Advanced Nurse Practitioner

Job description

Job responsibilities

Clinical Responsibilities

Comprehensively assess, review and evaluate the needs of patients with undifferentiated healthcare needs to improve their physical, psychological and mental health wellbeing to promote self-care and reduce the need for hospitalisation. Including the needs of Children from the date of their first birthday.

Undertaking clinical assessment and providing the necessary treatment including the use of Independent Prescribing in line with local/national policies, procedures and guidelines. This may be face to face or via other remote communication methods (such as Telephone triage)

Request diagnostic tests only where clinically indicated in line with organisational, local and national guidelines and were appropriate.

Develop a plan of care in conjunction with the patient, with the application of clinical knowledge and, analysis of symptoms and data, identification of risk factors associated with those conditions, recognition of early signs of acute illness, involving the patients and the carers in the care plan and ensuring it is understood, documenting safety netting plans and processes

To utilise effective communication to aid onward referrals to specialists as appropriate. Facilitating a coordinated primary healthcare response to service users needs

To work in an autonomous manner without direct supervision whilst recognising limitation of the practitioner role

To carry out enhanced clinical skills as required.

To keep accurate and immediate records of all interventions fully utilising software systems in place (namely System one and C- The Signs).

To encourage clients to carry out self-care as appropriate through effective communication of health care using written information as appropriate

To maintain patient confidentiality as per Primary Care Sheffields Policies.

Professional

To work within the NMC Code of Professional Conduct or other relevant Codes of Conduct for Advance Nurse Practitioners.

To act in accordance with and promote PCSs values at all times

To act as an ambassador for PCS and build professional relationship with our primary care partners, voluntary organisations and other outside agencies

To be committed to working flexibly and respond positively to the changing needs of the service

To promote and facilitate evidence-based practice

To be committed to providing a high level of customer service and patient experience

Maintain professional awareness and attend appropriate training as necessary

To participate in the appraisal process and development of own Personal Development Plan to include clinical supervision and Revalidation

To develop a culture within PCS of continuing professional development, supporting nursing others to enhance their knowledge base and skill set.

To provide clinical support and mentorship to others including Nurses, Nurse associates, HCAs to meet the requirements of their own personal/professional development plans. This may include, where appropriate assisting with the mentoring nurses through work-based learning programmes.

To support/facilitate the provision of Clinical Supervision in accordance with organisational policy.

Continuous Personal Development

To maintain current professional registration and to ensure that all personal responsibilities in relation to this and to the revalidation process are met, including maintenance of a professional portfolio, evidence of practice hours, professional development planning and reflective writing.

To meet the organisational requirements for mandatory training appropriate to the role.

To recognise own professional limitations, practising accordingly, seeking advice and support as appropriate.

To take an active role in the organisational appraisal process and develop an appropriate and relevant personal development plan and work-based objectives.

To have awareness of the relevant organisational and professional Safeguarding policies and guidance and to act in accordance with their direction, attending update training as required.

The post holder will have regular 1:1s with line mangers to support ongoing development and review performance.

Management/Leadership

To participate in the training and induction of new members of the team

To participate in the mentorship, support and training of other professionals who may be on a training program.

Information will be communicated to a variety of individuals including health and social care professionals, patients, carers where there are potential barriers to communication.

Communication

Act as an integral part of the multidisciplinary Team

Disseminating information within the primary health care team

Communicate effectively with other professionals and managers, sometimes with different agendas and priorities.

Provide high quality written referrals, reports and any other written documentation as required.

To build professional relationship with primary care partners, voluntary organisations and other outside agencies

Physical Effort

A combination of sitting, standing and walking with little requirement for physical effort.

Able to fulfil physical demands of post, this may involve moving and handling.

Travel to any nominated site where the service is to be delivered

Carrying out diagnostic assessments

Mental Effort

Frequent concentration carrying out clinical assessments of patients presenting with undifferentiated conditions

Work flexibly in a wide range of setting including newly developing services.

Working under pressure at times

Working with complex, time consuming cases in difficult situations including mental health concerns.

Supporting others in distressing circumstances e.g. safeguarding referrals

Emotional Effort

May encounter distressing situations, possible evidence of neglect or abuse and will need to report these incidences,

Support given to other members of team in challenging situations

Advocacy of clients/carers

Highlighting of safeguarding cases and making referrals.

General

The post holder may be required to work within the boundaries of the professional abilities at any identified site where PCS services are delivered.

The main duties and responsibilities shown above are not exhaustive but should merely be regarded as a guide. The post-holder will be expected to conduct any reasonable activities according to the service needs at that time. These will be subject to periodic review and may be amended to meet the challenging needs of the service. The post-holder will be expected to participate in this process and the organisation would aim to reach agreement to changes.

Person Specification

Experience

Essential

• Experience of working at an advanced level with patients presenting with undifferentiated illness some of which should be in Primary care.
• Knowledge and experience of multi-agency working.
• Experience of working with an MDT with the ability to motivate others.

Desirable

• Leadership and management experience and skills.

Knowledge and Skills

Essential

• In depth knowledge of contemporary nursing/clinical issues, legislation relating to nursing/clinical practice, and relevant Standards and Codes (eg NMC/HCPC).
• Understanding of the principles and practice of clinical governance.
• Familiarity with accredited clinical systems for recording patient data e.g. SystmOne.
• IT skills, including use of MS Word and Excel.
• Demonstrates effective communication and interpersonal skills.
• Negotiating skills
• Use of a range of communication techniques.
• Able to use internet as an information resource, including searching databases.

Desirable

• Demonstrable/proven leadership skills.
• Radiology Requests.

Qualifications

Essential

• Registered General Nurse, with current NMC registration
• Nurse Practitioner qualification
• Prescribing qualification

Desirable

• Primary Care nurse experience

Other

Essential

• Ability to demonstrate an understanding and application of PCSs Values, vision and behaviours, including the 6C Assessed A&I.
• Ability to be flexible over hours worked within contracted hours to meet the needs of the service, to work outside of regular office hours.
• Confident and self-aware
• Able to fulfil physical demands of post, this may involve moving and handling
• Proof of vaccination & immunisation status in accordance to Department of Health guidelines

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

Primary Care Sheffield

Address

Primary Care Sheffield Ltd

28 Kenwood Park Road

Sheffield

S7 1NF

Employer's website

http://www.primarycaresheffield.org.uk/ (Opens in a new tab)