Advanced Nurse Practitioner

2 months ago

Marlborough, United Kingdom East Kennet Primary Care Network Full time

Job summary

This is an exciting new ANP role, working for the PCN and based at Kennet & Avon Medical Partnership in Marlborough and Pewsey. The role will be predominately focused on same day, medically urgent patients.

Main duties of the job

Advancednurse practitioners work autonomously within the practice using their enhancedclinical assessment and treatment skills, to provide first point of contact forpatients presenting with undifferentiated, undiagnosed problems relating tominor illness or injury, abdominal pains, chest pains and headaches. They are autonomous in making decisions based onassessment, diagnosis and interpretation of test results. They canindependently prescribe appropriate medication, evaluate or refer to otherspecialists if necessary. ANPs in this role will focus solely on medicallyurgent patients.

There will be a requirement to work a full day every Friday.

About us

This role will join a team of paramedics, nurse practitioner and duty GP's who are responsible for treating same day, medically urgent patients. The role will be based from either site and will also include some home visits.

Job description

Job responsibilities

Advancednurse practitioners work autonomously within the practice using their enhancedclinical assessment and treatment skills, to provide first point of contact forpatients presenting with undifferentiated, undiagnosed problems relating tominor illness or injury, abdominal pains, chest pains and headaches. They are autonomous in making decisions based onassessment, diagnosis and interpretation of test results. They canindependently prescribe appropriate medication, evaluate or refer to otherspecialists if necessary. ANPs in this role will focus solely on medicallyurgent patients.

Key duties and responsibilities

The following are the core responsibilities of the Advanced NursePractitioner. There may be, on occasion, a requirement to carry out othertasks; this will be dependent upon factors such as workload and staffinglevels:

1. Manage patients presenting with a range of acute andchronic medical conditions, providing subject matter expert advice

2. Implement and evaluate individual specialisedtreatment plans for chronic disease patients

3. Identify, manage and support patients at risk ofdeveloping long-term conditions, preventing adverse effects to the patientshealth

4. Provide advanced, specialist nursing care to patientsas required in accordance with clinical based evidence, NICE and the NSF

5. Undertake the collection of pathological specimens

6. Request pathology services as necessary

7. Process and interpret pathology and other test resultsas required

8. Maintain accurate clinical records in conjunction withextant legislation

9. Ensure SNOMED CT codes are used effectively

10. Chaperone patients where necessary

11. Prioritise health issues and intervene appropriately

12. Support the team in dealing with clinical emergencies

13. Recognise, assess and refer patients presenting withmental health needs

14. Be an extended and supplementary prescriber, adheringto extant guidance

15. Support patients in the use of their prescribedmedicines or over the counter medicines (within own scope of practice),reviewing annually as required

16. Contribute to practice targets (QOF, etc.), complyingwith local and regional guidance

17. Liaise with external services/agencies to ensure thepatient is supported appropriately (vulnerable patients, etc.)

18. Delegate clinical responsibilities appropriately(ensuring safe practice and that the task is within the scope of practice ofthe individual)

19. Support the clinical team with all safeguardingmatters in accordance with local and national policies

20. Understand practice and local policies for substanceabuse and addictive behaviour, referring patients appropriately

21. Deliver opportunistic health promotion whereappropriate

Personal attributes

1. enhance own performancethrough continuous professional development, keep up to date with currentevidence-based practice, and impart own knowledge and skills to PCN colleaguesto meet the needs of the service

2. be verified against the ANProadmap

3. recognise and work withinown competence and professional code of conduct as regulated by the NMC

4. assess effectiveness ofcare delivery through self and peer review, benchmarking and formal evaluation

5. participate in research andutilise the audit cycle as a means of evaluating the quality of the work ofself and the team, implementing improvements where required.

Administrative requirements

1. produce accurate,contemporaneous and complete records of patient consultation, consistent withlegislation, policies and procedures

2. be aware of data protection(GDPR) and confidentiality issues particularly within a PCN

3. use technology andappropriate software as an aid to management in planning, implementation andmonitoring of care, presenting and communicating information

4. review and process datausing accurate read codes in order to ensure easy and accurate informationretrieval for monitoring and audit processes.

Supervision

The postholder will haveaccess to appropriate clinical supervision and an appropriate named individualin the PCN to provide general advice and support on a day-to-day basis.

Person Specification

Skills

Essential

Ability to evidence a sound understanding of the NHS principles and values. Ability to analyse and interpret complex/ often incomplete information, preempt and evaluate issues, and recommend an appropriate course of action to address the issues. Excellent interpersonal and organisational skills. Excellent interpersonal and communication skills, able to influence and persuade others articulating a balanced view and able to constructively question information. Ability to negotiate effectively. Build effective relationships with a range of stakeholders which are based on openness, honesty trust and confidence strong and inspirational leadership. Ability to co-ordinate and prioritise workloads able to multi-task as well as be self-disciplined and highly motivated.

Desirable

Experience of working within a primary care setting. Evidence of working across organisational boundaries within health and social care. Independent thinker with good judgement, problem-solving and analytical skills. Clear communicator with excellent writing, report writing and presentation skills; capable of constructing and delivering clear ideas and concepts concisely and accurately for diverse audiences. Evidence of success in efficient and effective project and programme management. Evidence of inspiring and motivating teams with the ability to communicate passionately, effectively and persuasively across a diverse set of stakeholders. High degree of personal credibility, emotional intelligence, patience and flexibility. Ability to cope with unpredictable situations. Confident in facilitating and challenging others. Demonstrates a flexible approach in order to ensure patient care is delivered excellently.

Experience

Essential

Experience in managing a designated caseload using theoretical and practical experience, completing assessments, planning, implementing interventions, and evaluating outcomes aligned to care plans. Essential clinical skills including phlebotomy, ECGs, urine analysis and swab taking. Working knowledge of Microsoft and GP practice and prescribing data monitoring systems. Ability to write comprehensive clinical notes, implement and evaluate care plans.

Desirable

Mentorship or supervisory skills training. Ability to undertake post- operative care. Be aware of data protection (GDPR) and confidentiality issues particularly within a PCN. Cognitive behavioural and motivational interviewing approaches / skills.

Qualifications

Essential

Registered Nurse with Nursing and Midwifery Council Masters degree required for qualification post December 2020 refer to RCN Credentialing for Advanced Level of Nursing Practice. Post graduate diploma or degree for Advanced Practice Qualification up to December 2020 Qualified Independent Nurse Prescriber on the NMC register Meets NMC revalidation requirements in accordance with the NMC Revalidation booklet

Desirable

Qualified triage nurse Minor illness qualification Teaching qualification

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