Job responsibilities
JOB
DESCRIPTION: ADVANCED NURSE PRACTITIONER
POST: Advanced
Nurse Practitioner
LOCATION: Leesbrook
Surgery
GRADE: Dependant
on experience
ACCOUNTABLE TO: GP Partners for clinical matters and
Business Manager for
operational matters
JOB PURPOSE:
To
act as an autonomous practitioner working independently and in conjunction withother health
care professionals to assess, diagnose and treat the conditions of patients
attending within primary care initiating direct referrals as appropriate.
Provide
expert professional advice to patients, carers and colleagues and ensure themaintenance
of clinical excellence.
To
develop new and innovative concepts, models, methods and practices to deliver
new and improved primary care services to meet the needs of the practice and PCNpopulation.
To
provide education and training to other staff and students.
To
undertake research as part of the role.
PRIMARY
DUTIES AND AREAS OF RESPONSIBILITIES
CLINICAL
NURSING PRACTICE
The
Advanced Nurse Practitioner works autonomously and is accountable for own
professional
actions.
Undertakes
Clinical Nursing Practice at an advanced level using expert knowledge and
clinical skills to deliver holistic care to people accessing primary health
care services.
Assesses
diagnoses and treats patients attending primary health care services with arange
of acute, non acute and chronic medical conditions, including same-day triage
Provide
definitive treatment, including prescribing medications following policy,
patient group directives, NICE (national) and local clinical guidelines and
local care pathways.
Assesses
diagnoses and treats patients in surgery or own home who require acutemedical
attention and refer to appropriate agency.
Directly
admits patients to secondary care hospital in acute medical need.
Refers
patients to other medical specialities for assessment if deemed appropriate.
Refers patients as appropriate to other
members of the multidisciplinary team, secondary care and to other statutory
and voluntary organisations including referral for x-ray.
Manage undifferentiated undiagnosed
conditions, identify red flags and underlying serious pathology and take
appropriate action.
Interprets
a range of diagnostic tests and routine clinical procedures.
Makes
critical judgements of the highest order to satisfy the expectations and
demands of the job eg first contact with patients presenting acutely and
manages care in the presence and absence of protocols.
Take a personalised care approach and
population[1]centred
care approach to enable shared decision-making with the presenting person.
Use complex decision-making to inform
the diagnosis, investigation, and complete management of episodes of care
within a broad scope of practice
Advises
and supports others where standard protocols do not apply.
Works
within professional guidelines and codes of conduct.
Works
within all relevant practice policies and procedural guidelines e.g. infection
control, chaperoning, risk
management.
Extended
and supplementary prescriber.
Completed the relevant training in order
to provide multi[1]professional
clinical practice and CPD supervision to other roles within primary care, for
example first contact practitioners and personalised care roles
CARE AND
PROGRAMME MANAGEMENT
Develops
and manages highly specialised programmes of care and care packages and provides
highly specialised advice concerning care normally beyond the scope of normalNursing
practice eg establishes differential diagnoses, management/treatment plans and makes
referrals as appropriate. Makes fast track referrals.
Communicates
highly sensitive condition related information to patients, relatives andcarers.
Initiates
the process of diagnosis with patients suspected to have a chronic disease eg. diabetes,
COPD, asthma, IHD referring to other clinical staff as appropriate.
Contribute
to practice targets both local and national within the disease managementagenda eg QOF, prescribing
incentive scheme.
Contributes
to disease registers.
Audits
outcomes of care against standards and initiate changes as necessary.
Undertakes
annual review of patients understanding and ability to self manage andmedication reviews.
Refers
to other members of the extended primary health care team as appropriate.
To
actively implement safeguarding protocols for children and vulnerable adults
and to know who to refer to and how to escalate concerns about radicalisation.
STRATEGIC
DEVELOPMENT OF PRIMARY CARE SERVICES
Contributes
to the strategic development of primary care and public health services to meet
patient and population needs within the practice and across the wider
organisation.
Works/liaises
across multi-professional and agency boundaries.
Works
at the forefront of practice innovation. Determines how to deal with ambiguous
or unique problems to develop and advance primary care services for the benefit
of
patients, carers and
communities.
Develop
links within the ICB and PCN and other local and national bodies relevant to
primary care Nursing initiatives
HEALTH
IMPROVEMENT
Initiates
and carries out programmes of health screening and ensures other team
members are aware of health
agendas and screening programmes.
Introduces
innovation in practice to meet on going health need demands of the practice.
Works
to introduce new developments that will improve health outcomes for patients
and is able to demonstrate
through written and presentation these developments.
Shares
innovation and new learning with others.
Supports
practitioners in profiling the practice population in order to initiate
contribute
and promote improved health
and prevent disease in individuals and groups.
Makes
referrals to statutory and voluntary agencies as appropriate.
COMMUNICATION
Provides
and receives highly complex, sensitive or contentious information andfrequently
deals with situations which are hostile or emotive.
Uses
developed communication, negotiation, conflict management skills which require empathy,
reassurance and persuasive skills where there can be significant barriers to acceptance
which need to be overcome.
Regularly
communicates service related information to Partners, Business Manager,
Salaried
GPs, Nursing and Administrative staff, patients, relatives and carers.
Builds and communicates therapeutic
working relationships with a wide array ofstatutory and voluntary organisations
for the benefit of patient care and facilitates good working relationships.
Develops
and delivers presentations to large groups eg local and national conferences, clinical
meetings, empowers staff to develop presentation skills in order to promote
good practice.
MANAGE/LEAD
SELF/OTHERS
Develops
a special interest (dependent on experience) within the practice e.g. teenage clinic,
baby clinic, nursing home, cytology.
Encourage
and motivate others to be forward thinking in ideas that address the health needs
of the practice that will be innovative whilst managing and developing new ways
of working
Develops
and leads on evidence based practice.
Promotes
effective communication and relationships within the team.
Partakes
in monthly clinical supervision for own development.
Actively
participates in clinical and practice meetings.
Develops
own knowledge and practice to meet objectives/changes in service, through attendance
on study days, self-directed learning and reflection on practice.
Integrates
theory into practice and establishes formal links with educational
institutions.
Assists
in the mentorship and assessment of trainee Nurse Practitioners.
Acts
as mentor for pre registration students and other staff within the practice.
Leads
on setting standards and promotes best practice.
Operates
high standards of probity.
INFLUENCE
AND DEVELOP POLICY
Responsible
for establishing how policies should be interpreted and translated within the practice.
Implements
and adheres to local/national, ICB, PCN and practice policies, proposes
developments and improvements to service delivery.
MANAGE AND
USE INFORMATION
Makes
effective use of the clinical system by ensuring the consistent and accurateentering
of data and use of Snomed Codes.
Facilitates
the use of up to date information technology in order to collate accurate and
timely information as and when required by the practice.
Ensures
a satisfactory call and recall system of patients.
Assist
in the development of practice protocols for the surgery and clinical protocols
for the clinical team.
Identifies,
monitors and reviews deficiencies in procedures and implements remedial
action.
RESEARCH AND
DEVELOPMENT
Continuous
involvement in research/evaluation and/or development work which may be as part
of one or more formal research programmes or activities.
Actively
contributes to Practice/Service/Team audit/Research activity as required.
Instigates
audit activity as required e.g. new services.
Identifies,
applies and disseminates research findings relating to clinical practice.
WORKING
CONDITIONS
Frequent
exposure to body fluids, blood, wounds, fleas and lice.
Occasional
exposure to aggressive behaviour
Frequent
use of VDU equipment.
