Godolphin Health are looking to recruit an Advanced Nurse Practitioner within the ARRS roles. The successful candidate may come from a range of professional backgrounds. As an experienced healthcare professional, educated to Masters level, they will have developed the skills and knowledge to allow them to take on an expanded role and scope of practice caring for patients. The post holder will demonstrate courageous and critical thinking and is a caring, compassionate, and committed experienced nurse who, acting within their professional boundaries, will provide care for the presenting patient from initial history taking, clinical assessment, diagnosis, treatment, and evaluation of care. They will demonstrate safe, competent clinical decision-making and expert care, including assessment and diagnostic skills, for patients within the general practice.
Main Duties of the Job
The Advanced Nurse Practitioner will be responsible for attending to patients who wish to be seen by a healthcare professional; diagnosing and treating patients presenting with minor illness, as well as seeing and advising people in respect of their continuing medical and nursing needs. The Advanced Nurse Practitioner will need to prioritise and triage the needs of patients accordingly, making any necessary referrals for investigations in the appropriate manner. We triage all appointment requests using Klinik. We do 12 consultations in the morning and afternoon surgeries. There is protected time for pathology results processing. Home visits are rare and are shared amongst the clinical team, allowing us to offer excellent care to our palliative and most frail housebound patients without being overburdensome. We provide Enhanced Access to General Practice services on a shared rota.
Key Roles and Functions
1. Work autonomously, providing a high quality, safe and supportive environment for patients, meeting their identified physical and psycho-social needs within the scope of individual accountable practice.
2. Work within Practice guidelines, policies, protocols, and procedures reporting outcomes to appropriate clinical staff so standards of care can be monitored and improved where necessary. This includes adhering to the following agendas: infection control, equality and diversity, health and safety.
3. Maintain effective communication with patients, carers, relatives, and members of the multidisciplinary team ensuring information is shared appropriately and confidentially so patient needs are met in accordance with NHS directives and safeguarding policies (DH 2003, DH 2010).
4. Protect and maintain patient records to the agreed Practice standard and in accordance with professional record keeping standards (NMC 2009).
5. Administer medicines in accordance with a non-medical prescribing framework, patient-specific direction, or patient group direction in accordance with the standards for medicine management (NMC 2007).
6. Organise, manage, and prioritise own workload ensuring care of patients is paramount.
7. Develop the role by using evidence-based practice and continuously improving own knowledge as defined in the PREP handbook (NMC 2011) and revalidation guidelines.
Diagnosing and Treating Patients Presenting with Minor Illness
1. Triage and treat patients presenting with minor illness and wishing to see a healthcare professional; either in surgery or in their own home; making any necessary referrals to other members of the primary healthcare team.
2. Advise patients on general healthcare and minor ailments, with referral to other members of the primary or secondary healthcare team, as necessary.
3. Prescribe medicines in accordance with NMC Standards for Medicines Management (2007), NMC Code of Professional Standards (2015), and the Nurse Prescribing Implementation Plan (1998).
4. Ensure clinical practice is safe and effective and remains within the boundaries of competence and to acknowledge limitations.
Providing Assessment, Screening and Health Education
1. Manage Minor Illness / Minor Injury Clinics.
2. Conduct chronic disease and admissions avoidance reviews and care planning.
3. Lead in the area of Frailty and Care Homes and perform ward round visits.
4. Provide Palliative and End of Life Care and completion of DNACPR / Respect forms as required.
5. Conduct structured medication reviews, falls, mental health/capacity, and social needs assessments.
6. Provide health screening, contraception, dietary advice, and blood pressure checks.
7. Perform or request blood tests, urinalysis, ECGs (if required), cytology, injections, dressings, and removal of sutures/clips (if required).
8. Provide general and specific health screening to the practice population, within agreed protocols, with referral to other members of the primary and secondary healthcare team as necessary.
The following are implicit expectations of the post holder:
* A willingness to undertake additional courses, training, and education to meet the needs of the position; this includes attendance at on and off-site meetings and some study during non-working hours.
Minimum Requirements
* Minimum of 5 years post registration experience at a senior level (Band 7 or above) in specialty area.
* Evidence of ongoing CPD, Registered General Nurse with evidence of current NMC registration.
* Graduated from a Centre for Advancing Practice accredited MSc advanced practice programme, or completed the Centre's ePortfolio (supported) Route (both pathways enable eligibility for an Advanced digital badge issued by the Centre, demonstrating recognised educational and experiential preparation in advanced practice).
* Non-medical Prescribing qualification.
Desirable
* Experience of teaching in a variety of environments.
* Teaching & Mentoring qualification.
* Advanced Life Support qualification(s).
Godolphin Health are a dynamic forward-thinking, 2-site Practice, conveniently situated within a 10 mins drive off the A30. We are a training practice looking after a list of 8850 patients over two sites, dispensing to 65% of them. The 3 partners are supported by a growing fantastic multidisciplinary team comprising 4 salaried GPs, 1 nurse practitioner, 2 practice nurses, 1 associate practitioner, a HCA, and a phlebotomist. In addition, we have our GP trainees. Through our Primary Care Network, we have a physician associate, a share of three mental health practitioners, a first contact physiotherapist, care home paramedic, and a share of a pharmacist and three pharmacy technicians. We are all a friendly and supportive bunch! We have a weekly MDT with the whole clinical team which is a great time to come together for patient care and personal learning. We hold a three-monthly protected half-day clinical governance/educational meeting for all staff. In Feb 2022 we were rated as good by the CQC in all areas. We have modern high-quality premises and we are one of two members of the proactive and flourishing North Kerrier West Primary Care Network.
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