Pcn - Trainee Advanced Clinical Practitioner

7 months ago

Chesterfield, United Kingdom Arc Primary Care Full time

Patient Care; with support and supervision as necessary Provides expert care and advice to a complex and dynamic caseload of patients presenting with a diverse range of medical conditions. Undertakes first line comprehensive clinical assessment of patients, including those with complex presentations, employing an extended scope of practice including advanced consultation and physical assessment skills. Requests, reviews and interprets diagnostic investigations within the context of other available information utilising a systematic process of clinical reasoning to formulate a differential diagnosis. Develops and records a treatment plan consistent with the outcome of assessment and the most likely diagnosis.

Reviews and initiates medicines through independent prescribing or Patient Group Directions Involves patients, families and carers in the identification of patient-centred concerns and priorities about health and well-being and negotiates approaches available to prevent deterioration or promote comfort and well-being. Demonstrates empathy and compassion when communicating sensitive information and advice to patients, carers and relatives. Refers to other practitioners and agencies when necessary. Evaluates the effectiveness of therapeutic interventions and modifies the management plan accordingly.

Maintains a visible clinical profile, having both advisory and clinical input into the medical management of patients presenting to the service. Advises health and social care teams with regard to medical management plans taking into account all aspects of clinical governance to improve the outcomes of patient care. Adopts an integrated care approach to meeting an individual patients needs across services through collaboration with care teams who refer patients to the service and those who provide on-going care. Assumes a lead role in the safe and effective transfer of care for more complex cases.

Works towards a high degree of autonomy, analytical skills, competency and multidisciplinary knowledge in caring for the older person. Assesses capacity, gains valid informed consent and works within a legal framework with patients who lack capacity to consent to treatment. Provides guidance to the clinical team with regard to therapeutic interventions, advance care planning and best interest decision-making for patients who lack mental capacity to make informed choices about their care. Recognises deteriorating patients, implements early interventions and escalates care where appropriate.

Empowers patients to manage their long-term conditions as independently as possible. Provides verbal and written advice, teaching and instruction to relatives, carers and other professionals, to promote understanding and to ensure a consistent approach to patient care. Applies expert knowledge in palliative care to symptom control, recognition of dying and advance care planning. Demonstrates analytical thinking, decision making, professionalism and leadership to ensure a high quality patient experience within a multi-professional arena.

Facilitates the integration of contemporary research and best practice through advanced clinical reasoning and decision making and the implementation of evidence-based protocols of care and clinical pathways. Maintains accurate and legible patient notes in accordance with local policy and professional guidance. Strategy and Service Development Professional Clinical Leadership and Consultancy Shares and contributes expertise locally and nationally. Facilitates and promotes a learning culture that encourages others to develop their full potential.

Contributes to the development of Advanced Clinical Practice across organisations. Encourages other healthcare professionals to disseminate good practice. Supports the development of a learning organisation by identifying, challenging and reporting poor performance and alerting managers to resource issues which may affect patient safety. Actively contributes to appropriate service developments and quality improvements.

Training, Education and Staff Development Collaborates with clinical managers to facilitate the delivery of training and development programmes for the multi disciplinary team. Supports colleagues to advance clinical skills or to develop new roles. Assumes responsibility for own continuing professional development and commits to completing the MSc in Advanced Clinical Practice and associated work place based portfolio. Makes effective use of learning opportunities whilst contributing to developing the workplace as a learning environment and to the continuing professional development of other healthcare professionals Undertakes annual mandatory training updates and other relevant courses in line with organisational and local policies.

Contributes to the development and evaluation of non medical led services. Monitors and challenges risk in relation to their own practice and that of colleagues. Acts as a champion and advocate for the car

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