Advanced Nurse Practitioner

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KEY DUTIES

Co-ordinate and deliver the day-to-day management of the clinical team as team/shift leader.

Act as a resource for other members of the UTC clinical team.

In collaboration with the Team Leaders promote the development and effectiveness of the nurse-led service utilizing a multi-skilled team approach.

Maintain effective channels of communication both within the UTC and across the wider health and social care economy.

Promote and maintain the quality and standards of St Helens UTC services in accordance with organisational and Trust Clinical Governance requirements.

Facilitate a culture, which promotes and maintains best practice utilising current and best evidence.

Participate in and initiate clinical audit as required

CLINICAL & PROFESSIONAL RESPONSIBILITIES

To work autonomously using advanced levels of history taking and examination skills within a multidisciplinary team, guidelines, and protocols.

Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis

Advise and communicate as appropriate with acute hospitals, primary and social care and community teams thus ensuring seamless continuity and transfer of care for patients between other relevant health, social and third sector agencies, professionals, and other care settings.

Demonstrate a high level of knowledge in relation to the management of minor illness, injury and chronic disease.

Be able to assess critically and re-evaluate the clinical situation as the patient’s condition changes.

Facilitate learning for patients and their carers in relation to their identified health needs. Provide health promotion and promote optimal self-care as appropriate.

Undertake a range of clinical procedures, which may include, suturing, venepuncture, cannulation, ear syringing, slit lamp use, removal of foreign bodies.

Identify at risk patients and manage appropriately in accordance with national and local policy and procedures i.e., vulnerable children, adults, and child protection.

Contribute to investigations of incidents and complaints when required, participate in identifying lessons learnt and the sharing of learning across the organisation.

Ensure the safety of self and others at all times and promote a safety culture through the effective management of risk in the Woking environment.

Promote people’s equality, diversity and rights. Provide high quality innovative clinical practice. Be proactive in clinical decision making, underpinned by an advanced level of theoretical and practical knowledge and able to demonstrate improved patient care outcomes.

To act at all times as an advocate for patients, carers and relatives.

Offer a complementary service to that of other health care providers within the local health economy

Utilizing own professional knowledge and skills, act as a resource for other members of the UTC team

Empower colleagues and clients and demonstrate the ability to facilitate effective clinical practice based on best evidence

Possess a clear understanding of legal and ethical issues, professional accountability and responsibility

Registered Prescribers (if applicable)

Prescribe medication safely and effectively to patients, as an Independent Non-Medical/ Supplementary prescriber.

Prescribe and review medication for therapeutic effectiveness, appropriate to patients needs in accordance with evidence-based practice and national and practice protocols, and within scope of practice.

Work with patients to support compliance with and adherence to prescribed treatments. Provide information and advice on prescribed or over the counter medication regimes, side effects and interactions.

To understand the legislation relevant to the practice of Independent Non-medical / supplementary prescribing.

Maintain a professional portfolio and demonstrate that practice is up to date and evidence based.

Leadership

Provide clinical leadership in relation to the management of patient condition working at an advanced level to provide mentoring, supervision and clinical advice where required to the UTC team.

Delegate responsibility where appropriate and encourage a culture where flexibility and adaptability are positively encouraged.

Adopt and promote a positive approach to change.

Actively participate in and promote the development of professional nursing practice.

Manage team dynamics when performing the role of team leader.

ADMINISTRATIVE RESPONSIBILITIES

Maintain effective systems of communication and referral both within the UTC and across primary and secondary care.

Promote and maintain effective comprehensive clinical documentation in accordance with local and NMC guidelines for record keeping.

Utilise the Trust e-mail communication system.

Utilise a variety of systems to communicate clinical information in accordance with the requirements of the data protection act (telephone, letter and email)

TEACHING & TRAINING RESPONSBILITIES

Participate and engage in the identification of education and training needs of the team.

Demonstrate a positive commitment to the training and education of pre and post Identify and disseminate best practice through evidence, clinical guidelines and benchmarking.

Maintain and develop own clinical and professional expertise by participation in Clinical Supervision and Personal Development Planning, in accordance with Nursing and Midwifery Council Code of conduct, and scope of professional Practice.

Provide supervision and mentoring opportunities for St Helens UTC team members and students.

Participate in formal and informal teaching sessions to promote clinical excellence within the UTC team.

LINE MANAGEMENT/SUPERVISORY RESPONSIBILITIES

Supervise and maintain high standards of professional care in accordance with current NMC Code of Professional Conduct, Scope of Professional Practice and ethical considerations.

Provide a supportive environment for staff, take responsibility for and perform in clinical supervision and personal development planning.

Assist the Clinical Service Manager in shaping and developing a service, which is welcoming and effective to the needs of service users.

Participate in the development of an effective service utilizing a holistic, health needs approach.

Participate in the development, implementation and monitoring of policies, procedures and clinical guidelines as appropriate.

Supervision of the supply of medicines by junior staff as appropriate via PGD. Manage and co-ordinate medicine stock control

RESEARCH & AUDIT

Promote a research culture within the UTC, and actively promote the use, publication and dissemination of research evidence.

Promotes, develops and undertakes clinical audit to support own and the team’s best practice which is researched and evidence based leading to continuous improvement in care.

GENERAL DUTIES

To observe the provisions of and adhere to all Trust policies and procedures.

To actively participate in the annual performance review to identify personal development needs

To attend Trust Statutory and Mandatory training sessions as required and any other training courses relevant to the post.

To fully comply with the relevant sections of the Health and Safety at Work Act.  They must also understand and implement Mersey and West Lancashire Hospitals NHS Hospitals Trust “Statement of Policy on Health and Safety at Work” and the Trust corporate “Health and Safety Policies and Procedures”.  You are required to follow all applicable rules and procedures relating to Health and Safety at Work and to take all responsible precautions to avoid actions.

To be aware of the confidential aspects of the post. To keep up to date with the requirements of information governance; undertake mandatory training and follow Trust policies and procedures to ensure that trust information is dealt with legally, securely, efficiently and effectively. Breaches of confidentiality will result in disciplinary action that may involve dismissal. You must maintain the confidentiality of information about service user staff and organisational business in accordance with the General Data Protection Regulation 2018 (GDPR) and Caldicott principles.

The post holder should also be aware that, regardless of any action taken by the employing authority, breaches of confidentiality could result in civil action for damages.

All staff will be treated with respect by management, colleagues, patients and visitors and equally staff will treat management, colleagues, patients and visitors with the same level of respect. Staff will be supported to challenge any discriminatory behaviour that may be based on differences in race, disability, language, culture, religion, sexuality, age, and gender or employment status.

The Trust is committed to safeguarding and promoting the welfare of children, young people and vulnerable adults and expects all staff to share this commitment.  All staff therefore who come into contact with children, young people and vulnerable adults have a responsibility to ensure they are trained and competent to be alert to potential indicators of abuse or neglect and know how to act on their concerns in line with the policies and procedures of Mersey and West Lancashire Teaching Hospital NHS Trust.

To ensure that when creating, managing and sharing information records it is done in an appropriate way, subject to statutory requirements and agreed security and confidentiality policies, procedures and guidelines.  All employees are responsible for implementing and maintaining data quality, ensuring that records are legible and attributable and that the record keeping is contemporaneous

In accordance with the Health and Social Care Act 2008, the post holder will actively participate in the prevention and control of infection within the capacity of their role.  The Act requires the post holder to attend infection prevention and control training on induction and at regular updates and to take responsibility for the practical application of the training in the course of their work.  Infection prevention and control must be included in any personal development plan and/or appraisal.

To adhere to relevant Code of Practice of Professional body (if appropriate)

The post holder must be flexible in the duties performed and it is expected that similar duties, not specifically listed above, will be carried out as required and may be cross site.

 The duties contained in this job description are not intended to be exhaustive.  The duties and responsibilities of this post are likely to evolve in line with the Trust’s continued organisational development.

To adhere to the NHS Constitution and its principles and values. You must be aware of your Duty of Candour which means that you must be open and honest during your employment and if you see something wrong, you must raise it. You must read the NHS Constitution in full and can download this from the Trusts intranet site or the www.gov.uk website. Hard copies are available from the HR Department on request.

The Trust is a non-smoking site. Failure to follow this rule could lead to disciplinary action.