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Main Duties and Responsibilities

The main duties and responsibilities relate to the independent assessment and management of patients who present within the specialities of Respiratory, cardiology, stroke care and medically optimised patients within Medicine and clinical support. A scope of practice will be agreed and reviewed annually as the knowledge, skills and competence of the Advanced Practitioner develops.

• To appropriately assess, examine, investigate, diagnose and treat patients with undifferentiated and undiagnosed problems
• Devise appropriate clinical management plans
• Instigate pharmacological and non-pharmacological intervention
• Communicate effectively with a wide range of people in a manner consistent with their level of understanding, culture and background
• Working in a collaborative manner with all other members of the multidisciplinary team, fostering an environment that is supportive of professional respect and equality.
• Contributing to the identification of training and development needs within the business group delivering multi-professional education and training as required.
• Strive to improve clinical quality and maintain professional standards within the Medicine and Clinical Support Business Group
• Work with Consultant (Nursing and Medical) colleagues to develop evidenced-based clinical pathways, protocols and guidelines with a view to continuously improving quality and managing clinical risk more effectively.
• To obtain regular clinical supervision and feedback from Consultant mentor, maintain a portfolio of evidence that reflects the maintenance and on-going development of clinical skills
• Regularly audit own clinical practice identifying areas for training and development.
• Identify own development needs, take responsibility for own personal development and maintain a PDP, presented at annual appraisal.

Communications

• Actively promote a clinical environment that is conducive to quality patient care and high standards of service delivery.
• Ensure appropriate, accurate, accountable, defensible documentation is maintained at all times within agreed standards.
• Act as a resource on key clinical and professional issues for staff within the Medicine and Clinical Support Business Group. Prescribe medication where required following non-medical prescribing training in line with current legislation.

Responsibility for Patient Care

• Work with colleagues as an independent Advanced Practitioner to provide a high standard of care to patients
• Work in partnership with other Advanced Practitioners, the Consultant team and Heads of Nursing to demonstrate, promote and develop advanced nursing practice within the Business Group
• Continue to develop skills, knowledge and practice in the context of service needs.
• Work with members of speciality teams to ensure timely consultation and/or review
• Liaise with patients and relatives on all aspects of care delivery.
• Review patients with the clinical area as requested from hospital trigger systems
• Complete patient electronic discharge summaries for patients discharged when appropriate.
• Participate in the continuing education of multi-professional team members in the Business Group

Planning and organising

• Assess capacity, gain valid informed consent and have the ability to work within a legal framework with patients who lack capacity to consent to treatment.
• Take a comprehensive health history.
• Provide advanced clinical assessment and examination.
• Investigate presenting problems appropriately.
• Interpret laboratory and radiological investigations.
• Utilise highly developed problem-solving and clinical decision-making skills to make appropriate differential diagnosis.
• Undertake advanced clinical procedures (see separate list).
• Develop a comprehensive plan of care to safely discharge a patient.
• Deliver health education and health promotion to patients and families.
• Refer patients appropriately to specialities and teams in and outside of the hospital
• Respond to requests to see and assess patients when there is a clinical concern.

Responsibilities for Physical and / or Financial Resources

• To be aware of pressures related to patient flow within the trust and be able to contribute to the achievement of performance targets.
• Contribute to innovative ways of improving efficiency
• Be responsible for equipment used in carrying out clinical duties, adhere to departmental policies including competence to use equipment and ensure the safe use of equipment by others.

Responsibility for Policy and Service Development and Implementation

• Work with the policies and procedures of the Trust.
• Participate in the development of the ‘advanced nursing role’ at a local and national level.

Responsibilities for Human Resources and Leadership

• To act as an expert resource for other staff.
• To train and develop other members of the team, including junior medical staff.
• Provide clinical supervision for designated practitioners
• Identify, address and report poor performance issues.
• Act as a role model providing mentorship and/or clinical supervision to other staff/learning.
• Support the development of Advanced Practitioners in training.

Responsibilities for Teaching and Training

• Contribute to developing the workplace as a learning environment.
• Generate and share clinical knowledge and expertise with all members of the team to drive and inform changes in practice.

Responsibilities for data and information resources

• To follow all the Trusts Information Governance policies and procedures

Research, Development and Audit

• Identify clinical questions and contribute to research and audit to improve the quality of care and maintain standards.
• Develop and implement strategies to promote evidence-based practice within the clinical area.
• Act as a role model, providing support, leadership, supervision and teaching.

Physical Skills and Effort

• Effectively manage competing demands in a stressful work environment
• Demonstrate a wide range of clinical skills appropriate to emergency care patients
• Support bereaved relatives and colleagues who have been involved in traumatic events

The Trust is committed to safeguarding and promoting the welfare of children, young people and vulnerable adults and expects all staff and volunteers to share this commitment and promote safeguarding by implementing the Trust’s policies and procedures, acting promptly on concerns, communicating effectively and sharing information appropriately.

•             If successful this vacancy will require an enhanced DBS check at a cost of £41.50. This cost will be deducted from your first Trust salary

In addition to this it will be a condition of your employment that you will join the DBS update service and pay the annual subscription fee of £13.