Job responsibilities
Job Title: Advanced Nurse Practitioner
Location: Oak Tree Surgery, Clemo
Road, Liskeard PL14 3XA and Pensilva Health Centre, School Road, Pensilva ,
PL14 5RP.
Managerially Accountable to: Practice
Manager, Strategy Manager and Partners
Professionally Accountable to: Practice Manager
Contract: Permanent
Working Pattern:Part Time - 18-36 hours per week
Salary/Rate of Pay: Competitive, negotiable depending on experience
Key clinical responsibilities:
- Assess, diagnose, plan, implement and evaluate
treatment/interventions and care
for patients presenting with an undifferentiated diagnosis
- Clinically examine and assess patient needs
from a physiological and psychological perspective, and plan clinical care
accordingly
- Assess, diagnose, plan, implement and evaluate
interventions/treatments for patients with complex needs
- Proactively identify, diagnose and manage
treatment plans for patients at risk of developing a long-term condition
(as appropriate)
- Diagnose and manage both acute and chronic
conditions, integrating both drug- and non-drug-based treatment methods
into a management plan
- 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
- Work with patients in order to support
compliance with and adherence to prescribed treatments. Provide
information and advice on prescribed or over-the-co bunter medication on
medication regimens, side-effects and interactions
- Prioritise health problems and intervene
appropriately to assist the patient in complex, urgent or emergency
situations, including initiation of effective emergency care
- Support patients to adopt health promotion
strategies that promote healthy lifestyles, and apply principles of
self-care
Communication:
- 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 and
preferred ways of communicating
- Anticipate barriers to communication and take
action to improve communication
- Maintain effective communication within the
practice environment and with external stakeholders
- Act as an advocate for patients and colleagues
- Ensure awareness of sources of support and
guidance (eg PALS) and provide information in an acceptable format to all
patients, recognising any difficulties and referring where appropriate
Delivering a quality service:
- Recognise and work within own competence and
professional code of conduct as regulated by the NMC
- Produce accurate, contemporaneous and complete
records of patient consultation, consistent with legislation, policies and
procedures
- Prioritise, organise and manage own workload
in a manner that maintains and promotes quality
- Deliver care according to NICE guidelines and
evidence-based care
- Assess effectiveness of care delivery through
self and peer review, benchmarking and formal evaluation
- Initiate and participate in the maintenance of
quality governance systems and processes across the organisation and its
activities
- Utilise the audit cycle as a means of
evaluating the quality of the work of self and the team, implementing
improvements where required
- In partnership with other clinical teams,
collaborate on improving the quality of health care responding to local
and national policies and initiatives as appropriate
- Evaluate patients response to health care
provision and the effectiveness of care
- Support and participate in shared learning
across the practice and wider organisation
- Use a structured framework (eg. root-cause
analysis) to manage, review and identify learning from patient complaints,
clinical incidents and near-miss events
- Assess the impact of policy implementation on
care delivery
- Understand and apply legal issues that support
the identification of vulnerable and abused children and adults, and be
aware of statutory child/vulnerable patients health procedures and local
guidance
Leadership personal and people development:
- Take responsibility for own learning and
performance including participating in clinical supervision and acting as
a positive role model
- Support staff development in order to maximise
potential
- Critically evaluate and review innovations and
developments that are relevant to the area of work
- Enlist support and influence stakeholders and
decision-makers in order to bring about new developments in the provision
of services
- Take a lead role in planning and implementing
changes within the area of care and responsibility
- Contribute to the development of local
guidelines, protocols and standards
- Market the role of the advanced nurse
practitioner in general practice
Team working:
- Understand own role and scope and identify how
this may develop over time
- Work as an effective and responsible team
member, supporting others and exploring the mechanisms to develop new ways
of working
- Delegate clearly and appropriately, adopting the
principles of safe practice and assessment of competence
- Create clear referral mechanisms to meet
patient need
- Prioritise own workload and ensure effective
time-management strategies are embedded within the culture of the team
- Work effectively with others to clearly define
values, direction and policies impacting upon care delivery
- Discuss, highlight and work with the team to
create opportunities to improve patient care
- Manage and lead on the delivery of
specifically identified services or projects as agreed with the practice
management team
- Agree plans and outcomes by which to measure
success
Management of risk:
- 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
- Apply infection-control measures within the
practice according to local and national guidelines
- Advocate for policies that reduce
environmental health risks, are culturally sensitive and increase access
to health care for all
- Interpret national strategies and
policies into local implementation strategies that are aligned to the
values and culture of general practice
- Use technology and appropriate software as an
aid to management in planning, implementation and monitoring of care,
presenting and communicating information
- Review and process data using accurate Read
codes in order to ensure easy and accurate information retrieval for
monitoring and audit processes
- Manage information searches using the internet
and local library databases
- Understand responsibility of self and others
to the practice and primary care trust regarding the Freedom and
Information Act
Learning and development:
- Undertake mentorship for more junior staff,
assessing competence against set standards
- Disseminate learning and information gained to
other team members in order to share good practice and inform others about
current and future developments (eg. courses and conferences)
- Assess own learning needs and undertake
learning as appropriate
- Provide an educational role to patients,
carers, families and colleagues in an environment that facilitates
learning
Equality and diversity:
- Identify patterns of discrimination and take
action to overcome this and promote diversity and equality of opportunity
- Enable others to promote equality and
diversity in a non-discriminatory culture
- Support people who need assistance in
exercising their rights
- Monitor and evaluate adherence to local
chaperoning policies
- Act as a role model in the observance of equality
and diversity good practice
- Accept the rights of individuals to choose
their care providers, participate in care and refuse care
- Assist patients from marginalised groups to
access quality care
- Undertake any training required in order to
meet the needs of the practice
