The trainee SSNP will work as part of the autonomous specialist nursing team. The role holder will be responsible for the clinical examination and assessment of patients in order to select and insert appropriate venous access devices for patients requiring intermediate and long term intravenous therapies throughout the OUH Trust. The role includes follow up of line care, trouble-shooting and education for all members of the MDT. A highly experienced, knowledgeable and educated member of the team who is able to work autonomously making high level decisions to treat health needs. Advanced level practice encompasses aspects of education, research and management but is firmly grounded in direct care provision or clinical work with patients families and populations. (CNO 2010) The Senior Specialist Nurse Practitioner will have completed and maintained a professional portfolio relevant to Advanced Vascular Access. They will be competent to work autonomously in all aspects of Vascular Access covered by the Vascular Access Service. The trainee SSNP is a developmental post that is working towards becoming a Senior Specialist Nurse Practitioner with the key result areas outlined in the band 7 job description. The role is supervised and clearly linked to competencies that require completion within a pre-arranged and designated time frame of 12-18 months. The focus will be on developing autonomous practice. Demonstrated proficiency will advance this role from band 6 (trainee) to band 7 as a Senior Specialist Nurse Practitioner. The SSNP will be able to; Insert Vascular Access Devices within the practitioners competence Work at an advanced level practice autonomously as well as within a multi-disciplinary team and are self directed. Work clinically to optimize health and wellbeing, demonstrate autonomous decision making related to comprehensive history taking and physical assessment of patients. Work at an advanced level drawing on a diverse range of knowledge in complex decision making to determine evidence-based therapeutic interventions. Plan and manage complete episodes of care, working in partnership with others, delegating and referring as appropriate to optimize health outcomes and resource use, providing direct support to patients and clients. Use professional judgement in managing complete and unpredictable care events. Draw upon an appropriate range of multi-agency and inter-professional resources in their practice. Appropriately define boundaries in practice. Promote a high standard of advanced specialist nursing by initiating and co-ordinating the assessment, planning, delivery and evaluation of the holistic needs of patients/families through evidence based practice following agreed policies, protocols and guidelines. Practice a high standard of communication including highly sensitive and complex information to develop and sustain partnership working with individuals, groups, communities and agencies. Utilise evidence based information through a variety of communication media. Maintain adequate patient documentation to NMC requirements for all patients seen and advice given in any practice setting and contribute to clinical activity/data collection as required.