Senior Nurse Practitioner

Job summary

We are looking to recruit band 7, Senior Practitioner to work as part of the Urgent Treatment Centre team, who will be responsible for providing high quality health care and information to the public. An opportunity exists for an experienced and highly motivated practitioner with relevant Adult or Paediatric experience who is committed to making a valuable contribution to the further development of these successful and pioneering services.

As a Registered Nurse you will be responsible for supporting your Manager in ensuring that our service users needs are met through the delivery of high-quality care. As a centre of excellence, you will offer a person-centred approach to their independence and well-being.

The services offer treatment for minor injuries and minor ailments 365 days per year, and are open from 8am 9:00 pm. With the addition of diagnostic Xray facility 8am-8pm

If you have post qualification experience in A&E, Walk-in Centre or Urgent Care with recent experience in the treatment of minor ailments and Minor injuries we would like to hear from you.

Main duties of the job

To act as a senior clinicalprofessional within Widnes Urgent Treatment Centre. Liaising with the UTC teamand colleagues across the wider social and health care environment to promote,maintain and enhance effective multidisciplinary patient care.

To act as an independent practitionerwho provides advice to patients and staff which contributes to Triage,utilising Manchester triage system, history taking, assessment, diagnosis, planof care and treatment of patients.

Possess and demonstrateextended skills in the management of a wide range of health care problems minor illness and injury.

Maintain a high standard ofclinical work when carrying out clinical procedures.

Responsible for the safecustody of medication, including checking and administration.

Ensure compliance with ourclinical governance framework, you will motivate colleagues, champion serviceuser safety and dignity and drive continuous improvement.

Exercise professional independentand clinical judgement in managing or referring clients to a variety of primaryand secondary care services as appropriate

Be equipped withleadership skills to drive the team to efficient and safe working practice andimproved care for patients

About us

Flexible working will be considered for all roles.

Unfortunately, we do not hold a sponsor licence for working Visas.

At Bridgewater, our PEOPLE values shape how we deliver ourNHS services in your local community.

They help us deliver our mission to improve local health andpromote wellbeing in the communities we serve.

After all, values are about people and they werecreated in partnership with our staff to reflect what they felt was importantto them

Here at Bridgewater our shared values flow through the organisation.

P - Person-centred-We are passionate about individual needs andpromote independence in the healthcare we provide..

E - Empowered- We empower our people and encourage new ideas to deliver and create improvements in community care.

O - Open and Honest -We behave in a way that develops relationshipsbased on trust, openness, honesty and respect.

P - Professional-We support our people, so everyone has the rightskills and training to deliver outstanding patient care.

L - Locally Lead -We are always learning about our communities andshow great pride in being a local provider of health and care.

E - Efficient -We use our resources wisely to providesustainable and value for money healthcare for our patients.

Job description

Job responsibilities

Duties and Responsibilities

Co-ordinate and deliver the day-to-day supervision of the team as shift leader.

Act as a resource for other members of the Urgent Treatment Centre clinical team.

In collaboration with the Team Leaders promote the development and effectiveness of the nurse-led service utilizing a multi-skilled team approach.

Maintain effective channels of communication both within the Urgent Treatment Centre and across the wider health and social care economy.

Promote and maintain the quality and standards of the Urgent Treatment Centre services in accordance with organisational and Trust Clinical Governance requirements.

Facilitate a culture, which promotes and maintains best practice utilising current and best evidence, as well as culture of civility and respect.

Managerial Supervise and maintain high standards of professional care in accordance with current NMC Code of Professional Conduct, Scope of Professional Practice and ethical considerations. Provide a supportive environment for staff, take responsibility for and perform in clinical supervision and personal development planning. Assist the Clinical Lead/Operational Manager in shaping and developing a nurse-led service, which is welcoming and effective to the needs of service users. Participate in the development of an effective nurse-led service utilising a holistic, health needs approach. Participate in the development, implementation and monitoring of policies, procedures and clinical guidelines as appropriate, proposing changes where necessary. Supervision of the supply of medicines by junior staff as appropriate via PGD. Manage and co-ordinate medicine stock control Day to day supervision of the team, which includes the allocation, planning and organisation of the workforce, and work planning for the UTC, reallocating work and tasks as required to meet the demands of the service and patient needs, referring to alternative services as required.

Leadership

Fulfil the role of coordinator on a day-to day basis/ as and when required and assist the Clinical Lead in fulfilling the operational requirements of the service within budgetary limits.

Delegate responsibility where appropriate and encourage a culture where flexibility and adaptability are positively encouraged.

Support and maintain the focus of the nurse-led service.

Adopt and promote a positive approach to change.

Actively participate in and promote the development of professional nursing practice.

Clinical

Exercise a high degree of clinical independence and professional judgement, treating independently within the Urgent Treatment Centre and where necessary referring to a range of primary organisations.

Provide specialised advice when reviewing patients with undifferentiated and undiagnosed health care problems.

Assess health care needs of patients, diagnose treat and manage as appropriate. Referring to care services as appropriate

Possess proven skills in the management of a wide range of health care problems Minor illness and injury, wound care, chronic disease management.

Provide health promotion education.

Undertake a range of clinical procedures, which may include, suturing, venepuncture, cannulation, ear syringing, slit lamp use, removal of foreign bodies.

Participate in and undertake triage to ensure smooth progress of patients through the system.

Initiate and conduct clinical investigations as appropriate.

Supply and administer medications as appropriate via PGD

Exercise independent and delegated prescribing rights in accordance with current and legal and ICB criteria, and within the clinical situation.

Identify at risk patients and manage appropriately in accordance with national and local policy and procedures vulnerable children, adults and child protection.

Collaborate with the Clinical Lead/Operational Manager in the co-ordination of services and patients within the Urgent Treatment Centre.

Act as an advocate for the patient at all times.

Offer a complementary service to that of other health care providers within the local health economy

Utilizing own professional knowledge and skills, act as a resource for other members of the Urgent Treatment Centre team

Empower colleagues and clients and demonstrate the ability to facilitate effective clinical practice based on best evidence

Possess a clear understanding of legal and ethical issues, professional accountability and responsibility.

Using judgement and analytical skills when reviewing patients, lab results and x-rays with specialised needs and conditions, changing treatments as required.

Able to adopt manual handling techniques safely when manoeuvring patients during the course of their care.

Ability to concentrate frequently when assessing patients needs and providing specialist care.

Registered Prescribers (if applicable)

To safely and effectively prescribe medication to patients, as an independent prescriber.

To apply knowledge of drug actions in prescribing practice.

To understand the legislation relevant to the practice of nurse prescribing.

To understand the roles and relationships of others involved in prescribing, supplying and administering of medicines.

Training and Education

Participate and engage in the identification of education and training needs of the team.

Demonstrate a positive commitment to the training and education of pre and post

Identify and disseminate best practice through evidence, clinical guidelines and benchmarking.

Maintain and develop own clinical and professional expertise by participation in Clinical Supervision and Personal Development Planning, in accordance with Nursing and Midwifery Council Code of conduct, and scope of professional Practice.

Participate in formal and informal teaching sessions to promote clinical excellence within the UTC team.

Research and Audit

Promote a research culture within the Urgent Treatment Centre, and actively promote the use, publication and dissemination of research evidence. Initiate and actively participate in audit and evaluation of the service eg, ED feedback, demographic service needs, laboratory results to promote change to practice.

Communication

Engage in collaborative working with colleagues in primary, secondary and social care. Maintain and promote effective communication and working relationships with colleagues across the local health economy. Maintain effective systems of communication and referral both within the UTC and across primary and secondary care. Promote and maintain effective comprehensive clinical documentation in accordance with local and NMC guidelines for record keeping. Maintain confidentiality at all times in accordance with local and National requirements. Demonstrate professional skills in facilitating effective and clear communication in dealing with sensitive or volatile situations/issues child protection, alcohol/drug abuse, sexual orientation, racial and ethnic diversity, mental illness, domestic violence, physical deformity and others. Possess and demonstrate cultural competence by interacting effectively with clients from many backgrounds. Utilise the Trust e-mail communication system. Utilise a variety of systems to communicate clinical information in accordance with the requirements of the data protection act (fax, telephone, letter and email) Utilise personal skills to facilitate effective and clear communication with clients to ensure collaborative health care concordance with recommended advice and treatment. Provide and receive highly complex communication in relation to highly specialised advice to patients that present at the UTC. This will include patients with learning disabilities and mental health issues, as well as patients where there are barriers to understanding. Person Specification

Right to Work

Essential

Do you have the right to stay and work in the UK without sponsorship (share-codes will be checked if applicable), please state this on your application form.

Internal Relations

Essential

If you are related to a director or have a relationship with a director or employee of an appointing organisation, please state the relationship in your application form.

Qualifications

Essential

RN Adult and/or paeds/ Qualification Paramedic practitioner/AHP Educated to Degree/ Diploma level Leadership experience Clinical Examination Skills (Level 7) Possess non-medical prescribing. (V300) or working towards

Desirable

Experience in Leadership (LEO course) Experience in management of Long-term Conditions Minor illness, Minor Injury course Clinical Diagnostic Skills (Level 6/7) X-ray Interpretation

Skills & Attributes

Essential

Demonstrate a high level of personal and professional autonomy and an understanding of professional accountability Extended scope of practice skills Ability to influence and lead service developments and delivery Ability to deal with difficult situations Incorporate high quality evidence based practice in patient centred care Able to develop and maintain positive working relationships Ability to recognise the sick patient ability to prioritise, monitoring vital signs and history taking. Venepuncture and Cannulation Suturing/ wound closure Basic treatment of life-threatening disorders treatment of shock and acute medical conditions Intermediate & Basic life support provision Experience of participation in Research and audit skills Leadership & Mentoring skills to energise team and will to motivate individuals. Positive motivation & can do attitude with Interpersonal, presentation skills Moving & Handling Communication Interpersonal skills

Desirable

Electrocardiogram (ECG) recording and interpretation X-ray Interpretation Application of plaster of paris/application of walking boots. Communication skills how to break bad news

Job Specific Requirements

Essential

Essential: The ability to travel independently across the Trust The ability to work flexibly in accordance with service needs. Rotational shift working inc weekends, BH, late shifts.

Experience

Essential

Experience of change management Relevant and recent experience of A&E and Walk-in Centre/Urgent Care Centre/Urgent Treatment Centre Experience of handling emotive situations frequently such as imparting news around a patients care which may be unwelcome and result in challenging behaviour Experience in assessing learners in practice.

Desirable

Experience in Intermediate Care & Community & long-term conditions Change/project management qualification Experience of working in a nurse-led service Experience in GP practice

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