Advanced Clinical/Nurse Practitioner

Job responsibilities

The Advanced Nurse Practitioner will be responsible for the assessment of health and clinical needs of the patient. To undertake consultations with patients as an autonomous practitioner using advanced clinical practice skills, own clinical judgement to diagnose, treat, refer or discharge patients Key Responsibilities: Service delivery Undertake consultations with patients taking a comprehensive patient history, carry out physical examination use their expert knowledge and clinical judgement to identify the potential diagnosis Exercise a higher degree of personal and professional autonomy using advances clinical practice skills to include clinical interventions Refer patients for investigations when necessary/appropriate Make a final diagnosis, decide on and carry out treatment, including the prescribing of medicine or referring to primary or secondary care specialist services within local agreed pathways and protocols as appropriate Ensure that all treatments and care provided are based on best practice/evidence based care Advanced Nurse Practitioner V-JD011 Job Description Updated April2019 Use their extensive to plan and provide skilled competent care to meet the patients health and social care needs, involving other members of the healthcare team as appropriate Work with multi-disciplinary and multi-agency teams in order to ensure patient needs are met Asses and evaluate, with the patient, the effectiveness of the treatment and care provided and make changes as needed Use independent/supplementary prescribing skills for benefits of patient care Work independently and as part of a team Provide support/leadership/training/education Assist in clinical audit and setting and monitoring of service and unscheduled care Identify and take appropriate actions to address risk to the patient, this will include: Identification of emergency care needs requiring despatch of a 999 ambulance Safeguarding children and protection of vulnerable adult issues which require referral on to other agencies in line with local policies Work independently and at the same time contribute to the work of the whole team to ensure the delivery of a consistently high level of service, this will include; Taking responsibility and being accountable for managing own workload, risk assessment and management, acting within professional codes and appropriately to the clinical team leader for advice and support Undertaking other duties when required, such as audits or administrative tasks Identifying issues which may negatively impact upon service delivery and reporting these on to the clinical support manager/clinical manager operational team leader/shift manager in a timely fashion Acting as a clinical resource for non-clinical staff who may require advice and support Maintain contemporaneous records of the consultation and action using the computer software and where necessary written records, in line with NMC guidance and local policies, guidelines and procedures Remain focused on the delivery of an excellent service within an unpredictable, diverse and challenging workload Communication Work effectively as a team member, supporting and communicating with other professional colleagues and clinicians Use critical thinking and effective communication skills to holistically assess patients needs and determine relevant culture, social, economic factors in a respectful and nonjudgemental manner Provide a professional, courteous and efficient service consistent with organisational standards for patients seeking assistance from the service, maintaining a professional and reassuring manner at all times Utilise advanced listening, probing and facilitative skills across a diverse range of cases, some of which may be highly challenging due to emotive circumstances, communication difficulties and patient anxiety Utilise complex communication skills to negotiate and provide support to patients who may be non-compliant with the recommended outcomes Utilise interpreter services, communication aids and other resources, to address barriers to communication and understanding Effectively use a range of communication methods (e.g. telephone, email, fax, letter and report writing) to facilitate communication at all levels within and external to the organisation Education, Training and Development Advanced Nurse Practitioner V-JD011 Job Description Updated April2019 Actively participate in the individual annual review process Actively participate in individual and service performance reviews In conjunction with line manager take responsibility for identifying and addressing personal/professional development needs in line with service requirements and to meet the requirements of professional registration and revalidation Actively participate in clinical supervision to facilitate personal and professional development Contribute to the development of a learning environment in which organisational and professional development can flourish Contribute to the training of other staff where required Support new staff in their development and participate in supervision, teaching and mentorship to help new staff develop and achieve competency to perform their role Attend statutory, mandatory and any other relevant training courses/updates (e.g. IT and computer skills including specific decision support / clinical tool kits, Governance and Health and Safety) Share and utilise professional knowledge, skills and expertise with colleagues to enhance the service delivered to patients Information Management and Technology Keep contemporaneous and accurate records during the patient consultation within the relevant software programme and maintain paper records as appropriate Maintain confidentiality in relation to all information governance requirements, ensuring that data is only disclosed in compliance with such Develop and maintain knowledge and competence in computer skills in order to access software applications, databases, documents, email and approved intranet / internet resources Develop and maintain knowledge and competence is using telephony Governance, Quality and Service Development Contribute to the achievement of service standards and performance requirements by participating in regular quality monitoring and individual performance reviews Attend and contribute to meetings, workshops, and other groups in order to support the on-going development of the service Participate in audit, customer satisfaction programmes, research and other quality improvement activities Participate in the investigation of incidents, complaints and other issues as required Adhere to organisation policies, procedures and guidelines Adhere to professional codes of conduct and guidelines The post holder must, at all times, act honestly and open and comply with relevant corporate governance requirements, employment legislation, standards of business conduct, codes of openness and accountability.

Experience

Essential

• Minimum 5 year post registration experience
• 2 years experience of working as a practitioner
• in a primary care environment, Emergency
• Department, Urgent Care Centre, MAU/EAU or
• other first contact setting, evidence of excellent
• assessment skills
• Experience of having provided mentorship
• and/or coaching to other staff

Qualifications

Essential

• Registered Nurse First Level Nurse or other
• healthcare professional qualification leading to
• registration
• Evidence of degree level study or equivalent
• Degree in advanced practice or equivalent (to
• include research an evidence to inform
• practice, clinical leadership, work-based
• learning, clinical history taking and
• examination skills, pathophysiology,
• investigations and immediate management,
• non-medical prescribing)
• Evidence of completion of study in minor
• illness
• Evidence of study in minor injury
• Evidence of completion of study in paediatric
• minor illness
• Evidence of study in paediatric minor injury
• Masters level study in advanced practice

Desirable

• Evidence of study to conduct paediatric
• clinical examination
• Teaching/training qualifications such as
• ENB998 or equivalent

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).