Stubbington Medical Practice are looking for an experiencedAdvanced Nurse Practitioner to work as an active member of the same day urgentcare duty team.
Main duties of the job
As such you would be required to:
Remotely triage patients by telephone and/or face to face if clinically indicated. Diagnose, treat, and refer where necessary.
Be an Independent Nurse Prescriber with experience in Primary Care and hold an MSc Post Graduate Diploma or equivalent in minor illness.
About us
Stubbington Medical Practice is situated in the small village of Stubbington, close to the sea and has approximately 12700 patients with ahigher-than-average elderly population.
Our clinical team comprises of 7 partners, 2 salaried GPs, 2registrars, 2 ANP's (1 Lead of nursing team), 3 nurse practitioners, 1 practicenurse and 4 HCAs, supported by our Coastal PCN Home Visiting Team.
We are a friendly practice and support each other to offer outstanding care to our patients.
Job responsibilities
Advanced Nurse Practitioner
Job Description
Location - StubbingtonMedical Practice
Accountable to - GP Partners for clinical mattersand
Primaryduties and areas of responsibilities
JobSummary
The postholder is an experienced Advanced Nurse Practitioner who, acting within their professionalboundaries, will provide care for the presenting patient from initial history taking,clinical assessment, diagnosis, treatment and evaluation of care. They willdemonstrate safe, clinical decision-making and expert care, includingassessment and diagnostic skills, for patients within the general practice. Thepost holder will demonstrate critical thinking in the clinical decision-makingprocess. They will work collaboratively with the general practice team to meetthe needs of patients, supporting the delivery of policy and procedures, andproviding nurse leadership as required. In order to work at this level NMCrequirements for advanced practice must be met.
Keyresponsibilities
ClinicalPractice
The Advanced Nurse Practitioner works autonomously and isaccountable for own professional actions.
Assess, diagnose, plan, implement and evaluatetreatment/interventions and care for patients presenting with anundifferentiated diagnosis
Clinically examine and assess patient needs from a physiologicaland psychological perspective, and plan clinical care accordingly
Assess, diagnose, plan, implement and evaluateinterventions/treatments for patients with complex needs. Proactively identify,diagnose and manage treatment plans for patients at risk of developing along-term condition (as appropriate)
Diagnose and manage both acute and chronic conditions,integrating both drug- and non-drug-based treatment methods into a managementplan
Prescribe and review medication for therapeutic effectiveness,appropriate to patient needs and in
accordance with evidence-based practice and national and practiceprotocols, and within scope of practice
Work with patients in order to support compliance with andadherence to prescribed treatments. Provide information and advice onprescribed or over-the-counter medication on medication regimens,side-effects interactions
Prioritise health problems and intervene appropriately to assistthe patient in complex, urgent or emergency situations, including initiation ofeffective emergency care
Support patients to adopt health promotion strategies thatpromote healthy lifestyles, and apply principles of self-care
Communication
Utilise and demonstrate sensitive communication styles, toensure patients are fully informed and consent to treatment
Communicate effectively with patients and carers, recognisingthe 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 improvecommunication
Maintain effective communication within the practice environmentand with external stakeholders
Act as an advocate for patients and colleagues
Ensure awareness of sources of support and guidance (eg PALS)and provide information in an acceptable format to all patients, recognisingany difficulties and referring where appropriate
Delivering a quality service
Recognise and work within own competence and professional codeof conduct as regulated by the NMC. Produce accurate, contemporaneous andcomplete records of patient consultation, consistent with legislation, policiesand procedures
Prioritise, organise and manage own workload in a manner thatmaintains and promotes quality
Deliver care according to NICE guidelines and evidence-basedcare
Assess effectiveness of care delivery through self and peerreview, benchmarking and formal evaluation
Initiate and participate in the maintenance of qualitygovernance systems and processes across theorganisation and its activities
Utilise the audit cycle as a means of evaluating the quality ofthe work of self and the team, implementing improvements where required
In partnership with other clinical teams, collaborate onimproving the quality of health care responding to local and national policiesand initiatives as appropriate
Evaluate patients response to health care provision and theeffectiveness of care
Support and participate in shared learning across the practiceand wider organisation
Use a structured framework (eg root-cause analysis) to manage,review and identify learning from patient complaints, clinical incidents andnear-miss events
Assess the impact of policy implementation on care delivery
Understand and apply legal issues that support theidentification of vulnerable and abused children and adults, and be aware ofstatutory child/vulnerable patients health procedures and local guidance
Leadership personal and people development
Encourage and motivate others to be forward thinking in ideas thataddress the health needs of the practice that will be innovative whilstmanaging and developing new ways of working,
Take responsibility for own learning and performance includingparticipating in clinical supervision and acting as a positive role model
Support staff development in order to maximise potential in thementorship and assessment of trainee Nurse Practitioners/Practice Nurses andundertake mentorship for more junior staff, assessing competence against setstandards
Critically evaluate and review innovations and developments thatare relevant to the area of work
Contribute to the development of local guidelines, protocols andstandards
Market the role of the advanced nurse practitioner in generalpractice
Understand own role and scope and identify how this may developover time by assessing own learning needs and undertake learning as appropriate
Work as an effective and responsible team member, supportingothers and exploring the mechanisms to develop new ways of working
Delegate clearly and appropriately, adopting the principles ofsafe practice and assessment of competence
Create clear referral mechanisms to meet patient need
Prioritise own workload and ensure effective time-managementstrategies are embedded within the culture of the team
Work effectively with others to clearly define values, directionand policies impacting upon care delivery
Discuss, highlight and work with the team to createopportunities to improve patient care by providing an educational role topatients, carers, families and colleagues in an environment that facilitateslearning
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 andfree from hazards and conform to health, safety and security legislation,policies, procedures and guidelines
Apply infection-control measures within the practice accordingto 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 localimplementation strategies that are aligned to the values and culture of generalpractice
Managing information
Use technology and appropriate software as an aid to managementin planning, implementation and monitoring of care, presenting andcommunicating information
Review and process data using accurate Read codes in order toensure easy and accurate information retrieval for monitoring and auditprocesses
Manage information searches using the internet and local librarydatabases
Understand responsibility of self and others to the practice andprimary care trust regarding the Freedom and Information Act
Learning and development
Undertake mentorship for more junior staff, assessing competenceagainst set standards
Disseminate learning and information gained to other teammembers in order to share good practice and inform others about current andfuture developments (eg courses and conferences)
Assess own learning needs and undertake learning as appropriate
Provide an educational role to patients, carers, families andcolleagues in an environment that facilitates learning
Equality and diversity
Identify patterns of discrimination and take action to overcomethis and promote diversity and equality ofopportunity
Enable others to promote equality and diversity in anon-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 diversitygood 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
Undertake any training required in order to meet the needs ofthe practice
Person Specification
Qualifications
* Be an Independent Nurse Prescriber with experience in Primary Care and hold an MSc Post Graduate Diploma or equivalent in minor illness.
* Be an Independent Nurse Prescriber with experience in Primary Care and hold an MSc Post Graduate Diploma or equivalent in minor illness.
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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