Prescribing Specialist Practitioner

Job description

Job responsibilities

Clinical

Work as an autonomous practitioner within nurse led, drop-in clinics and hostel outreach sessions using evidence-based nursing practice and client care.

Provide individual health assessments involving holistic consideration for an individuals physical, mental and emotional health.

Produce patient specific care plans, assessing, planning, implementing and evaluating in collaboration with the client and other professionals.

Assessment and management of complex wounds including those requiring compression bandaging

Perform doppler measurements as part of assessment of patients with leg ulceration

Identify, manage and refer appropriately, service users at risk of potentially life-threatening conditions including sepsis, acute alcohol withdrawal and suicide.

Provide emergency care to patients on and off-site including liaising with emergency medical services and supporting non-clinical staff.

Safe Administration of PGD medication including IM Naloxone as required.

Administer appropriate immunisations in line with PGDs (Patient Group Directions)

Keep accurate, confidential and contemporaneous records of interventions.

Ensure prompt referrals to appropriate services e.g. GP, A&E, AWP, Blood Borne Virus (BBV) Nurse.

Participate in partnership working with statutory and voluntary staff e.g. BBV team, St Mungos, Housing and One25.

Effective liaison and communication with clients, carers, primary and secondary health services and other agencies.

Participate in clinical, team and other meetings as appropriate to services.

Maintain clinics and other work places and ensure adequate stocks are available at all times

Education and Health Promotion

• Act as a facilitator to student nurses and medical students who spend time with the team.
• Develop and participate in health promotion initiatives with team members and other agencies as appropriate.
• Help to educate local and statutory organisations to the needs of the homeless and to facilitate the assimilation of clients who are homeless into mainstream services.

Prescribers Only

Prescribe and review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and practice protocols, and within scope of practice

Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment

Communicate with and support patients who are receiving bad news

Communicate effectively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background, languages, and preferred ways of communicating

Anticipate barriers to communication and take action to improve communication

Maintain effective communication with all multi-disciplinary team members, as well as with external stakeholders

Act as an advocate for patients and carers

Ensure awareness of sources of support and guidance (e.g., PALS) and provide information in an acceptable format to all patients, recognising any difficulties and referring where appropriate

To be able to maintain accurate electronic written patient records for users of services provided

To be aware of responsibilities under the Data Protection Act

The primary focus of this role is to provide clinical services to patients, however there are a wealth of opportunities to engage with and drive initiatives, take leadership development roles and contribute to service improvement.

Ability to adhere to organisational policies

Maintain active NMC or HCPC registration

Continue to develop and expand own personal clinical expertise as autonomous/independent practitioner.

Understand own role and scope and identify how this may develop over time

In partnership with others, challenge and critically evaluate the boundaries of autonomous practice, such that patient access, choice and outcomes will improve

Help in the development and evaluation of clinical guidelines, policy, competency tools and continuous improvement opportunities to support in the expansion of Health care professional roles in the delivery of optimal care

Identify and perform audit relevant to clinical area in order understand current practice, review evidence-based research and drive improvement

Develop own areas of specific clinical expertise to link acute, primary, community and emergency care sectors in expanding nursing and AHP practice across BrisDoc

Manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and patients

Monitor work areas and practices to ensure they are safe and free from hazards and conform to health, safety and security legislation, policies, procedures, and guidelines

Person Specification

Qualifications and Training

Essential

• Current NMC registration
• Post qualifying experience of working in A&E, minor illness/injury or practice nurse role
• Post qualifying experience of working with clients who experience problematic substance misuse and / or homelessness
• Complex wound management experience

Desirable

• Working towards MSc in Advanced / Specialist Practice or evidence of accumulation of relevant experience / knowledge (essential for prescribing rates)
• Advanced Clinical Assessment, Reasoning and Clinical Decision Making or Physical Assessment and Clinical Reasoning qualification or equivalent experience and willing to work towards this qualification

Knowledge & Experience

Essential

• Understanding of legal and ethical issues / responsibilities relating to clinical practice and especially regarding autonomous practice and telephone assessment
• Knowledge in the delivery of Health Care Advice and Health Promotion

Desirable

• Experience in working with people experiencing domestic violence

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

BrisDoc Healthcare Services

Address

Homeless Health Service

1 Jamaica Street

Bristol

BS2 8JP

Employer's website

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