Advanced Clinical Practitioner

Job responsibilities

To be accountable for:1. Ensuring safe and effective clinical practice2. Enhancing the patients experience3. Ensuring effective contribution to the delivery of the organisations objectives

1.1 To Ensure Sa fe and Effective Clinical Practice.

1. To be professionally accountable for the maintenance of standards of professional practice as set by the Nursing & Midwifery Council / Health & Care Professions Council.

2. To take personal responsibility for actions and omissions, and fully recognise personal accountability

3. To practise within an ethical framework based upon respect for the well-being and safety of patients.4. To demonstrate expert and extensive knowledge in areas such as diagnostics, therapeutics, the biological, social and epidemiological sciences and pharmacology, and enhanced skills in areas such as consultation and clinical decision-making and to keep abreast of new treatments and technologies within respiratory care.

5. To appropriately assess, examine, investigate, diagnose and treat patients, resulting in the safe management and appropriate referral or discharge of patients with undifferentiated and undiagnosedpresentations.6. Undertake interventional procedures/ highly specialist diagnostics.7. Act as a change agent, developing clinically effective practice through the effective utilisation and integration of evidence based practice, setting implementing and monitoring evidence based standards of care, policies, procedures, competencies and protocols.8. Ensure a culture of continuous quality improvement through the use of audit, patient feedback and reflection on practice by self and other members of the team.9. Promote a clean and safe environment for staff, patients and visitors by ensuring compliance with legislation, policies and protocols including health and safety, healthcare associated infection prevention, clinical governance, including risk management and critical incident reporting and root cause analysis.10. Ensure a high standard of compassionate clinical care and record keeping in accordance with Nursing and Midwifery Council / Health & Care Professions Council, national legislation and local standards11. Lead effective communication with the multi-professional team regarding patient care.12. Assess the risks involved in the care of patients and ensure utilisation of practices and protocols to minimise those risks, including safe use of medical devices.13. To monitor the standards of care and take appropriate actions when standards fall below expected levels.14. Report incidents and near misses promptly and appropriately and take effective action to minimise future risk.15. Identify and implement systems to promote contribution of advanced level practice and demonstrate the impact of advanced level practice to the healthcare team and the wider health and social care sector;16. Continually evaluate and audit the practice of self and others at individual and systems levels, selecting and applying valid and reliable approaches and methods which are appropriate to needs and context, andacting on the findings.17. Continually assess and monitor risk in own and others practice and challenge others about wider risk factors.18. Critically appraise and synthesise the outcomes of relevant research, evaluations and audits and apply the information when seeking to improve practice.

2.1 To Enhance the Patients Experience

1. To assess individuals, families and populations holistically using a range of different assessment methods, physical examination, ordering and interpreting diagnostic tests or advanced health needs assessment.2. Admit/discharge patients between acute and secondary care.3. Have a health promotion and prevention orientation, and comprehensively assess patients for risk factors and early signs of illness.4. Draw on a diverse range of highly specialist knowledge in decision-making to determine evidence-based therapeutic interventions prescribe medication and actively monitor the effectiveness of therapeuticinterventions.5. Working in partnership with others, delegate and refer as appropriate to optimise health outcomes and resource use.6. Use professional judgement in independently managing complex and unpredictable care events and capture the learning from these experiences to improve patient care and service delivery.7. Draw upon an appropriate range of multi-agency and inter-professional resources in clinical practice.8. Work within appropriately defined boundaries of practice.9. Ensure an effective and efficient patients journey by supervising the planning and co-ordination of the episode of care including the smooth transition to other settings, promoting safe and effective dischargeand optimising communication with interdisciplinary and interagency teams as required.10.Co-ordinate nursing/midwifery interventions advise on clinical decisions and monitor the quality of patient care provided through using expert clinical knowledge relevant to own field of practice, underpinned bytheory and experience.11.Within a multidisciplinary framework, develop a culture of person-centred care.12.Promote a caring environment where equality and diversity issues are respected and patients are enabled to be partners in their care.13.Identify opportunities to develop care and services by ensuring that there are effective systems in place to ascertain patient and carer experience/feedback and ensure complaints are managed in line withorganisational policy, including the dissemination of learning points.14. Ensure that everyone within the sphere of care is treated with dignity and humanity, understanding individual needs, showing compassion and sensitivity, and provide care in a way that respects all peopleequally.15.Provide consultancy service to own services and other professions on therapeutic interventions, practice and service development.16. To contribute to the development and improvement of systems, processes and clinical guidelines that facilitates patient flow within the ARU and adjacent clinical/assessment areas and ensures a standardisedapproach to care.17. Plan opportunities to generate and apply new knowledge to own and others practice in structured ways which are capable of evaluation.18. Lead and develop highly specialised programmes of care/care packages ensuring effective delivery by self or others that may impact across the Trust.

3.To Manage and Develop the Performance of the Team

1. Demonstrate resilience and determined leadership in contexts that are unfamiliar, complex and unpredictable.2. Strive constantly to improve practice and health outcomes so that they ...