Advanced Critical Care Practitioner

7 months ago

Swindon, United Kingdom Great Western Hospitals NHS Foundation Trust Full time

Actively supports patients and their families through communicating difficult and highly complex information using a variety of methods to ensure effective understanding in a timely manner. Communicates complex information to patients/carers during the consent process prior to commencement of treatment plans and invasive procedures including explaining treatment options. Proactively supports patients and carers in coming to terms with their illness/condition. Ensures effective communication is maintained between members of the multidisciplinary team to ensure appropriate individuals are informed of changes to the patients conditions or treatment plan.

Provides empathy and reassurance through understanding the quality-of-life issues associated with their illness/condition. Supports the Consultant Intensivist and the Intensive care doctors in training, in providing patients with treatment plans on critical care. Exchanges information with patients and staff regarding appointments, admissions, discharges and follow up care in verbal and written form. Makes direct referrals to other members of the Health Care Team.

Provide professional leadership and support within a multi-professional team. Maintains accurate and up to date clinical records. Core member of the Critical Care multidisciplinary team providing specialist ACCP knowledge and advice. Uses specialist knowledge, leadership, and expertise to assess, plan and implement care interventions for patients requiring critical care for monitoring and organ support.

Uses expertise to recommend adjustments/amendments to treatment plans, in consultation with patients to members of the multi professional team. Maintains up to date knowledge in the specialist field, using information to affect change in practice and ensuring the effective dissemination of new knowledge. Will interpret new knowledge to ensure that practice is up to date and in line with current thinking. The Advanced critical care practitioner is accountable for own professional actions and not directly supervised.

Has obtained the theoretical and practical knowledge to a level that allows the job responsibilities to be delivered to a high standard. Maintain a professional portfolio and participate in professional continuing development. Develop and organise study days and training sessions. CLINICAL RESPONSIBILITIES Responsible for the delivery of an ACCP specialist service which offers highly specialised advice Critically analyse, evaluate, and synthesise different sources of information for the purpose of assessing and managing the care of a critically ill patient.

Undertake comprehensive clinical assessment of a patients condition. Request and perform diagnostic tests. Initiate and manage a clinical treatment plan. Provide accurate and effective clinical handovers.

Undertake invasive interventions within the scope of practice. Requesting and interpreting investigations. Consent process. Clinical skills i.e.

intravenous management, cannulation. Ongoing patient management and referral to the MDT team. Manage Discharge Process ANALYTICAL AND JUDGEMENTAL SKILLS Responsible for managing and prioritising own workload against the needs of patients and service requirements. With the support of the Matron/Consultants, makes representation as appropriate at various meetings, providing feedback to the organisation on clinical and professional issues which have an impact on care and standards of practice within their sphere of responsibility.

Interpretation of arterial blood gases and adjustment of Ventilator parameters. Support the outreach team for assessment and management of the deteriorating patient. Inter/intra-hospital transfer for patients. Expert hand/eye co-ordination to facilitate and complete clinical procedures.

Undertake point of care assessment and base treatment and complex decision making on the outcomes e.g. Focussed cardiac echo FICE /thoracic USS according to National standards. RESPONSIBILITY FOR PATIENT CARE Develop specialised programs of care and provides highly specialised advice and care under no direct supervision. Assess, develop, implement, and evaluate specialist nursing care pathways for patients needing critical care support.

Participates in clinical audits Responsible for developing specialist programmes of care for a caseload of patients which include treatment plans, teaching packages and discharge plans. Acts as a specialist resource to other members of the organisation, patients, and their families. Adheres to Professional Code of conduct, to be aware of boundaries of own extended practice and to always manage associated clinical risk effectively. Responsible for ordering of relevant tests required for patients admitted to the intensive care unit.

Responsible for the recording of care, treatment advice, requested tests and results in the nursing and medical notes. Responsible for effective communication to other specialities within and between Trusts/Health Boar

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