Trainee or Advanced Clinical Practitioners

Are you a qualified ACP with a desire to work in one of the busiest Emergency Departments in the country, or considering a role in Advanced Practice and looking for a new challenge? The Emergency Department and Emergency Floor team are a large team of 42 ACPs of nurse, paramedic and physiotherapy backgrounds.

If joining us as a trainee, you will undertake a period of supervised practice working towards becoming an integral member of the medical team. You will work collaboratively with nursing and allied healthcare professionals undertaking advanced clinical practice that has traditionally been within the remit of junior medical staff. The Trainee ACP will observe advanced practices within agreed protocols and guidelines in history taking, examination, assessment, diagnosis, and treatment. You will work with a diverse and undetermined caseload of critically or acutely ill or injured patients within either an adult or paediatric setting.

The post will have a primary location of the Emergency Department but may extend and influence across UHL and the Emergency Floor.

Participate in accurate history taking of patients who present to the emergency department and emergency floor requiring treatment and management of illness and injuries, and to develop the knowledge of signposting and referring patients onto other services or specialities.

Participate in a wide range of advanced clinical skills where appropriate training has been completed and competency achieved. These skills should include: venepuncture, female and male catheterisation, bronchoscopy, arterial and central venous cannulation, arterial blood gas sampling and interpretation of results requesting investigations (such as blood test, ECG, CXR, and US) and interpretation of results to support clinical management plans, and advanced life support during cardiac arrests.

Where appropriate and under the appropriate level of supervision, initiate diagnostic tests, interpret and act upon results and provide advice to members of the multidisciplinary team on patient treatment.

There may be opportunities for rotations into acute medicine, surgery, stroke, cardiology, primary care and pre hospital environments.

We are one of the biggest and busiest NHS trusts in the country, incorporating the General, Glenfield and Royal Infirmary hospitals. We have our very own Children’s Hospital and run one of the country’s leading heart centres.

Our team is made up of more than 17,000 staff providing a range of services primarily for the one million residents of Leicester, Leicestershire and Rutland.

We work with partners at the University of Leicester and De Montfort University providing world-class teaching to nurture and develop the next generation of doctors, nurses and other healthcare professionals, many of whom go on to spend their working lives with us.

Our purpose is to provide ‘Caring at its best’ and our staff have helped us create a set of values that embody who we are and what we’re here to do. They are:

- We focus on what matters most
- We treat others how we would like to be treated
- We are passionate and creative in our work
- We do what we say we are going to do
- We are one team and we are best when we work together

Our patients are at the heart of all we do and we believe that ‘Caring at its best’ is not just about the treatments and services we provide, but about giving our patients the best possible experience.

**About the University Hospitals of Leicester NHS Trust**: (leicestershospitals.nhs.uk)

The detailed job description and main responsibilities are included as an attachment to this advert.

KEY RESPONSIBILITIES

1.0 ADVANCED CLINICAL PRACTICE

1.1 To observe or participate in the comprehensive assessment of a caseload of patients, including those with a complex presentation, in line with evidence based practice, legislation, policies and procedures. Using investigative and analytical skills; observe or participate in the review and interpretation of all information available, utilising a systematic process of reasoning to make a differential diagnosis.

1.2 Observe or participate in the provision of treatment plans for patients that are consistent with the outcome of assessment and the most probable diagnosis using current clinical pathways where required in order to facilitate timely, quality patient care and / or appropriate onward referral.

1.3 Where appropriate and under an appropriate level of supervision, initiate diagnostic tests, interpret and act upon results and participate in providing advice to members of the multidisciplinary team on patient treatment. Evaluates the effectiveness of interventions/treatments and makes any necessary modification under full supervision.

1.4 Undertake, with full supervision from the medical lead or Advanced Clinical Practitioner the advanced practice skills that have been agreed with the senior nursing and medical teams within the specialty.

1.5 Recognise any limitations i