Enhanced Access Advanced Nurse/Clinical Practitioner

Job description

Job responsibilities

Key Responsibilities

Identify, manage, and support patients at risk of developing long-term conditions, preventing adverse effects on the patients health

Provide routine nursing care to patients as required in accordance with clinical based evidence, NICE and the NSF

Provide vaccinations and travel vaccinations if required

To be proficient in venepuncture

To provide medical review for Diabetes Clinics following the 8 step assessment

Provide wound care (Doppler) to patients

Provide chronic disease clinics, delivering patient care as necessary, referring patients to secondary / specialist care as required

Maintain accurate clinical records in conjunction with extant legislation

Ensure read codes are used effectively

Maintain chronic disease registers

Develop, implement, and embed well woman clinics

Implement vaccination programmes for adults and children

Prioritise health issues and intervene appropriately

Recognise, assess, and refer patients presenting with mental health needs

Support patients in the use of their prescribed medicines or over the counter medicines (within own scope of practice)

Support the clinical team with all safeguarding matters, in accordance with local and national policies

Deliver opportunistic health promotion where appropriate

Carry out smear testing and maintain smears results logs

Manage emergency drug kit

To adapt and develop the role of Advanced Clinical/Nurse Practitioner, ensuring flexibility and willingness to expand the role as required in the Enhanced Access settings;

Maintain up to date knowledge on all professional nursing matters;

Will develop effective working relationships with other healthcare professionals;

Maintain accurate confidential health records;

To provide leadership, education and training to different healthcare professionals, staff and students. Acting as a role model and source of quality evidence based information for the clinical team and management within own field of practice;

To ensure readiness for CQC;

To maintain the highest standards of primary health nursing care;

To coordinate and participate in health promotion and public health agendas

Provide autonomous care for the patients, to assess, investigate diagnose, treat and refer if necessary;

To facilitate and manage the ANP appointment rotas if needed;

To work at different locations if required;

To deal with telephone consultation if required;

To facilitate home visits as required;

Secondary Responsibilities:

• Develop, implement, and embed health promotion and well-being programmes
• Implement and evaluate individual treatment plans for chronic disease patient
• Chaperone patients where necessary

Support the team in dealing with clinical emergencies

Liaise with external services / agencies to ensure the patient is supported appropriately (vulnerable patients etc.)

Delegate clinical responsibilities appropriately (ensuring safe practice and the task is within the scope of practice of the individual)

Understand practice and local policies for substance abuse and addictive behaviour, referring patients appropriately

Act as the audit lead, effectively utilising the audit cycle

Monitor and ensure the safe storage, rotation, and disposal of medicines

Support junior members of the nursing team, providing guidance when necessary

Participate in local initiatives to enhance service delivery and patient care

Support and participate in shared learning within the organisation.

Continually review clinical practices, responding to national policies and initiatives where appropriate

Participate in the review of significant and near-miss events applying a structured approach i.e. root cause analysis (RCA)

Enhanced Access Advanced Clinical Nursing Practice:

The ANP works autonomously and is accountable for their own professional actions and omissions.

Undertakes clinical nursing practice at an advanced level using expert knowledge and clinical skills to deliver holistic care to people accessing urgent primary care services.

Assesses diagnoses and treats patients attending Enhanced Access Clinics with a range of acute and chronic conditions.

To clearly communicate the health status of the patient using appropriate terminology, technology

Will attend people in their own homes as appropriate and treat or refer accordingly;

Will provide a high standard of telephone/video triage and consultation as appropriate;

Directly admits patients to secondary care as appropriate;

Undertakes regular development as agreed in PDR to extend clinical practice;

Advises and supports others where standard protocols do not apply;

Works within professional guidelines and code of conduct;

To provide safe, effective-based, cost effective, individualised patient care;

Works as an Independent Nurse Prescriber and provide safe, effective and appropriate medication as defined by current legislative framework;

Works, in collaboration with others, to develop any Directory of Services (DOS) requirements as necessary to improve the appointment services.

Practice Development and Education:

Participates and initiates audits as required and uses the results to continually improve the service and educate other staff

Participates and initiates research projects as agreed and disseminates findings relating to clinical practice;

Has an active role in clinical education, devising an education programme for staff, in conjunction with MKUCS Management Team.

To collaborate as necessary with clinical staff audit.

To attend meetings internally and externally as required and represent MKUCS if necessary.

Will encourage and motivate others to be forward thinking in their ideas that address the health needs of the population and will be innovative in new ways of working.

To work within the Nursing and Midwifery Council Code of Professional Conduct and Scope of Professional Practice;

To participate in organisational decision making, interpret variations in outcomes and use data from the information systems to improve practice

To work according to Clinical Governance and to support the Clinical Governance Agenda;

To maintain any status/registrations required to undertake the duties of the role (e.g. revalidation);

To support with clinical complaint and incident investigation as appropriate

To understand the role of risk management within the organisation, to contribute to risk assessment and Significant Risk Events and the importance of infection control;

Information Governance:

Will make effective use of the clinical system by ensuring consistent and accurate recording of patient records;

The post holder will abide by Information protocol and will feed into the Senior Team, the SIRO (Head of Nursing and Quality) and the Caldicott Guardian (CEO) and to the Business and Patient Services Lead as required.

In the course of duties held within this job description the post holder will have access to confidential information relating to patients and their carers, they may also have access to information relating to the practice as a business. All such information is highly confidential and the post holder must comply with IG guidance and the NMC Code of Conduct relating to maintaining confidentiality.

Health & Safety:

The post holder will assist in promoting their own and others health and safety as defined within the MKUCS Health & Safety Policy;

Will identify the risks involved in work activities and undertaking such activities in a way that manages those risks;

Will make effective use of training to update knowledge and skills;

Will report any potential risks that have been identified;

Safeguarding

To safeguard adults and children in own clinical practice and support the team to manage complex safeguarding situations as required to do so

To work with the Safeguarding Lead Matron in managing safeguarding issues relating to the GP group of staff

To promote awareness of all aspects of safeguarding for all groups

To disseminate any safeguarding issues appropriately and feed them into the Clinical Governance forum.

Liaison with other service providers and committees

Represent MKUCS in external meetings and forums to promote the services we offer and to support the local health economy as appropriate.

• Address issues with other service providers that impact on the delivery of MKUCS services

Person Specification

Experience

Essential

• - At least 5 years of clinical experience
• - Previous experience of working within a Primary Care environment
• - Previous experience of organising training and supporting the completion of competencies
• - Experience of working with an electronic medical records system
• - Experience of working with IT systems
• - Experience of safeguarding children and/or vulnerable adults

Desirable

• - Previous experience of rota management

Qualifications

Essential

• - Qualified as an independent Nurse Prescriber
• - Qualified to MSC Level

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

Milton Keynes Urgent Care Services

Address

Milton Keynes Univ Hospital Campus

Standing Way, Eaglestone

Milton Keynes

MK6 5NG

Employer's website

https://www.miltonkeynesurgentcare.com/ (Opens in a new tab)