BANK - Band 7 Emergency Nurse Practitioner

Job description

Job responsibilities

Clinical Responsibilities

• Act as a clinical expert within your sphere of work
• To asses, diagnose, treat and discharge or refer patients without reference to a doctor
• Ensure the assessment, planning, implementation and evaluation of evidence based, individualised patient care.
• Assist and advise staff, both registered and unregistered in the delivery of patient care.
• Maintain and update own clinical expertise and contribute as role model to ensure the delivery of care is at highest possible level to meet patient care.
• Ensure all staff maintain accurate clinical observations of the patient and act accordingly
• Have responsibility for the correct administration and custody of medicines according to Trust policy
• Ensure registered nurses monitor patients progress, work towards safe and timely discharge and ensure barriers to discharge are identified, escalated and acted on appropriately.
• Deal with concerns raised by patients and visitors in a proactive manner, investigate any complaints and take remedial action as necessary.
• Act as the patients advocate for patients attending the Emergency Department and the UTC.
• To maintain a very high quality of care for all patients attending the Emergency Department and UTC
• To act as a role model for all nurses within the Trust.

Managerial

• Contribute to and endorse a philosophy of care for the EP working in the Emergency Department and the UTC
• Help develop and expand the service provided by EP to be in-line with evidenced based practice (e.g. NICE guidelines).
• To act as a Team Leader for a group of Emergency Department Nurses, and ensuring that each nurse has had an appraisal and is fully supported at work.
• Work collaboratively with the shift leader to ensure the smooth running of the Emergency Department.
• To be aware of the Emergency Departments quality indicators and be resourceful in supporting the team to meet these targets
• Undertake and fully participate in the audit process.
• To support and deputise for the Lead nurse in managing stock levels within the confines of the departmental budget

Educational

• To maintain and progress own knowledge and skills to practice effectively and safely
• To teach pre and post registration junior nursing staff working with you
• To be aware of current nursing trends and developments in nursing/paramedical science.
• To act as a resource and guidance for junior nurses and junior doctors and GPs in the ED/UTC
• The EP will also be required to teach and mentor nurses undertaking the Autonomous Practice course and those undertaking non- medical prescribing.

Autonomous Practice

• The EP practices autonomously with respect to patients presenting with a wide range of injuries and ailments.
• The EP will assess and examine the patient, order relevant investigations, interpret signs and symptoms, review results of investigations, diagnose and treat the patient.
• Newly qualified EP will administer medication under PGDs but will be expected to progress to independent prescribing.

The EP will work to national and hospital guidelines in relation to evidence-based best practice he/she will exercise his/her judgement in seeking specialist medical/surgical or orthopaedic opinion or will autonomously proceed to definitive treatment within his/her scope of professional practice. The EP is authorised to discharge patients within his /her remit without reference to any medical clinician.

The Trust accepts vicarious liability for the actions of the nurse who acts autonomously as an EP and follows set guidelines within the Emergency Department and UTC at Imperial College Healthcare Trust at Charing Cross and Hammersmith sites.

Service Development.

The EP is individually and collectively responsible for the professional development of nursing and the EP service within the Emergency Department and the UTC.

They will:

• Ensure that he/she remains up to date with the developments and proactively uses his/her knowledge as required to develop the service.
• Be collectively responsible for expanding the scope of practice and developing guidelines to deliver care.
• Undertake clinical audit using the results to improve care delivery.
• Identify areas of research in nursing practice that can be improved through evidence-based practice, taking the initiative to search for evidence and, after critical appraisal of the literature implement the findings.

Person Specification

Qualifications

Essential

• Registered Nurse - Degree level with NMC Registration
• or
• Registered healthcare professional with the HCPC Recognised ENP / ECP Qualification at minimum of degree level

Experience

Essential

• 3 years in Emergency Department or pre hospital medicine with at least 1-2 years at band 7

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

Imperial College Healthcare NHS Trust

Address

The Bays

S Wharf Road

London

W2 1NY

Employer's website

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