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SalaryJob Description Job Title:Advanced Nurse Practitioner (ANP)/Urgent Care Practitioner Responsible to: Nurse Partner Accountable to: Nurse Partner Salary Range: Negotiable depending on qualifications and experience Contract Type: Permanent Job Summary: The post holder is an experienced nurse or paramedic who, acting within their professional boundaries, will provide care for the presenting patient from initial history taking, clinical assessment, diagnosis, treatment and evaluation of care. They will demonstrate safe, clinical decision-making and expert care, including assessment and diagnostic skills, for patients within the general practice. The post holder will demonstrate critical thinking in the clinical decision-making process. They will work collaboratively with the general practice team to meet the needs of patients, supporting the delivery of policy and procedures, within the remit of telephone triage and acute minor illness management.
Place of employment: The main places of employment are to be Rosebank Surgery, 153b Stroud Road, Gloucester, GL1 5JQ, Severnvale Surgery, St James, Quedgeley, Gloucester, GL2 4WD, Bartongate Surgery, 115 Barton Street, Gloucester, GL1 4AG and Kingsway Health Centre, Rudloe Drive, Kingsway or any other premises that the Practice may operate from. _______________ Key Responsibilities Clinical Practice Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis Clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly Assess, diagnosis, plan, implement and evaluate interventions/treatments for patients with complex needs Proactively identify, diagnose and manage treatment plans for patients at risk of developing a long-term condition (as appropriate) Diagnose and manage both acute and chronic conditions, integrating both drug- and non-drug-based treatment methods into a management plan Prescribe and review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and practice protocols, and within scope of practice Work with patients in order to support compliance with and adherence to prescribed treatments Provide information and advice on prescribed or over-the-counter medication on medication regimens, side-effects and interactions Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care Support patients to adopt health promotion 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 consultation Assess, identify and refer patients presenting with mental health needs in accordance with the NSF for Mental Health Implement and participate in vaccination and immunisation programmes for both adults and children Advise, support and administer vaccinations for patients travelling abroad, where appropriate Promote and deliver evidence-based care for patients presenting with aural conditions Meet the needs of patients presenting for opportunistic wound care Communication Demonstrate sensitive communication styles to ensure patients are fully informed and consent to treatment Communicate with and support patients who are receiving bad news Communicate effectively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating Anticipate barriers to communication and take action to improve communication Estimate and maintain effective communication within the practice environment and with external stakeholders Act as an advocate when representing patients and colleagues Participate in Practice team meetings Produce written documents that evidence the contribution of the nursing team to the Practice priorities Ensure awareness of sources of support and guidance (eg PALS) and provide information in an acceptable format to all patients, recognising any difficulties and referring where appropriate Delivering a quality service Recognise and work within own competence and professional code of conduct as regulated by the NMC or other professional body Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures Prioritise, organise and manage own and others workload in a manner that maintains and promotes quality Deliver care as an individual and team according to NSF, NICE guidelines and evidence-based care Evaluate patients response to health care provision and the effectiveness of care Participate in shared learning across the practice and wider organisation Participate in the management and review of patient complaints, and identify learning from clinical incidents and near-miss events. Understand and apply legal policy that supports the identification of vulnerable and abused children and adults, being aware of statutory child/vulnerable adult health procedure and local guidance Work within policies regarding family violence, vulnerable adults, substance abuse and addictive behaviour, and refer as appropriate Personal Development Take responsibility for own development, learning and performance including participating in clinical supervision and acting as a positive role model Support the development of others in order to maximise staff potential Actively promote the workplace as a learning environment, encouraging everyone to learn from each other and from external good practice Assist in promotion of the role of the nursing team in the provision of care Team Working Understand own role and scope in the practice and identify how this may develop over time Work as an effective and responsible senior practice nurse, supporting others and exploring the mechanisms to develop new ways of working Delegate appropriately, adopting the principles of safe practice and assessment of competence of other colleagues Ensure clear referral mechanisms are in place to meet patient need Prioritise own workload and ensure effective time-management Work effectively with others to clearly define values, direction and policies impacting upon care delivery Management of Risk Manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and patients. Monitor work areas and practices to ensure they are safe and free from hazards and conform to health, safety and security legislation, policies, procedures and guidelines.
Ensure the safe storage, rotation and disposal of vaccines and drugs. Oversee the monitoring, stock control and documentation of controlled drug usage according to legal requirements Support members of the team to undertake mandatory and statutory training requirements. Apply infection-control measures within the Practice according to local and national guidelines. Apply policies that reduce environmental health risks, are culturally sensitive and increase access to health care for all.
Participate in the local implementation strategies that are aligned to the values and culture of general practice. Utilising Information Use technology and appropriate software packages as an aid to the planning, implementation and monitoring of care, presenting and communicating information Review and process data using accurate Read codes in order to ensure easy and accurate information retrieval for monitoring and audit processes Manage information searches using the internet and local library databases Understand the responsibility of self and others regarding the Freedom of Information Act. Collate, analyse and present clinical data and information to the team using appropriate charts and/or graphs to enhance care Equality and diversity Identify patterns of discrimination and take action to overcome this and promote diversity and equality of opportunity Enable others to promote equality and diversity in a non-discriminatory culture Support people who need assistance in exercising their rights Monitor and evaluate adherence to local chaperoning policies Act as a role model in the observance of equality and diversity good practice Accept the rights of individuals to choose their care providers participate in care and refuse care. Assist patients from marginalised groups to access quality care This job description is not an exhaustive list of duties, but is designed to give a general indication of the range of work undertaken and will vary in the light of changing demand and priorities within the Practice.
Substantive changes in the range of work undertaken will be carried out in consultation with the jobholder.
