Advanced Nurse Practitioner

Job responsibilities

CLINICAL RESPONSIBILITES

• Plan and manage own workload and the workload of the service, in a flexible manner, ensuring that service provision meets the need of the patients.

• To participate in the direct clinical management of patients from first presentation at the hospital, until discharge or death. Includes taking a systematic physical examination, and requisition of appropriate clinical investigations. Formulation of clinical management plans and re-evaluation of implemented treatment plans as appropriate.

• Maintain and develop expertise and competence within field of oncology in order to enable collaboration with senior colleagues and medical staff, and to facilitate the management of patients.

• To consent patients for treatments and procedures as per hospital policy.

• Prescribe drugs, including first and subsequent cycles of chemotherapy (as per Medicine Practice Operational Policy July 2010), unlicensed medication and drugs used within clinical trials as qualified Independent Nurse Practitioner.

• Prescribe blood products as hospital policy.

• Perform clinical assessments and request relevant investigations for patients attending for treatment and review. Interpret results and take action

• Ensure interventions are undertaken in line with best practise guidance.

• Accept and make appropriate referrals from/to other professionals Check and interpret referrals and take action as clinical indicated.

• Contribute to the coordination and effective management of the admission and discharge process as appropriate for disease group with reference to Bed Management Policy.

• Perform clinical procedures safely according to defined protocols.

• Communicate highly complex sensitive or contentious information to patients and carers. This may include diagnosis, results of scans or other investigations management options and details of prognosis and impending death.

• Educate patients and their carers on issues surrounding health promotion and illness prevention. Promote and facilitate changes of lifestyle where appropriate.

• Develop patient specific information and ensure patients receive appropriate information, advice and support in relation to their illness and treatment. Refer to other professional as appropriate. Provide an environment that encourages patient centred involvement.

• Ensure effective communication with patients, relatives and members of the multidisciplinary team. Work with team members on issues relating to patients management and advocacy.

• Prepare accurate and concise records and reports both verbal and written. Communicate with the patients referring s specialist, GP and other community and hospice based services at regular intervals as appropriate.

• Be an acute member of relevant Trust committees and group contributing to developing /implementing local/national strategy.

• Collaborate within Cancer Network and offer clinical support to colleagues within your cancer units, relating to individual patient management, health care delivery, peer review and strategic policy initiatives. Asist in the development of integrated patient pathways (e.g. NICE guidance on Cancer Services , NHS Guidance etc.)

• Practice evidence based health care and be responsible for developing, monitoring and updating clinical policies in relation to own area of practice.

• Act as an expert resource and provide advice and support to wards/departmental areas and the wider community.
• Continually review and evaluate own role and clinical practice informing the annual review process.

• Contribute to the clinical governance process, including adverse incident reporting/investigation and the management of complaints, as appropriate.

• Demonstrate professionalism in terms of attitude, communication and appearance at all times.

• Perform authorities as part of a clinical trial and maintain ICH/GCP competence.

• Prescribe medications per trust non-medical prescribing (NMP) policy.

LEADERSHIP AND CONSULTANCY

2.1 Participate in innovative and research based practice with the intention of combining medical and nursing duties to promote excellence in patient care.

2.2 Participate in strategy review meetings as appropriate.

2.3 Contribute to wider issues in the trust such as committee membership, policy development, mentorship and assessment of colleagues.

2.4 To lead on nursing and clinical developments within the organisation and at regional/national level.

2.5 Participate in oncology/nursing advisory boards and relevant working groups as invited.

2.6 Analyse relevant National policy in specific tumour sites, advise on impact for service, and contribute to the implementation of changes and evaluation of processes in partnership with the MDT.

2.7 Maintain professional registration and practice through CPD.

2.8 Maintain professional portfolio to demonstrate competency in line with the trust competency framework.

2.9 Maintain personal standards of conduct and behaviour consistent with Trust and NMC guidelines.

2.10 Identify gaps in service provision and work with the MDT and cancer network to implement the changes required to improve service provision.

2.11 Participate in the implementation and delivery of the standards set within the trusts nursing strategy.

2.12 Recognise and acts as an advocate for patients, carers and service

Organisation. Lead change as required to improve service provision.

2.13 To assume Management responsibility for nurse colleagues within disease

Group, depending on team structure and as appropriate.

EDUCATION AND DEVELOPMENT

3.1 To participate in the ongoing Nurse clinician training and education programme allowing professional and clinical updating to take place within the normal working week (Journal Club, Annual OCSE, Non-Medical Prescribing, Commination Skills training , Informed Consent , Mandatory training etc).

3.2 Identify own developments needs in line with service requirements within personal developments needs of colleague and participate in their continuing education, mentorship and skills development.

3.3 Assist in the identification of the training needs of colleagues and participate in their continuing education, mentorship and skills development.

3.4 Ensure personal , peer group support and clinical supervision needs are met.

3.5 Contribute to the development and dissemination of new knowledge by submitting papers for publication and/or abstracts for appropriate conferences.

3.6 Have a named mentor from within the medical team for continuing clinical support and development.

3.7 Provide specialist training and education locally, nationally and internationally (e.g organising/presenting at meetings, study days, conferences etc.

RESEARCH AND DEVELOPMENT

4.1 Initiate and support clinical audit with respect to evaluating service effectiveness and future developments within the role, developing and managing strategies to address any shortfalls.

4.2 Involvement in medical and/or nurse led research within oncology in response to identified need. Disseminate results and implement findings appropriate ti practise.

4.3 Demonstrate knowledge of current research in all aspects his/her work and to site specific disease group.

Qualifications

Essential

• MSc that included history taking and clinical examination of patients prescribing
• Registered General Nurse -Currently registered with the Nursing & Midwifery Council or equivalent
• Teaching/ Mentorship experience.

Desirable

• Independent Non-Medical Prescribing Qualification.
• Advanced Life Support Course.
• ENB 998/Mentorship Course.

Experience

Essential

• Post registration experience with some experience at Band 6 or higher
• Experience of working autonomously and as part of a team.
• Experience of assessing and managing acute medical problems.
• Experience of managing a variety of medical problems, for example: Oncology, Haematology, Critical Care,& Acute Care, i.e., A&E/MAU
• Ability to work across professional boundaries e.g. experience of working in a multi
• Ability to work across professional boundaries e.g. experience of working in a multi-disciplinary team

Desirable

• Experience in undertaking audit and management of change in practice related to audit results.
• Experience of assessing and managing acute medical problems.

Skills

Essential

• Excellent communication skills: interpersonal, written and verbal.
• Confidence to adapt to an evolving and changing service.
• Ability to assess and manage patient risk effectively and safely.
• Good time management, organisational skills and ability to prioritise a busy/ unpredictable workload.
• Well developed IT skills/ word processing/ data collection/ internet skills.
• Committed to professional development.

Desirable

• Leadership and Management skills.
• Innovative and motivated individual.
• Ability to think strategically in relation to long-term service development.
• Presentation skills.
• Evidence of being a reflective practitioner.

Knowledge

Essential

• Understanding of evidence based practice.
• Working knowledge of clinical governance.
• Ability to use research findings in clinical practice.
• Knowledge of national standards and policy that inform best practice (for example: NICE/ Department of Health guidelines).
• Appreciate the accountability associated with advanced clinical roles.

Desirable

• Evidence of involvement with research and audit.
• Experience of policy and procedure writing.
• Understanding of the NHS long term plan

Other

Essential

• Committed and flexible with shift patterns and availability.

Desirable

• Calm and conscientious nature.

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).