Job summary
This is an exciting opportunity for the right candidate to join our expanding advanced practice workforce within Emergency Medicine. If you are enthusiastic, and passionate about acute medicine and looking for career progression, this could be the role for you. The successful candidate will work under clinical supervision to meet specific speciality capabilities and competencies alongside successful completion of MSc in Advanced Practice, progressing to a Band 8a.
The post holder is an experienced healthcare professional able to undertake a Masters programme in Advanced Clinical Practice, who will work as a trainee Advanced Clinical Practitioner (tACP) within the acute medicine footprint. The tACP will assess non-elective patients including initial history taking, clinical assessment, diagnosis, treatment and evaluation of care with clinical supervision from senior clinicians; a Senior Advanced Clinical Practitioner/ Consultant Nurses/ educational supervisor. The tACP should be directly or indirectly supervised at all times until their competence has been assessed by the group ACP faculty. They will demonstrate safe clinical decision-making and expert care, for patients providing appropriate clinical management plans and prescription of any medication required.
Main duties of the job
The post holder will demonstrate critical thinking in the clinical decision-making process. They will work collaboratively with the Acute Medicine team to meet the needs of patients,and will play a key role in service delivery and adherence to policy and procedures. They will also be instrumental in guiding junior medical and nursing staff in relation to relevant protocols and procedures.
The post holder will be required to work within all areas of Acute Medicine. This includes Medical Assessment Unit (MAU) Primary Assessment and Treatment (PAT), Same Day Emergency Care (SDEC) Short Stay Wards undertaking primary and secondary assessments alongside medical colleagues, providing support and guidance to nursing and medical staff in the management of the patients within acute medicine. They will work alongside medical, nursing and multi-disciplinary colleagues in the management of these patients providing support, guidance and advice as required.
The post holder will be required to ensure evidence based care is delivered to patients and will be involved in audit of practice, research and service improvement.
Following completion of the MSC in advanced practice including the non-medical prescribing module, Individual competence and capability will be met in order to achieve a satisfactory level of competency evidenced by a successful ACAT assessment. Upon completion of these requirements the trainee will progress to band 8a.
About us
University Hospitals Coventry and Warwickshire NHS Trust, rated as good by the Care Quality Commission, is one of the largest teaching Trusts in the UK.
We are extremely proud of our employees across our hospital sites, with high quality patient care at the heart of everything we do.
Boasting some of the most modern facilities in Western Europe, the Trust is renowned for being at the forefront of research and innovation as part of its blossoming reputation as a worldwide leader in healthcare.
We are proud to be recognised as a Pathway to Excellence designated organisation - please click the link for further details about this prestigious award. Pathway To Excellence - University Hospitals Coventry & Warwickshire (uhcw.nhs.uk)
By joining our exciting journey, you will form part of a passionate, talented team and will be able to access a wide range of learning and development opportunities. There has never been a better time to join our team.
The Trust is committed to building an organisation that makes full use of the talents, skills, experience, and different perspectives available in our diverse society. We want everyone to feel they are respected, valued, can achieve their potential and receive the most appropriate and relevant care. We will create an environment where the equality and human rights principles of fairness, respect, equality, dignity and autonomy are promoted and are part of the organisation's core values.
Job description
Job responsibilities
Clinical
Co-ordinate the care of the acute medical patients throughout the care pathway with the multidisciplinary team and clinical services to ensure the effective management of this group of patients.
- Accountable for own actions in accordance with the Code of Professional Conduct. Will contribute to corporate objectives, acting within local, Trust and statutory guidelines and policies at all times.
- Highly developed communication skills enabling maintenance of high quality service within a complex and challenging environment with often, conflicting priorities.
Assist the clinical and nursing teams, at all levels in the assessment and prioritisation of patients requiring intervention.
Use advanced clinical assessment skills under clinical supervision to manage patients with complex needs presenting to the Emergency Department with an undifferentiated diagnosis to ensure that optimum physical and psychological care needs are met.
Proactively develop treatment plans for patients requiring urgent intervention including fluid resuscitation, oxygen therapy, antibiotics or other urgent treatment.
Undertake procedures such as cannulation, venepuncture, arterial blood gases to facilitate efficient urgent care in the context of acute/chronic illness or sudden deterioration
Initiate relevant investigations such as X-ray, Ultrasound, ECG and blood tests to enable timely diagnosis and facilitate early decision making.
Prescribe and review medication, appropriate to patient needs in the context of acute illness, taking into account any treatment given previously for pre-existing medical conditions, providing information and advice to patients on prescribed medication regimens, side-effects and interactions.
Promote and deliver evidence-based care for patients presenting to Acute medicine.
Communication
- Document clearly all aspects of assessment, diagnosis and management plan clearly and present the findings to the Consultant in charge in acute medicine.
- Use the SBAR approach to communicate clinical concerns to the senior medical staff in the event that a patient is found to be critically unwell or deteriorating clinically
- Communicate complex information effectively to 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 with the multidisciplinary team both within acute medicine, emergency department and other departments
- Act as an advocate for patients and colleagues
- Ensure awareness of sources of support and guidance (e.g. PALS) and provide information in an acceptable format to all patients, recognising any difficulties and referring where appropriate
Delivering a quality service
- Ensure clinical practise is research evidence based
- Prioritise, organise and manage own workload in a manner that maintains and promotes quality
- Critically evaluate and review innovations and developments that are relevant to the area of work
- Demonstrate continual evaluation of practice within the defined specialist area, making agreed changes where appropriate.
- Deliver care according to local and national guidelines ensure delivery of evidence-based care
- Initiate and participate in the maintenance of quality governance systems and processes across the organisation and its activities
For further details please see the attached job description.
Job description
Job responsibilities
Clinical
Co-ordinate the care of the acute medical patients throughout the care pathway with the multidisciplinary team and clinical services to ensure the effective management of this group of patients.
- Accountable for own actions in accordance with the Code of Professional Conduct. Will contribute to corporate objectives, acting within local, Trust and statutory guidelines and policies at all times.
- Highly developed communication skills enabling maintenance of high quality service within a complex and challenging environment with often, conflicting priorities.
Assist the clinical and nursing teams, at all levels in the assessment and prioritisation of patients requiring intervention.
Use advanced clinical assessment skills under clinical supervision to manage patients with complex needs presenting to the Emergency Department with an undifferentiated diagnosis to ensure that optimum physical and psychological care needs are met.
Proactively develop treatment plans for patients requiring urgent intervention including fluid resuscitation, oxygen therapy, antibiotics or other urgent treatment.
Undertake procedures such as cannulation, venepuncture, arterial blood gases to facilitate efficient urgent care in the context of acute/chronic illness or sudden deterioration
Initiate relevant investigations such as X-ray, Ultrasound, ECG and blood tests to enable timely diagnosis and facilitate early decision making.
Prescribe and review medication, appropriate to patient needs in the context of acute illness, taking into account any treatment given previously for pre-existing medical conditions, providing information and advice to patients on prescribed medication regimens, side-effects and interactions.
Promote and deliver evidence-based care for patients presenting to Acute medicine.
Communication
- Document clearly all aspects of assessment, diagnosis and management plan clearly and present the findings to the Consultant in charge in acute medicine.
- Use the SBAR approach to communicate clinical concerns to the senior medical staff in the event that a patient is found to be critically unwell or deteriorating clinically
- Communicate complex information effectively to 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 with the multidisciplinary team both within acute medicine, emergency department and other departments
- Act as an advocate for patients and colleagues
- Ensure awareness of sources of support and guidance (e.g. PALS) and provide information in an acceptable format to all patients, recognising any difficulties and referring where appropriate
Delivering a quality service
- Ensure clinical practise is research evidence based
- Prioritise, organise and manage own workload in a manner that maintains and promotes quality
- Critically evaluate and review innovations and developments that are relevant to the area of work
- Demonstrate continual evaluation of practice within the defined specialist area, making agreed changes where appropriate.
- Deliver care according to local and national guidelines ensure delivery of evidence-based care
- Initiate and participate in the maintenance of quality governance systems and processes across the organisation and its activities
For further details please see the attached job description.
Person Specification
Qualifications
Essential
Desirable
Experience
Essential
Desirable
Knowledge
Essential
Skills
Essential
Desirable
Person Specification
Qualifications
Essential
Desirable
Experience
Essential
Desirable
Knowledge
Essential
Skills
Essential
Desirable
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Additional information
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
