Advanced Nurse Practitioner

The post holder is an experienced AdvancedNurse/Clinical Practitioner who will work as a member of the Practice ClinicalTeam. The post holder will havecompleted or is working towards the MSc Advanced Clinical Practice MastersDegree or Degree level qualification and relevant experience and RCN Credentials. The post holder will be supported by a namedpractice mentor.

Patient centred care will be delivered by triagingand assessing patients with undifferentiated and undiagnosed problems, initiatetreatment, investigations, advice and management of problems using professionalautonomous decision making processes, liaising when appropriate with otherhealthcare professionals and service providers to ensure safe and effectivepatient care.

Provides appropriate patient care in accordancewith practice protocols and policies. Actively engages patients and carers inmanagement of their health, promoting health and wellbeing.

They will work collaboratively with themulti-disciplinary general practice and primary care teams to meet the needs ofpatients, supporting the delivery of policy and procedures, and providing nurseleadership as required. To work to this level NMC requirement for advancedpractice must be met.

Main duties of the job The post holder is expected to:

Adhere to NCPC policies and procedures and relevant legislationincluding the requirements of the any professional bodies

Attend mandatory training as identified by the organisation.

Adhere to NCPC infection prevention policies,procedures, audits in line with the Health Act 2006, to actively reduce HealthCare Associated Infections

About us North Cumbria Primary Care Ltd (NCPC) is an innovative not for profit social enterprise, established to create a network of great surgeries which sustains and supports the development of general practice across the local area. We enable our member general practices to continue to operate as local family practices with the benefit of a large and robust infrastructure to provide support.

Job responsibilities Communication

1. Communicates effectively as a member of the practice clinical team.
   1. Refers when necessary to other external sources including Accident and Emergency, Secondary care, District Nurses, Emergency Social workers, Emergency mental health team, and other Emergency Services.
2. With Primary care nurses giving, support, advice and leadership and mentoring of other Nurse Practitioners and medical staff.
3. With reception staff regarding patient information.

Clinical skills

1. Advanced Nurse Practitioners will be supported by a GP but will work independently as a Nurse Practitioner within scope of professional practice.
2. Functions at a high level in relation to communication skills through patient consultation and nursing assessment of physical, psychological and social needs.
3. Adapts to change within the working situation managing unscheduled emergency situations.
   1. Basic life support, severe breathing problems, serious cardiovascular problems, collapsed patients and seriously ill patients.
4. Demonstrate clinical competence in the clinical care management of patients of all ages from infants to the elderly management of lifelong illness such as diabetes, asthma and chronic pulmonary disease during the time of acute illness.
5. Performs safe manual handling techniques.
6. Delivers a high standard of care without discrimination, to all ages, sexes and ethnic origins of the population through continuum of life.
7. Performs investigations required to reach a differential diagnosis using core clinical skill and competence. Initiate treatment including diagnostic investigations.
   1. Recognition of abnormal vital signs observing paediatric and adult respiratory rate and effort, heart rate rhythm and volume, temperature and blood pressure as appropriate.
   2. Perform investigative procedures including, Performing ECGs, Urinalysis, Blood Glucose monitoring, Venepuncture, measuring and interpreting peak low.
8. Advanced Nurse practitioners will be expected to perform appropriate clinical examinations and should demonstrate competence in examination techniques including:
   1. Examination of the Ear Nose and Throat system
   2. Basic Neurological examination of Headaches and Head Injury
   3. Basic Musculo-skeletal examination in the assessment of Injury
   4. Basic eye examination in the assessment of injury, foreign body and infection.
   5. Respiratory Examination
   6. Abdominal Examination
   7. Cardiovascular Examination
   8. Vaginal Examination and sexual health screening
9. Proficient in treating and managing common minor illness
10. Deliver safe, effective evidence based care and advice to ease patients problems
11. Independently discharge patients from your care or refer to the appropriate health Professional or healthcare provider for further care intervention
12. Promote improving the health of the individual through providing advice and education to aid adjustment of lifestyle, including Contraception advice.

Organisational skills

1. Able to adapt to change in the workplace being involved in new developments in the delivery of care.
2. Ensure faulty equipment is reported and repaired and adequate for use
3. Ensure store supplies are adequately ordered and maintained
4. Participate and support the implementation of clinical governance, clinical audit and clinical risk assessment, setting and monitoring standards of care
5. Promote improving the health of the community through reporting and preventing occurrences of infectious disease, providing advice and education
6. Comply with Practice policies and procedures
7. Has a flexible approach to working externally including home visits and with other nominated practices and Integrated Care Communities to access and provide services to patients. The post holder will also be required to attend meetings held by other agencies and internally within the practice.

Professional

1. Complies with their professional body's code of conduct and maintain professional registration
   • Works within scope of professional practice and pro-actively promote the role of NP within the practice, and externally to key stakeholders and agencies.
   • Work collaboratively with colleagues within and external to the practice
2. Ensure practice and implementation of care is evidence based by adhering to local and national guidance promote evidence based practice using the latest research-based guidelines and the development of practice-based research
3. Maintain confidentiality of information regarding patients
4. Ensure accurate, concise documentation and consultation data in patient records in accordance with the latest professional guidance and other pertinent standards
5. Maintains professional development in all aspects of mandatory training requirements and include; risk awareness health and safety, manual handling, fire safety at work, Child and Adult protection, conflict resolution and basic life support by completing on line training and also attending annual mandatory training.
6. Identify and/or participate in strategies of risk assessment to avoid or prevent clinical incidents and near misses incorporated in the clinical governance framework including:
   • Risk management policies, Child and Adult protection policies and Drug policies
   • Monitor the effectiveness of own clinical practice through quality assurance strategies including audit and peer review

Leadership

1. Ensure mandatory staff training has been accessed
2. Is a support network for other colleagues

Training and Educational

1. Currently enhancing professional development and to maintain a personal development plan.
2. Continually keeps up to date with current evidence based practice
3. Is involved in lifelong learning
4. Participates in in-house training provided and completion of all mandatory training at clinical and practice levels.
5. Keep up to date with pertinent health- related policy and work with the practice team to consider the impact and strategies for implementation.
6. Training requirements will be monitored by yearly appraisal and will be in accordance with practice requirements. Personal development will be encouraged and supported by the practice. It is individuals responsibility to remain up to date with recent developments.
7. Maintain continued education by attendance at courses and study days as deemed useful or necessary for professional development ensuring PREP requirements are met.
8. If it is necessary to expand the role to include additional responsibilities, full training will be given.

Teaching and Mentoring Role

1. Promote a learning environment for patients, nurses and other health professionals.
2. Contribute support to the teaching for existing staff, including; medical students, F2s, Nurse Practitioners, GP Registrars, within the Practice.

Person Specification Skills, Knowledge and Aptitudes

• Excellent interpersonal, verbal and written communication skills
• Excellent interpersonal, verbal and written communication skills
• Ability to assess and manage patient risk effectively and safely
• Time Management and ability to prioritise workload
• Able to establish effective communication pathways with internal and external stakeholders
• Demonstrate clinical Knowledge in acute and chronic disease management
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