Paramedic/Advanced Nurse Practitioner

Job description

Job responsibilities

Duties and Responsibilities:

Working with Locality based practice staff within the PCN the post holder will

Work within the Home Visiting Service to undertake on the day requests from GP practices for home visits.

Provide timely, high quality, person-centred clinical care to patients, addressing their immediate needs and their long-term self-management. This is achieved by collaborating with all health and social care agencies and including local community services and within primary care provision.

Prevent inappropriate hospital admissions or attendances to the emergency department by providing/co-coordinating the provision of specialist care by other agencies for the patient in the most appropriate and agreed environment.

Facilitate the timely attendance of clinically relevant patients to secondary care.

Work collaboratively with hospital consultants and specialist registrars to ensure acutely ill patients receive the right care in the right place at the right time either in the community or prior to admission.

Write up full discursive, contemporaneous notes in the individual patients GP practice clinical system and ensure full and effective communication with the GP practice regarding patient assessment and outcomes using System One Clinical Software.

Clinical Responsibilities:

To act as an autonomous practitioner who directs, provides and evaluates the highest standard of evidence based clinical care to patients within their own home, founded on agreed management care plans and protocols.

Assist in the development of an integrated approach to the delivery of urgent and emergency care involving all relevant stakeholders including health and social care organisations, particularly within the primary care field.

Manage the unscheduled care of the patient within the primary health care setting by referral to alternative agencies thereby providing a wider range of care options at the point of patient contact and reducing inappropriate admissions.

Make appropriate use of and develop clinical decision support software when available.

To work independently and without direct supervision in the home environment, prioritising workload to meet the regular unpredictable situations that may occur within this role.

Demonstrate the ability to work independently and perform comprehensive patient assessments based upon the patients clinical record and physical examination.

To make clinical decisions within the home autonomously and in liaison with GPs, hospital clinicians and other agencies in preventing some hospital admissions.

Manage own capacity to ensure optimum provision of care to patients and responsive decision making to meet the needs of their needs.

Demonstrate highly developed clinical reasoning and decision-making.

As appropriate order diagnostics, interpret results, advise on treatments and/or refer to relevant health care professional.

Have the necessary knowledge, skills and training to recognise emergency clinical situations such as anaphylaxis, cardiac and respiratory deterioration, to act appropriately knowing when to seek assistance.

Work in close collaboration with the clinical lead for the delivery of an effective service by defining and overseeing the development of service standards in-line with Government, NMC/HCPC guidelines.

Ensure clinical effectiveness by use of evidence-based practice and outcome measures.

Liaise with patients, carers and colleagues to assess the safety of a patients home environment, acting quickly to protect patients and staff from potential risk.

Recognise high risk, difficult situations regarding the transfer of some patients and prioritise promptly, actions needed for the safety and well-being of patients/carers.

To ensure that appropriate, consistent and realistic information is provided to patients and families.

To provide sensitive and complex information to relatives and patients in sometimes hostile, and emotive atmospheres.

Use expert communication skills to create and sustain new alliances. Using the highest level of interpersonal skills, to break down the barriers and develop inter-professional collaborative working relationships with staff in primary and secondary care.

Recognise levels of competence and always work within them.

Report and manage serious untoward incidents and liaise with Practices.

Ability to recognise high risk, difficult situations regarding the transfer of some patients and prioritise promptly, actions needed for the safety and well being of patients/carers.

Have the knowledge and training to employ counselling skills with patients/carers with complex needs, demonstrating sensitivity to their emotional needs, in particular when imparting potentially distressing information and the implications of the same, and in situations where there may be barriers to understanding. This can sometimes mean intense involvement and support to patients with palliative care needs and their carers.

Have the necessary knowledge, skills and training to recognise emergency clinical situations such as anaphylaxis, cardiac and respiratory deterioration, to act appropriately knowing when to seek assistance.

Have the knowledge and experience of the numerous complex problems of some patients in order to offer clear, concise advice and support to include situations such as environmental, cultural, as well as unpredictable patient demands.

Promote the welfare and safeguarding of children, young people and adults. Recognise professional and statutory responsibility in the reporting of safeguarding concerns.

Person Specification

Qualifications

Essential

• Relevant professional qualification, eg Specialist Paramedic, Nurse Practitioner qualification or equivalent.
• Experience in undertaking enhanced clinical practice, including interpretation of blood, culture results and radiological investigatons.
• Minimum of 3 years post registration with demonstrable experience of using diagnostic skills.
• Evidence of working within primary or urgent care clinical practice environments.
• Evidence of excellent clinical record keeping, ability to support patients during acute episodes of illness and to self manage long term conditions where feasible.
• Good understanding of health policy.
• Excellent communication skills, able to articulate personal development needs, ability to reflect and appraise own performance.

Desirable

• Non-medical Independent Prescriber qualification.

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

Three Valleys Health PCN

Address

St. Chads Surgery

Gullock Tyning

Midsomer Norton

Radstock

BA3 2UH

Employer's website

https://www.threevalleyshealthpcn.co.uk (Opens in a new tab)