We are recruiting for 2 experienced Advanced Nurse Practitioners, with full time hours available for both roles. We will also accept part time or job shares. We will consider a recently qualified Advanced Nurse Practitioner if they are right for the role but they will need to have some previous experience of minor illnesses and acute care. They will provide assessment and care of acutely presenting patients within the practice. They will be able to work autonomously within the scope of their experience and qualifications but will have the support and supervision of the doctors within the practice. This includes appointments within the surgery as well as on occasion, visits to patients in their own homes or nursing/residential homes where required. They will recognise and work within their own competence and professional code of conduct as regulated by the NMC. In order to work at this level, NMC requirements for advanced clinical practice must be met.
Main duties of the job
The main duties will include assessing and diagnosing patients presenting with acute issues, either face to face, by telephone or any other methods as appropriate. You will be working alongside our established ANP in our duty team.
You will also assist the nursing team with patients who have presented with issues beyond those that they feel competent to manage.
About us
The Grove Medical Centre is a large Practice based in Sherborne with around 13,000 registered patients. We are a friendly, hardworking team who put patient care first, with every department always willing to help each other out to deliver the best possible care. We have a fantastic clinical team of GPs, Nurses and Healthcare Assistants who are supported by our Patient Services, Care Coordinator and Administration teams.
We also have a Pharmacy and Mental Health team, plus Frailty Nurses who work for the Sherborne Area Primary Care Network and provide care for the three Practices that make up the PCN.
Job responsibilities
Job summary:
The role is for an experienced Advanced Nurse Practitioner who will provide assessment and care of the acutely presenting patient within the practice. They will be able to work autonomously within the scope of their experience and qualifications but will have the support and supervision of the doctors within the practice. This includes appointments within the surgery as well as on occasion, visits to patients in their own homes or nursing/residential homes where required. They will recognise and work within their own competence and professional code of conduct as regulated by the NMC. In order to work at this level, NMC requirements for advanced clinical practice must be met.
Job responsibilities:
1. Assess, examine, diagnose, and develop management plans for patients presenting with a new problem. Deliver evidence-based care according to national and local guidelines.
2. Prescribe within the scope of knowledge in accordance to both practice, NHS Dorset and National guidance.
3. Produce accurate complete records of patient consultation using accurate coding to ensure easy and accurate information retrieval for monitoring and audit processes.
4. Assist the practice to obtain the level of QoF points required by acting on highlighted QoF indicators where appropriate.
5. Provide information and advice on prescribed or over-the-counter medication on medication regimens, side-effects, and interactions.
6. Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care.
7. Support patients in the application of the principles of self-care and healthy living.
8. Where suitably qualified, manage the health needs of women presenting for family planning, cervical cytology, or sexual health consultation.
9. Participate in opportunistic vaccination and immunisation of both adults and children.
10. Follow agreed clinical protocols with referral to GPs as appropriate.
11. If required, assess and manage the needs of patients presenting for opportunistic wound care or phlebotomy provision.
12. Support the nursing team with assessing patients who have presented with issues beyond those the nurse/HCA feels competent to manage where it is within the clinical scope of your own competence.
Person Specification
Personal Attributes
* Excellent communication skills both written and verbal with experience of communicating difficult messages to patients and families
* Highly motivated
* Flexibility
* Team player and able to work across boundaries
Specialist Knowledge/Skills
* Advanced Clinical Practice skills
* Clinical examination skills
* Accountability of own role
* Management of patients with long-term conditions
* Management of patients with complex conditions
* Clinical Governance issues in primary care
* Patient Group Directives, Patient Specific Directives and associated policy
* Understanding of national and local health policy
* Knowledge of public health issues
* Mentoring and training experience
* Specialism in an area other than minor ailments/injuries such as sexual health, diabetes, respiratory, mental health
Qualifications
* Registered first level nurse
* MSc, Level 7 qualification or equivalent (NMC requirements for advanced practice must be met)
* Independent/supplementary nurse prescribing qualification
* Advanced nursing specialist qualification
* Clinical supervision training and experience
* Specialism in an area other than minor ailments/injuries such as sexual health, diabetes, respiratory, mental health
Experience
* Nurse Prescribing
* Nurse-led management of minor illness, minor ailments and other minor injuries
* Nurse-led triage
* Audit
* 2 years + recent primary/community nursing experience
* Compiling clinical protocols and guidelines
* Research and QI
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.
Depending on experience From £45,454 per annum
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