Job responsibilities
Main Duties and Responsibilities
Practice as an autonomous professional with confidence and authority using an expert knowledge base, complex decision-making skills and the clinical competencies of specialist, emergency care advanced practice.
Exercise judgement in assessing wide ranging and complex patient problems and have knowledge and expertise related to investigation and treatment options in order to facilitate informed consent.
Have direct responsibility for managing own patient caseload, ensuring all patients have agreed management plans that reflect their clinical, physiological and educational needs.
Have a health promotion and prevention orientation and comprehensively assess patients for risk factors and signs of illness working to overcome potential barriers such as language, cultural or behavioural issues using highly developed negotiation and persuasiveness skills.
Interpret and analyse highly complex clinical and non-clinical facts to form accurate diagnoses and prognoses for a wide range of conditions to recommend / deliver the best course of intervention including the development of comprehensive packages of care acting as the patients advocate where appropriate.
Initiate pharmacological interventions, using non-medical prescribing review patients medications ensuring they adhere to Trust guidelines and provide for the safe custody and administration of medications prescribed by others in accordance with Trust policies.
Accurately request radiological and pathology investigations and make clinical decisions based upon expert interpretation of the results.
Utilise physical skills including carrying out physical examinations, clinical skills, use of specialist equipment, perform specialist interventions that require dexterity and accuracy such as venepuncture, IV injections, syringe drivers etc. Expert hand/eye coordination to complete clinical procedures.
Manage patients who are critically unwell or those requiring emergency care thus periods of intense physical effort are required on a regular or as per shift basis.
Moving and handling of patients and equipment.
Required to drive across the geography.
Take responsibility for the discharge planning process for named patients and working in partnership with the patient, their family and the multidisciplinary team, provide specialist advice and support to optimise health outcomes and resource usage.
Manage an unpredictable, challenging and rapidly changing clinical environment with constantly changing priorities, no upper limit on patient numbers and high levels of physical and mental effort.
Act sensitively, confidentially and with empathy to communicate highly distressing information to patients and their relatives including the unexpected death of a patient or life-threatening illness or injury. Support bereaved families and patients and their relatives following serious trauma or illness.
Use highly developed communication skills to deliver complex information, negotiate and influence professionals and organisations to improve practices and healthcare delivery.
Use those skills also in communicating with persons who are distressed, highly emotional, bereaved, or mentally disturbed and in dealing with agitated, aggressive persons and in managing potentially violent situations.
Provide and receive highly complex, sensitive and controversial information, which may require negotiation with patients and their relatives. This may include issues around adult safeguarding, child protection, sexual abuse / assault, and patients in the custody of the legal system. Ensure safeguarding legislation and Trust policies adhered to in own practice.
Supervise and where necessary, work in collaboration with nursing, medical and AHP team members, demonstrating expert clinical practice. Ensure own and staff wellbeing taking into account frequent exposure to highly unpleasant working conditions and highly distressing, emotional and traumatic cases.
Appropriately define the boundaries of own practice, adhering to Trust and regulatory standards or equivalent and refer to senior medical staff when scope of practice is exceeded.
Maintain accurate, contemporaneous and timely care records.
Communication
The post holder is required to utilise a wide range of communication skills and will be required to communicate on complex issues to a wide range of audiences, including director and senior management level, in order to inform and influence decisions.
To attend performance meetings, where appropriate, to represent the service/clinical speciality.
To be responsible for the implementation of the delegated actions from development plans, including the business plans, through effective communications and briefings to staff.
Use highly developed communication skills to effectively communicate with colleagues, patients and their relatives/carers to enable the development of internal and external working relationships.
Use professional judgement to act as an advocate for patients to ensure a patient focused approach to the delivery of care. Support and enable patients and carers to make informed decisions relating to their treatment and management. Escalate any concerns via the nursing / professional structures as required
Ensure effective and accurate documentation of patients consultation, examination finding and management plan on system one.
Ensure that high standards of all documentation are maintained, with accurate, complete and up-to-date information regarding patient care are kept in accordance with Trust standards.
Communicates sensitive information concerning the patients condition, which requires persuasive and reassuring skills; some patients may have special needs, learning disabilities and therefore communication with the child and parents is key.
Work with Interpreting services as appropriate where there are difficulties with language and communication.
Work with other services that provide in and out of hours services including Emergency Department, , GPs, Out of Hours GP service and ambulance services.
Utilise advanced knowledge and skills relating to the speciality to provide specialist advice to other members of the multidisciplinary team on the basis of patient assessment.
Provide a seamless, high quality service from referral through to assessment, diagnosis, treatment and review, referring to other specialists as required. Provide guidance to staff, patients and their families and carers on pathway navigation
Maintain an awareness of professional and ethical issues to ensure care is delivered in a professional timely and courteous manner by all members of the team, respecting the different spiritual and cultural backgrounds of colleagues, patients and relatives.
Management of clinical complaints, including face to face contact with patients and families, which may involve difficult conversations that require a non-defensive approach.
Able to undertake communication with patients and families that may be of a distressing or highly distressing nature.
Budgetary Responsibility
Have an awareness of cost efficiency and ensure designated funds are used appropriately.
Contribute to strategies that impact across the service, for example business plan development.
Authorise temporary staffing, overtime/extra duty payments and unsocial hours claims via e-Roster.
Maintain and authorise expenditure of consumables budget.
People Management
Contribute positively to leadership, acting as a professional role model, expert clinician, and educator, providing mentorship and support and demonstrating exemplary practice to all members of the healthcare team.
Devises, participates and delivers specialist training and development of multi-professional groups.
Promote a professional environment conducive to high patient and staff morale, achieved through effective leadership and personal example.
Contribute to the development and improvement of systems and pathways that improve patient flow.
Provide consultancy using in depth clinical knowledge to develop and review existing protocols and guidelines and therapeutic interventions with regard to advanced practice.
Participate in the development of advanced practice engaging stakeholders and using high level negotiating and influencing skills at local, regional and national levels evaluating current practices and taking part in steering groups.
Maintaining own professional development and requirement to take part in appraisal.
Devises, participates and delivers specialist training and development of multi-professional groups.
Research & Development Activity
Work closely with senior medical colleagues to proactively monitor and manage risk ensuring clinical governance requirements are met and appropriate clinical supervision for self and others is in place.
Actively involve service users in providing feedback of their experience of the current service and suggestions for improvements.
Act swiftly to investigate and assist in resolving complaints and incidents related to clinical practice.
Full job description in attached document
