Advanced Nurse Practitioner

Summary of Responsibilities: Advanced clinical practice is delivered by experienced, registered health and care practitioners. It is a level of practice characterised by a high degree of autonomy and complex decision making. This is underpinned by a masters level 7 award or equivalent that encompasses the four pillars of; clinical practice; leadership and management; education and research, with demonstration of core capabilities and area specific clinical competence. A non medical prescriber with a minor injury and illness qualification essential and the ability to maintain and monitor high standards of care. Advanced clinical practice embodies the ability to manage clinical care in partnership with individuals, families, and carers. It includes the analysis and synthesis of complex problems across a range of settings, enabling innovative solutions to enhance peoples experience and improve outcomes. Definition of advanced clinical practice provided by the Advanced Clinical Practice HEE Multi-professional (ACP) Framework (2017). Main Duties & Responsibilities: Work as part of the multidisciplinary clinical team, for the provision of health care services to the patients of the organisation. Work as an autonomous practitioner, responsible for the delivery of evidence-based practice for patients within the scope of your capabilities. The post holder will take professional accountability for working at advanced level within the remit of qualifications and capabilities, as defined by the appropriate Framework for Advanced Practice, and working within the organisations standards and protocols, and local and national frameworks for best practice. Develop a portfolio of evidence demonstrating competencies and capabilities: in the four pillars for nurses as defined in the Core Framework for Advanced Clinical practice ACP Primary Care Nurse 2020.pdf (hee.nhs.uk) of, 1. Clinical practice 2. Leadership and Management 3. Education 4. Research The postholder will be able to: Demonstrate highly developed interpersonal and communication skills Develop critical thinking, complex clinical reasoning, and problem-solving skills Be a caring, compassionate clinician that is committed to high quality patient care Practice, without direct supervision, as an autonomous primary care healthcare practitioner. Safely manage undifferentiated and undiagnosed presentations using data gathering, clinical examinations, diagnosis, organising investigations, safe prescribing, management, completing referrals, and follow-up within their agreed scope of practice and capabilities. Clinical responsibilities: Safely manage undifferentiated and undiagnosed presentations using data gathering, assessing for red flags, investigation, diagnosis, management, and review within their agreed scope of practice and capabilities. Must demonstrate complex clinical reasoning skills, to use problem solving approaches to analyse and synthesise information, manage medical and clinical uncertainty particularly in relation to a wide range of contexts and clinical presentations, and to include physical, mental, and social problems. Have a sound understanding of referral pathways including routine, urgent, 2-week wait and emergency admissions. Use resources appropriately and effectively. Manage acute/chronic presentations and medical complexity. Safely and effectively use a range of consultation modes to include telephone, video, online and face to face. Prescribe treatment and medication safely in line with local and national guidelines (where professional regulation and training permits i.e., an independent prescriber) To offer personalised care to people and signpost to and link with other members of the organisation or wider health and social care team. Make every contact count in terms of public and patient health. Provide health promotion and patient education in supporting patients for healthier lifestyle, self-care and in managing their own conditions. Understand the needs of the organisations population and work to meet them effectively as part of the wider team. Work collaboratively as part of the multidisciplinary team understanding the capabilities of colleagues to promote the most appropriate care for people. Manage urgent situations by providing effective immediate emergency care, including initiating, and performing BLS/anaphylaxis management and use of AED To provide accurate, contemporaneous, and complete records of patient consultations, consistent with legislation policies and procedures Support the practices on-call triage system . Manage own and others pathology results in accordance with own level of capabilities and following shared care pathology guidance and organisations policies and procedures. Safely and effectively manage documents (clinical letters/hospital discharges) in accordance with own level of clinical capabilities and following organisations policies and procedures. Communication skills: Have advanced and flexible interpersonal and communication skills to engage in effective and complex interactions with patients, carers, and colleagues as detailed in the profession specific framework. Communicate effectively with individuals who require additional assistance for consultation e.g., use of interpreters, BLS interpreters, easy read, people with LD etc. Use communication skills to maintain a professional approach when working with patient and colleagues. Equality and diversity: The post-holder will support the equality, diversity and rights of patients, carers, and colleagues to include: Acting in a way that recognises the importance of peoples rights, interpreting them in a way that is consistent with organisations procedures and policies, and current legislation. Respecting the privacy, dignity, needs and beliefs of patients, carers, and colleagues. Behaving in a manner which is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights. Safeguarding: Individuals have a duty of care to children and vulnerable adults that they encounter whilst at work to safeguard and promote their welfare and to work to prevent, recognize, respond, appropriately refer, and record potential neglect or abuse, adhering to the companys Safeguarding Children and Safeguarding Vulnerable Adults and PREVENT policies and procedures.

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