and assist other staff within the field to enable and empower them to carry out relevant research

Promote and disseminate research and audit findings relevant to the service

Carry out audit and evaluation in order to monitor the effectiveness of current therapeutic regimes and to improve health outcomes

Service Development:

In all aspects of work, challenge and demonstrate an ability to work across all organisational boundaries

Identify areas of practice which may expand, to ensure the best clinical outcomes for patients

Develop policies and clinical guidelines necessary to support the development of the specialist service

Continue with personal education and development, to identify improvements within the service framework

Person Specification

Experience

Essential

• Relevant Experience at Band 6
• Evidence of advancedclinical assessment,decision making,diagnosis and care delivery skills
• Experience of change/project management

Desirable

• Involvement in Evidence Based Healthcare agenda
• Risk management

Qualifications

Essential

• First level NMC registration orwith professionalbody
• Recognised Teaching and Assessing qualifications
• Degree level qualification
• Recognised Health Assessment Course
• Independent prescribing or working toward this currently
• Current ILS/ALS provider

Desirable

• Working towards or inpossession ofMasters level study

Skills/Knowledge

Essential

• Credible and wide clinical background
• Computer literate
• Excellent communicator
• Ability to motivate others
• Able to challenge and articulate opinion.
• Clear understanding and experience in operational agenda for ED services.
• Understanding on trust wide issues.
• Knowledge of clinicalgovernance agenda
• Ability to appraise and direct others.
• Knowledge of Health and Safety issues.
• Able to undertake advanced roles e.g. discharged, admits order and interpret investigations.
• Ability to work autonomously/and part of a team.

Desirable

• Report writing
• Knowledge of national agenda
• Project management

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

Worcestershire Acute Hospitals NHS Trust

Address

Charles Hastings Way

Worcester

Worcestershire

WR5 1DD

Employer's website

https://www.worcsacute.nhs.uk/ (Opens in a new tab)