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Senior Advanced Neonatal Nurse Practitioner
2 months ago
Job summary
This is a rare yet exciting opportunity to join one of the largest Foundation Trusts in the UK with an international reputation and a tradition for innovation.
We are inviting applicants to join our dynamic team of Advanced Neonatal Nurse Practitioners (ANNP). The successful candidate will already be a qualified ANNP through completion of the MSc in Advanced Clinical Practice and have worked on the Tier 1/2 medical rota
The Neonatal Unit at King's College hospital operates cross site with a tertiary unit at Denmark Hill site which is recognised as one of two Level III Perinatal Centres in the SE London neonatal network and Level II neonatal unit at Princess Royal University Hospital site. Its subspecialties include respiratory medicine, neurology, neurosurgery, and thoracic, abdominal and ophthalmic surgery. Currently there are 24 ITU/HDU cots and 12 SCBU cots with over 800 admissions per annum at DH site and 4 HDU and 8 SCBU cots at PRUH site with 500 admissions per year. We provide level 3 Medical and Surgical care to sick term babies and preterm babies born as early as 22 weeks gestation. We are a major referral centre providing a first class intensive care service to South East London, Kent and the Medway towns, Brighton and West Sussex and beyond
There are approximately 5500 deliveries per annum at the Denmark hill. With a planned expansion and redevelopment at both sites we aim to become one of the largest neonatal units in the country.
Main duties of the job
Our Senior Advanced Neonatal Clinical practitioners have the responsibility for autonomously planning, managing and coordinating clinical care for babies requiring complex level medical and surgical interventions and supporting both medical and nursing to develop these skills on the unit. We focus on developing leaders for the future and therefore alongside a full team of Neonatologist, senior clinical fellows and nursing leads, provide individualised professional leadership, research and clinical development.
Our goal to be a hospital of choice by improving all aspects of the patient experience relies upon us having a highly skilled, motivated, diverse, productive and patient focused workforce
Why not work for an acute Trust committed to flexible working and diversity in employment?
About us
King's College Hospital NHS Foundation Trust is one of the UK's largest and busiest teaching Trusts with a turnover of £1 billion, million patient contacts a year and more than 15,000 staff based across South East London. The Trust provides a full range of local and specialist services across its five sites. The trust-wide strategy of Strong Roots, Global Reach is our Vision to be BOLD, Brilliant people, Outstanding care, Leaders in Research, Innovation and Education, Diversity, Equality and Inclusion at the heart of everything we do. By being person-centred, digitally-enabled, and focused on sustainability, we aim to take Team King's to another level.
We are at a pivotal point in our history and we require individuals who are ready to join a highly professional team and make a real, lasting difference to our patients and our people.
King's is committed to delivering Sustainable Healthcare for All via our Green Plan. In line with national Greener NHS ambitions, we have set net zero carbon targets of 2040 for our NHS Carbon Footprint and 2045 for our NHS Carbon Footprint Plus. Everyone's contribution is required in order to meet the goals set out in our Green Plan and we encourage all staff to work responsibly, minimising their contributions to the Trust's carbon emissions, waste and pollution wherever possible.
Job description
Job responsibilities
Clinical
Work as a senior Neonatal advanced practitioner within the specialty, managing a caseload of patients . Direct responsibility for attending high-risk/emergency deliveries, leading basic and advanced resuscitation procedures, assessment, examination, investigation and diagnosis of patients within their area of work. Autonomously manage Neonatal patients, resulting in the safe management and appropriate referral or discharge of patients with undifferentiated and undiagnosed presentations.. Participate in multidisciplinary clinics, ward rounds, patient reviews and multidisciplinary team meetings and provide complex case presentations Undertake a variety of clinical skills procedures such as endotracheal intubation, umbilical venous catheterisation for circulatory support, and the prescribing of resuscitation drugs and fluids as required and provide treatment/ advice as per speciality and scope of practice. Using agreed protocols of clinical practice and professional guidelines. Utilise scope of practice to undertake Non-Medical Prescribing role and provide advice on medicine management issues associated with the patient specialty group. Work within Trust policy for Medicines Management Provide a seamless, high quality service from referral through to assessment, diagnosis, treatment and review, referring to other specialists as required. Use highly developed communication skills to effectively communicate with colleagues, patients and their relatives/carers. Use professional judgement to act as an advocate for patients to ensure a patient focused approach to the delivery of care. Support and enable patients and carers to make informed decisions relating to their treatment and management. Respond to calls from the postnatal, transitional care and labour ward on the request of a midwife to assess the condition of a baby and provide specialist advice, to be clinically able to undertake and direct high quality research based clinical nursing care. Report and raise concerns related to Safeguarding, accessing advice and support as required. Be conversant with Trust policies. Ensure that high standards of all documentation are maintained, with accurate, complete and up-to-date information regarding patient care are kept in accordance with Trust standards. Plan and perform highly skilled and intricate diagnostic and therapeutic procedures adhering to agreed protocols and guidelines and under aseptic conditions where Monitor the quality and standard of care provided by all members of the team and all staff in clinical areas. Identifying any skills or training gaps and escalating to the appropriate Senior Nurse or Matron. Undertake training to develop further advanced clinical practice roles required by the service in order to provide a high standard of patient care. Practice within the scope of professional registration ( NMC, HCPC)Professional Leadership & Management
Provide highly visible and accessible professional leadership and demonstrate expert knowledge and standards of clinical practice Lead and develop a defined area of Advanced Clinical practice within the designated area of practice , promoting interdisciplinary team and collaborative working practices Promote team working, build rapport and collaborative working practices with multidisciplinary team. Liaise with inter-hospital departments and personnel across organisational and professional groups. Ensuring effective communication and interpersonal skills with other disciplines and organisations. Lead and support the development of the role according to changing patients needs, service requirements and evidence base practice. Lead and actively participate in service/ departmental projects, quality initiatives and statutory accreditation processes. This will include the setting and monitoring of clinical standards of care. Ensure that all resources are managed in an efficient and cost-effective manner to achieve maximum effect for patients and staff. Lead in the implementation of multidisciplinary service objectives that reflect Trust strategies for patient care. Demonstrate effective leadership skills, supporting the senior management team (Nurse/AHP Consultant/ Lead ACP/ Matron/ Lead Nurse/ Clinical Director) in service development and lead as delegated on the implementation of any of these changes. Undertakes annual appraisal for nursing staff as requested by the Neonatal Lead Nurse. Ensuring that they have a Personal Development Plan, and to assist with the appraisal of other staff in liaison with the Neonatal Lead Nurse Monitor standards and maintain high quality care. Report any clinical incidents via the Trust electronic reporting system and escalate issues promptly and appropriately Maintain an awareness of professional and ethical issues to ensure care is delivered in a professional timely and courteous manner by all members of the team, respecting the different spiritual and cultural backgrounds of colleagues, patients and relatives. Escalate any concerns or complaints promptly Responsibility for completing or delegating the preparation and daily review of staff duty rotas, ensuring that the team provides most effective service provision. Accountable for own practice, acting at all times within the Professional Code of Professional Conduct (NMC,HCPC) Model excellence in nursing and medical clinical practice Attend and when required chair multidisciplinary meetings as a representative of the service. Ensure minutes and agreed actions are communicated to stakeholders according to agreed timescalesEducation & Training
Act as an expert educational resource for clinical staff, patients, and carers by providing formal and informal education. Promote and develop a positive, lifelong learning environment throughout the Trust. Provide supervision, advice, support and training for junior medical staff and less experienced ANNPs in the organisation and delivery of clinical medical care Develop programmes of learning and facilitate delivery for neonatal nurses in enhanced and advanced practice and further developments for care delivery. Lead and actively participate in the delivery of educational programmes for all grades of nursing, medical and allied health professional staff. Contribute to the orientation programme of the junior doctors and senior nurses allocated to the unit, and visitors to the unit by other members of the multi-professional team Participate in education and practice development on a Trust wide basis liaising with Trust wide educational leads to ensure overall Trust educational objectives are delivered Recognise the limits of own professional practice and competence, undertake further training and academic qualifications as required to maintain own specialist knowledge Take responsibility for ensuring personal and completion of any statutory or mandatory training as required for. Participate in the annual appraisal process, delegating duties to team members as appropriate to ensure all staff within the team have personal development plans which support revalidation Maintain close links with local HEIs and participate in in the development and delivery of new and established advanced practice programmesResearch & Audit
Participate and where required lead or assist in research projects as required, disseminating and ensuring utilisation of research results to change practice. Be aware of research /trials being undertaken within the specialist field of practice and utilise research findings to delivery advanced care Participate and where required lead audit projects as required by the specialty, involving collating, analysing and reporting on results of the audit process. Collate, analyse and present reports on varying aspects of the speciality activity as required by directorate or divisional team Ensure the results of audit and research conducted by the team are disseminated at local, regional and national level. To share best practice; through publications and attendance/presentation opportunities at conference level.Quality & Safety
Support the maintenance of KPIs NHSLA compliance, CQC compliance and local and national clinical governance initiatives in close collaboration with the directorate senior nursing, medical and management and in collaboration with clinical governance teams. Maintain improvements in patient safety by supporting implementation of patient safety initiatives, prompt and appropriate response to complaints resolution and escalation where appropriate Ensure patient safety by escalating any risks with staffing or service provision to directorate management team May be deployed to work in any part of the Trust/ across site should the need arise to ensure patient safety is maintainedThis job description is not exhaustive and is seen as a guideline for the post. The post holder may be required to undertake other duties to achieve the Trust objectives which are commensurate with the grading of the post
Review of the role
This job description will be subject to review and amendment, in consultation with the post holder, to meet the changing needs of the service and the organisation
People Management and Performance
Lead, coach and manage the performance of the team in line with good people management practices. Ensuring excellence is recognised and underperformance is addressed. Participate in regular performance appraisal meetings and ensure each member of the team has a clear set of objectives and development plans. Person Specification
Education Qualifications and Skills
Essential
Professional registration (RN adult RSCN,RN Child) MScLevel qualification (Neonatal pathway) Non Medical Prescribing course Post Graduate Qualified in Speciality (QIS) IN Neonatal Nursing Neonatal Advanced Life Support qualification(s) Teaching and Mentoring qualification
Desirable
NLS instructor ARNI Course provider Recognised Leadership Qualification
Knowledge and Experience
Essential
Extensive post registration experience at a senior level (Band 7 or above) in a tertiary level neonatal care unit (Band 7 or above) in a tertiary level neonatal care unit Evidence of on-going CPD Evidence of teaching and presentations in a variety of environments Advanced Clinical Assessment skills Evidence of research & audit Evidence of dissemination of knowledge in wider healthcare organisations Previous experience working on Tier 1/2 medical rota as an ANNP
Desirable
Publication in healthcare journals
Skills and Competencies
Essential
Excellent communication skills Advanced skills in all aspect of Neonatal Care to allow medical registrar cover and rota Ability to perform in stressful and complex situation Sound clinical reasoning & decision making Can demonstrate an enthusiastic, approachable and friendly manner Able to communicate sensitive information to parents and families