Advanced Practitioner - Royal Derby Hospital BANK

Job responsibilities

Key Areas of Responsibility & Accountability

Clinical:

• To practice autonomously without direct supervision
• To utilise advanced clinical skills to assess, diagnose, treat and refer patients requiring the clinical service
• To recognise the need for, initiate and where appropriate interpret relevant diagnostic investigations
• To recognise the need for and initiate where appropriate advice of relevant specialisms
• To exhibit excellent nonverbal and verbal communication skills when dealing with patients and carers. To have the ability to make clear decisions with confidence and communicate these effectively
• To maintain appropriate clinical records in line with current practice guidelines.
• To work within the parameters of your skills and knowledge, recognising the limitations to your own practice and to work within the bounds of your training and capability according to regulatory codes of conduct
• To maintain an awareness of developments in clinical practice
• To optimise evidence based practice
• To work effectively as part of a multi professional team in collaboration with other members of the service
• To adhere to performance measures
• To provide health promotion/accident prevention advice for patients and carers
• To promote the protection of children and vulnerable adults in accordance with local safeguarding procedures
• To adhere to the Infection Prevention and Control policy for the service being provided
• To prescribe medication and work within the limitations of current extended Non-Medical Prescribing legislation
• Discharge or refer patients as appropriate to internal or external clinical pathways
• The ordering, storage, administration and disposal of medicines in a safe, secure manner in accordance with current policy and legislation.

Managerial:

• Take part in clinical audits
• To attend professional meetings and participate in team meetings
• The Clinician will work within guidelines and policies and will support the implementation of policies in own work area and participate in working groups as required
• To lead and participate in clinical audit cycle as required
• Participate in inductions for newly appointed staff
• Responsible for day-to-day supervision, delegation and co-ordination of staff making the best use of their abilities as appropriate
• To participate in the appraisal process for themselves and others as appropriate
• To identify, report and address poor performance issues
• To diffuse challenging behavior, ensuring that the situation is managed in a sensitive way
• To ensure efficient and effective use of material resources/supplies
• To identify any problems with resource use/availability and make recommendations for corrective action

Clinical Governance:

• To participate in the clinical governance requirements within the work of the organisation
• To practice with the parameters of company policies, protocols and guidelines
• To participate in quality improvement within the organisation
• To assess and evaluate outcomes of own practice, service intervention and treatment and identifies any short falls in service reporting to relevant managers
• To provide mentorship leadership and training to other team members
• To ensure the requirements of Health and Safety policy and legislation are maintained
• To participate in research and development activities of DHU Health Care

Education Practice Development:

• To participate in the clinical supervision framework for health care professionals within the company
• To offer appropriate advice to health and social care professions on care practices, delivery and service development within the parameters of the role and scope of practice
• To participate in the ongoing individual professional development within the organisation
• To mentor and role model as appropriate in the development of triage consultation, the mentorship of junior staff and students
• To complete the mandatory training programme to ensure compliance at all times

Professional:

• To work within the regulatory requirements, codes and Professional Standards of practice of the NMC/HCPC/GPhC
• To maintain professional and clinical competence through mechanisms of continuing professional development
• To act in such a manner at all times to promote confidence and public trust and uphold the reputation and image of DHU Health Care CIC

Communications and Working Relationships:

• Director of Nursing and Quality and other Executive Directors
• Divisional Clinical Director and Managing Director
• Divisional Heads of Clinical Services
• Divisional Operations and Corporate Teams
• DHU Health Care CIC Governance Team
• DHU Health Care CIC Clinical Training Team
• Clinical and managerial staff within participating Clinical Commissioning Groups (CCG)
• Clinical staff in local primary and secondary care services
• Other related services within the local health economy
• Social Services and local intermediate Care Services

Qualifications

Essential

• - Registered Adult Nurse registered with the Nursing & Midwifery Council (NMC), Paramedic registered with the Health Care Professions Council (HCPC) or Pharmacist registered with the General Pharmaceutical Council (GPhC)
• - Registered as an independent non-medical prescriber
• - A minimum of 2 modules at Level 7. 1 X module must have included assessment of clinical examination skills

Desirable

• - MSc (Advanced Practice)
• - Mentorship qualification

Skills and Knowlegde

Essential

• Essential criteria
• - Can complete a concise clinical history and physical examination
• - Consolidated telephone triage experience
• - Can formulate a differential diagnosis and management plan
• - Prepared to participate in service development
• - Demonstrable awareness of accountability in clinical practice
• - Can give evidence of using effective communication skills within practice
• - Must have excellent verbal and written skills
• - Computer literate
• - Is able to use negotiation skills
• - Skills, employing critical thinking
• - Ability to identify individual client needs
• - Able to prioritize, effective time management
• - Commitment to life long learning
• - Counselling & communication skills
• - Facilitation & negotiation skills
• - Aware of current structures and developments in out of hours care, health and social care
• - Specialist clinical/Technical skills
• - Proven team player
• - Able to work autonomously
• - Committed to continuing professional development
• - Positive effect
• - High level of interpersonal skills
• - Willingness to continue with additional training to achieve a full MSc in advanced clinical practice

Experience

Essential

• - Substantial Autonomous practice working and multi-professional team
• - Can show evidence of using autonomous physical examination and assessment skills in practice
• - Can demonstrate a broad and sound knowledge of complex and common conditions in primary care in both adults and children
• - Has experience in one of the following: nurse led clinics, emergency care centres ,out of hours facilities or walk in centres
• - Consolidated Independent Prescribing experience

Desirable

• - Use of examination skills in practice
• - Experience of telephone triage
• - Experience of Emergency Care
• - Experience of General Practice

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).