Job responsibilities
The
Advanced Practitioner (AP) will use specialist knowledge and skills to
provide healthcare independently to patients. The AP is accountable for the
total episode of care for patients with undifferentiated and undiagnosed
needs.
The
post holder will act as a role model, delivering advanced practice and
promoting clinical effectiveness in care.
He / she will be required to work autonomously in delivering
independent assessment, clinical examination, diagnosis, clinical decision
making and planning of care and treatment, diagnosis, prescribing, health
promotion and safe discharge of patients.
The
post holder will work closely with all members of the multidisciplinary team
and will play an integral role in the operational/strategic development of
the service.
The
post holder will promote and facilitate evidence based practice and clinical
audit and research within the Trust.
The
job holder will work as an autonomous practitioner within Neonatal Services,
delivering all aspects of management and care to a wide range of babies with
varying needs. The post holder will work alongside medical and nursing
colleagues and be expected to work cross city and be part of the medical rota
fulfilling a 27/7 rota.
The
post holder will contribute toward the continuous quality improvement agreed
within the Neonatal Service. The post holder will be expected to provide
leadership, education and training to all staff within the Neonatal Service
2. KNOWLEDGE, SKILLS AND EXPERIENCE
REQURIED
Qualifications
and Training
Registered
with relevant professional body
Degree-level
registration qualification or equivalent post
registration award
Masters
Degree in Advanced Practice, or relevant Higher Level degree plus PG Diploma
in Advanced Practice
Life
Support qualifications (or alternative profession specific clinically
determined qualifications)
Relevant
teaching qualification.
Non-medical
prescribing
Experience
Evidence of continuous professional
development and the practical application of new skills to the work place.
Evidence of strong teaching
background.
Evidence of significant practical
contributions to the development of the specific service.
Managerial responsibilities.
Direct supervision of junior staff,
in all professional groups.
Supervision of students
Evidence of lead for or
contribution to audit programmes within practice
Change Management experience and
direct involvement of redesign within a service, including promoting evidence
based practice.
Skills/Knowledge
Documented evidence of advanced
clinical skills competencies
Ability to motivate individuals and
teams.
Advanced oral and written
communication skills and confidence to discuss patient management with other
members of the MDT.
High level of capability using
outcome measures and audit.
Confidence and ability to
accurately assess and manage complex patient presentations to a high
professional standard.
Ability to critique own practice to
an advanced level
ln-depth knowledge in their
specialist clinical field.
Ability to manage time and workload
effectively and to work in a high pressure environment.
Excellent liaison and negotiation
skills.
Commitment to Staff Development and
Training.
Self-motivated and able to work
independently and autonomously both within the Trust and with partner
organisations.
Evidence of managing complex
patients in stressful and emotional situations where life-changing events are
being communicated and clinically managed.
Personal
Attributes
Inspirational, with ability to
motivate a team.
Flexible, positive, problem solving
approach to issues.
Ability to work autonomously and
within a team.
Professional and patient focused,
with a strong commitment to providing high quality care.
Able to remain calm and polite
under pressure
Flexible and adaptable, able to
work all shifts throughout 24 hour period.
Capable of lateral thinking with
well developed assertiveness skills, able to successfully initiate, manage
and sustain change.
Excellent interpersonal skills with
effective oral and written communication skills.
3. THE LEEDS WAY VALUES
Our
values are part of what make us different from other trusts, so we see this
as a strength, as well as a responsibility. They have been developed by our
staff and set out what they see as important to how we work. Our five values are:
Patient-centred
Collaborative
Fair
Accountable
Empowered
All
our actions and endeavours will be guided and evaluated through these values
Additionally
the following are core values which relate specifically to this post:
Commitment to providing high
quality evidence based care to patients and their carers.
Commitment to working in a
multidisciplinary team (both primary and secondary care providers).
Commitment to the clinical area,
valuing the contribution of all team members, encouraging a positive and
creative working environment.
Commitment to own development and
the development of all staff within the unit.
4. PRINCIPAL DUTIES AND AREA OF
RESPONSIBILITY
Clinical
practice
Practice
as an autonomous professional in a self-directed manner, with confidence,
authority and expertise, undertaking comprehensive range of clinical
procedures.
Have
direct responsibility for patient caseload, ensuring all patients have an
accurate plan of care, which reflects the assessment undertaken and
incorporate the issues and recommendations made.
Work
within the frequently challenging clinical environments with high levels of
physical and mental effort
Assess
individuals, families and populations holistically using a range of different
assessment methods.
Have
a health promotion and prevention orientation and comprehensively assess
patients for risk factors and early signs of illness.
Interpret
and analyse highly complex clinical and non-clinical facts to form accurate
diagnoses, prognoses for a wide range of conditions, to recommend / deliver
the best course of intervention including the development of comprehensive
packages of care.
Initiate
pharmacological intervention, using non-medical prescribing or patient group
directives and administer medications as prescribed by others in accordance
with the Leeds Teaching Hospitals policies
Accurately
request radiological and pathology investigations and make clinical decisions
based upon the results.
Provide
specialist advice and support to patients, their families and other
healthcare professionals following assessment, diagnosis and through
treatment.
Plan,
manage and complete episodes of care, working in partnership with others and
delegating and referring as appropriate to optimise health outcomes and
resource use, as well as providing direct support to patients and clients.
Use
professional judgement in managing complex and unpredictable care events and
capture the learning from these experiences to improve patient care and
service delivery.
Organise
complex activities or programmes for patients, drawing on an appropriate
range of multi-disciplinary and inter-professional resources in practice.
Supervise
and where necessary, work in collaboration with nursing, medical and AHP team
members, demonstrating expert clinical practice to the ward team.
To
be included on medical rotas as required by clinical role
Maintain
a high standard of patient focused care in accordance with Leeds Teaching
Hospitals Trust guidelines and policies.
Actively
involve service users in providing feedback of their experience of the
current service and suggestions for improvements.
Appropriately
define the boundaries of own practice.
Leadership
and Collaborative Practice
Identify
and implement systems to promote their contribution and demonstrate the
impact of advanced level practice to the healthcare team and the wider health
and social care sector.
Be
resilient and determined and demonstrate leadership in contexts that are
unfamiliar, complex and unpredictable.
Work
across professional, organisational and system boundaries and proactively
develop and sustain new partnerships and networks to influence and improve
health, outcomes and healthcare delivery systems.
Develop
practice and roles that are appropriate to patient and service need through
understanding the implications of epidemiological, demographic, social,
political and professional trends and developments.
Improving
Quality and Developing Practice
Work
within the NMC/HPC Code of Professional Conduct and Guidelines, the Leeds
Teaching Hospitals NHS Trust policies and guidelines, COSHH, the Mental
Health Act and other instruments of statutory legislation to ensure safe and
effective professional working practices for self and others.
Be
involved proactively in developing strategies and undertaking activities that
monitor and improve the quality of healthcare and the effectiveness of their
own and others practice.
Strive
constantly to improve practice and health outcomes so that they are
consistent with or better than national and international standards through
initiating, facilitating and leading change at individual team,
organisational and system levels.
Continually
evaluate and audit own practice and that of others at individual and systems
levels, selecting and applying valid and reliable approaches and methods
which are appropriate to needs and context, and acting on the findings.
Responsible
for the generation and collation of reports on own practice and that of team
on service delivery and local and national targets, and monthly reporting to
the Directorate Management Team and quarterly Divisional Clinical Governance
Forum.
Continually
assess and monitor risk in own and others practice and challenge others
about wider risk factors.
Contribute
to and at times lead the development of multidisciplinary research and
clinical audit in urgent care
