Acting as the Advanced Care Practitioner for Urgent/Emergency Care Service, clinically managing own caseload. To be professionally accountable and legally responsible for all aspects of your own work including the management of patients in your care. Take responsibility for the patients assigned through the streaming process.
Perform assessments of patients' care needs, plan, implement and evaluate clinical treatment and care using advanced clinical knowledge and skills. Liaise with other professionals as required to meet identified needs in a coordinated and timely fashion and ensure own approach adheres to values of patient-centred care.
To assess diagnostics including ECGs, bloods, urinalysis and x-rays. Be able to discuss with patients and carers the range of possible treatment/management options and their implications before treatment decisions are made. Instigate and implement clinical management and treatment changes when appropriate. Provide highly specialised clinical and technical knowledge in the Urgent/Emergency Care specialism.
Participate in training of multi-professional staff including clinical staff, students and other professions. Provide advice to other staff or agencies e.g., community nursing teams, carers, hospital staff etc. Consistently synthesise complex information, formulate innovative solutions to achieve desired outcomes. Prioritise workload to ensure time is made available to study and update regarding practice within specialist field.
Contribute to the development of pathways, specific care guidelines and standards supporting the care of patients across the health economy. To accept clinical responsibility for undertaking the comprehensive assessment of a caseload of patients, including those with complex presentations, in line with evidence-based practice, legislation, policies and procedures.
Using investigative and analytical skills, review and interpret all information available, utilising a systematic process of reasoning to make a differential diagnosis. Provide treatment plans for patients that are consistent with the outcomes of assessment and the most probable diagnoses using current clinical pathways where required to facilitate timely, quality patient care and/or appropriate onward referral.
Where appropriate, initiate diagnostic tests, interpret and act upon results and provide advice to members of the multi-disciplinary team on patient treatment. Evaluate the effectiveness of interventions/treatments and make any necessary modifications.
Practice autonomously in planning and implementing treatment and care, undertaking advanced clinical practice that has been agreed with the senior nursing, midwifery, therapy and medical teams within the specialty. To use an extended scope of practice beyond own profession recognising any limitations in knowledge, referring to senior medical staff or Senior Advanced Practitioners when scope of practice is exceeded.
Maintain a safe environment for patients, relatives and staff, adhering to infection prevention and control policies. If registered as a non-medical prescriber, independently prescribe medication and fluids within current legislation and Trust policies. Accept referrals from and make referrals to consultants, GPs, and other healthcare professionals.
Review the patient and act accordingly, thereby reducing the length of time patients wait for intervention. Improve the quality of the patient experience by identifying and meeting the individual clinical needs of patients. Act at all times in the patient's best interests and as a patient advocate.
Provide specialist advice on patient care to the healthcare team and act as a specialist resource within the service and other areas within the Trust. Contribute to speciality national programmes for example RCEM led pain audits, ankle fractures.
Contribute to clinical reviews and safety meetings as required. Actively seek user feedback and participate in action planning for service improvement. To implement Health and Safety & Risk Management appropriate to area of work: understand and undertake role as referrer for example radiology requests and IR(ME)R guidance.
Maintain own and others compliance in safe working practices in relation to infection control, moving and handling, medicines management and incident reporting. Challenge poor standards of care or inappropriate behaviour and raise and escalate concerns about the safety and wellbeing of patients. To deliver aspects of the clinical governance agenda, following the direction of the Clinical Leadership Team.
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