Advanced Nurse Practitioner

Job summary

Thisis an exciting new opportunity; therole will be right at the heart of shaping Naomi House and Jacksplace for thefuture. Working closely with the Director of Care (as Registered Manager), the successfulAdvanced Nurse Practitioner (ANP) will be the first point of contact forchildren and young adults with all types of health needs in-house, working asan autonomous practitioner and in conjunction with other professionals to makedecisions and apply appropriate nursing interventions to the children and youngadults. This will include history taking, clinical assessment,diagnosis, treatment, and evaluation of care; working within the Hospices andNMC policies, protocols, and guidelines, demonstrating safe clinical decisionmaking, high levels of critical thinking and holistic practice. You will beexpected to act independently but will have access to a Consultant/AssociateSpeciality Doctor for advice and additional support as necessary.

Main duties of the job

You will also be expected to be a senior clinicalleader and expert within Naomi House and Jacksplace, and at times workalongside other care teams and professionals within hospital settings and thecommunity.

As aqualified Advanced Nurse Practitioner, with experience working with childrenand young adults you must be able to demonstrate safe clinical decision-making, andsound clinical expertise and knowledge when working with children and young adults.The post holder will support the leadership team to meet the needs of theservice users and contribute to service improvements within an environment undergoingchange and service development. You will need drive and determination,excellent interpersonal and communication skills and a passion and vision that motivatesothers.

We aim to reach more familieswho need us and to do more for them in the range of services we offer. The isan exciting time to be joining the organisation as we enter our new strategicperiod from 2024-2028 and provides the opportunity to influence, grow andimprove palliative care services for children and young adults across thesouth.

About us

Naomi House and Jacksplace is a leading UK charity that providespalliative and end of life care, symptom management and respite for children and young peoplewith life-limiting holistic approach embraces the clinical, emotional and social needs of the child or young person and their families. Our innovative and enthusiastic team respond to both changing clinical needs, play and activity requests and memory are there for the children and young adults during the good days, the difficult days and the last days.

Benefits include 28 daysholiday, group pension scheme, (continuation in the NHS for those alreadycontributing to it), life assurance, free parking and the opportunity to workin an organisation where every job matters

Job description

Job responsibilities

JobSummary

TheAdvanced Nurse Practitioner (ANP) will be the first point of contact for childrenand/or young adults with all types of health needs in-house. He/she will workas an autonomous practitioner and in conjunction with other professionals to makedecisions and apply appropriate nursing interventions to the individual. Thiswill include history taking, clinical assessment, diagnosis, treatment,and evaluation of care. He/she will work within the Hospices and NMC policies,protocols, and guidelines, demonstrating safe clinical decision making, highlevels of critical thinking and holistic practice. The post-holder will beexpected to act independently but will have access to a Consultant/AssociateSpeciality Doctor for advice and additional support as necessary.

The ANP is expected to be a senior clinical leader andexpert within Naomi House and Jacksplace and at times work alongside other careteams and professionals where indicated

Key Responsibilities

Practiceas an ANP within own sphere of competence and agreed acceptable limits ofpractice being accountable for own professional actions.

Beresponsible for assessing, diagnosing, interpreting investigations, andtreating the children and young adults within the In-House Hospice servicewithin a developing scope of competence.

Towork as part of the multi-disciplinary team in providing quality evidence-basedhealth care to meet the immediate needs of the children and young adults.

Tobe responsible for contributing to the assessment of care needs and thedevelopment, implementation, and evaluation of programs of care.

Toteach other clinical and non-clinical staff, supporting competency assessmentsand sign off.

Tosupport day-to-day clinical leadership to the clinical team, participatingfully in the delivery of healthcare provision.

Toutilise clinical expertise and experiences towards developing and enhancingservices within the Hospice and the wider health and social care economies

Demonstratethe development and implementation of advanced skills and competencies andensure that evidence-based practice is inherent in all aspects of care andtreatment.

Ensurefull and accurate documentation in the children and young adults notes ofclinical history, physical examination, diagnosis and treatment plan.

Co-ordinate,and participate as required in any research projects and clinical audits.

Amember of the Clinical On-Call rota, providing out of hours support for thehospice teams.

ManagerialResponsibilities

Demonstrate commitment to developing the ANP role within the Organisation.

Acting as a positive role model.

Work as an effective and responsible team member, supportingothers and exploring the mechanisms to develop new ways of working.

Delegate clearly and appropriately, adopting the principlesof safe practice and assessment of competence.

Prioritise own workload, ensure effective time-managementstrategies are embedded in the team.

To be responsible for ensuring an holisticassessment is completed for all children and young people to enable up to datecare plans incorporating all necessary risk assessments.

To provide support and supervision to staffand students across the wider care team.

To work in partnership with the hospicemultidisciplinary team as well as any other agencies involved in the care, toensure the delivery of seamless services.

To ensure all resources,human, financial and environmental, are used in the most economic,efficient and equitable way.

To ensure that Health and Safety requirementsare met and that risks to service users and staff are assessed and action takento minimise these.

To participate in the development, monitoring and audit of policies and SOPs relating to clinical practice andcare,and ensure that these are adhered to acrossall areas of work with children, young people and families.

To act as a representative of the organisation takingpart in professional relationships, collaborative working and externalpromotional activities as appropriate encouraging partnership working.

ClinicalResponsibilities

Assess,diagnose, plan, implement and evaluate treatment/interventions and care for thechildren and young adults presenting with undifferentiated and undiagnosedconditions and complex needs.

Clinically examine and assess patient needs from aphysiological and psychosocial perspective, and plan clinical care accordingly.

Proactively identify, diagnose and manage treatment plans forthe childrenand young adults at risk of developing a long-term condition (asappropriate).

Diagnose and manage both acute and chronic conditions,integrating both drug and non-drug-based treatment methods into a managementplan in liaison with the child, young adult and family as appropriate.

Ensure that where a child or young adultrequires referral to a service for their health needs it is made by the same day.

To refer appropriately childrenand young adults to other healthcare professionals as required.

Prescribe and review medication for therapeuticeffectiveness, appropriate to the children and young adultsneeds and in accordance with evidence-based practice and national/localprotocols and within scope of practice.

Provide information and advice on prescribed orover-the-counter medication on medication regimens, side-effects andinteractions.

Prioritise health problems and intervene appropriately toassist thechildren and young adults in complex, urgent or emergency situations, includinginitiation of effective emergency care.

Always working within your scope of professional practice, recognising your limitations and when to seekadvice and support from peers. To ensure you provide the children andyoung adults with robust safety netting advice in relation to theirhealth need providing a safe transfer.

Work supportively alongside clinical and administrativecolleagues in ensuring the highest standards of care for all the children andyoung adults.

Maintain accurate and contemporaneous records.

Tobe aware of the safety needs of children, young adults and families and otherstaff and to comply with

TheChildren Act 2004

DoH No Secrets Guidance on developing and implementing multi-agency policiesand procedures to protect vulnerable adults from abuse

Healthand Safety at Work Act 1974

NMCcodes and guidelines

PersonalResponsibilities

To be responsible and proactive in personal professional development by:

Maintainingawareness of current developments in palliative care for children, young peopleand families.

Maintainingclinical skills identified in the Competency Framework.

Ensuringtimely revalidation with the NMC

Demonstrating commitment to the Trusts values

Person Specification

Experience

Essential

Experience of working as an ANP in a Ward environment Relevant experience of caring for children or young people or both with highly complex care needs and disability. Experience of holistic assessment and individualised planning of care. Experience of effective collaborative working with professionals from other agencies and disciplines. Experience of working with children and/or young people with palliative care needs. Experience of clinical audit. Experience and good understanding of clinical supervision and reflective practice. Evidence of change management, leadership and innovation Teaching experience

Desirable

Experience of working as an ANP in a Hospice environment NICU/PICU experience Experience of child protection and vulnerable adult procedures, report writing and conferences.

Interpersonal Skills

Essential

Ability to cope with stressful situations and support staff in this Personal grief/loss resolved sufficiently to perform and cope in an environment that has likely exposure to bereavement concerns Willingness to work flexibly and adapt to changing service needs. Able to work independently, and as part of a multi-disciplinary team. Drive for improved outcomes for children, young people and families. Enthusiasm, professionalism, positivity and good work ethic. Demonstrates negotiating and influencing skills Assertiveness skills and the ability to deal with interpersonal conflict Ability to adapt communication methods to a wide variety of people Ability to cover full 24 hr shift patterns and on call including weekends and Bank Holidays.

Skills

Essential

Competent clinical skills based on current best evidence, to include: medicine management; IV therapy; symptom management; respiratory support including invasive and non-invasive ventilation; nutritional care/enteral feeding; neurological care/seizure management. Ability to gather information quickly, make decisions and communicate appropriately Ability to manage own time and workload effectively. Ability to support and supervise junior staff. Knowledge and experience of various physical and mental health conditions associated with children, young people with life limited diagnosis and palliative care. Knowledge of relevant guidance/NMC/local policies to support clinical practice. Clear understanding of professional accountability. Understanding of the impact on the child or young person of living with a disability and on families caring for a child with complex needs. Good understanding of safeguarding children policies and procedures- with safeguarding experience including Child in Need, Child Protection, Looked after Children. A working understanding of Clinical Governance and Care Quality Commission standards.

Desirable

Enhanced communication skills including: Makaton, Augmentative and Alternative Communication (AAC), PECS.

Values

Essential

An understanding of the principles of equal opportunities as it relates to staff and children/young people, and able to demonstrate personal commitment to challenging discrimination and promoting equalities Able to demonstrate behaviours which meet Trust values - ASPIRE: Agile Supportive Proud Inclusive Responsive Encouraging

Qualifications

Essential

REGISTERED NURSE with valid up to date registration with NMC. RSCN/RN Child or Adult MSc in Advanced Clinical Practice qualification Independent & Supplementary Prescriber qualification Registration with NHSBSA as a Prescriber Clinical Examination and Diagnostics Level 7 Eligibility to work as a Nurse in the UK and with UK current work permit if required Mentoring/teaching qualification

Desirable

Ventilation trained Clinical supervisor qualification

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