Job overview
Hepatology Advanced Nurse Practitioner
Department Hepatology - Medicine
Band 7 pro rata if part-time
Hours: 37.5 per week, all MKUH roles will be considered for flexible working
Due to expansion of the service, we are currently looking for a Band 7 Hepatology advanced nurse practitioner or clinical nurse specialist to join our established team. Their duties will include assessing patients acutely within the trust, acting as an autonomous practitioner in outpatient clinics and managing the diagnostic and treatment pathways for patients diagnosed with liver disease.
This exciting role will provide the successful candidate with a dynamic skill set and the opportunity to work within a multi-professional team to improve the care of the patients we serve. They should have proven experience of gastroenterology and experience in caring for hepatology patients. Excellent communication and interpersonal skills are essential.
The medicine division is a friendly dedicated team, who are committed to improving services for our patients. There is a strong emphasis on team support and development, with opportunities to expand your clinical knowledge, skills and managerial/leadership experience.
If you are an enthusiastic, motivated and compassionate practitioner with a history of professional leadership in nursing, we invite you to apply.
Main duties of the job
The post holder will act as a highly specialist nurse resource providing knowledge and clinical expertise, who is able to work autonomously, making high level decisions to support and improve services for patients in the Trust and referred from Primary Care with Hepatic liver disease. To set up and lead on the secondary care Hepatology nursing service working across the acute Hepatology pathway and nurse led clinics.
They will be expected to work independently performing advanced assessment, planning and implementation of care, nurse prescribing as appropriate, maintain associated records and demonstrating good clinical decision-making skills in the investigation, management and discharge of patients with Hepatic liver disease.
The post holder will work closely with other services and directorates to ensure maximum effectiveness, quality and an excellent patient experience and undertake research and lead clinical audits within own area. Synonymous with this, the post-holder will have an important educational role with not only patients and their families but also with other clinicians (medical and nursing) providing specialist advice, education and training to other staff and students in raising awareness of the symptoms, signs, diagnostic investigations, treatment options and monitoring of patients with Hepatic liver disease. They will be an accessible, approachable, highly visible figure to patients, relatives and clinician colleagues.
Working for our organisation
We care We communicate We collaborate We contribute
1. Free on-site parking
2. Free refreshments
3. Great flexible working opportunities
4. Discounted gym membership
5. Lease car scheme
6. Generous annual leave and pension scheme
7. On site nursery (chargeable)
8. Extensive staff health and well-being programme
Milton Keynes University Hospital NHS Foundation Trust, in partnership with the University of Buckingham, is a University Teaching Hospital; we conduct research and teaching on site to improve the care of our patients. The hospital is undergoing significant investment, and we are proud to be rated good by the CQC. Visit our website to catch up on our latest news.
Detailed job description and main responsibilities
Clinical and professional
1.To be a point of contact and clinical expert for patients, relatives and clinician colleagues in conjunction and with the full support of the Consultant Hepatologists. The post holder will be expected to ensure that the patient receives the highest possible standard of evidence-based care in line with NICE guidance in relation to the prescribing of antiviral and prophylactic medications.
2.To work independently and without direct supervision in a variety of settings Trust wide, demonstrating the ability to prioritise and manage workload. To be accountable for own professional actions as the specialist for secondary care Hepatology nursing services and follow agreed policies, protocols and guidelines within the Hepatology setting.
3.In conjunction with the Hepatology/gastroenterology team devise evidence based local strategies and protocols to provide rapid assessment and management of patients presenting with Hepatic liver disease.
Managerial
9. To take delegated responsibility for ensuring the collection and collation of team activity data in agreed format, ensuring authenticity and accuracy of findings and producing reports as requested, including presenting at directorate audit meetings. Be responsible for the interpretation and reporting of the data as required by the Senior operations manager or director of operations.
10. To manage clinical risk within own caseload and that of the Hepatology team. Plans specialist nursing provision including education and training.
11. Manage student nursing staff and others as required considering skills and experience for appropriate placement, developing individuals to reach their full potential.
Training and supervisory
12. Develop patient education programmes and promote health education particularly in line with NICE guidance.
13. Act as a role model demonstrating professional clinical leadership.
14. To act as a teaching and educational resource, providing specialist training, education and mentoring of individual staff or groups. Advice and support base ward nursing teams in the care of complex Hepatology patients ensuring appropriate treatment and nursing care is provided.
Please refer to the job description for further details.
Person specification
Qualifications and knowledge
Essential criteria
15. NMC Registered General Nurse, educated to at least first degree level
16. Validated Post Graduate Qualification Level 6 or equivalent in Hepatology related study
17. Preparation of Mentors course (ENB or equivalent)
18. Recognised prescribing qualification or willingness to undertake
19. Physical Examination and Health Assessment Course
20. Working towards or willingness to undertake Master of Science programme
21. Able to demonstrate advanced knowledge & understanding of acute and chronic hepatic liver disease and the management. In particular anatomy and physiology of the liver and how this relates to decompensation.
22. Good understanding of National guidelines, targets and relevant quality standards and outcomes
23. Understanding of concepts of treatment and their application.
24. Importance of CPD
Experience
Essential criteria
25. Proven experience of managing patients with acute and chronic hepatic liver disease
26. Working autonomously and within MDT
27. 3 years clinical experience at band 6 or above in gastroenterology/hepatology
Desirable criteria
28. Management /supervision of other staff or students
29. Undertaken clinical audit, quality assurance projects into clinical effectiveness and changing practice to meet standards
Skills
Essential criteria
30. Able to work independently and under pressure
31. Excellent time management, prioritisation & organisational skills
32. Advanced clinical reasoning/decision making
33. Excellent written & verbal communication skills, including breaking bad news/ counselling course
34. Excellent team worker with leadership skills
35. Ability to evaluate own performance, recognises own limitations
36. Awareness of professional responsibilities to self and others
37. Ability to respond rapidly to changes both clinically and operationally
38. Ability to demonstrate a safe and supportive working environment
39. IT literate
40. ILS provider
Desirable criteria
41. Ability to teach & assess in a variety of settings to various audiences
42. Excellent written & verbal communication skills, including breaking bad news/ counselling course
Personal and people development
Essential criteria
43. Act as a professional role model and as a good team player
44. Highly motivated and proactive
45. Able to deliver and receive constructive feedback
46. Ability to work flexibly to meet the demand
Communication
Essential criteria
47. Advanced clear style
48. Self -awareness
49. Aware of impact of own words/style
50. Excellent written and documentation style
51. Ability to communicate with all clinical groups of staff to achieve patient care of a high standard
Specific requirements
Essential criteria
52. Able to perform the duties of the post with reasonable aids and adaptations
We believe success lies in the diversity of our employees and are committed to promoting equality, encouraging diversity and embracing inclusion. We welcome applications from everyone interested in working for us.