We are seeking a part-time Advanced Nurse Practitionerwho is comfortable to see a range of acute conditions in both adults andchildren. Clinics for our Advanced NursePractitioners are conducted over the phone and face to face clinics soconfidence in being able to prescribe in both settings is very important. We currently have 3 ANPs in the team and youwill be required on occasion to support the team by visiting patients in theirown homes and also at the care homes to whom we provide a valuable weeklyvisit. You will support the dutydoctor(s) each morning and afternoon providing the highest standard of patientcentred care in a GP primary care setting.
Main duties of the job
* Assess, triage, diagnose, plan, implement andevaluate treatment/interventions and care for patients presenting with anundifferentiated diagnosis
* Diagnose and manage acute conditions,integrating both drug- and non-drug-based treatment methods into amanagement plan
* Provide service to our Care Homes on a weekly basis
* Proactively identify, diagnose and managetreatment plans for patients at risk of developing a long-term condition(as appropriate)
Responsiblefor creating and updating care plans for our frail and vulnerable patients.
* Prescribe and review medication fortherapeutic effectiveness, appropriate to patient needs and in accordance withevidence-based practice and national and practice protocols, and within scopeof practice
* Provide information and advice on prescribedor over-the-counter medication on medication regimes, side-effects andinteractions
* Prioritise health problems and interveneappropriately to assist the patient in complex, urgent oremergency situations, including initiation of effective emergency care
* Support patients to adopt health promotionstrategies that promote healthy lifestyles, and apply principles ofself-care.
* Support and manage health needs of patients presenting for a sexual health consultation
* Work with patients in order to supportcompliance with and adherence to prescribed treatments
* Participate in vaccination and immunisationprogrammes
About us
Balmore Park Surgery is a highly regarded practice northof the Thames in the vibrant town of Caversham.This training practice consists of 11 GPs, 7 Nurses, 3 Advanced Nurse Practitioners, a Mental Health Practitioner, 3 HCAs and 2Phlebotomists, In addition, we have inaddition to a Pharmacy team consisting of 4 Pharmacists, 2 Pharmacy techniciansand a prescriptions clerk.
Job responsibilities
Advanced Nurse Practitioner
Title: Advanced Nurse Practitioner
Hours of duty:Part-time
Responsible to: Duty Doctor
Accountable to: Clinical: Duty Doctor; Non-Clinical: Operations Manager
Job Description
Introduction to the Role
The post holder will demonstrate a caring, compassionate and committed experienced nurse who, acting within their professional boundaries, will provide care for the presenting patient from initial history taking, clinical assessment, diagnosis, treatment and evaluation of care. They will demonstrate safe, competent clinical decision-making and expert care, including assessment and diagnostic skills, for patients within the general practice. The post holder will commit to demonstrating critical thinking in the safe clinical decision-making process. They will communicate and work collaboratively with the general practice team to meet the needs of patients, supporting the delivery of policy and procedures, and providing nurse leadership as required.
Clinical practice
Triage, assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis
Diagnose and manage acute conditions, integrating both drug- and non-drug-based treatment methods into a management plan
Proactively identify, diagnose and manage treatment plans for patients at risk of developing a long-term condition (as appropriate)
Prescribe and review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and practice protocols, and within scope of practice
Provide information and advice on prescribed or over-the-counter medication on medication regimes, side-effects and interactions
Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care
Support patients to adopt health promotion strategies that promote healthy lifestyles, and apply principles of self-care. Support and manage the health needs of patients presenting for sexual health consultation.
Work with patients in order to support compliance with and adherence to prescribed treatments
Participate in vaccination and immunisation programmes
Communication
* Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment
* Communicate effectively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating
* Anticipate barriers to communication and take action to improve communication
* Maintain effective communication within the practice environment and with external stakeholders
Delivering a quality service
* Recognise and work within own competence and professional code of conduct as regulated by the NMC
* Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures
* Prioritise, organise and manage own workload in a manner that maintains and promotes quality
* Deliver care according NICE guidelines and evidence-based care
* Assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation
* Initiate and participate in the maintenance of quality governance systems and processes across the organisation and its activities
* Utilise the audit cycle as a means of evaluating the quality of the work of self and the team, implementing improvements where required
* In partnership with other clinical teams, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriate
* Evaluate patients response to health care provision and the effectiveness of care
* Support and participate in shared learning across the practice and wider organisation
* Use a structured framework (eg root-cause analysis) to manage, review and identify learning from patient complaints, clinical incidents and near-miss events
* Assess the impact of policy implementation on care delivery
* Contribute to the appraisal of the performance of the team, providing feedback as appropriate
* Understand and apply legal issues that support the identification of vulnerable and abused children and adults, and be aware of statutory child/vulnerable patients health procedures and local guidance
* Working with practice management to ensure the whole team have skills and knowledge regarding domestic violence, vulnerable adults, substance abuse and addictive behaviour. Provide guidance and support to ensure appropriate referral if required
Leadership personal and people development
* Act as a clinical leader in the delivery of practice nursing services ensuring that the needs of the patient are a priority
* Take responsibility for own learning and performance including participating in clinical supervision and acting as a positive role model
* Support staff development in order to maximise potential
* Actively promote the workplace as a learning environment, encouraging everyone to learn from each other and from external good practice
* Critically evaluate and review innovations and developments that are relevant to the area of work
* Enlist support and influence stakeholders and decision-makers in order to bring about new developments in the provision of services
* Contribute to the development of local guidelines, protocols and standards
* Promote the role of the advanced nurse practitioner in general practice
* Understand own role and scope and identify how this may develop over time
* Work as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working
* Delegate clearly and appropriately, adopting the principles of safe practice and assessment of competence
* Create clear referral mechanisms to meet patient need
* Prioritise own workload and ensure effective time-management strategies are embedded within the culture of the team
* Work effectively with others to clearly define values, direction and policies impacting upon care delivery
* Discuss, highlight and work with the team to create opportunities to improve patient care
* Manage and lead on the delivery of specifically identified services or projects as agreed with the practice management team
* Agree plans and outcomes by which to measure success
Management of risk
* Manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and patients
* Monitor work areas and practices to ensure they are safe and free from hazards
* Apply infection-control measures within the practice according to local and national guidelines
* Advocate for policies that reduce environmental health risks, are culturally sensitive and increase access to health care for all
* Interpret national strategies and policies into local implementation strategies that are aligned to the values and culture of general practice
Managing information
* Use technology and appropriate software as an aid to management in planning, implementation and monitoring of care, presenting and communicating information
* Review and process data using accurate Read codes to ensure easy and accurate information retrieval for monitoring and audit processes
Learning and development
* Undertake mentorship for more junior staff, assessing competence against set standards as required
* Disseminate learning and information gained to other team members to share good practice and inform others about current and future developments (eg courses and conferences)
* Assess own learning needs and undertake learning as appropriate
* Provide an educational role to patients, carers, families and colleagues in an environment that facilitates learning
Equality and diversity
* Promote diversity and equality of opportunity
* Enable others to promote equality and diversity in a non-discriminatory culture
* Support people who need assistance in exercising their rights
* Monitor and evaluate adherence to local chaperoning policies
* Act as a role model in the observance of equality and diversity good practice
* Accept the rights of individuals to choose their care providers, participate in care and refuse care
* Assist patients from marginalised groups to access quality care
Person Specification
Qualifications
* Current registration with the NMC and a degree in nursing.
* MSc in Advanced Clinical Practice.
* Registered Medical Prescriber.
* Full current UK driving licence
* Knowledge of public health issues
* Able to identify determinants on health in the area
* Knowledge of public health issues in the area
* Community nursing specialist 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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