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Advanced Critical Care Practitioner
3 months ago
Job summary
The role
The Advanced Critical Care Practitioner (ACCP) will function on the medical rota to provide care to critically ill patients in Cardiothoracic Critical Care. This is an advanced role, and the post holder will provide enhanced continuity and a high standard of management for patients on critical care and to deteriorating patients within Oxford Heart Centre.
The ACCP will perform clinical activities, some of which were previously in the domain of doctors and utilise a high level of clinical judgement and decision making. To function at this level requires the authorisation of the employer and successful completion of the two-year ACCP clinical training programme. The MSc in ACCP (or equivalent) is also required to meet Oxford University Hospital criteria for banding at 8a. The scope of practice and training for ACCP's is defined by the Faculty of Intensive Care Medicine (FICM), and it is expected that the postholder will register as a FICM member.
The ACCP is accountable for their own professional actions, working autonomously as a specialist within Critical ACCP must acknowledge any limitations in their knowledge and skills, acting within the formal code of conduct of their present statutory regulator.
Main duties of the job
Clinical practice
Participates in the medical rota system to provide Cardiothoracic Critical Care cover, supported by resident medically qualified trainees/fellows, and24/7 non-resident consultant cover
Ensures effective, timely review and management of an individual caseload of patients within the Cardiothoracic Critical Care Unit and for any patients referred within the Oxford Heart Centre
Works competently in the role of ACCP, being aware of the boundaries of the role, referring patients appropriately to other healthcare professionals as required
About us
Oxford University Hospitals NHS Foundation Trust is one of the largest NHS teaching trusts in the country. It provides a wide range of general and specialist clinical services and is a base for medical education, training and Trust comprises four hospitals - the John Radcliffe Hospital, Churchill Hospital and Nuffield Orthopaedic Centre in Headington and the Horton General Hospital in Banbury. For more information on OUH please view OUH At a Glance by OUHospitals - Issuu
Our values, standards and behaviours define the quality of clinical care we offer and the professional relationships we make with our patients, colleagues and the wider community.
We call this Delivering Compassionate Excellence and its focus is on our values of compassion, respect, learning, delivery, improvement and excellence.
These values put patients at the heart of what we do and underpin the quality healthcare we would like for ourselves or a member of our family. Watch how we set out to deliver compassionate excellence via the OUH YouTube channel.
Job description
Job responsibilities
Clinical practice
Perform history taking, physiological and holistic assessment of critically ill patients regardless of location and respond appropriately
Requestlaboratory and radiological tests as required
Monitors patients compliance against treatment plans through interpretation of information from test results and clinical findings
Utilise critical care expertise and clinical decision-making skills to inform clinical reasoning and appropriate action, in the best interests of the patient
Prescribe safely and effectively, acknowledging own limitations and scope of practice as a non-medical prescriber
Authorise blood products as indicated by clinical situation and relevant diagnostic tests
Undertakes advanced airway management skills, including intubation when relevant assessments have been completed
Initiates and subsequently manages mechanical ventilation to ensure optimal ventilation
Assists with tracheostomy management in the critical care units and ward areas, including managing tube changes and de-cannulation
Assess and retrieve patients requiring critical care from other areas within the hospital
Initiate admission to, and discharge from the critical care units after discussion with the consultant in charge of the unit
Undertakes invasive procedures within the scope of practise such as insertion of arterial line, central line, peripherally inserted central catheters, chest drains
Recognise and take appropriate actions with reference to complications using appropriate referral system
Lead and respond to emergency cardiothoracic situations utilising expert clinical judgement and decision making
Undertake intra- and inter-hospital transfer of the critically ill patient according to agreed protocols as deemed appropriate
Participate in MDT meetings, ward rounds and case presentations which contribute to the decision-making process in the management of the cardiothoracic critical care patient
Communicates effectively with patients, their relatives and carers, colleagues and students
Leadership, Communication and Teamwork
Communicates well with staff, personalising their communication approach to ensure teams are conversant with relevant information
Excellent verbal, written and electronic communication skills so that professional advice or care guidance and instructions are well understood by patients, their relatives and/or carers, and members of the multi-disciplinary team
To liaise and work closely within the clinical / multidisciplinary team to ensure good working relationships are in place which maximise benefits to patient care
To build effective networks with other teams across and between organisations, working in collaboration to support efficient patient care
Provides effective leadership and acts as a positive role model encouraging staff to develop and advance their skill
Governance
To keep up to date with current guidelines and maintaining best practice
To develop local clinical guidelines within their specialist area when required
To play a strong role in all aspects of clinical governance, including clinical
audit and risk management
To abide by the clinical and corporate governance policies of the OUHFT
Ensure that all clinical documents are up-to-date, accurate, legible and
appropriately filed
To report incidents as per OUH protocol and take appropriate action for learning
Research, Audit and Service Development
Actively engages in undertaking audit, research and service evaluation, using this to inform clinical effectiveness, clinical excellence and best use of resources to develop practice
To present findings of research, audit and service evaluation as requiredto identify areas of success or requiring improvement within the department
Promotes and support the application of research and evidence-based practice
To participate in the delivery of training programmes to hospital staff as appropriate
Education and Development
Attendance at local, regional and national educational events
Participate in teaching to medical personnel and the multi-disciplinary team within the directorate, and across critical care areas
Engages in regular evaluation of teaching activity and act on feedback to ensure delivery is appropriate to service needs
Undertake Continuing Professional Development (CPD) as defined by their current regulator to maintain and update professional competenceand maintain a professional portfolio
Participate in annual appraisal with assessment of clinical skills as recommended by FICM
To monitor the effectiveness and contribute to the development of the ACCP role
Participate in recruitment, training and supervision of ACCPs
Person Specification
Qualifications
Essential
MSc Advanced Critical Care Practice/Advanced Clinical Practice Registered Health Care Professional Independent Prescriber Completion of Advanced Critical Care Practitioner training
Desirable
FICM membership Cardiothoracic Critical Care Experience Completion of non-medical authorisation of blood products course Cardiac Advanced Life Support Certification Advanced Life Support Certification