Advanced Nurse Practitioner

Job description

Job responsibilities

• Undertake a clinical duty role once a week as per the clinical rota
• Provide a triage service, actively managing or referring patients or treating patients within own scope of practice
• Carry out home visits as per clinical remit & own scope of practice
• Support the clinical team in the development of individual treatment plans for chronic disease patients.
• Identify, manage and support patients at risk of developing long-term conditions, preventing adverse effects on the patients health
• Carry out medical audits
• Complete own prescribing and EPS prescriptions
• Action own correspondence via Docman
• Develop, implement & embed health promotion and well-being programmes
• Provide routine and acute nursing care to patients as required in accordance with clinical based evidence, NICE and the NSF
• Request pathology services as necessary, processing and interpreting results as required
• Refer patients directly to other services as appropriate
• Maintain accurate clinical records in conjunction with extant legislation
• Ensure appropriate read-codes are used effectively
• Support the team in dealing within clinical emergencies
• Liaise with external services/agencies to ensure the patient is supported appropriately (vulnerable patients etc)
• Delegate clinical responsibilities appropriately (ensure safe practice and the task is within the scope of practice of the individual.

Administration and professional responsibilities

• Participate in the administrative and professional responsibilities of the practice team
• Ensure accurate and legible notes of all consultations and treatments are recorded in the patients notes on the computer system
• Ensure your own knowledge of current IT systems and processes is kept current
• Ensure accurate completion of all necessary documentation associated with patient health care and registration with the practice
• Ensure collection and maintenance of statistical information required for regular and ad hoc reports and audit.
• Attend and participate in practice clinical & management meetings as required.

Training and personal development

• Training requirements will be monitored by yearly appraisal and will be in accordance with practice requirements. Personal development will be encouraged and supported by the practice. It is the individuals responsibility to remain up to date with recent developments.
• Participate in the education and training of students of all disciplines and the introduction of all members of the practice staff where appropriate
• Develop and maintain an in house nurse-training programme reporting to the practice manager.
• Maintain continued education by attendance at courses and study days as deemed useful or necessary for professional development ensuring PREP requirements are met.
• If it is necessary to expand the role to include additional responsibilities, full training will be given.
• Develop and maintain a Personal Learning Plan.

Liaison

• As well as the nursing team there is a need to work closely with reception, office and external staff to ensure the smooth running of the practice, reporting any problems encountered to the relevant person and ensuring everyone is aware of the different roles within the nursing team.
• There is also the need to establish and maintain good liaison with other surgeries and agencies including secondary care.

Confidentiality:

• In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately
• In the performance of the duties outlined in this job description, the post-holder may have access to confidential information relating to patients and their carers, practice staff and other healthcare workers. They may also have access to information relating to the practice as a business organisation. All such information from any source is to be regarded as strictly confidential.
• Information relating to patients, carers, colleagues, other healthcare workers or the business of the practice may only be divulged to authorised persons in accordance with the practice policies and procedures relating to confidentiality and the protection of personal and sensitive data.

Health & Safety:

The post-holder will implement and lead on a full range of promotion and management their own and others health and safety and infection control as defined in the practice Health & Safety policy, the practice Health & Safety manual, and the practice Infection Control policy and published procedures. This will include (but will not be limited to):

• Using personal security systems within the workplace according to practice guidelines
• Awareness of national standards of infection control and cleanliness and regulatory / contractual / professional requirements, and good practice guidelines
• Responsible for the correct and safe management of the specimens process including collection, labelling, handling, use of correct and clean containers, storage and transport arrangements
• Management and maintenance of Personal Protective Equipment (PPE) for the practice including provision, ordering, availability and ongoing correct usage by staff
• Responsible for hand hygiene across the practice
• Ownership of infection control and clinically based patient care protocols, and implementation of those protocols across the practice
• Active observation of current working practices across the practice in relation to infection control, cleanliness and related activities, ensuring that
• Monitoring practice facilities and equipment in relation to infection control, ensuring that provision of hand cleansing facilities, wipes etc are sufficient to ensure a good clinical working environment. Lack of facilities to be escalated as appropriate.
• Safe management of sharps procedures including training, use, storage and disposal
• Using appropriate infection control procedures, maintaining work areas in a tidy, clean and sterile, and safe way, free from hazards. Initiation of remedial / corrective action where needed or escalation to responsible management
• Actively identifying, reporting, and correction of health and safety hazards and infection hazards immediately when recognised
• Keeping own work areas and general / patient areas generally clean, sterile, identifying issues and hazards / risks in relation to other work areas within the business, and assuming responsibility in the maintenance of general standards of cleanliness across the business in consultation (where appropriate) with other sector managers
• Undertaking periodic infection control training (minimum twice annually)
• Routine management of own team / team areas, and maintenance of work space standards
• Waste management including collection, handling, segregation, container management, storage and collection
• Spillage control procedures, management and training
• Decontamination control procedures, management and training, and equipment maintenance
• Maintenance of sterile environments.

Personal/Professional development:

The post-holder will participate in any training programme implemented by the practice as part of this employment, such training to include:

• Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development
• Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work

Quality:

The post-holder will strive to maintain quality within the practice, and will:

• Alert other team members to issues of quality and risk
• Assess own performance and take accountability for own actions, either directly or under supervision
• Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance
• Work effectively with individuals in other agencies to meet patients needs.

Communication:

The post-holder should recognize the importance of effective communication within the team and will strive to:

• Communicate effectively with other team members
• Communicate effectively with patients and carers
• Recognize peoples needs for alternative methods of communication and respond accordingly

Contribution to the implementation of services:

The post-holder will:

• Apply practice policies, standards and guidance
• Discuss with other members of the team how the policies, standards and guidelines will affect own work
• Participate in audit where appropriate.

Equality and diversity:

The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include:

• Acting in a way that recognizes the importance of peoples rights, interpreting them in a way that is consistent with practice procedures and policies, and current legislation
• Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues
• Behaving in a manner which is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights.

Person Specification

Clinical Knowledge & Skills

Essential

• Advanced clinical skills
• Clinical examination skills
• Management of longer term conditions
• Management of patients with complex needs
• Clinical governance Quality and Outcomes Framework Broad knowledge of clinical governance
• Ability to record accurate clinical notes
• Ability to work within own scope of practice and understanding when to refer to GPs.
• Knowledge of health promotion strategies
• Understands the requirement for PGDs and associated policy

Desirable

• Knowledge of public health issues in the local area
• Awareness of issues within the wider health arena

Experience

Essential

• At least 2 years recent experience of nursing in a primary care environment
• Minimum 5 years' post-registration
• Management of minor illnesses or ailments

Desirable

• Use of EMIS Web clinical system

Qualifications

Essential

• Registered Nurse
• Relevant nurse practitioner qualification
• Prescribing 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

MIAA Solutions

Address

Park House Medical Centre

Sewell Street

Prescot

Merseyside

L34 1ND

Employer's website

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