Renal Nurse Practitioner

Job summary

As part of the Nephrology merger the service is expanding the acute nurse practitioner team and are recruiting a band 7 nurse practitioner

The nurse practitioner will work alongside the current nurse practitioners and multi disciplinary team to provide expert clinical nursing support to patients in the acute renal service.

Recent renal experience as a band 6 or above and evidence of a renal specific qualification is essential for this role.

Candidates should be committed to the provision of a high quality standard of patient care, be highly motivated, dynamic, enthusiastic and demonstrate excellent communication skills, they should have or be willing to work towards obtaining an advanced clinical practitioner degree. This post will also offer training support to enable career progression to an advanced nurse practitioner.

The post will cover Nephrology services at both Aintree Hospital and the Royal Liverpool Hospital.

Main duties of the job

Managing complex renal admissions - acute kidney injury as well as advanced chronic kidney disease including dialysis, working along with renal medical team. Experience with renal replacement therapy (dialysis) Working in the nurse led clinics (renal ambulatory clinic) and be a non-medical prescriber. Leading and delivering acute kidney injury service and AKI care bundle for trust. The post holder would also require working over weekend (as per rota) at Royal Liverpool Hospital along with medical team. Delivering teaching, mentoring and supervision of other members of team in the clinical setting Participating in quality improvements. Providing support, education, and advocating for patients through personalised care planning. Providing leadership and innovation. Perform in compliance with the protocols and policies, peer review and clinical governance.

About us

Liverpool University Hospitals NHS Foundation Trust was created on 1 October 2019 following the merger of two adult acute Trusts, Aintree University Hospital NHS Foundation Trust and the Royal Liverpool and Broadgreen University Hospitals NHS Trust.

The merger provides an opportunity to reconfigure services in a way that provides the best healthcare services to the city and improves the quality of care and health outcomes that patients experience.

The Trust runs Aintree University Hospital, Broadgreen Hospital, Liverpool University Dental Hospital and the Royal Liverpool University Hospital.

It serves a core population of around 630,000 people across Merseyside as well as providing a range of highly specialist services to a catchment area of more than two million people in the North West region and beyond.

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Job description

Job responsibilities

The Nurse Practitioner will act as the clinical expert and professional resource to the Multi-Professional team, patients and carers within their Speciality Service.

The post holder will take overall responsibility to develop the specialist area of practice in partnership with other members of the speciality team (General Manager,Lead Clinician, Matron, Service Manager etc) will work collaboratively to develop services and quality of care will be achieved through the core dimensions of the role, clinical practice leadership, acting as the patient advocate and through audit and education.

The post holder will carry responsibility for either a defined case load or offering highly specialist service advise this will include setting standards of care, the assessment of care needs and the development, implementation and evaluation of programmes of care.

The post holder will contribute to achieving the objectives of the clinical service group/ speciality corporate objectives and work within the clinical governance framework.

They will lead the development and delivery of a programme of practice and professional development for staff within the speciality.

Key responsibilities

Clinical

Perform specialist assessment of patients nursing needs, plan, implement and evaluate care delivery using advanced clinical knowledge and clinical skills. Lead clinical care by managing a patient caseload providing expert assessment, planning and evaluation.

Co-ordinate and manage nurse-led clinics (within Speciality).

Contribute towards a multi-professional approach in the management of patients within the specialist area, especially in relation to ongoing care needs and discharge arrangements.

Establish and maintain effective communication with patients and carers /relatives. Support patients and their families and ensure that they receive the required information to enable them to self manage, lead or participate in their care delivery.

Recognise changes in patients condition that require the intervention of others and refer on as appropriate.

To support, assist and encourage the multi-disciplinary team in resolving patient problems, by the provision of new and innovative models of case management.

To lead the specialist nursing contribution to the service, in the delivery of high standards of patient care.

To lead the specialist nursing contribution to the service, work in partnership with lead clinicians, General Managers, Matron to ensure the delivery of high standards of patient care.

Work with the Matron to promote the development of nurses undertaking the CNO Ten Key Roles as considered appropriate Nurse Prescribing. Leadership

Act as a role model and expert nurse providing in depth specialist clinical knowledge to colleagues through MDT meetings, for patients and carers /relatives. Undertake clinical supervision of nursing colleagues on an individual or group basis.

Act as a resource for health care professionals by being visible, available, and accessible for support and advice in relation to the management of patients in the speciality.

Provide leadership to the team of nurse specialists and working with the matron,develop new roles / ways of working (High Impact Changes). Linked to directorate business plans.

Ensure the effective and efficient use of physical and financial resources. Lead consultations on and develop strategies for delivering effective care within changing environment that improves the quality of care and health outcomes in the specialist area.

Responsible for monitoring health, safety and security of self, the team and others and promote best practice in the ward area. Ensure systems are in place for risk assessment and minimisation including promoting no blame cultures in order that near misses and incidents are reported.

Take the lead in investigation of incidents / complaints when required, including detailed reports / letters to complainants.

Act as an innovative, enthusiastic role model providing leadership, guidance and advice to staff on operational and professional issues promoting an open and honest and transparent culture.

Demonstrate clinical leadership and challenge speciality and directorate boundaries to enhance and support the patients journey.

Management / Operational

Lead a team of specialist sisters/ CNSs towards achieving directorate, and Trust objectives.

To identify and develop proposals and business cases as required for future service innovation.

Take the lead and develop and influence the development of practice / services in the clinical area through the business planning process / service development and in conjunction with Matron, General Manager, Lead Clinician and Assistant Chief Nurse.

Ensure appropriate skill mix, cover is provided when planning rotas and delegating workload. Delegate work to match capabilities and workload of team members.

Manage own and other resources effectively ensuring efficient service delivery.

Undertake performance development reviews including reviewing the performance measures framework.

Monitor sickness, absence and competence issues in line with Trust Policy. Lead recruitment and selection of staff in line with Trust Policy.

Advocate Ensure that high standards of nursing care are given and maintained and act when standards are not being met.

Involve patients and carers in the planning and delivery of care.

Act as the patients advocate and ambassador. Lead the development of a patient focussed education and information giving strategy within the speciality.

Recognise, prevent and diffuse potential areas of conflict and take a key role in the management of the outcome.

* The post holder shall as necessary provide cover for and undertake duties of absent colleagues.*

The post holder shall follow all the policies and procedures of the organisation.

Person Specification

Qualifications

Essential

Registered Nurse / Midwife Post-basic specialist Qualification relevant to speciality Recognised Teaching Qualification

Desirable

First Degree Research qualification Recordable specialist qualification Masters Independent Nurse Prescriber

Experience

Essential

Demonstrable Post-Reg. experience Evidence of undertaking the relevant speciality successfully at Band 6 Extensive clinical experience Evidence of the application of management / leadership skills and managing staff Involvement in audit

Desirable

Experience as Specialist Sister Participation in research Management qualification

Knowledge

Essential

In depth specialist knowledge Teaching / assessment skills Organisation and negotiation skills Effective communicator Leadership & motivation skills Evidence of audit and change management ability Computer literate Ability to motivate self and others Root Cause Analysis

Desirable

Evidence of leading and facilitating change ECDL

Other

Essential

Evidence of continued professional development Diplomatic, Assertive and confident Personal and professional maturity Recognition of own limitations Demonstrates enthusiasm Ability to work both on own initiative and within a team Flexibility, Able to travel between sites

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