Advanced Clinical Practitioner (ANP/Paramedic Practitioner)

Job responsibilities

Job Summary

The Advanced Nurse Practitioner will be the first point of contact for patients with all types of health problems. He/she will make decisions and apply appropriate nursing interventions to the presenting patient in their own home or in the surgery. This will include initial history taking, clinical assessment, diagnosis, treatment and evaluation of care. He/she will work autonomously but within the Practices and NMC policies, protocols and guidelines, demonstrating safe clinical decision-making, high levels of critical thinking and holistic practice. The post-holder will be expected to act independently but will have access at all times to a GP for advice and support as necessary.

Key Responsibilities

• Work within professional boundaries to accurately examine and assess patients with an undifferentiated diagnosis, from a physiological, psychological and social perspective, and plan clinical care accordingly.
• Diagnose and manage both acute and chronic conditions, integrating both drug and non-drug-based treatment methods into a management plan.
• Seek advice and support from a senior clinician as appropriate to inform decision making around patient care.
• Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care.
• Review medication for therapeutic effectiveness appropriate to patient needs, and administer medication in accordance with PGD/ Independent Nurse Prescribing.
• Provide information and advice on prescribed or non-prescription medication, on medication regimens, side-effects and interactions.
• Work with patients in order to support compliance with and adherence to prescribed treatments.
• Ensure full and accurate documentation in patient notes of clinical history, physical examination, diagnosis and treatment plan.

Communication:

• The post-holder should recognize the importance of effective communication within the team and will strive to:
• 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.
• Ensure respect and dignity for patients at all times.
• Ensure awareness of sources of support and guidance and provide information in an acceptable format to all patients, recognising any difficulties and referring where appropriate.
• Recognize peoples needs for alternative methods of communication and respond accordingly.
• Communicate effectively with other colleagues and external healthcare providers in pursuance of continuity and safe delivery of patient care.

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 to NICE and other local guidelines as well as 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, the team, and the experience of patients 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.

Professional & personal development:

• The post-holder will participate in any training programme implemented by the Practice as part of this employment, such training to include:
• Maintain continued education and learning by attending all mandatory training and other events as deemed necessary by the Practice.
• Participate in the annual performance review (appraisal), including taking responsibility for maintaining record of own personal and/or professional development for revalidation purposes.
• Understand ...