Trainee Advanced Acp Msdec, Wrh

8 months ago

Worcester, United Kingdom Worcestershire Acute Hospitals NHS Trust Full time

The post holder will be working towards practicing completely autonomously, whilst being accountable and self-directed in line with the relevant code of professional conduct. The post holder will have advanced communication skills in presenting with differential and un-differential diagnosis, decision-making and problem-solving skills for patients, and work to improve outcomes. They will join a multi-professional team, working collaboratively alongside the multi-disciplinary team; to provide on-going care for ward based patients. This will include the responsibility for the daily management of a caseload of patients, in collaboration with the medical team.

**The post holder will**: Work towards health promotion and prevention and comprehensively assess patients for risk factors and early signs of illness Draw on a diverse range of knowledge in their decision-making to determine evidence-based therapeutic interventions, which will include prescribing medication where legally allowed and actively monitoring the effectiveness of therapeutic interventions Plan and manage complete episodes of care, working in partnership with others, delegating and referring as appropriate to optimise health outcomes and resource use, and provide direct support to patients and clients Work in partnership with patients and support them to manage and live their live Key Duties: Clinical: Assess and prioritise patients undergoing treatment Undertake under supervision holistic assessment, planning, implementation and evaluation of patients care needs. Once completed Health assessment and non
- medical prescribing to undertake autonomous holistic assessments from beginning to end of the patients journey. Providing clinical/technical care, which contributes to the diagnosis, specialist care and treatment plans for these highly complex patients. In the absence of medical staff and within predetermined parameters, using advanced clinical-reasoning skills the post holder will initiate treatment plans and support to ensure the on-going safety of the patient Demonstrate continual evaluation of practice within the defined specialist area and take responsibility for making agreed changes where appropriate Request and arrange necessary investigations including X-rays, ultrasound scans, VQ scans, endoscopy, spirometry, echocardiography, and exercise tolerance tests, interpreting and reporting findings to appropriate clinicians Discuss and agree assessment outcomes with patients, carers and other healthcare professionals, to enable them to make informed decisions regarding treatment Ensure that accurate, essential and appropriate written and verbal information is relayed to staff, ensuring adequate facilities are in place to maintain safety in the environment, ensuring effective management of this group of patients Ensure that patients are referred to appropriate practitioner when needs and risks are not within own scope of practice.

Ensure dignity, privacy, and cultural and religious beliefs are respected at all times Professional: Act as a role model by demonstrating high standards of holistic care Ensure that documentation is of a very high standard, adhering to local and national guidelines Take on a pivotal role in the development and promotion of a care philosophy, ensuring clinical practice is reflective of this ideology Take key responsibility for supporting medical colleagues, nursing colleagues and the matron for services Maintain a current and up-to-date personal professional profile in accordance with guidelines Maintain competency Ensure that all aspects of clinical practice are research and evidence based Managerial/Leadership: Assess and monitor risk in own and others practice, acting on results, thereby ensuring safe delivery of care Monitor and develop quality initiatives in line with local and national requirements and guidelines; take a lead role in the facilitation of such initiatives Identify the skills set and terms of reference required of the Advanced Nurse Practitioner role, ensuring they reflect the individual, holistic needs of patients undergoing care Work pro-actively in managing change in own speciality, to improve practice and health outcomes Attend relevant meetings regularly to influence and make decisions regarding service delivery provision and further development of the service Manage own diary and workload Act in such a way as to be a credible, effective leader, demonstrating effective clinical leadership on a daily basis Educational: Support the development of protocols for the management of patients Contribute to and participate in the Organisation Education Strategy Promote the service offered through formal and informal presentations within and outside the organisation through study days, conferences and written papers Carry out training needs analysis, using the results to design, develop and deliver a teaching programme promoting practice development for those staff caring for patients in the special

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