We are looking for a Nurse Practitioner to join our busy clinical team. The Nurse Practitioner will work as part of a team of Doctors, Nurse Practitioners, Minor Illness Nurse, Practice Nurses and Health Care Assistants. The Nurse Practitioner is a critical role within the practice, providing advanced nursing services to the patients of the practice, seeing both acute and chronic problems.
Main duties of the job
The Nurse Practitioner will be an experienced nurse who holds an appropriate, specific, advanced professional qualification which meets NMC requirements for high clinical standards of care.
The Nurse Practitioner will work with the practice team to provide high quality care which meets the needs of the practices patient population.
Working within defined professional boundaries, they will be able to make safe clinical decisions relating to assessment, diagnosis, treatment and review.
The Nurse Practitioner will demonstrate critical thinking ability.
The Nurse Practitioner will function as an integral part of the clinical leadership team in the practice, providing advice and guidance to the nursing team to ensure they deliver care based on the needs of the practices population
About us
Farnham Medical Centre is a large GP practice in South Shields with over 17k patients. We are a busy practice, with teams of Doctors, Advanced Nurse Practitioners, Minor Illness Nurse, Practice Nurses and Health Care Assistants, who are supported to provide excellent patient care by a team of Managers, Care Navigators, Administration Staff, GP Assistants, and Secretaries.
We are a busy, friendly and supportive practice, with an open and honest culture. We value staff feedback and strive to provide a welcoming and positive environment.
We pride ourselves on providing excellent services to our patients, and receive positive patient feedback.
We have monthly employee of the month recognition, long service awards, birthday day off, annual quiz, social events and other well being initiatives.
Job responsibilities
CLINICAL PRACTICE
Assess/examine patients, diagnose, plan, treat and review as appropriate.Assessment may be face-to-face by appointment or by telephone as part of atriage/unscheduled care team and will include patients presenting with anundifferentiated problem.
Diagnose and manage patients presenting with both acute and chronicconditions based on a management plan which includes a medication planand other interventions.
Identify health priorities and make timely and appropriate interventions tosupport patients presenting in an emergency and/or with complex/urgentneeds.
Assess and manage patients physiological and psychological needs,including patients with complex needs, multiple diagnoses, andpolypharmacy.
Identify patients at risk of developing a chronic illness and develop a plan forminimising risk of developing a long-term condition.
Advise and educate patients, promoting understanding, self-management,healthy lifestyle choices and sources of support and compliance withtreatment plan and medication.
In line with competence and agreed protocols, prescribe medication, reviewits effectiveness and make appropriate adjustments to treatment, ensuringpatient understanding of medication side-effects and interactions, includingover-the-counter medication.
Ensure the health needs of all patients presenting to the nursing team are metin a clinically appropriate way and by the team member best qualified to meettheir needs.
Ensure the nursing team meets the clinical needs of patients presenting withroutine and emergency needs and conditions or who require advice andsupport including chronic disease management, family planning, vaccinationand immunisations, health promotion/lifestyle advice, wound care,venepuncture etc.
Ensure that all patients who may be vulnerable or who have mental healthneeds are appropriately managed and protected by the nursing team.
Proficiently manage and prioritise a diverse workload under time pressuresand conflicting priorities.
Work with patients and carers to develop comprehensive care plans.
Utilise and demonstrate sensitive communication styles and empathy toensure patients are fully informed and consent to treatment.
Refer patients as appropriate.
COMMUNICATION
Advise patients of the Nurse Practitioner role, its extent, and limits.
Advise patients appropriately and refer on if they require the services of a GPor other clinical team member.
Communicate effectively, promptly and appropriately with patients and teammembers.
Provide links to additional information/guidance/support for both colleaguesand patients/carers including onward referral where required.
Modify method of communication with patients to suit the situation, recogniseproblems/barriers take action and seek help at an early stage when theyarise.
Communicate risk to patients and ensure proper consent gained whereappropriate.
Act as an advocate for patients or colleagues who need assistance andrepresentation.
Establish and maintain effective communication with internal and externalstakeholders/organisations/individuals.
Contribute to practice and nursing team meetings.
QUALITY AND LEARNING
Provide services to the practices patient population to the highest possiblestandard.
Comply with NMC Code of Conduct and keep registration up to date,documented and checked in the practice on an annual basis.
Provide care that is evidence-based, working to agreed and establishedclinical guidelines and supporting others to do the same.
Work to agreed standards, monitor and maintain the standard of care offered.
Take action if standards are not met (self or others)
Manage own and others workload to maintain priorities and service level.
Undertake training needed to ensure competencies for delivering allresponsibilities and ensure nursing colleagues are supported in doing thesame.
Lead and contribute to clinical governance activities/clinical audit to ensurecontinual improvement of service delivery and assessment of impact ofchanges on patient care.
Participate in clinical supervision
Provide training, support, supervision and mentoring for more junior membersof staff.
Lead and contribute to complaints responses/reviews, significant event, peerreview and other shared learning activities
Identify opportunities for shared learning.
Ensure learning from outside educational events is effectively cascaded to theteam and resultant changes to practice implemented.
Support and mentor staff in training, assess against standards
Support the performance and development of team members including givingand receiving effective feedback.
Lead and contribute to in-house training events based on learning needsanalysis.
Take responsibility for own development including maintenance of a PersonalDevelopment Plan and record of learning, clinical supervision, staffappraisals, giving and receiving feedback.
Challenge under performance or poor skills/inappropriate actions andimplement performance management of team members in consultation withmanagement team and GPs.
Undertake regular mandatory training and ensure the competence of nursingteam colleagues (child protection, vulnerable adults, basic life support, movingand handling etc).
LEADERSHIP
The Nurse Practitioner will:
Behave as a positive role model and set standards for the nursing team.
Lead the planning process for the nursing team, including setting goals andmonitoring achievements/outcomes.
Introduce, review and update clinical guidelines and protocols in accordancewith latest evidence base.
Critically evaluate new developments or service delivery models andcontribute to leading their incorporation in the practice to enhance care,applying good change management techniques, including participation incommissioning processes.
Critically evaluate skill mix, workload and practice service delivery needs tocontribute to the practices learning plan and recruitment plan.
Lead the nursing team by balancing the needs of individuals, the team andthe practice, effectively managing conflict or differing needs and priorities.
Delegate appropriately and effectively, monitoring performance and offeringguidance and support, including ensuring and maintaining individualscompetence.
Person Specification
Skills/Knowledge/Disposition
* Excellent interpersonal and team-working skills
* Excellent time management skills / ability to prioritise
* Ability to work under pressure and achieve tight deadlines in a complex/changing environment
* Awareness of child protection and vulnerable adult issues
* In-depth knowledge of current issues in primary care especially in long term conditions and advanced nursing services/risk management and NMC standards.
* Ability to make effective decisions
* Ability to assess and interpret clinical conditions
* Familiarity of accredited GP clinical systems for recording patient data e.g. Emis,
Experience
* Experience of practice within the four pillars
* Job plan that demonstrates advanced nursing practice and has equity with peers working at this level
* Experience of prescribing and undertaking medication reviews
* Experience in a primary care setting
Qualifications
* 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.
* Qualified Independent Nurse Prescriber on the NMC register
* Meets NMC revalidation requirements in accordance with the NMC Revalidation booklet
* Teaching qualification
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
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