The Emergency Department is an area of work that demands a highly skilled multi-disciplinary team, responsive to the needs of contemporary health care demands. We pride ourselves in being a cohesive and dynamic team and a department with a reputation as a great place to work and to train. In addition, at Airedale General Hospital we provide a creative, enthusiastic and motivating environment and our catchment area includes the beautiful Yorkshire Dales.
An exciting opportunity has arisen for Advanced Clinical Practitioners to join the emergency department and urgent care team. Applicants must hold an MSc in Advanced Practice (or equivalent award), have evidence of Royal College of Emergency Medicine (RCEM) competencies, or be committed to undertake. The post holder will be registered as an Independent Prescriber.
Interested applicants must have significant experience at a senior level working within the emergency department clinical setting and have experience to support the ability to see and treat patient autonomously within an urgent care environment.
Main duties of the job
Fixed term contract.
The post holder will be based at Airedale NHS Foundation Trust with the Emergency Department under the Urgent Care directorate.
The Advanced Clinical Practitioner (ACP) will use specialist knowledge and skills to provide healthcare independently to patients. The ACP is accountable for the total episode of care for patients with undiagnosed and undifferentiated conditions.
The post holder will act as a role model, delivering advanced practice and promoting clinical effectiveness in care. He/she will be required to work autonomously in delivering independent assessment, clinical examination, diagnosis, clinical decision making and planning of care and treatment, diagnosis, prescribing, health promotion and safe discharge of patients.
The job holder will work as an autonomous practitioner within a defined clinical area, delivering all aspects of management and care to a wide range of patients with varying needs. They will work closely with all members of the multidisciplinary team and will play an integral role in the operational/strategic development of the service.
Job responsibilities
Clinical practice
Practice as an autonomous professional in a self-directed manner, with confidence, authority, and expertise to independently assess, diagnose, plan, implement and evaluate treatments and interventions for patients presenting to the clinical specialty with undiagnosed or undifferentiated presentations.
Clinical assessment and examination as indicated by the patients condition autonomously analysing complex clinical signs and investigation results to consider differential diagnoses and diagnose conditions, initiating treatment as required.
Perform clinical procedures appropriate to the history and clinical examination of the patient, including further invasive testing and treatments requiring highly developed skills and precision.
Request pathological and radiological investigations (in accordance with IR(ME)R regulations) and make clinical decisions based upon the results.
Interpret and analyse highly complex clinical and non-clinical facts to form accurate diagnoses, prognoses for a wide range of conditions, to recommend / deliver the best course of intervention.
Autonomously formulates appropriate management plans for patients, formulates clinical decisions and often complex treatment plans to manage acute illness and acute episodes of chronic illness including referral, admission or discharge.
Person Specification
Knowledge
Essential
* Significant knowledge, experience, and competence in Emergency Medicine or Acute/urgent care
* Documented evidence of completion of advanced practice competencies and a defined range of specialty competencies
* Experience of leading individuals and teams
* High standard of oral and written communication skills and confidence to discuss patient management with other members of the MDT
* High level of capability using outcome measures and audit
* Confidence and ability to accurately assess and manage complex patient presentations to a high professional standard
* Ability to critique own practice
* Excellent liaison and negotiation skills
* In-depth knowledge of issues and developments in specialty-specific area of practice
Desirable
* Significant ACP experience
* Root Cause Analysis training
* RCEM credentialed
Skills
Essential
* Working towards RCEM competencies, or willing to undertake
* Advanced assessment, diagnostic and clinical reasoning skills
* Interpreting investigations (bloods)
* Professional and patient focused, with a strong commitment to provide high quality care
* Presentation skills
* Research and audit skills
* Self-motivated and able to work independently and autonomously both within the Trust and with partner organisations.
* Evidence of continued professional development
* Excellent communication skills
Desirable
* Competence in core skills such as venepuncture, cannulation, ABGs and catheterisation.
* Minor illness / injury modules
* Plain film / Red dot interpretation
* RCEM Credentialed
Qualifications
Essential
* Registered with relevant professional body or allied health professional governing body
* MSc in Advanced Practice or equivalent
* Life Support qualification (Trauma / ALS)
* Relevant teaching qualification / evidenced experience
* Independent non-medical prescribing
* Significant experience of working as an ACP within acute / emergency care
Desirable
* Significant ACP experience of working within emergency Department
* ALS Qualification / Teaching
Experience
Essential
* Recent experience of working as a qualified ACP within Acute / Emergency medicine or clinical specialty
* Ability to work with and motivate nurses and medical staff
* Evidence of managing complex patients in stressful and emotional situations where life-changing events are being communicated and clinically managed.
* Experience of designing and delivering training and education for health care professionals
* Supervision and appraisal of staff and students
* Evidence of lead for or contribution to audit programs within practice
* Evidence of continuous professional development and the practical application of new skills to the workplace
* Experience of delivering training and education for health care professionals
* Cultural awareness
Desirable
* Significant post registration ACP experience.
* Significant experience working in Emergency Department
* ALS trained / instructor
* Minor injury/illness modules
Personal Attributes
Essential
* Capable of lateral and critical thinking
* Committed to an open culture of learning and continuous improvement, based on best practice
* Motivated and able to inspire others
* Committed to team working, respecting and considering the skills of others, using a flexible and co-operative working style
* Shows compassion and empathy
Desirable
* Managerial /leadership experience
Employer details
Employer name
Airedale NHS Foundation Trust
Address
Airedale NHS Foundation Trust
Skipton Road
Airedale, Steeton, Keighley
BD20 6TD
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