The Advanced Nurse Practitioner (ANP) has been assessed as competent in practice using their expert clinical knowledge and skills. They have the freedom and authority to act and make autonomous decisions in the assessment, diagnosis, and treatment of patients.
The ANP provides an opportunity for patients to avoid the need to be referred to a GP, thereby enabling them to receive timely care and negate unnecessary delay in receiving treatment.
ANPs in primary care can develop close, long-term relationships with their patients and work in partnership with them to achieve optimum health. They are autonomous in making decisions based on assessment, diagnosis, and interpretation of test results. They can independently prescribe appropriate medication, evaluate or refer to other specialists if necessary.
Main Duties of the Job
The following are the core responsibilities of the Advanced Nurse Practitioner. There may be, on occasion, a requirement to carry out other tasks; this will be dependent upon factors such as workload and staffing levels.
1. Develop, implement and embed health promotion and wellbeing programmes
2. Manage patients presenting with a range of acute and chronic medical conditions, providing subject matter expert advice
3. Implement and evaluate individual specialised treatment plans for chronic disease patients
4. Identify, manage and support patients at risk of developing long-term conditions, preventing adverse effects to the patients' health
5. Provide advanced, specialist nursing care to patients as required in accordance with clinical based evidence, NICE and the NSF
6. Provide wound care (ulcer/Doppler, etc.)
7. Provide specialist clinics such as ear syringing, contraception, etc.
8. Undertake the collection of pathological specimens
9. Request pathology services as necessary
10. Process and interpret pathology and other test results as required
11. Provide chronic disease clinics, delivering patient care as necessary, referring patients to secondary/specialist care as required
12. Maintain accurate clinical records in conjunction with extant legislation
13. Ensure SNOMED CT codes are used effectively
14. Maintain chronic disease registers
15. Develop, implement and embed well woman clinics
16. Develop, implement and embed well man clinics
17. Develop, implement and embed travel clinics
18. Develop, implement and embed an effective call/recall system
19. Be responsible for the implementation of an effective immunisation programme
20. Chaperone patients where necessary
21. Prioritise health issues and intervene appropriately
22. Support the team in dealing with clinical emergencies
23. Recognise, assess and refer patients presenting with mental health needs
24. Implement vaccination programmes for adults and children
25. Be an extended and supplementary prescriber, adhering to extant guidance
26. Support patients in the use of their prescribed medicines or over-the-counter medicines (within own scope of practice), reviewing annually as required
27. Contribute to practice targets (QOF, etc.), complying with local and regional guidance
28. Liaise with external services/agencies to ensure the patient is supported appropriately (vulnerable patients, etc.)
29. Delegate clinical responsibilities appropriately (ensuring safe practice and that the task is within the scope of practice of the individual)
30. Support the clinical team with all safeguarding matters in accordance with local and national policies
31. Understand practice and local policies for substance abuse and addictive behaviour, referring patients appropriately
32. Deliver opportunistic health promotion where appropriate
Person Specification
Experience
* Experience of practice within the four pillars
* Job plan that demonstrates advanced nursing practice and has equity with peers working at this level
* Experience of prescribing and undertaking medication reviews
* Experience of working as a practice nurse or community nurse
* Experience of working in a primary care environment
Qualifications
* Registered Nurse with Nursing and Midwifery Council
* Masters degree required for qualification post December 2020 refer to RCN Credentialing for Advanced Level of Nursing Practice
* Post graduate diploma or degree for Advanced Practice Qualification up to December 2020
* Qualified Independent Nurse Prescriber on the NMC register
* Meets NMC revalidation requirements in accordance with the NMC Revalidation booklet
* Meets the standards for registered ANP working at advanced level
* Full driving license and own car
* Qualified triage nurse
* Teaching qualification
* ALS and PALS
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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