Job summary
Waterloo House Surgery in Millom is seeking an experienced AdvancedParamedic/Nurse Practitioner to join our small and friendly team. This is apart-time position offering hours per week, with flexibility to spread thehours across 3 or 4 days.
As an Advanced Paramedic/Nurse Practitioner, you will play akey role in providing high-quality care to our patients. A prescriberqualification is essential, and experience working with care homes orproviding home visits will be highly advantageous.
Location: Waterloo House Surgery, Millom
Hours: hours per week, ideally spread over 3 or 4 days
Closing Date: 08 December 2024
If you are a motivated and compassionate healthcareprofessional with the required qualifications and experience, we encourage youto apply.
Main duties of the job
The post holder will work as a member of the Practice Team. The post holder will be responsible for recognising, negotiating and implementing processes to enhance the delivery of care.
Patient centred care will be delivered by assessing patients with undifferentiated and undiagnosed problems; initiating treatment, investigations, advice and management of problems using professional autonomous decision-making processes, liaising when appropriate with other healthcare professionals and service providers to ensure safe and effective patient care.
The post holder will contribute to development and delivery of a high-quality innovative service to the community through the implementation of evidence based clinical practice, supported by continual professional development and mentorship/supervision.
All staff are expected to work to Cumbria Health Values:
1. Clinically focused - Our patients are at the heart of all we do
2. Responsive - We listen and respond together
3. One Team - Working together through strong partnerships
4. Growth & Sustainability - With our strong roots we will continue to thrive and grow
5. Communities - Connecting with communities to meet local needs
6. High Standards - We strive for excellence in all that we do.
About us
Cumbria Health places the patient, their family and their community at the heart of everything we do. We are an award-winning organisation, the first out-of-hours organisation in the country to be rated as outstanding by the Care Quality Commission (CQC).
We provide primary health care services, both in and out of hours, across Cumbria. We are values-driven and place great emphasis on inclusivity and the wellbeing and development of our staff, while striving to provide a consistently high-quality service. Our service is designed to improve health and wellbeing.
Working for Cumbria Health can offer flexible opportunities in terms of location, hours and working patterns so you can enjoy a great work life balance. In order to provide the best patient care we understand the importance of ensuring staff satisfaction and are consistently trying to ensure we offer our staff a positive working environment whether that be though training or social events.
Listen to your heart. Have the work life balance you'd love.
Job description
Job responsibilities
This list of duties and responsibilities, which follows, represents the broad range of tasks which may be required to be undertaken either routinely or periodically. This list is not exhaustive and the role may include additional duties which are not listed here.
Communication
1) Communicates effectively as a member of a multi-disciplinary team.
a) Refers when necessary to general practitioners, Paramedics, Accident and Emergency, Secondary Care, District nurses, Community MTD, social workers, mental health team, and Social Care Teams.
2) With Primary care nurses giving support, advice and leadership.
3) With reception staff regarding patient information.
4) Recognise and effectively manages situations where there are barriers to effective communication.
5) Recognises and effectively manages situations where there are barriers to effective communication.
Clinical Skills
1) Works independently as an Advanced Nurse Practitioner within the scope of professional practice with.
a) Functions at a high level to a carry out clinical decision making initiating treatment, investigation, advice and management of undetected and undiagnosed problems.
b) Practices as an a non-medical prescriber.
2) Functions at a high level in relation to communication skills through patient consultation and nursing assessment of physical, psychological and social needs.
a) Takes an accurate history, building rapport towards a therapeutic relationship.
b) Assess, plan and implements patient centred plan of care for patients, independently discharge patients from your care and refer when necessary to other healthcare professionals for further specialised care.
3) Demonstrates clinical competence in the assessment and management of patients of all ages from infants to the elderly and management of lifelong illness such as diabetes, asthma and chronic obstructive pulmonary disease during the time of acute illness and managing minor illness.
4) Adapts to change within working situation managing unscheduled emergency situations.
a) Basic life support, severe breathing problems, serious cardiovascular problems, collapsed patients and seriously ill patients.
5) Performs investigations to reach a differential diagnosis using core clinical skill and competence. Initiate treatment including diagnostic investigations.
a) Recognition of abnormal vital signs observing paediatric and adult respiratory rate and effort, heart rate rhythm and volume, temperature and blood pressures as appropriate.
b) Performs investigatory procedures including; Performing ECGs, Urinalysis, Blood Glucose monitoring, Venepuncture, measuring and interpreting Peak Flow.
6) Demonstrates competence in examination techniques
a) Examination of the Ear Nose and Throat system
b) Basic Neurological examination of Headaches and Head injury
c) Basic Muscular-skeletal examination in the assessment of injury
d) Basic eye examination in the assessment of injury, foreign body and infection.
e) Respiratory Examination
f) Abdominal Examination
g) Cardiovascular Examination
h) Vaginal Examination and sexual health screening
7) Performs safe manual handling techniques.
8) Recognises own limitations, seek assistance and refer appropriately.
9) Delivers a high standard of care without discrimination to all ages, sexes and ethnic origins of the population through continuum of life.
10) Deliver safe, effective evidence based care and advice to ease patient problems.
11) Promotes improving the health of the individual through advice and education to aid adjustment of lifestyle, including Contraception advice.
Organisational Skills
1) Aware of and complies with Cumbria Health policies and procedures.
2) Able to adapt to change in the workplace being involved in new developments in the delivery of care.
3) Ensures faulty clinical equipment is reported and repaired and adequate for use.
4) Ensures store supplies are adequately ordered and maintained.
5) Participates and supports the implementation of clinical governance, clinical audit and clinical risk assessment, setting and monitoring standards of care.
6) Promotes improving the health of the community through reporting and preventing occurrences of infectious disease, proving advice and education.
7) Has a flexible approach to geographical locations across county sites.
Professional
1) Ensures practice and implementation of care is evidence based by adhering to local and national guidance.
2) Complies with Nursing and Midwifery council code of conduct and works within scope of professional practice
3) Maintains confidentiality of information regarding patients.
4) Ensures accurate, concise documentation.
5) Reports any adverse incidents or near miss events through agreed Cumbria Health system.
6) Maintains professional development in risk awareness, health and safety, fire safety at work, Child and Adult safeguarding, conflict resolution, information governance and basic life support by attending annual mandatory training.
7) Identifies and/ or participates in strategies of risk assessment to avoid or prevent clinical incidents and near misses incorporated in the clinical governance framework including:
a) Risk management, Child and Adult safeguarding policies, Drug policies and Infection prevention policies.
Leadership
1) Is a support network for other colleagues.
2) Act as role model to inspire and motivate others.
3) Is a support network for other colleagues.
4) Act as mentor, support and induct new staff.
Training and Educational
1) Enhances professional development.
2) Continually keeps up to date with current evidence based practice.
3) Is involved in lifelong learning.
4) Ensures mandatory training has been completed.
5) Participates in in-house training provided / clinical meetings / supervision
Person Specification
Qualifications
Essential
7. Current NMC
8. 1st Level registration
9. Nurse Practitioner Degree
10. Independent Non-Medical Prescriber V300
11. Evidence of recent Continual Professional Development
12. ILS Intermediate Life support
Desirable
13. MSc Advanced Practice
14. 998 or equivalent teaching certificate.
Skills and Aptitudes
Essential
15. Demonstrate clinical knowledge in acute and chronic disease management
16. Demonstrate clinical competence in minor illness management
17. Able to demonstrate excellent communication and consultation skills
18. Able to work independently and effectively within a team
19. Flexible and motivated
20. Basic computer skills.
Desirable
21. Ability to adapt to change within working situation
22. Innovative practice to deliver patient centred care
Experience
Essential
23. Significant post registration experience minimum 5 years in relevant field.
24. Evidence of good practice
25. Leadership Skills
Desirable
26. Experience of working within the primary care.
Other requirements
Essential
27. Willingness to undertake further training
28. Current driving licence and access to own vehicle
Personal Circumstances
Essential
29. Positive
30. Confident
31. Well organised
32. Good team player
33. Ability to build rapport and effective relationships at all levels
34. Demonstrate initiative
35. Ability to maintain workload in a sometimes busy and demanding environment