Advanced Nurse Practitioner

Job description

Job responsibilities

Management and Leadership

Identifying need for change, leading innovation and managing change, including

service development

Developing case for change

The Practitioner will participate in the continuing improvement of services in line with the Trust and National objectives. In close liaison with the Clinical Director, Clinical Lead, Clinical General Manager, Matron and rest of the Emergency Department team, they will endeavour to deliver, develop, and improve a holistic standard of care, in a collaborative manner using evidence-based practice potentially across both EDs within the Trust

Negotiation and influencing skills

Networking

Team development

Advanced Clinical Practice

Decision making regarding highly complex facts and situations in the Emergency Department requiring analysis, interpretation with a range of options, critical thinking and analytical skills incorporating critical reflection

The Practitioner can undertake highly advanced physical clinical skills and has the knowledge base to extend their role with precision and safety e.g. suturing, foreign body retrieval, local and regional anaesthetic procedures, emergency airway management, all aspects of CPR, Point of care ultrasound scan for difficult IV access and chest drains.

The Practitioner will work autonomously and be accountable for complex decision making including the assessment, examination and investigation and planning the delivery of care to an undifferentiated ED patient.

The Practitioner will complete the episode of care for patients including paediatric, trauma, resuscitation, mental health, medical, surgical, gynaecological and minor illness presentations up until the point of safe discharge of patient.

Managing complexity

Clinical governance

The practitioner will take lead responsibility for an area of practice as a senior decision maker, liaising with leads on other sites and disseminating information to relevant team members.

The Practitioner will work independently, with a high degree of autonomy, and take part in clinical supervision from a named consultant and professional supervision from the Care Group Associate Director of Nursing.

Equality and diversity

Ethical decision-making

Assessment, diagnosis, referral, discharge

The Practitioner provides expert and specialist advice related to the assessment, diagnosis, management and treatment of condition/s in all ages and specialities from the first point of contact through to discharge or referral.

Developing higher levels of autonomy

Assessing and managing risk

Non-medical prescribing in line with legislation

Developing confidence

Developing therapeutic interventions to improve service user outcomes

Higher level communication skills

Service user/public involvement

Promoting and influencing others to incorporate values-based care into practice

Public health, epidemiology, health education and promotion

Development of advanced psycho-motor skills

Educational Responsibilities

Principles of teaching and learning

Supporting others to develop knowledge and skills The Practitioner will have responsibilities regarding education and training, in both formal and informal settings. Their audience will be medical, non-medical, nursing, and support staff, of varying levels and responsibility.

Promotion of learning/creation of learning environment

Service user/carer teaching and information giving

Developing service user/carer education materials

Teaching, mentorship and coaching

Research

Ability to access research/use information systems

Critical appraisal/evaluation skills

Involvement in research

Involvement in audit and service evaluation

Ability to implement research findings into practice including use of and development of policies/protocols and guidelines

Conference presentations

Publications

Person Specification

Special Skills & Knowledge

Essential

• Ability to make operational judgements, manage conflicting views and reconcile inter and intra professional differences of opinion.
• To work autonomously and be accountable for complex decision making including the assessment, examination and investigation and planning the delivery of care to an undifferentiated ED patient.
• To undertake highly advanced physical clinical skills
• Department requiring analysis, interpretation with a range of options, critical thinking and analytical skills incorporating critical reflection
• To work independently, with a high degree of autonomy, and take part in clinical supervision from a named consultant and professional supervision from the Care Group Associate Director of Nursing.
• The Practitioner will complete the episode of care for patients including paediatric, trauma, resuscitation, mental health, medical surgical, gynaecological and minor illness presentations up until the point of safe discharge of patient.
• Perform procedures such as iliac fascia block, chest drain, aspiration and point of care ultrasound independently (this list is not exhaustive)
• Ability to plan specialist nursing service provision including education and training.
• Ability to develop and implement specialist care packages and provide clinical advice in specialist area.
• Ability to communicate very sensitive, highly complex condition related information to patients and relatives, demonstrating empathy and reassurance.
• Demonstrates ability to impart unwelcome news to staff, patients and their carers and relatives.
• Ability to present specialist information to large groups of staff.
• Develops protocols for specialist area that may impact on other disciplines.
• Develops policies for specialist service.
• Develops and provides specialist training and education programmes.
• Responsible for establishing how policies should be interpreted
• Conducts research in specialist area
• Member of audit, research steering group developing trust wide research
• Physical Skills:
• Dexterity and accuracy required for e.g. intravenous injections, syringe pumps and infusions, insertion of catheters, remove of sutures/undertakes suturing, endoscopies

Experience

Essential

• Expert knowledge, clinical skills and experience in Emergency Care
• Substantial management / advanced clinical skills experience as a Practitioner
• Able to demonstrate effective clinical leadership skills.
• Expert knowledge/skills and experience in the use of all medical devices within the ED e.g. Non Invasive Ventilation Ability to work hours flexibly when service needs require
• Ability to travel independently across sites to fulfil the requirements of the post

Qualifications

Essential

• Evidence of professional knowledge acquired through Masters degree and demonstrable professional knowledge/experience
• ALS, ATLS, EPALs provider
• Recognised Teaching qualification
• Registered Mentor
• Non-Medical Prescribing
• Clinical skills course and experience of history taking

Desirable

• ALS, ATLS, EPALS instructor
• RCEM credentialed

Statutory Registration

Essential

• Active 1st Level NMC Registration or;
• HCPC Registration

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.

Certificate of Sponsorship

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).

Employer details

Employer name

County Durham & Darlington NHS Foundation Trust

Address

Darlington Memorial Hospital NHS Trust

Hollyhurst Road

Darlington

County Durham

DL3 6HX

Employer's website

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