Advanced Nurse Practitioner (Care Homes), Sherwood PCN

Job description

Job responsibilities

PRIMARY DUTIES AND AREAS OF RESPONSIBILITIES

CLINICAL NURSING PRACTICE

• The Advanced Nurse Practitioner works autonomously and is accountable for own professional actions.

• Undertakes Clinical Nursing Practice at an advanced level using expert knowledge and clinical skills to deliver holistic care to residents of PCN care homes.

• Assesses diagnoses and treats residents with a range of acute, non-acute and chronic medical conditions.

• Assesses diagnoses and treats patients in care homes who require medical attention and refer to appropriate agency.

• Undertake telephone Consultations.

• Refers patients to other medical specialities for assessment if deemed appropriate.

• Refers patients as appropriate to other members of the multidisciplinary team, secondary care and to other statutory and voluntary organisations including referral for x-ray.

• Interprets a range of diagnostic tests and routine clinical procedures.

• Makes critical judgements of the highest order to satisfy the expectations and demands of the job eg first contact with patients presenting acutely and manages care in the presence and absence of protocols.

• Makes decisions where precedents do not exist, where appropriate without recourse to others e.g. direct referral of patients to Hospital Consultants without prior reference to other medical colleagues.

• Advises and supports others where standard protocols do not apply.

• Works within professional guidelines and codes of conduct

• Works within all relevant policies and procedural guidelines e.g. infection control, chaperoning, risk management, safeguarding.

• Apply infection control measures within the practice according to practice, local and national guidelines

CARE AND PROGRAMME MANAGEMENT

• Leads and manages the Enhanced Health in Care Homes programme which includes:

o Undertaking weekly ‘ward rounds’

o Undertake person centred holistic assessments of all patients admitted / readmitted to a care home within 7 days

o Develop personalised support care plan for residents within 7 days of re/admission

• Develops and manages highly specialised programmes of care and care packages and provides highly specialised advice concerning care normally beyond the scope of normal Nursing practice e.g. establishes differential diagnoses, management/treatment plans and makes referrals as appropriate. Makes fast track referrals.

• Communicates highly sensitive condition related information to patients, relatives and carers.

• Initiates the process of diagnosis with patients suspected to have a chronic disease e.g. diabetes, COPD, asthma, IHD referring to other clinical staff as appropriate.

• Contribute to the PCN practices targets both local and national within the disease management agenda eg QOF, dementia reviews

• Contributes to disease registers.

• Audits outcomes of care against standards and initiate changes as necessary.

• Undertakes annual review of patients’ understanding and ability to self-manage and medication reviews.

• Refers to other members of the extended primary health care team as appropriate eg chiropodist, dietician, specialist Nurses.

• To actively implement safeguarding protocols for vulnerable adults and to know who to refer to and how to escalate concerns about radicalisation.

STRATEGIC DEVELOPMENT OF PRIMARY CARE SERVICES

• Contributes to the strategic development of the PCN care home service to meet patient and population needs within the PCN practices and across the wider organisation. Works/liaises across multi-professional and agency boundaries.

• Works at the forefront of PCN innovation. Determines how to deal with ambiguous or unique problems to develop and advance primary care services for the benefit of patients, carers and communities.

• Develop links within the ICS and other local and national bodies relevant to care home initiatives.

HEALTH IMPROVEMENT

• Initiates and carries out programmes of health screening and ensures other team members are aware of health agendas and screening programmes.

• Introduces innovation in practice to meet on going health need demands of the care home population.

• Works to introduce new developments that will improve health outcomes for patients and is able to demonstrate through written and presentation these developments.

• Shares innovation and new learning with others.

• Supports practitioners in profiling the PCN care home population in order to initiate contribute and promote improved health and prevent disease for care home residents.

• Represents individuals and families interests when they are not able to do so themselves.

• Makes referrals to statutory and voluntary agencies as appropriate.

COMMUNICATION

• Provides and receives highly complex, sensitive or contentious information and frequently deals with situations which are hostile or emotive.

• Uses developed communication, negotiation, conflict management skills which require empathy, reassurance and persuasive skills where there can be significant barriers to acceptance which need to be overcome.

• Regularly communicates service related information to GPs, Practice Manager, Nursing and Administrative staff, patients, relatives and carers.

• Makes operational judgements, manages conflicting views and reconciles inter and intra professional differences of opinion.

• Builds and communicates therapeutic working relationships with a wide array of statutory and voluntary organisations for the benefit of patient care and facilitates good working relationships.

• Develops and delivers presentations to large groups e.g. local and national conferences, clinical meetings, empowers staff to develop presentation skills in order to promote good practice.

MANAGE/LEAD SELF/OTHERS

• Encourage and motivate others to be forward thinking in ideas that address the health needs of the PCN care home population that will be innovative whilst managing and developing new ways of working.

• Develops and leads on evidence based practice.

• Promotes effective communication and relationships within the team.

• Partakes in monthly clinical supervision for own development.

• Actively participates in clinical and PCN meetings.

• Develops own knowledge and practice to meet objectives/changes in service, through attendance on study days, self-directed learning and reflection on practice.

• Integrates theory into practice and establishes formal links with educational institutions.

• Assists in the mentorship and assessment of trainee Nurse Practitioners.

• Leads on setting standards and promotes best practice.

• Operates high standards of probity.

INFLUENCE AND DEVELOP POLICY JOB DESCRIPTION: ADVANCED NURSE PRACTITIONER

• Responsible for establishing how policies should be interpreted and translated within the care home team.

• Implements and adheres to local/national, ICS and PICS policies, proposes developments and improvements to service delivery.

MANAGE AND USE INFORMATION

• Makes effective use of the clinical system by ensuring the consistent and accurate entering of data and through use of templates.

• Facilitates the use of up to date information technology in order to collate accurate and timely information as and when required by the practice.

• Assist in the development of clinical protocols for the care home clinical team.

• Identifies, monitors and reviews deficiencies in procedures and implements remedial action.

RESEARCH AND DEVELOPMENT

• Continuous involvement in research/evaluation and/or development work which may be as part of one or more formal research programmes or activities.

• Actively contributes to PCN/Service/Team audit/Research activity as required.

• Instigates audit activity as required e.g. new services.

• Identifies, applies and disseminates research findings relating to clinical practice.

WORKING CONDITIONS

• Frequent exposure to body fluids, blood, wounds, fleas and lice.

• Occasional exposure to aggressive behaviour

• Frequent use of VDU equipment.

• Requirement to travel between different locations e.g. care homes etc

• Requirement to provide extended access in line with practice or external initiatives.

AREAS OF PRACTICE EXCLUDED FROM THE POST-HOLDERS REMIT

• The post-holder will not undertake any aspect of antenatal/obstetric care.

For more information please see the supporting documents. 

Person Specification

Knowledge and Skills

Essential

• Please provide detailed information of how you feel that your knowledge and skills are suitable for this role; please provide examples to support your application referring to the job description and person specification for guidance.

Qualifications

Essential

• Please provide details of your CPD, using examples where necessary.
• Please provide your registration number of your NMC professional registration.

Experience

Essential

• Please provide detailed information of how you feel that your experience is suitable for this role; please provide examples to support your application referring to the job description and person specification for guidance.

Personal Qualities

Essential

• Please provide details for why you would be a great fit for this role and why you have decided to apply.

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.

Certificate of Sponsorship

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).

Employer details

Employer name

Primary Integrated Community Services

Address

Sherwood Primary Care Network

Nottingham

NG21 0RB

Employer's website

http://picsnhs.org.uk/ (Opens in a new tab)