Advanced Nurse Practitioner

Job description

Job responsibilities

Job Description Job Title Advanced Nurse Practitioner (ANP)

Reports to: Partners for Clinical Matters

Reports to: Practice Manager for Administrative and Organisational Matters

Job Summary

1. The ANP will act as an autonomous, accountable practitioner working on their own initiative and in collaboration with nursing, medical and allied health professionals to assess individual patient needs, initiate investigations, determine a differential diagnosis and initiate appropriate holistic evidence based treatment and care.

2. The ANP will be responsible for the provision of effective, efficient and appropriate high quality care and act at all times in accordance with the NMC Professional Code of Conduct within their level of competence and agreed protocols.

3. The post holder is an experienced nurse who, acting within their professional boundaries, will provide care for the presenting patient from initial history taking, clinical assessment, diagnosis, treatment and evaluation of care. They will demonstrate safe, clinical decision-making and expert care, including assessment and diagnostic skills, for patients within the general practice. The post holder will demonstrate critical thinking in the clinical decision-making process. They will work collaboratively with the general practice team to meet the needs of patients, supporting the delivery of policy and procedures, and providing nurse leadership as required. In order to work at this level, NMC requirements for advanced practice must be met.

Key Responsibilities

Clinical Practice

The ANP will be expected to conduct their clinical practice within the surgery setting or whilst visiting patients at their place of residence. Furthermore, the post-holder will participate in the Practice rota for Duty Clinician. The key responsibilities for this role are:

• 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, diagnosis, 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
• Initiates appropriate diagnostic strategies and therapeutic interventions including radiology and laboratory requests, with consideration and attention given to safety, acceptability and efficacy
• Interprets and evaluates diagnostic test results in liaison with the patient, carers, family and their GP
• Work with patients in order to support compliance with and adherence to prescribed treatments
• Provide information and advice on prescribed or over-the-counter 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
• Support and manage health needs of women presenting for family planning, cervical cytology or sexual health consultation
• Assess, identify and refer patients presenting with mental health needs in accordance with the NSF for Mental Health
• Support the Practice with the organisation and implementation of the seasonal influenza and Pneumococcal vaccination programme
• Implement and participate in vaccination and immunisation programmes for both adults and children
• Advise, support and administer vaccinations for patients travelling abroad, where appropriate
• Promote and deliver evidence-based care for patients presenting with aural conditions
• Meet the needs of patients presenting for opportunistic wound care

Delivering a Quality Service

You will strive to maintain quality within the Practice and will:

• Recognise and work within own competence and professional code of conduct as regulated by the NMC
• Alert other team members to issues of quality and risk
• Assess own performance and take accountability for own actions, either directly or under supervision
• Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance
• Work effectively with individuals in other agencies to meet patients needs
• Effectively manage own time, workload and resources Recognise and work within own competence and professional code of conduct as regulated by the Nursing and Midwifery Council (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 the NSF and the National Institute for Clinical Excellence (NICE) guidelines and evidence-based care
• To deliver care as per recognised Patient Group Directives and Practice Policies
• 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 the patients response to health care provision and the effectiveness of care
• Support and participate in shared learning across the Practice and wider organisation
• Participate in the management, review and identify learning from patient complaints, clinical incidents and near-miss events utilising a structured framework (e.g. Governance meetings)
• Understand and apply legal policy that supports the identification of vulnerable and abused children and adults, being aware of statutory child/vulnerable adult health procedure and local guidance
• Work within policies relating to domestic violence, vulnerable adults, substance abuse and addictive behaviour, and refer as appropriate

Communication

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

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

Maintain effective communication within the Practice environment and with external stakeholders

Act as an advocate for patients and colleagues

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

Promote the role of the ANP 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
• Participate in and support local projects as agreed with the Practice management team
• Agree plans and outcomes by which to measure success

Managing Information

• 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

Learning and Professional Development

The post-holder will participate in any training programme implemented by the Practice as part of this employment, such training to include:

• Training requirements will be monitored by annual appraisal and will be in accordance with Practice requirements. Personal development will be encouraged and supported by the Practice.
• If it is necessary to expand the role to include additional responsibilities, full training will be supported and provided either internally or externally.
• Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development.
• Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work.
• CPR and Anaphylaxis update
• Demonstrate due regard for Safeguarding and promoting the welfare of children
• Child protection update

Ensure you prepare for and meet the requirements for revalidation

Person Specification

Qualifications

Essential

• Degree qualified ANP

Desirable

• Chronic Disease Diploma's would be an advantage

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

Long Stratton Medical Partnership

Address

Swan Lane

Long Stratton

Norwich

Norfolk

NR15 2UY

Employer's website

https://www.longstrattonsurgery.nhs.uk/ (Opens in a new tab)