Emergency Nurse Practitioner (ENP/ECP)

Organisational:

To monitor, maintain and regularly review acceptable standards of care in conjunction with the ENP Team and other members of MDT, taking appropriate action if standards are not met.

Participate in the development of policies, protocols and clinical guidelines necessary to support the development of the service 

Maintain national and local standards/protocols pertaining to clinical area, taking remedial action as appropriate and reporting deficits to the A&E Matron / Manager as appropriate.

Contribute to and influence decisions regarding service delivery through the participation in meetings.

Ensure the economical use of all resources.

Recognise and manage areas of potential conflict.

Recognise and manage any complaints from patients/carers, reporting issues to the A&E Matron / Manager as appropriate.

Participate in the setting, implementing and monitoring of organisational/local objectives.

Clinical:

Assess, plan, implement and evaluate individual programmes of care based on agreed protocols and in consideration of individual need.

Provide appropriate strategies for health promotion and health education

Be an effective practitioner with the ability to demonstrate clinical expertise

Demonstrate holistic assessment, planning, diagnosis, implementation and evaluation of patient care.

Request diagnostic tests and undertake interpretation of results

Make decisions regarding patient treatment plans independently.

Ensure appropriate referral to hospital specialists or other services within the community, in accordance with locally established clinical guidelines.

Ensure safe discharge home, with appropriate after care and advice.

Work as an Independent Nurse Prescriber, and Supplementary Nurse Prescriber, in accordance with the Nurse Prescribing Formulary.   

 Provide clinical information and advice to all members of the multi-disciplinary team, other agencies, patients and relatives

Support the A&E Matron / Manager and Director of Nursing in processes of continuous quality improvement. Formally evaluate the standards of care and lead in the implementation of required change.

Act as a role model to all members of staff including medical staff.

Demonstrate empathetic interpersonal and communication skills in dealing with patients who present with minor injury or illness, and their carers.

Demonstrate own expertise in appropriate areas of role expansion, and support programmes to facilitate this development in others.

Promote best practice.

Act as patient advocate through the application of ethical, legal and professional knowledge and skills.

Professional:

Be professionally accountable for own actions and advance nursing practice

Take responsibility for own professional development, developing own skills within the Scope of Professional Practice and Trust development programmes. Attending any training/development activities required by the Trust and maintaining own personal development profile.

To abide by Infection Prevention and Control policies relevant to your area of work, and undertake the necessary level of training

Participate in networks and forums to promote sharing / benchmarking of evidence based practice

Promote and comply with NMC professional standards and local standards for record keeping.

Promote and support the development of a dynamic and interactive leaning environment which meets the needs of learners and trained staff within the department.

Maximise opportunities to promote health education and health promotion to patients and carers.

Strategic and Service Responsibility:

Promote effective communication within the department, to patients, carers, visitors, members of the multi-disciplinary team and external agencies. Receiving and reporting sensitive information, as appropriate taking into account rules of confidentiality.

In all aspects of work demonstrate an ability to work across organizational and professional boundaries, ensuring high quality of care.

Actively seek to improve and develop the emergency care process.

Governance:

To assist in the development of relevant standards, protocols and procedures in conjunction with the multi-professional team, ensuring that clinical practices are evidenced based and benchmarked against best practice.

Promote clinical excellence through initiating/participating in setting, maintaining and monitoring standards of care with the clinical governance framework and take part in audit and bench marking activities.

To assist in the investigation and take corrective action relating to untoward incidents, accidents and complaints in accordance with Trust policies and procedures.

Be aware of child protection guidelines together with strategies to safe guard vulnerable adults. Seek guidance and support form senior staff where necessary.

Initiate and participate in the delivery of evidence based care.

Maintain awareness of current nursing practice/research with particular reference to own working area, evaluating and disseminating findings.

Demonstrate pro-active approach to audit and evaluation to monitor effectiveness of current therapeutic regimes and to improve health outcomes

Support and participate in department clinical research activities (including clinical trials) and assist in the implementation of any appropriate research findings.

Comply with Departmental, Divisional and Trust policies and procedures.

Participate in training needs analysis, and assist the ENP Team in the ongoing development of the ENP Training Programme, feeding into the departmental Training Strategy.

Health & Safety:

Assess and monitor risk in own other practices/settings. Act on the findings, thereby ensuring safe delivery of care.

In accordance with the Health and Safety at work act comply with the Trusts Health and Safety policies and procedures

To take all reasonable steps to prevent injury to yourself, fellow employees and others affected by your actions or omissions at work.

Be responsible for reporting any defects relating to departmental equipment and any hazardous or potentially hazardous areas of work.

To ensure accurate completion of clinical incident forms in accordance with Trust Policy.