Advanced Clinical Practitioner

DUTIES AND RESPONSIBILITIES Clinical Have a highly visible clinical presence. Be an expert practitioner and role model in the field of Oncology and Head &Neck nursing. Have an understanding of prior treatment, particularly Head and Necksurgery, that patients may have had before attending The Christie Have a good knowledge and understanding of the management and nursingcare of the altered airway ie tracheostomy and laryngectomy In the outpatient setting participate in the direct clinical management ofpatients from first presentation at the hospital, until discharge or death.Includes history taking, systematic physical examination, and formulatingclinical management plans. Order first line diagnostic investigations eg biochemistry, haematology andradiology Review and interpret all information available utilizing a systematic process ofreasoning to make a working and differential diagnosis. Develop and record a treatment plan consistent with the outcome ofassessment and most probable diagnosis. Prescribe drugs, including chemotherapy and immunotherapy, within thecapacity of non-medical prescribing, adhering to Trust policy and existingframeworks Assess patients suitability for chemotherapy and immunotherapy throughhistory taking and by performing relevant safety investigations. Monitorpatients receiving systemic anti-cancer therapy, making appropriate changesto the regime, in consultation with the medical team Request and prescribe blood products adhering to Trust policy and Bloodproduct training following appropriate training and sign-off Perform clinical procedures appropriate to role, following a period of trainingand sign-off e.g.fibreoptic nasendoscopy Respond as appropriate to referred Hotline queries regarding oncologytreatment and symptoms Refer outpatients to appropriate primary and secondary care settings Support the multi-professional team during and after an emergency event Be an efficient communicator with patients, relatives and members of themultidisciplinary team. Work with team members on issues relating to patientinformation. Educate patients and their carers on issues surrounding health promotionand illness prevention. Promote and facilitate changes to lifestyle whereappropriate. Ensure patients receive appropriate information and support in relation totheir illness and treatment. Refer to other professionals as appropriate. To consent patients for treatment and procedures as per hospital policy Prepare accurate and concise verbal and written reports Plan and manage own workload/ caseload in a flexible manner, ensuring thatservice provision meets the needs of patients. Liaise with the other members of the multi-professional team and facilitateexcellent and effective communication to provide a patient focused service. Participate in innovative and research based practice with the intention ofcombining medical and nursing duties to promote excellence in patient care. Assess patients adverse events to treatments to enable appropriatemanagement and symptom control. Perform tasks and reviews as part of a clinical trial and maintain ICH/GCPcompetence. Professional To actively seek to contribute to the growing knowledge base of oncologynursing practice through publications and participation in conferences. To promote the role of the ACP within the Trust and externally To demonstrate an up to date knowledge of oncology/ acute care nursingpractice and responsibility for ones own professional development. To maintain a portfolio to fulfil requirements of the NMC in maintaining skills and expertise to undertake role including revalidation requirements. Maintain safe practice and development through regular peer review ofevidence based practice with medical Consultant supervisor and nursingmentor. Liaise and collaborate with multi-professional disciplines and outsideagencies. To be aware of the policies, procedures and philosophies of the Trust,understanding health and safety requirements and ensure that all duties andresponsibilities are carried out within these guidelines. Participate in clinical supervision as required Support equality and value diversity. Management and Leadership Be involved in peer review of own practice and that of others. Participate in clinical audit in respect to evaluating service effectiveness andfuture developments within the role. To develop clinical protocols, standards and guidelines in own area. Contribute to wider issues in the trust, such as committee membership,clinical progression and policy development. To actively contribute to the process of clinical risk management. Act as a role model in developing advanced nursing roles at local, regionaland national level. To inspire others and encourage them to seek advice and solutions to problems. To contribute to the achievement of local and national targets relevant to rolee.g. supporting patient access to care. Lead change/ policy implementation as required Act as line manager to other health professionals, notably Clinical NurseSpecialists Research, Education and Development To provide clinical and professional support and advice to all staff. Develop and deliver specific and relevant teaching programs for alldisciplines. Support, supervise and assess clinical competencies of nursing staff andother members of the multidisciplinary team. Maintain accurate records and provide necessary data for statistical analysis. Implement research findings appropriate to practice. Initiate new and support existing research projects. To raise quality issues and report related risks within the trust to addresspoor standards and incidents. To inform and influence Clinical Governance issues.

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