The successful post holder will be an experienced Advanced Nurse Practitioner, acting autonomously within their professional scope of practice, providing care for patients from initial history taking, clinical assessments, diagnosis, treatment, evaluation and follow up of care.
They will operate within their own sphere of competence and acceptable limits of practice to demonstrate safe, clinical decision-making and expert care for patients.
They will work collaboratively with the multi-disciplinary general practice team to provide expert professional clinical advice to patients, carers and colleagues, ensuring clinical safety and excellence and providing nurse leadership as required.
In order to work at this level, NMC requirements for advanced practice must be met.
Please note that the role includes working towards obtaining the Advanced digital badge.
Main duties of the job
The successful post holder will provide high levels of clinical care for patients in Care homes and housebound patients in the community, managing a range of acute, non-acute and chronic disease conditions, using advanced autonomous clinical skills and a broad in-depth theoretical knowledge base. They will be reliable and flexible with understanding their duty of care; ensuring timely and effective communication is maintained with patients, colleagues and other healthcare professionals to achieve planned goals. Education, training and support may be provided to the Care home team (where applicable) to ensure the highest standards of care are provided for patients. The successful candidate will undertake nursing, medical and social care assessments to initiate interventions to improve the quality of life within the setting and will assist with the admissions, care programme and discharge process of all patients. They will also ensure confidentiality is maintained regarding all aspects of patient care.
Job responsibilities
Primary Duties and Areas Of Responsibility
A. Clinical Practice:
* Provide a first contact for Care Homes for advice in regards to medical and nursing conditions of patients, making use of skills in history taking, physical examination, problem-solving and clinical decision-making, to establish a diagnosis and management plan.
* Provide continuity of care for housebound patients in the community for advice in regards to medical and nursing conditions of patients, making use of skills in history taking, physical examination, problem-solving and clinical decision-making, to establish a diagnosis and management plan.
* 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 and knowledge to deliver appropriate and safe care.
* Triage and 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 holistic care ensuring patients and carers/relatives are involved.
* Where the post holder is an independent prescriber; 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.
* Promote health and well-being through the use of health promotion, health education, screening and therapeutic communication skills.
* 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 organisation and other organisation where it may be necessary.
B. Professional Role
* Work towards obtaining the Advanced digital badge.
* Maintain up to date skills and knowledge, maintaining awareness of professional issues at an advanced level.
* Assess effectiveness of own clinical practice and care delivery through self-reflection and peer review, as well as benchmarking and formal evaluation.
* Promote evidence-based practice through the use of latest research-based guidelines and the development of practice based research.
* Participate in continuing professional development opportunities to ensure up to date evidence-based knowledge and competence in all aspect of the role is maintained.
* Develop and maintain a Personal Learning Plan.
* Maintain their professional registration.
* Work within the latest NMC Code of Professional Conduct.
* Record accurate consultation data in patients records in accordance with the latest NMC guidance and other pertinent standards.
* Keep up to date with the pertinent health-related policy and work with Locality team to consider the impact and strategies for implementation.
* Work collaboratively with colleagues within and external to the PCN.
* Participate in multi-disciplinary protocol and clinical pathways.
* Participate in audits and inspections as appropriate.
* Participate in PCN meetings reporting progress as required.
C. Teaching and Mentoring Role:
* Promote a learning environment for patients, care home staff and other health professionals.
* Contribute to the planning and implementation of the teaching for existing staff, such as medical students, nursing students, GP registrars and health care assistants within the PCN.
Person Specification
Experience
* Minimum of 5 years post registration experience.
* Experience in the management of long-term conditions for example asthma, COPD, diabetes, coronary heart disease.
* Evidence of appropriate continuing professional development activity to maintain up to date knowledge and on-going competence in all aspects of the NP role.
* Proven ability to evaluate the safety and effectiveness of their own clinical practice.
* Interpreting and implementing local and National policy agendas for health.
* Experience of undertaking audit.
Qualifications
* Registered General Nurse (Currently registered with the Nursing Midwifery Council).
* Masters Degree.
* Post graduate qualification at level 7 or above in a specialist area.
* Teaching or Mentoring experience and/or qualification.
* Advanced Digital badge - obtained through an accredited programme or the e-portfolio supported route.
Knowledge and Skills
* Understanding and knowledge of policy developments in regards to the delivery of primary care services including General Practice, the GMS/PMS contract, Clinical Governance, Quality and Outcomes Framework and Local/Directed Enhanced Service contracts.
* Understanding of evidence based practice.
* Knowledge of national standards that inform practice for example National Service Frameworks, NICE guidelines.
* Understanding of their accountability arising from NMC Code of Professional Conduct (2009) and medicolegal aspects of the Nurse practitioner role.
* Understanding of equal opportunity and diversity issues.
* Understanding and maintaining effective communication pathways within the organisation, the PCN and with key external stakeholders.
* Effective time management and ability to prioritise workload.
* Excellent interpersonal, verbal and written communication skills.
* Able to analyse data and information; drawing out implications for the patient/impact on care plan.
* Experience of using medical software package.
* Flexibility to work outside core hours.
* Proven record of effective use of networking and influencing skills.
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