Advanced Nurse Practitioner

Job description

Job responsibilities

• Work with and champion the unit in conjunction with Senior Managerial colleagues
• Support the Management team and Clinical manager to ensure all service KPIs/Targets all are met, and looking for improvement over and above the set commissioned targets
• Ensure mandatory training is kept up to date and receive suitable training/CPD for their ongoing development needs
• Practice autonomously, as an independent practitioner, participating in the care of and undertaking assessment, diagnosis, treatment / referral and discharge of patients presenting with minor injury or triaging illness within agreed parameters
• Provide advanced clinical skills and advice demonstrating a sound understanding of the issues related to identification, assessment, diagnosis, treatment and management of a client group whilst working autonomously
• Identify the need for and initiate and interpret relevant diagnostic investigations and results (mainly Xray).
• To safely and competently undertake invasive and non-invasive procedures to establish a diagnosis
• To work within the parameters of current nurse prescribing legislation
• Monitor and lead improvements to standards of care through supervision of practice, clinical audit, and evidence based practice, teaching and supporting professional colleagues and the provision of skilled professional leadership

• Contribute to the Clinical Governance agenda within the service by leading audit and research as part of the multi-disciplinary team within the area of expertise

• Act in accordance with the NMC Code of Professional Conduct or other relevant professional body.

• Provide professional and clinical advice within the multi-disciplinary team

Knowledge, skills and experience required

• Relevant professional qualification
• Experience of working independently as an unsupervised practitioner in the primary or urgent care setting.
• Minor injury experience desirable
• Teaching and mentorship
• Portfolio of evidence showing achievements in practice/speciality
• Evidence of excellent clinical record
• Demonstrate the ability to work in highly demanding environment.
• Maintained development of clinical leadership skills
• Evidence of diplomacy and negotiation skills
• Able to demonstrate imaginative and effective use of resources
• Able to articulate personal development needs
• Implementation of audit/research recommendations
• Excellent communication and leadership skills
• Evidence of significant involvement in change
• Competent in use of IT packages such as Microsoft Word and PowerPoint
• Demonstrates ability and knowledge on how to undertake audit and feedback to clinicians
• Knowledge of current clinical and professional issues
• Awareness of impact of evidence based practice within unscheduled care
• Ability to work collaboratively with an appropriate range of multi-agency and inter-professional resources, maintaining and evaluating links to manage risk across organisation and setting
• Ability to identify risk assessment and act accordingly.

Key results areas

Clinical

The post holder will:

• Work at an advanced level of practice reflected under the 4 pillars of advanced practice of the HEE
• Provide expert assessment and health care advice and treatment.
• Assess, treat and advise patients presenting with minor injuries.
• Provide supervision of the clinical team, assisting and developing the team and individuals clinical skills.
• When required ensure patients are referred on to other members of the primary health care team or secondary care as necessary and support and guide others as required.
• Ensure all practice is safe and effective and remains within boundaries and scope of competence of individuals and to acknowledge limitations.
• Perform investigatory procedures, including assessing patients with minor injuries, request and review x-rays, treat minor injuries /implement expanded roles in practice
• In general the post-holder will be expected to undertake all the duties and responsibilities associated with an expert practitioner working within Unscheduled Primary Care.
• Develop and maintain clinical policies, procedures and protocols.
• Ensure any patient information is up-to-date and produced in appropriate formats

Professional

The post holder will:

• Role model standards of care and behaviour through clinical practice.
• Act as a role model for standards of behaviour and professionalism, through commitment to the integration of policies and procedures within the role and workplace
• Analyse relevant local and national policy, within their area of expertise and advice on the impact for service, leading the implementation of changes and evaluation of processes
• Maintain professional registration and practice through CPD
• Maintain a professional portfolio to demonstrate competency in line with NMC competency framework or other professional body
• Maintain their personal standards of conduct and behaviour consistent within FCMS , NMC guidelines or other professional body
• Allocate, coordinate, monitor and assess own workload within an accepted time frame
• Ensure appropriate use of resources in order to meet service needs
• Recognise and act as an advocate for patients, carers, service and the organisation
• Carry out annual review of best practice/national standards and implement recommended changes
• Promote workforce integrity (empower professional accountability within the clinical team, ensure accreditation process followed, complaints management, competency assessment, ensuring mandatory training requirements fulfilled, robust clinical induction)
• Maintain a sound knowledge of NHS policy and NICE guidance in relation to scheduled and unscheduled care

Education and training

The post holder will:

• Identify own development needs in line with service requirements within a personal development plan
• Develop and distribute educational leaflets in relevant formats, for patients relating to services and patient pathways
• Ensure personal, peer support and clinical supervision needs are met
• Contribute to clinical governance outcomes
• Understand and apply professional and national guidelines on confidentiality
• Be fully involved in the progress and development of clinicians and provide constructive and relevant feedback
• Assist in the implementation of training and development in your locality

Research and development

The post holder will:

• Evaluate clinical practise through audit of service and develop and manage strategies to address any shortfalls
• Undertake audits as required by the service working with the clinical manager
• Demonstrate knowledge of current research in all aspects of their work and advise others on the implementation of relevant research findings
• Initiate and/or become involved in research projects in response to identified needs
• Disseminate results/research/ audit findings via local teams and/or national/international publications
• Implement research findings appropriate to practice
• Promote the shared objectives of the multidisciplinary team by working closely to ensure that best practice is achieved utilising both Clinical Benchmarking and Essence of Care processes

Most challenging part of the role.

• Ability to work under pressure in an ever changing, challenging specialist environment whilst maintaining excellent standards of patient care
• Dealing with difficult situations and people by demonstrating and exercising critical thinking skills when faced with incomplete or lack of information or complexity.
• Seeing, treating, referring or discharging patients independently without direct supervision
• Triaging, referring or discharging patients independently without direct supervision

• Manage patient and public expectations of the service within set national targets and time constraints
• Manage effective change and development within clinical areas, maintaining highly specialised knowledge and competences

The role is subject to a DBS check which will require three forms of valid ID to be produced and verified. The onboarding process is also subject to an Occupational Health check, suitable professional references and eligibility to work in the UK (with the requirement to provide relevant documentation as evidence).

Person Specification

Experience

Essential

• Minimum 5 years post registration experience and a passion for working in an integrated urgent care system and working with partner organisations
• Experience of expert autonomous practice within an unscheduled care setting managing minor injuries of all ages
• Evidence of clinical competence in a wide range of relevant clinical skills, local anaesthesia infiltration, suturing, x-ray interpretation, fracture management (gold standard for position but negotiable)
• Health Promotion experience
• Experience using clinical computer systems
• Understanding of current Urgent Health care issues and initiatives
• Ability to work effectively under pressure, intense conditions and within time constraints
• Understanding and awareness of CQC compliance and essential standards of quality and safety
• Teaching experience/clinical supervision

Desirable

• Experience of Adastra clinical system
• Experience of working within a community Urgent Care setting or ED or an appreciation of the nature of primary care prescribing, and strategies for improving prescribing practice / use of EPS
• Innovative practice to deliver patient centred care

Qualifications

Essential

• Registered Practitioner
• ENP/ANP/ N/P / Physio / Paramedic qualification or Advanced Practice qualification, dealing with both children and adults.
• Substantial clinical experience within an unscheduled care setting, working at an advanced level
• Non- medical prescribing qualification as gold standard for position, but is negotiable
• Mentorship / supervisor experience

Desirable

• Recognised training in minor injury management, consultation and examination skills
• Achieved/working towards Masters degree in Advanced Practice

Vaccinations

Essential

• Hepatitis B vaccination (we can provide this)
• BCG (for tuberculosis) vaccination (we can provide this)

Desirable

• Up to date COVID-19 vaccinations are 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.

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

FCMS

Address

Rossendale Minor Injuries Unit

Rossendale Primary Health Care Centre

Rossendale

BB4 7PL

Employer's website

http://www.fcms-nw.co.uk/ (Opens in a new tab)