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Nurse Practitioner job description
• Provide support, advice and guidance to all staff. To provide education, training and development of all staff including students to ensure safe effective and efficient service to the population attending with a minor injury or medical condition.
• To facilitate and develop plans for service changes within the organisation and with other stakeholders.
The Clinical Lead/Specialist Emergency Nurse Practitioner will be responsible for the overall management of the Rapid Assessment Clinic [RAC]).
Will be accountable for the continuing development, training, and education of the Nurse Practitioners, HCAs and Assessment Nurses, ensuring safe, effective and efficient management of Minor Injuries and Minor Ailments. To work in association with the Service Manager for the organisation in defining standards of care and practice aimed at developing and improving quality and equity of practice.
Continuing responsibility in liaison with the staff for the efficient and effective management and co-ordination of the RAC, maintaining own high standards of practice. Management of the care strategy and philosophy through leadership and managerial skills, ensuring that all individuals strive to achieve the management of minor injuries and minor ailments.
CORE RESULT AREAS
In this section you should identify in sufficient detail the main duties, tasks, activities, outcomes and responsibilities of the post holder. You should not include words and expressions which imply value judgements, as it is important that only factual information about the role is included.
Core tasks, duties, activities, outcomes and responsibilities that need to be included in this section of the job description are:
C1. Communication / Relationship Skills
Nature, complexity and sensitivity of communications (e.g. presenting, training, negotiating, influencing, counselling) who with (patients, carers, public, external agencies, board) barriers to communication (hostility, emotive language)
• Communicates highly sensitive/difficult information and subsequent support of patients, relatives, carers and colleagues as appropriate.
• Liaises with all members of the multidisciplinary team to ensure effective communications are maintained within the Unit.
• Communicates with the Team Manager and senior management teams in the movement of patients to ensure appropriate allocation and flow between hospital sites.
• Actively involves others in communications between patients, their relatives and the multi-professional team both within the organisation and with external stakeholders, and ensures excellent communication.
• Is actively involved in the dissemination of information to all staff, e.g. Regional meetings, Strategic planning, Team Brief, Unit meetings.
• Communicates proactively with all staff on the clinical condition and treatments/discharge plans of patients and ensures accurate records are maintained by self and all other staff.
• Ability to work in an environment susceptible to frequent direct exposure to body fluids and verbal aggression.
• Acts as an ambassador/role model for the organisation and the Nursing Profession.
»Completed and obtained RN and has current live PIN on NMC register
»Relevant Academic Qualifications e.g. ENB 199. ENB 100. ENB 998, BSc or A33 or equivalent
KNOWLEDGE & SKILLS »Able to manage independently own caseload of patients attending with Minor injuries or minor medical conditions
»Understanding and knowledge of current issues in nursing, managing injuries and illnesses and
»Advanced presentation skills and development of educational programmes
»Effective leadership skills.
»Excellent communication skills
»Knowledge of clinical supervision
»Advanced physical assessment skills,
»Extended ENP skills I.E: Local Infiltration and suturing, Incision and drainage of minor wounds, ECG interpretation, x-ray interpretation, ILS, ALERT,
»Knowledge of Managing sick children/Child protection issues
»Evidence of personal development and portfolio
»Minimum 5 years in Emergency Nursing at senior level
»Minimum 2 years at Senior ENP/NP
»Significant Minor Injury and ailment experience
»Proven experience in change management.
»Proven evidence of excellent interpersonal skills
»Proven evidence of leadership and management
»Flexibility in shift/working patterns to meet the needs of the service
»Is of good health and good character as per NMC requirements
»Willing to accept additional responsibilities as delegated by Service Manager.
Facilitate the processes and communications required for the reconfiguration and long term future strategic development of the RAC in accordance with the organisation's policies and protocols and other stakeholder requirements. To be a pro-active role model for the organisation in terms of clinical, education and general management quality standards and the nurse professional team leader.
Predominantly a nurse-led unit, providing a service for the treatment of minor injuries, minor ailments and ambulatory care.
• To serve the residents and the surrounding rural population and any other person who suffers a minor injury or minor ailment.
• Provide high standards of clinical excellence and equity of practice.
Analytical / Judgmental Skills
Scope of analytical skills to diagnose a problem or illness, understand complex situations. Judgemental skills to formulate solutions. Complexity and range of facts for analysis, interpretation and comparison in making judgements. e.g. Analyses complaints from the public and deals with / passes on / solves technical problems (such as gas leaks / accesses patient conditions) and refers as appropriate.
• As an Autonomous Practitioner has highly developed specialist knowledge to Masters level within a specialism underpinned by theoretical knowledge and relevant practical experience. Has excellent clinical understanding and practice with effective assessment skills to manage own caseload of patients and oversee those of all the Nurse Practitioners.
• Accountable for the direct delivery of care to patients attending the RAC, including giving clinical advice and health promotion. Responsible for assessing, requesting and interpreting diagnostic tests and radiographs, diagnosing, planning care, treating, and discharge or referral to other professionals.
• Exercises judgement in Identifying, assessing, and interpreting complicated conditions, where a range of options require consideration for the treatment and discharge planning for patients.
• Leads others in the assessment, planning, delivery, and evaluation of care of patients in the RAC in accordance with organisational and departmental protocols prior to discharge home or transfer of the patient to a hospital.
Responsibilities for human resources including personal and people development
Nature & level of supervision, training and support, mentoring, extent staff managed (e.g. responsible for recruitment, appraisals, disciplinaries, etc. This includes a responsibility to maintain a high standard of personal development, contribute to development of others, etc.
• Responsible as Line Manager for all staff within the RAC, for providing advice and guidance on HR issues, personal and career development, and departmental/operational issues as required.
• Deputises for the Service Manager in managing all aspects of the RAC where appropriate, and liaises with members of the multi-professional team both within the organisation and with external stakeholders, to ensure care is delivered to the patient both effectively and efficiently.
• Responsible for recruitment and selection, performance appraisal and PDP across a range of staff groups.
• Responsible as Line Manager for all staff within the RAC for initiating the process for grievances, complaints, and disciplinary procedures.
• Leads, supports and encourages all staff to develop managerial roles within the unit to ensure efficient and effective day to day management of the unit.
• Ensures that all staff receive mandatory training in relation to all equipment used.
• In conjunction with the service manager ensures that an annual Training Needs Analysis is undertaken, which is communicated to the training department.
• In accordance with NMC requirements, act as a mentor to pre-registration students and others. Supports associate mentors
• Oversees the monitoring of sickness, absence, and annual leave and take corrective action where necessary.
• Responsible for own and others professional/educational/training needs are identified and maintains own and others mandatory and professional updating in order to maintain clinical and professional credibility. Keeps professional portfolio up to date.
• Supports the education and development of all staff including students. Takes part in education and training programmes appropriately and feeds back knowledge gained.
Health, safety and security-Nurse Practitioner job description
• With due regard to Risk Management policies and procedures, is actively involved in maintaining a safe environment for patients, relatives, carers and staff.
• Post holder has a responsibility for promoting the health, safety and security of patients and clients, the public, colleagues and themselves e.g. Responsibility level is either Assist in maintaining own or others, Monitor and maintain, promote or develop, etc.
• Ensure that all medical and emergency equipment is kept in a safe condition and is ready for use when required, and that faulty equipment is reported and or replaced as necessary.
• Ensures the privacy, dignity and confidentiality of patients, relatives and colleagues is respected at all times.
• Ensures that the Unit is clean by making regular checks as appropriate to maintain a high standard and liaises with the housekeeping services manager as required.
• Actively promotes legislation and responsibilities under the Health & Safety at Work Act. Is aware of and follows policies and procedures with regard to patients, themselves, other members of staff, equipment and the general public.
C4. Responsibility for Policy and Service Improvement/ Development
Extent of participation in development and/or implementation policy and scope of impact (own area /activity, other teams / departments, or other agencies, corporate level) or follows policy, etc – includes contributing or leading on service improvements/developments.
• To be familiar with Major Incident Policy, has the knowledge and skills to assist as directed within that plan, should the need arise.
• Communicates National and local policies and initiatives which impact on patient and nursing care e.g. The integrated organisations Clinical Governance and Nursing Strategies, for example Essence of Care, and is able to demonstrate their application in the Unit.
• Identifies and evaluates areas for service improvement, managing change effectively and efficiently, supporting others, and managing problems as they arise.
• Actively assists in the investigation of complaints and drafts responses as required.
• Represents the organisation at professional local and regional meetings and feeds back information appropriately.
• Responsible for developing policy, protocol and implementation and the development of discrete policies for the RAC, including the development of "core competencies" for staff within the unit. Ensures performance management of the unit that is compliant with NSF and DoH policy requirements and the delivery of performance access targets ensuring they are achieved.
• Ensures evidence-based, innovative practice in the delivery of nursing care and supports others in the implementation of changes identified to improve care including the long term strategic planning of the service as part of the organisation future vision of the service model and Unit.
• Ensures the application of local standards, policies, and philosophies which further the philosophy of patient centred, individual and evidence-based care for all patients.
• Devises and provides regular formal, informal and specialist training to all staff, and external organisations to ensure evidence based nursing care is delivered.
Responsibility for Audit/Research & Development-Nurse Practitioner job description
Level & frequency of audit / R&D activity inclusive of methodology e.g. Regularly participates in R&D as part of the role / Undertakes audits necessary to own work etc.
• Responsible for preparation for any external audits or inspections, e.g. PEAT, CQC
Post holder has a responsibility for maintaining quality of own work, encourage others, contribute to improving quality or developing a culture to improve. This is in addition to the general category listed below.
• Guided by broad occupational policies manages the RAC to provide high quality patient care in an efficient and effective manner including managing resources of the RAC to ensure the service is delivered within budget and to agreed standards.
• Ensures own and others practice is in line with NMC Code of Professional Conduct at all times.
Planning and organisational tasks / duties
Planning and organising services, departments, rotas, meetings, conferences, strategic planning and complexity & degree of uncertainty.
• Plans and organises study days and teaching presentations for staff within the organisation and associated outside agencies to promote patients’ health and well being.
• Oversees duty rotas to ensure they meet the requirements of the clinical area and the needs of the patients and takes into account skill mix requirements in relation to acuity and dependency.
• Actively assists the Service Manager in workforce planning, by supporting and participating in the recruitment and retention of staff.
• Leads and supports others in co-ordinating the discharge process and ensures written and verbal advice is available to patients, relatives, and carers.
• Facilitates staff meetings, including team briefings and reads professional/managerial information as required.
• Contributes to business, professional, and strategic planning within the Directorate and the Organisation as a whole as required.
• Liaises with senior/managerial staff to bring to their attention any problems identified.
Patient Care Responsibilities-Nurse Practitioner job description
Extent of clinical or non-clinical patient contact, level of involvement in treatment, therapy, care of patients or advice to patients e.g. Implements care packages / Provides specialist or highly specialist advice to patients about their care etc.
• Provides clinical advice as required to all professionals, carers, and junior colleagues which promotes clinical practice that reduces risk to patients.
• Provides highly developed physical skills for performing minor surgical operations where there is a frequent requirement for working in a restricted position for short periods of time.
• Able to exert moderate physical effort when manoeuvring patients to alternative areas or when providing treatment and apply frequent periods of concentration where the work pattern is unpredictable.
• Provide highly specialist advice which contributes to the diagnosis of those patients/clients attending with a minor injury, minor ailment or ambulatory care including health education and promotion.
• Actively involves patients, relatives, and carers in their treatment and encourages others to enable individuals to assist in their own recovery.