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Advanced Hydrocephalus Practitioner

8 months ago


Bristol, United Kingdom North Bristol NHS Trust Full time

An exciting opportunity has arisen for a dynamic, enthusiastic and motivated Advanced Practitioner to join the hydrocephalus team. This is a 1.0 FTE maternity leave cover over a period of 1 year, working Monday to Friday.

You will be a team player with a passion for supporting your colleagues and wider team. The role will require the utmost organisational and time management skills, as well as flexibility to the daily demands of the role.

You will have attained MSc modules in Physical Assessment and Clinical Reasoning (PACR), Pathophysiology & Diagnostic Reasoning for Advanced Practice (PADRAP) and Non-Medical Prescribing. Ideally we would like you to have neurosurgical experience, but this is not wholly necessary as training on the job can be provided. You will be well supported by the Hydrocephalus Fellow and Advanced Clinical Practice team.

This role involves working closely within an established hydrocephalus service specialising in Normal Pressure Hydrocephalus amongst other CSF disorders. You will be working within inpatient and outpatient settings at Southmead Hospital. This requires supporting the neurosciences multidisciplinary team with clinical duties including (but not limited to) daily patient reviews comprising of physical examination, requesting and analysing diagnostic tests, performing patient investigations and making appropriate referrals. You will be confident in taking a clear history from patients via the hydrocephalus advice line and be able to provide safe and appropriate guidance.

You will be required to lead pre-operative anaesthetic assessments for a patient cohort with complex needs. You will require strong organisational and administrative skills and be confident communicating with external services, including primary care and other specialist clinicians to ensure optimisation of the patients.

The aim will be to provide the best care as you guide the patient through their elective pre and post-operative surgical journey, fostering a culture of excellence within clinical practice with the purpose of providing an outstanding patient experience.
- prolonged concentration required for history taking, patient assessment and diagnostic reasoning.
- Frequent interruptions from telephone/bleep
- Managing hydrocephalus advice line and dealing with challenging patient issues
- frequently distressing needs of patients and their families this role requires significant psychological and emotional investment and mental effort
- Requirement to impart potentially distressing or emotional news to staff, patients and families.
- manual handling, patient assessment, resuscitation, urgent transfer.
- Urgent, prompt response to clinical emergency situations.
- Managing a deteriorating patient condition that may demand frequent re-assessment/review
- support for team members facing challenging patient care issues
- collaborative working with diverse groups and liaising closely with staff across the neuroscience directorate
- Work flexibly as service demands
- to work autonomously is essential due to the level of responsibility of the role
- Manage a busy and demanding workload with excellent time management skills
- work as a cohesive part of the Advanced Practice team
- MDT working
- Working in a shared office resulting in distractions as a result of frequent conversation and telephone interruptions
- Potential for standing for significant periods of time in clinic settings
- Potential exposure to blood and bodily fluids
- Knowledge of the protection of vulnerable adults is essential and the ability to manage potentially violent or aggressive patients

The post holder will work as a skilled, autonomous practitioner as part of the multidisciplinary team to deliver high quality care to patients. Advanced Practice is delivered by experienced, registered healthcare professionals. This is underpinned by learning at a master’s level or equivalent award that encompasses the four pillars of clinical practice, leadership and management, education and research, with demonstration of core capabilities and area specific clinical competence.

The post holder will be accountable for their own practice including clinical assessment, history taking, determining a differential diagnosis, using appropriate diagnostics, and starting treatment and/or referring to another speciality or discharging of patients. They will provide a highly developed specialist knowledge underpinned by theory and experience.

They will act as a professional role model for their speciality and the advancement of clinical practice. They will work collaboratively with colleagues to develop and sustain a clinically excellent service. Audit, evaluate and implement best practice.

The post holder will be an independent non
- medical prescriber, offering advice and expertise within their clinical setting. They will monitor and promote excellence in clinical practice and care through use of evidence, supervision, teaching and collegial suppo