Advanced nurse practitioner/paramedic practitioner

Job responsibilities

Role

Post Title: Advanced nurse practitioner / paramedic practitioner

Location: Fairfield Medical Centre

Organisational arrangements

(i) Reporting/Accountable to:

• Clinically - GP partners
• Administratively practice manager

(ii) Responsible for:

Scheduled & unscheduled patient care

1. Main purpose of the role

To provide the local community with access to both scheduled and unscheduled care provision. The aim of the role is to :

- deliver convenient accessible care

- provide assessment, differential diagnosis and treatments of acute episodes of minor health and minor injury conditions

- work in partnership with patients in agreeing management plans

- promote self care in order that patients are empowered to manage their own health needs

2. Main responsibilities of the role

- work as an autonomous practitioner, providing completed episodes of care to individuals

- work within agreed guidelines and protocols where they exist and make autonomous decisions in the absence of guidelines

- prescribe within knowledge and skills and in accordance with National and Local Guidelines

- work within scope of practice and draw on relevant experience to deliver quality patient care

- work in partnership with other health and social care providers

- provide patients with the opportunity to contribute to the ongoing development of the service

3. Key areas accountable for

3.1 Clinical

• To conduct patient consultations using specialist knowledge in relation to minor injuries and health problems. Full assessments, history and differential diagnosis to be made in order that a management plan can be agreed with the patient.
• Interventions are timely, and may include provision of urgent care in an emergency.
• To contribute to the ongoing development of clinical guidelines reflecting best evidence based practice.
• To ensure that referrals to other primary and secondary services are made in line with agreed guidelines.
• To utilise diagnostic and clinical skills, developing new skills where appropriate.
• To prescribe according to and within scope of practice.
• Supply and administer medications in accordance with legislation and practice policies.
• To utilise clinical judgement, providing care and treatment within agreed guidelines where the need arises and within scope of practice.
• To have a working knowledge of child protection, the abuse of older people and domestic violence and refer to services as necessary.

3.2 Team work

• Ensure you are up to date with decisions made by the practice that might affect the care and support you give to patients.
• Share all major issues and new developments with the clinical team so that the practice can develop policies to make sure that all patients received the same standard and quality of care.

3.3 Communications

• Ensure effective communication with patients offering informed choice. Recognise and address patients anxieties and behaviours when managing acute health problems.
• Maintain effective communication with other team members ensuring all team members are kept involved and informed in the delivery and continued development of the practice.
• Patients are referred to primary and secondary providers with clear contemporaneous notes which accurately reflect the consultation and reasons for referral.
• Caldicott Guardianship is effective. Consent and Confidentiality is maintained in line with data protection and consent policies.

3.4 Clinical governance

• Quality controls and risk assessments are performed and forwarded for action.
• Awareness of health and safety for self and others and attend mandatory training. Give due consideration to the daily exposure to bodily fluids. All health and safety incidents are managed accordingly through the appropriate reporting mechanism.
• Medicines are managed safely in accordance with practice policy.

3.5 Education training

Demonstrate awareness of own professional development and training needs in accordance with service needs.

Promote and support the development and provision of work based learning to other clinical staff members.

Act as a mentor for other clinical staff members.

Continued professional development through reflective practice is integral to practice, clinical supervision is regularly undertaken.

3.6 Service development

Ensure service is efficient by monitoring and exploring opportunities for savings.

Undertake clinical audit to review practice and service, reporting results of audits.

Explore opportunities in line with National Health plans to support effective health care for patients.

4. Fairfield Medical Centre standards

We expect all staff to demonstrate the following standards within their job roles, and to be reviewed against them in their appraisals / development reviews:

• to be friendly, helpful and welcoming
• to introduce ourselves by name and role, and explain what we do
• to listen and respond promptly to what patients really want or need
• to do what we have promised
• to offer to help not wait to be asked
• to find someone to help if we arent able to
• to deliver the best possible care / service at all times
• to provide an environment that is tidy and clean

5. Other

To be aware of and work in line with all the practice protocols and procedures.

To carry out any other tasks that are commensurate with the grade in discussion with the post holder

Qualifications

Essential

• * Registered General Nurse 1st level (or equivalent)
• * Post registration/graduate diploma or equivalent in a specific field
• * ALS or willingness to undertake
• * Evidence of continuing professional development

Desirable

• * Nurse prescriber / Non medical prescriber

Experience

Essential

• * A minimum of 4 years post registration experience in community, A & E or minor injury or walk in centre
• * Experience of multi-disciplinary working
• * Evidence of professional development

Desirable

• * Experience of working in primary care
• * Experience of working in a GP practice
• * Proven track record in relation to research based practice
• * Experience with audit

Skills and abilities

Essential

• * Ability to provide quality care
• * Organisational skills
• * Excellent communication and interpersonal skills
• * Broad range of excellent clinical skills
• * Ability to organise the work load, able to prioritise
• * Good knowledge of health and safety and risk management
• * Computer literate
• * Effective written and verbal communication skills

Desirable

• * Home visiting

Knowledge and understanding

Essential

• * Good understanding of current nursing workforce issues
• * Clear understanding of current health service objectives

Personal qualities

Essential

• * Good sense of humour
• * Self-motivated
• * Reliable and flexible
• * Ability to work well in stressful situations
• * Innovative
• * Assertive
• * Committed and hard working

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).