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Primary Care Acute Hub Clinician
2 months ago
The post holder will autonomously undertake assessment and treatment of same day urgent care patients who may present with complex and/or chronic illnesses and/or injury. This will be a portfolio role working across various services, including but not limited to ABC Remote Services (e-Hub and Enhanced Access), and Acute Primary Care Hubs.
Main Duties and Responsibilities- Independently undertake highly specialized clinical assessments, diagnose, treat, and discharge patients with a wide range of minor illnesses and injuries, including management of complex cases.
- Ensure patients are fully involved in the design and implementation of their treatment plans.
- Ensure effective coordination and liaison with multidisciplinary teams across Primary and Secondary Care Services, statutory and voluntary disciplines/groups to provide a seamless service to the patients and their carers and prevent hospital admission where urgent care is required.
- Refer appropriately to clinical leads where a second opinion is required.
- Adapt styles of communication appropriately to promote empowerment, self-management, and health education for patients.
- Attend clinical case conferences, review, and clinical meetings as required.
- Be a source of clinical expertise to less experienced staff within the team.
- Delegate duties/tasks to other members of staff where appropriate.
- Provide specialist advice relating to minor illness and/or injury to local healthcare teams, patients, relatives, and carers.
- Identify actual or potential clinical risks and take appropriate action using, when required, the appropriate reporting structure.
- Ensure that patient records and documentation are maintained in line with regulatory standards, ABC policies and use of the electronic patient records system. This includes:
- Documenting full and accurate records of assessments, investigations, procedures, treatments, and aftercare.
- Encouraging colleagues to maintain good and complete records.
- Working closely with the reception team and the administrator, ensuring all records pertinent to patients are scanned and filed as appropriate.
- Contributing to the development of computer-based patient records.
- Contributing to the read-coding of patient data.
- Work within local protocols, guidelines and PGDs (Patient Group Directives).
- Participate in audits and use the results, current research, and government guidelines to make recommendations for changes to service delivery and clinical practice, and to share knowledge with other healthcare professionals.
- Contribute to the maintenance and improvement of communication networks with all disciplines including community healthcare teams, patients, acute hospitals, and relatives/carers to ensure continuity of care.
- Collect data and provide service information to the Service Manager as required.
- Contribute to the development and establishment of systems to gather feedback from patients.
- Ensure that service specific Managers and Clinical Leads are kept informed on service issues and potential risks.
- Work with the team in delivering and promoting the needs of the service.
- Work with the Service Managers and Clinical Leads to meet the Clinical Governance needs of the service; including investigation of incidents (including serious incidents) and complaints, where required, sharing learning that arises from investigations.
- Provide clinical supervision/mentorship (where appropriately trained) to junior practitioners.
- Remain updated in the use all equipment used in all services and to report any technical problems or issues with that equipment.
- Participate in clinical team meetings to discuss day-to-day operational issues.
- Be a skilled practitioner in routine and specialist skills.
- Recognize and work within own competence and professional code of conduct as regulated by the Nursing and Midwifery Council (NMC) / Health & Care Professions Council (HCPC) / General Pharmaceutical Council (GPhC) / applicable regulatory body.
- Keep abreast of developments in nursing practice and topical issues ensuring that skills are maintained and enhanced through continued professional development.
- Collaborate in the continuing development of the ENP/ANP/ECP role to include:
- Level of autonomy in practice.
- Progression from a role focusing on minor injuries to include minor illness where not previously trained.
- Appropriate education and preparation for the role to develop.
- Show self-motivation toward expanding practice and developing advanced skills and knowledge.
- Development of others:
- Be an effective role model and expert resource to other members of the multi-disciplinary team.
- Maintain clinical excellence within the department and provide education and training both formally and informally for colleagues.
