Advanced Practitioner

Job responsibilities

Duties and Responsibilities

Co-ordinate and deliver the day-to-day management of the clinical team as shift leader.

Act as a resource for other members of the Urgent Treatment Centre clinical team.

In collaboration with the Team Leaders promote the development and effectiveness of the nurse-led service utilizing a multi-skilled team approach.

Maintain effective channels of communication both within the Urgent Treatment Centre and across the wider health and social care economy.

Promote and maintain the quality and standards of the Urgent Treatment Centre services in accordance with organisational and Trust Clinical Governance requirements.

Facilitate a culture, which promotes and maintains best practice utilising current and best evidence.

Participate in and initiate clinical audit as required.

Managerial

• Supervise and maintain high standards of professional care in accordance with current NMC Code of Professional Conduct, Scope of Professional Practice and ethical considerations.
• Provide a supportive environment for staff, take responsibility for and perform in clinical supervision and personal development planning.
• Assist the Operational manager and Clinical Lead in shaping and developing a nurse-led service, which is welcoming and effective to the needs of service users.
• Participate in the development of an effective nurse-led service utilizing a holistic, health needs approach.
• Participate in the development, implementation and monitoring of policies, procedures and clinical guidelines as appropriate.
• Supervision of the supply of medicines by junior staff as appropriate via PGD.
• Manage and co-ordinate medicine stock control

Leadership

Fulfil the role of clinical leader on a day-to day basis and assist the Operational Manager in fulfilling the operational requirements of the service within budgetary limits.

Delegate responsibility where appropriate and encourage a culture where flexibility and adaptability are positively encouraged.

Support and maintain the focus of the nurse-led service.

Adopt and promote a positive approach to change.

Actively participate in and promote the development of professional nursing practice.

Clinical

Exercise a high degree of clinical autonomy and professional judgement, treating independently within the Urgent Treatment Centre and where necessary referring to a range of primary organisations.

Receive patients with undifferentiated and undiagnosed health care problems secondary

Assess health care needs of patients, diagnose treat and manage as appropriate. Referring to care services as appropriate

Possess proven skills in the management of a wide range of health care problems i.e. Minor illness and injury, wound care, chronic disease management.

Provide health promotion education.

Undertake a range of clinical procedures, which may include, suturing, venepuncture, cannulation, slit lamp use, removal of foreign bodies.

Participate in and undertake triage to ensure smooth progress of patients through the system.

Initiate and conduct clinical investigations as appropriate.

Supply and administer medications as appropriate via PGD

Exercise independent and delegated prescribing rights in accordance with current and legal and CCG criteria, and within the clinical situation

Identify at risk patients and manage appropriately in accordance with national and local policy and procedures i.e. vulnerable children, adults and child protection.

Collaborate with the Operational Manager/Clinical Lead in the co-ordination of services and patients within the Urgent Treatment Centre.

Act as an advocate for the patient at all times.

Offer a complementary service to that of other health care providers within the local health economy

Utilizing own professional knowledge and skills, act as a resource for other members of the Urgent Care Treatment team

Empower colleagues and clients and demonstrate the ability to facilitate effective clinical practice based on best evidence

Possess a clear understanding of legal and ethical issues, professional accountability and responsibility.

Registered Prescribers (if applicable)

To safely and effectively prescribe medication to patients, as an independent prescriber.

To apply knowledge of drug actions in prescribing practice.

To understand the legislation relevant to the practice of nurse prescribing.

To understand the roles and relationships of others involved in prescribing, supplying and administering of medicines.

Training and Education

Participate and engage in the identification of education and training needs of the team.

Demonstrate a positive commitment to the training and education of pre and post

Identify and disseminate best practice through evidence, clinical guidelines and benchmarking.

Maintain and develop own clinical and professional expertise by participation in Clinical Supervision and Personal Development Planning, in accordance with Nursing and Midwifery Council Code of conduct, and scope of professional Practice.

Participate in formal and informal teaching sessions to promote clinical excellence within the UTC team.

Research and Audit

• Promote a research culture within the Urgent Treatment Centre, and actively promote the use, publication and dissemination of research evidence.
• Initiate and actively participate in audit and evaluation of the service eg, ED feedback, demographic service needs, laboratory results to promote change to practice.

Communication

• Engage in collaborative working with colleagues in primary, secondary and social care.
• Maintain and promote effective communication and working relationships with colleagues across the local health economy.
• Maintain effective systems of communication and referral both within the UTC and across primary and secondary care.
• Promote and maintain effective comprehensive clinical documentation in accordance with local and NMC guidelines for record keeping.
• Maintain confidentiality at all times in accordance with local and National requirements.
• Demonstrate professional skills in facilitating effective and clear communication in dealing with sensitive or volatile situations/issues i.e. child protection, alcohol/drug abuse, sexual orientation, racial and ethnic diversity, mental illness, domestic violence, physical deformity and others.
• Possess and demonstrate cultural competence by interacting effectively with clients from many backgrounds.
• Utilise the Trust e-mail communication system.
• Utilise a variety of systems to communicate clinical information in accordance with the requirements of the data protection act (fax, telephone, letter and email)
• Utilise personal skills to facilitate effective and clear communication with clients to ensure collaborative health care concordance with recommended advice and treatment.

Additional Criteria

Essential

• The ability to travel independently across the Trust
• The ability to work flexibly in accordance with service needs.
• Rotational shift working inc weekends, BH

Experience

Essential

• Experience of change management
• Relevant and Current experience of A&E and Walk-in centre/Urgent care centre
• Minor illness and Minor Injury experience
• Knowledge of Paediatric/adult clinical assessment and examination and diagnosis

Desirable

• Good experience in Intermediate Care & Community & Long term conditions
• Change/project management qualification
• Experience of working in a nurse-led service
• Understanding of Emergency medicine or Urgent Care
• Knowledge of both adult and paediatric emergency presentations

Skills and Attributes

Essential

• Demonstrate a high level of personal and professional autonomy and an understanding of professional accountability
• Extended scope of practice skills
• Ability to influence and lead service developments and delivery
• Ability to deal with difficult situations
• Incorporate high quality evidence based practice in patient centred care
• Able to develop and maintain positive working relationships
• Ability to recognise the sick patient, ability to prioritise, monitoring vital signs and history taking.
• Venepuncture and Cannulation
• Basic treatment of life threatening disorders, treatment of shock and acute medical conditions
• Intermediate & Basic life support provision
• Experience of participation in Research and audit skills
• Leadership & Mentoring skills to energise team and will to motivate individuals.
• Positive motivation & can do attitude with Interpersonal, presentation skills
• Moving & Handling
• Communication
• Interpersonal skills

Desirable

• Electrocardiogram (ECG) recording and interpretation
• Xray Interpretation
• Suturing/ wound closure
• Application of plaster of paris application of walking boots.
• Communication skills, how to break bad news

Qualifications

Essential

• RN Adult/Paeds/Paramedic/AHP
• Educated to Degree/ Diploma level
• /Qualified Paramedic practitioner
• Leadership experience
• Clinical Examination Skills (Level 7)
• Mentorship/ENB 998/ teaching and assessing Qualification
• Experience in Leadership
• Possess or currently working towards Non-medical prescribing. (V300)

Desirable

• Experience in management of Long Term Conditions
• Advanced Nurse Practitioner qualification (MSc/or equivalent)
• Minor illness, Minor Injury course
• Clinical Diagnostic Skills (Level 6/7)
• Advanced Life Support
• Advanced Paediatric Life Support
• X-ray Interpretation

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).