Advanced Nurse Practitioner

Job description

Job responsibilities

Job Description for an Advanced Nurse Practitioner

Title: Advanced Nurse Practitioner Salary Level : Level 8A (AfC) £53000 FTE

Hours of duty:9.00am 2.00pm Monday to Friday 25 hours per week. There could be flexibility with these and we would consider offering a term time contract. Responsible to:The Nurse Partner

Job summary

This is a new role, designed to support the GPs with the urgent minor illness and minor injury workload. It will be an evolving role, which the post holder can develop in collaboration with the other clinicians at PMG.

The post holder will be a caring, compassionate and committed experienced nurse who, acting within their professional boundaries, will provide care for the presenting patient including initial history taking, clinical assessment, diagnosis, treatment and evaluation of care. They will demonstrate safe, competent clinical decision-making and expert care, including assessment and diagnostic skills, for patients within general practice. The post holder will commit to demonstrating critical thinking in the safe clinical decision-making process. They will communicate and work collaboratively with the general practice team to meet the needs of patients, supporting the delivery of policy and procedures, and providing high quality nursing care.

Key responsibilities

Clinical practice

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 and proactively identify, diagnose and manage treatment plans for patients at risk of developing a long-term condition

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-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

Meet the needs of patients presenting for urgent wound 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 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 NSF, 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 to manage, review and identify learning from patient complaints, clinical incidents and near-miss events
• Assess the impact of policy implementation on care delivery
• Providing feedback as appropriate to contribute towards improving performance of the team.
• 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
• Working with practice management to ensure the whole team have skills and knowledge regarding domestic violence, vulnerable adults, substance abuse and addictive behaviour. Provide guidance and support to ensure appropriate referral if required

Personal and people development

• Take responsibility for own learning and performance and acting as a positive role model
• Actively promote the workplace as a learning environment, encouraging everyone to learn from each other and from external good practice
• Encourage others to make realistic self-assessment of their application of knowledge and skills, challenging any complacency or actions that are not in the interest of the public and/or users of services
• Critically evaluate and review innovations and developments that are relevant to the area of work

• Contribute to the development of local guidelines, protocols and standards
• Promote 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

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 development

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

Person Specification

Qualifications

Essential

• 1. Registered Nurse
• 2. Independent Non-Medical Prescribing
• 3. Working towards or holding MSc in Advanced Practice
• 4. Experience of managing patients presenting with acute and complex needs.
• 5. Clinical examination skills
• 6. Good Communication skills
• 7. Nurse-led triage
• 8. Nurse-led management of minor illness and injuries
• 9. Self directed and highly motivated

Desirable

• 1. Primary care nursing experience
• 2. Enthusiasm
• 3. Team player

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

Pulborough Medical Group

Address

Spiro Close

Pulborough

West Sussex

RH20 1FG

Employer's website

https://www.pmgdoctors.co.uk/ (Opens in a new tab)