The Poplars Medical Centre Job Description. The Partners

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1 The Poplars Medical Centre Job Descripti Job Title: Hours of Work: Line Manager reporting to: Accountability: Advanced Nurse Practitier Negotiable N Clinical Partner The Partners JOB SUMMARY The post holder will be an experienced nurse who, acting within their professial boundaries and with the appropriate qualificati as an Advanced Nurse Practitier, will provide care for the presenting patient, from initial history taking, clinical assessment, diagnosis, treatment including prescribing and evaluati of care. The post holder will demstrate safe, clinical decisi-making and expert care, including assessment and diagnostic skills, for patients within the general practice. The post holder will demstrate critical thinking in the clinical decisi-making process. They will work collaboratively with the general practice team to meet the needs of patients, supporting the delivery of policy and procedures, and providing nurse leadership as required. In order to work at this level NMC requirement for advanced practice must be met. Key duties and respsibilities - Clinical practice 1. Assess, diagnose, plan, implement and evaluate treatment/interventis and care for patients presenting with an undifferentiated diagnosis 2. Clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly 3. Assess, diagnosis, plan, implement and evaluate interventis/treatments for patients with complex needs. 4. Proactively identify, diagnose and manage treatment plans for patients at risk of developing a lg-term cditi (as appropriate) 5. Diagnose and manage both acute and chric cditis, integrating both drug- and n-drug-based treatment methods into a management plan 6. Prescribe and review medicati for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and natial and practice protocols, and within scope of practice 7. Undertake home visits for acute illness and chric disease management. 8. Work with patients in order to support compliance with and adherence to prescribed treatments Provide informati and advice prescribed or over-the-counter medicati medicati regimens, side-effects and interactis 9. Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situatis, including initiati of effective emergency care 10. Support patients to adopt health promoti strategies that promote healthy lifestyles, and apply principles of self-care Support and manage health needs of women presenting for family planning, cervical cytology or sexual health csultati 11. Assess, identify and refer patients presenting with mental health needs in accordance with the NSF for Mental Health

2 Implement and participate in vaccinati and immunisati programmes for both adults and children 12. Advise, support and administer vaccinatis for patients travelling abroad, where appropriate Human Resources -Leadership persal and people development 1. Take respsibility for own learning and performance including participating in clinical supervisi and acting as a positive role model. 2. Support staff development in order to maximise potential 3. Participate in annual appraisal and regular supervisi of the nursing team. 4. Actively promote the workplace as a learning envirment, encouraging everye to learn from each other and from external good practice 5. Encourage others to make realistic self-assessment of their applicati of knowledge and skills, challenging any complacency or actis that are not in the interest of the public and/or users of services 6. Critically evaluate and review innovatis and developments that are relevant to the area of work 7. Lead the practice nursing team and ensure support structures are in place for the smooth running of the practice 8. Take a lead role in planning and implementing changes within the area of care and respsibility 9. Work with practice management to ensure sufficient staff of appropriate ability, quality and skill-mix are available to meet current and future service delivery, that selecti and recruitment processes are effective and that equality of treatment of the team incorporates quality HR principles and processes 10. Ctribute to the development of local guidelines, protocols and standards 11. Maintain effective communicati with those respsible for the overall commissiing and procurement process 12. Maintain active involvement in the planning and processes of practice-based commissiing or similar initiatives Team working 1. Understand own role and scope and identify how this may develop over time 2. Work as an effective and respsible team member, supporting others and exploring the mechanisms to develop new ways of working 3. Delegate clearly and appropriately, adopting the principles of safe practice and assessment of competence 4. Create clear referral mechanisms to meet patient need 5. Prioritise own workload and ensure effective time-management strategies are embedded within the culture of the team 6. Work effectively with others to clearly define values, directi and policies impacting up care delivery 7. Discuss, highlight and work with the team to create opportunities to improve patient care 8. Manage and lead the delivery of specifically identified services or projects as agreed with the practice management team 9. Agree plans and outcomes by which to measure success 10. Ctribute to effective teamwork with a wide range of people including nursing, medical, allied health professials, social work and administrative colleagues as well as service users, families, and carers.

3 Communicati The post-holder should recognize the importance of effective communicati within the team and will strive to: 1. Utilise and demstrate sensitive communicati styles, to ensure patients are fully informed and csent to treatment 2. Communicate with and support patients who are receiving bad news 3. Communicate effectively with patients and carers, recognising the need for alternative methods of communicati to overcome different levels of understanding, cultural background and preferred ways of communicating 4. Anticipate barriers to communicati and take acti to improve communicati 5. Maintain effective communicati within the practice envirment and with external stakeholders 6. Act as an advocate for patients and colleagues 7. Ensure awareness of sources of support and guidance (e.g. PALS) and provide informati in an acceptable format to all patients, recognising any difficulties and referring where appropriate Delivering a quality service The post-holder will strive to maintain quality within the Practice, and will: 1. Recognise and work within own competence and professial code of cduct as regulated by the NMC 2. Assess own performance and take accountability for own actis, either directly or under supervisi 3. Produce accurate, ctemporaneous and complete records of patient csultati, csistent with legislati, policies and procedures 4. Prioritise, organise and manage own workload in a manner that maintains and promotes quality 5. Deliver care according to NSF, NICE & QOF guidelines and evidence-based care 6. Active participati in management of Lg Term Cditis 7. Assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluati 8. Initiate and participate in the maintenance of quality governance systems and processes across the organisati and its activities 9. Utilise the audit cycle as a means of evaluating the quality of the work of self and the team, implementing improvements where required 10. In partnership with other clinical teams, collaborate improving the quality of health care respding to local and natial policies and initiatives as appropriate 11. Evaluate patients respse to health care provisi and the effectiveness of care 12. Support and participate in shared learning across the practice and wider organisati 13. Use a structured framework (e.g. root-cause analysis) to manage, review and identify learning from patient complaints, clinical incidents and near-miss events 14. Assess the impact of policy implementati care delivery 15. Mitor and develop the performance of the practice nursing team. 16. Understand and apply legal issues that support the identificati of vulnerable and abused children and adults, and be aware of statutory child/vulnerable patients health procedures and local guidance. 17. Ensure the whole team have skills and knowledge regarding domestic violence, vulnerable adults, substance abuse and addictive behaviour. Provide guidance and support to ensure appropriate referral if required 18. Effectively manage own time, workload, and resources. 19. Ctribute to the effectiveness of the team by reflecting own and team activities and making suggestis ways to improve and enhance the team s performance, providing feedback as appropriate

4 20. Work effectively with individuals in other agencies to meet patients needs Managing informati 1. Use technology and appropriate software as an aid to management in planning, implementati and mitoring of care, presenting and communicating informati 2. Review and process data using accurate read codes in order to ensure easy and accurate informati retrieval for mitoring and audit processes 3. Understand respsibility of self and others to the practice and primary care trust regarding the Freedom and Informati Act 4. Mitor and cfirm that the nursing team are receiving and processing data and informati in an agreed format 5. Collate, analyse and present clinical data and informati to the team 6. Communicate essential financial restraints with the team and discuss with them ideas for effective and efficient working within these cstraints Persal/Professial Development: The post-holder will participate in any training programme implemented by the Practice as part of this employment, such training to include: 1. Participati in an annual individual performance review, including taking respsibility for maintaining a record of own persal and/or professial development 2. Taking respsibility for own development, learning and performance and demstrating skills and activities to others who are undertaking similar work. 3. Undertake mentorship for more junior staff, assessing competence against set standards 4. Disseminate learning and informati gained to other team members in order to share good practice and inform others about current and future developments (eg courses and cferences) 5. Assess own learning needs and undertake learning as appropriate 6. Provide an educatial role to patients, carers, families and colleagues in an envirment that facilitates learning 7. Participate in annual appraisal. Freedom to Act 1. Undertake clearly defined work according to practice/pct protocols or as agreed by registered practitiers/clinician. 2. Work at all times within established protocols and procedures 3. Accounts directly to a registered health practitier for all aspects of care. Effort & Envirment 1. Use of PC a daily basis requiring a high level of ccentrati for speed and accuracy. 2. Receives highly sensitive and cfidential informati from patients and Practice staff. 3. Requires main proporti of time sitting but some degree of standing and walking. Cfidentiality: 1. In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive informati in relati to their health and other matters. They do so in cfidence and have the right to expect that staff will respect their privacy and act appropriately 2. In the performance of the duties outlined in this job descripti, the post-holder may have access to cfidential informati relating to patients and their carers, Practice staff and other healthcare workers. They may also have access to informati relating

5 to the Practice as a business organisati. All such informati from any source is to be regarded as strictly cfidential 3. Informati relating to patients, carers, colleagues, other healthcare workers or the business of the Practice may ly be divulged to authorised perss in accordance with the Practice policies and procedures relating to cfidentiality and the protecti of persal and sensitive data. Health & Safety The post-holder will assist in promoting and maintaining their own and others health, safety and security as defined in the Practice Health & Safety Policy, to include: 1. Using persal security systems within the workplace according to Practice guidelines 2. Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks by cforming to health, safety and security legislati, policies, procedures and guidelines 3. Making effective use of training to update knowledge and skills 4. Using appropriate infecti ctrol procedures, maintaining work areas in a tidy and safe way and free from hazards within the practice according to local and natial guidelines 5. Reporting potential risks identified. 6. Assist in maintaining a safe working envirment for self, patients, carers and the multidisciplinary team. 7. Alert other members of the practice team to issues of quality and risk identified within in work with patients. 8. Ensure appropriate supervisi of safe storage, rotati and disposal of vaccines and drugs and checking all medical equipment. 9. Oversee the mitoring, stock ctrol and documentati of ctrolled drug usage according to legal requirements where appropriate 10. Ensure the nursing team undertakes mandatory and statutory training requirements Equality and Diversity The post-holder will support the equality, diversity, and rights of patients, carers, and colleagues, to include: 1. Acting in a way that recognises the importance of people s rights, interpreting them in a way that is csistent with Practice procedures and policies, and current legislati 2. Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues 3. Behaving in a manner, which is welcoming to and of the individual, is n-judgmental and respects their circumstances, feelings priorities, and rights. 4. Interpret the rights and respsibilities of people in ways that are csistent with legislati and policies. 5. Actively promote equality, diversity, right and respsibilities providing clear and up to date informati, and support, being an advocate for others exercising their rights and making complaints when rights have been compromised or they have been discriminated against. 6. Challenge discriminati by individuals and oppressi by agencies that infringe the rights of others. Ctributi to the Implementati of Services The post-holder will: 1. Apply Practice policies, standards and guidance 2. Discuss with other members of the team how the policies, standards and guidelines will affect own work 3. Participate in audit where appropriate.

6 Due to the Practice s commitment to ctinuous improvement, it is likely that the post will evolve over time. These duties will be subject to regular /appraisal and any amendments will be made in csultati and agreement with the post holder.

7 Pers Specificati Job Title: Advanced Nurse Practitier This is a specificati of the qualificatis, experience, skills, knowledge and abilities that are required to effectively carry out the respsibilities of the post (as outlined in the job descripti) and forms the basis for selecting a candidate. Criteria Essential Desirable Assesse d by Qualificatis/ Training/ Educati Community nursing specialist qualificati Registered first level nurse MSc or equivalent Independent prescribing Relevant nursing/health degree Clinical supervisi training and experience Extended/independent nurse Referenc es Certificati Experience Minimum 5 years post registrati experience At least 2 years recent primary and community nursing experience Nurse-led management of minor illness, minor ailments and injuries Nurse-led triage Compiling protocols and clinical guidelines Leadership in quality initiatives such as clinical benchmarking Audit Research Extended and supplementary Nurse prescribing Project management Working with community development initiatives Health-needs assessment Sexual health including fitting/removal of IUCD and Nexplan Childhood surveillance immunisati experience health and clinic Knowledge Local and natial health policy Wider health ecomy Clinical governance issues in primary care Patient group directis and associated policy Management of patients with lg-term cditis. Management of patients with complex needs. Accountability of own role Knowledge of public health issues Knowledge of public health issues in the area. Referenc es

8 Skills Advanced clinical practice skills Clinical leadership skills Communicati skills, both written and verbal Good communicatis skills demstrating empathy, understanding and reassurance Negotiati and cflict management skills Change management Teaching and mentorship clinical setting Resource management Planning & organisatial skills Negotiating behaviour change IT skills Referenc es Physical and Mental Requirements Ability to react sensitively and professially to unforeseen clinical and n clinical situatis Frequent ctact with body fluids Required to use a VDU for lg periods during the working day Required to undertake prolged ccentrati Ability to handle simple medical equipment e.g. ECG Machine Car driver Capable of managing time effectively and with flexibility Self motivati Cheerful, friendly and approachable Referenc es Signed by Practice Manager Date Signed by Employee Date Signed by respsible Director Date For Office Use Only: Date Received

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