The Advanced Nurse Practitioner will act autonomously within their professional scope of practice providing care for patients face to face, telephone consultations and home visits.
Main duties of the job
The postholder will operate within their own sphere of competence and agreed acceptable limits of practice to provide expert professional clinical advice to patients, carers and colleagues, ensuring clinical safety and excellence.
The Advanced Nurse Practitioner will need to prioritise the needs of patients accordingly, making any necessary referrals for investigations in the appropriate manner.
The postholder will use skills, knowledge and competencies as a qualified Advanced Nurse Practitioner in order to be responsible and accountable for managing patient caseloads for treatments, referral, admission and discharging patients as appropriate.
The Advanced Nurse Practitioner will manage our team of 3 practice nurses and a HCA, as well as undertake clinical assessment including history taking and physical examination, form a diagnosis and provide a treatment plan, which may include prescribing.
About us
We have a fantastic opportunity for an enthusiastic Advanced Nurse Practitioner to join our friendly practice. The practice is forward thinking and is supported by an excellent team. We have a strong team ethos and work collaboratively to provide outstanding patient care.
We hold practice meetings as well as daily informal discussions and monthly clinical meetings.
3 GP partner practice
Nursing team including 3 Practice Nurses and an HCA
In house Clinical Pharmacist
List size of 9200
IT - EMIS Web, Docman, AccuRx
High QOF Achieving
CQC rating is good throughout
Member of a successful PCN and Federation
35 minutes by train to London
Large Car Park
Job responsibilities
Job responsibilities:
Clinical Nursing Practice
* Work as part of a multi-disciplinary team to deliver safe and high quality care.
* Carry out clinical nursing practice at an advanced level using expert clinical skills, critical judgements & knowledge to deliver appropriate and safe care.
Delivery of care in line with NSF, NICE guidelines and evidence-based care
* Treat patients, performing specialist assessment of their needs and make referrals as necessary to other members of the primary and secondary health care teams as appropriate.
Co-ordinate the planning and delivery of care ensuring patients and carers/relatives are involved.
* Prescribing and reviewing medication that is appropriate to patient needs and in accordance with latest evidence-based practice, national and practice protocols and within the scope of qualified practice.
* Diagnose and manage acute and chronic conditions, including drug and non-drug based treatment methods into a management plan.
Request diagnostic investigations and interpret within agreed protocols e.g. x-ray, blood tests, scans, etc.
* Assess, diagnose and treat patients in practice premises or their own home who require medical attention and/or refer to appropriate agency.
* Refer patients to other members of the multi-disciplinary practice teams, secondary care organisations and other organisations as necessary.
Care Management
* Communicates confidential and sensitive information to patients, relatives and carers in relation to their condition.
* Provide highly specialised care advice beyond the scope of normal Nursing practice e.g. care treatment plans, making referrals as appropriate.
* Contribute to local and national practice targets clinical remit e.g. QOF, prescribing incentive scheme, National benchmarking.
* To monitor and meet care outcomes against standards and recommend or initiate changes as necessary.
Health Improvement
* Management of health screening programmes and ensures other team members are aware of health priorities and screening objectives and programmes.
* Innovation in practice to meet ongoing demands on the practice’s delivery of care.
* Improve health outcomes for patients by introducing new developments, and can demonstrate them as reports and presentations where appropriate.
* Supports practitioners in reporting the practice population to promote health improvement and disease prevention.
* Makes referrals to appropriate agencies (statutory and voluntary) where necessary.
These may include (but not restricted to):
* Urinalysis
* Dressings
* Routine immunisations and vaccinations
* Removal of sutures / clips
* Health surveillance / general health advice
* Organise and plan the provision of nursing services for the practice to include the delegation of duties to other members of the practice nurse team as appropriate.
Administration and professional responsibilities
* Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures.
* Participate in the administrative and professional responsibilities of the practice team.
* Accurate and legible notes of all consultations and treatments are recorded in the patient’s notes.
* Ensure clinical systems kept up to date, recording and/or amending accurate details.
* Ensure appropriate items of service claims are made accurately, reporting any problems to the practice administrator.
* Ensure accurate completion of all necessary documentation associated with patient healthcare and registration with the practice.
* Attend and participate in practice meetings as required.
* Restocking and maintenance of clinical areas and consulting rooms.
Training and personal development
* Maintain up to date skills and knowledge, maintaining awareness of professional issues at an advanced level.
* Training needs will be monitored by yearly appraisal and will be in accordance with practice requirements. Personal development will be encouraged and supported by the practice.
* Assess effectiveness of care delivery through self-reflection and peer review, as well as benchmarking and formal evaluation.
* Contribute to the identification and assessment of learning needs of staff and other professionals and assist in planning effective programmes of education.
* Participate in the education and training of students of all disciplines and the introduction of all members of the practice staff where appropriate.
* Develop and maintain an in house nurse-training programme reporting to the practice manager.
* Act as a mentor for junior staff, assessing competence against set standards.
* Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work and ensure own educational commitment is at least sufficient to maintain revalidation requirements.
* Develop and maintain a Personal Learning Plan.
* Regularly participate in clinical supervision.
Manage, supervise, co-ordinate and guide the nursing team
* To manage the nursing service in participation with the practice manager, ensuring relevant information is disseminated to and from the nursing staff.
* In participation with the practice manager, carry out yearly appraisals of all the nursing staff and produce a training programme.
* Ensure adequate nursing cover is provided while within the practice guidelines, keeping the practice manager informed of any problems.
* Develop and maintain practice policies and protocols for all nursing activity.
* To be the infection control lead in the practice and ensure all staff are aware of current procedures.
* To plan, chair and minute management and training meetings for all nurses following the training programme.
* Ensure agreed practice audits are carried out.
* Ensure the practice manager is aware of any matters arising or problems / potential problems.
Person Specification
Qualifications
* Registered first level nurse MSc or equivalent
* MSc in Nurse Practitioner studies and clinical assessment
* Community nursing specialist qualification
* Counselling skills
* Long Active Contraceptive
* Long term conditions qualification
Experience
* Working autonomously in an advanced nursing role
* Audit
* Research
* Nurse prescribing
* Experience of working within a primary care or General Practice
* Experience of case management
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.
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