Advanced Neonatal Nurse Practitioner
Construction of the new integrated critical care unit was completed in 2018, extension of a Neonatal Unit and an approved plan to build a brand new, state of the art Emergency Department which commenced in 2021
We provide high quality, friendly and effective community health services from multiple sites covering Walsall. Our multidisciplinary services include rapid response and homebased care, so that those with long term conditions and the frail elderly can remain in their own homes.
We are recommended by colleagues as a place to work which is supported by the trusts values to work as part of a team, being respectful, compassionate and professional. We are committed to investing in our workforce
Following our recent CQC visit the Trust was rated as outstanding for care and this has been recognised by NHS Improvement.
The work we do is highly rewarding, and in addition to an attractive salary, we offer a valuable range of benefits, including: salary sacrifice scheme; car leasing scheme; on-site staff accommodation (subject to availability); the ability to retain your NHS pension (where applicable) or the opportunity to join an alternative scheme; and the opportunity to develop and implement your expertise in an encouraging yet challenging environment
We would particularly welcome applications from people from a Black, Asian and Minority Ethnic background and from people with a disability; these groups are currently under-represented at senior level, we value diversity within our Trust and are working to achieve equality in our recruitment.
COVID-19 vaccination remains the best way to protect yourself, your family, your colleagues and of course our patients from the virus when working in our healthcare settings. Whilst COVID-19 vaccination is not a condition of employment at this time, we do encourage our staff to get vaccinated.We will be checking the vaccination status of all new starters so that we can manage individual and environmental risks, and so that we can support those who may be undecided about vaccination. If you are unvaccinated there is helpful advice and information at COVID-19 Vaccination | How to access your vaccine in the Black Country and West Birmingham (blackcountryandwestbirmccg.nhs.uk) where you can also find out more about how to access vaccination.
There is a current Government consultation underway which will determine whether some new starters may need to be vaccinated.
Walsall Healthcare NHS Trust is proud to be part of the Armed Forces Covenant. The Trust currently holds the Bronze Award which underlines the Trust’s commitment to supporting the Armed Forces Community. As an organisation, we are aiming to achieve the next level Silver award, with our sights firmly on Gold.
RESPECT - COMPASSION - TEAMWORK - PROFESSIONALISM
Job overview
We are looking for an exceptional, highly motivated, innovative individual to join our team of ANNPs at our Level 2 LNU.
On our unit we have a strong commitment to QI and work closely with our colleagues in maternity including in the West Midlands Perinatal Network, LMNS programmes of work.
The successful candidate would use highly specialised clinical and theoretical knowledge to undertake a comprehensive health history and examination of any neonate in order to diagnose and treat. Work in partnership with the medical team to deliver a holistic approach to the care of neonates throughout the patient pathway from admission to discharge.Use specialised clinical and theoretical knowledge to regularly weigh up differential diagnosis and the potential range of treatment options available, ensuring that the care provided to all neonates is safe and effective. Attend high-risk deliveries and other emergencies as an autonomous practitioner, ensuring that neonates receive safe and effective advanced resuscitation.
Undertake non-medical prescribing. Act on results and develop management plans. Participates in, and perform, clinical procedures for ill and premature neonates. Participates in the stabilisation, transfer and admission of the extremely ill neonate.
Provide regular communication and support with parents regarding their baby's condition and promoting family integrated care.
Main duties of the job
The post holder will join a team of West Midlands deanery senior and junior specialty trainees and Advanced Neonatal Nurse Practitioners to provide cover on Tier 1 rota. The post holder will have an overall responsibility for the assessment of care needs and the delivery of optimal care at a level equivalent to that of a junior grade doctor.
There is a full shift system in operation. The post holder will form part of this rota working shifts as designated on our neonatal unit and will be accountable for improving and complying with infection control practices. There are 3.33 WTE ANNPs plus 2 WTE student ANNPs. The ANNP team contribute to the junior grade rota.The successful post holder would provide cover in the neonatal department support colleagues and attend deliveries as required. Duties will be split between Intensive care, high dependency, special care, transitional care and post-natal ward.
Working for our organisation
Walsall Healthcare NHS Trust is an integrated Trust and the only provider of NHS acute care in Walsall, serving a population of 286,700, providing inpatient and outpatient services at the Manor Hospital as well as a wide range of services in the community.Walsall Manor houses the full range of district general hospital services under one roof. The £170 million development was completed in 2010 and the continued upgrading of existing areas ensures the Trust now has a state-of-the-art Critical Care Unit, Neonatal Unit, Obstetric Theatre, and Integrated Assessment Unit facilities.
Work is completed on our multi-million pound new Urgent and Emergency Care Centre which houses a new Emergency Department (including Children's Emergency Department), co-located Paediatric Assessment Unit, Acute Medical Unit and Urgent Care Centre.
Detailed job description and main responsibilities
Leads in the assessment, planning, implementation and evaluation of the holistic, evidence based care of the sick neonates and their families within Postnatal Wards, SCBU, High Dependency, Intensive Care area including stabilisation and transportation.
Leads in the monitoring and maintenance of practice standards in accordance with Trust, Network and NMC policies and procedures.
Maintains and advances own and others clinical competency in line with the NMC Code and Revalidation requirements.
Acts as clinical advisor to NNU staff and Antenatal / Postnatal / Delivery Suite midwives.
Positively develops and maintains communication networks within the Trust, Network and other Neonatal units hence establishing good collaborative working relationship.
This involves:
Communicating the role of the Advanced Neonatal Nurse Practitioner to nursing / medical staff, senior management and user groups.
Communicating effectively with a wide range of people including nursing, allied health professions, medical and social work colleagues, patients, carers and managers at all levels.
Contributing to complex decision making within the directorate and divisional management team.
Presenting and discussing service developments to various groups.
Breaking bad news and supporting those giving and receiving it.
Promoting and modelling good practice consistent with legislation relating to communication.
Recognising barriers to effective communication and modifying method, content and environment to enable good communication at the appropriate knowledge and skill level.
Clinical:
Works within agreed medical / nursing protocols to meet the responsibilities of senior and junior specialty doctors as required.
Attends high-risk deliveries for emergency management of sick neonates as required.
Assesses the need of the neonate, admitting to and discharging from the unit as necessary
Assesses neonates health status, to include medical history, physical examination, and social history.
Plans and implements individual management according to unit guidelines and protocols.
Requests and interprets investigations including laboratory tests, x-rays and ultrasound scans, and act on results as appropriate.
Prescribes and administers drugs according to unit guidelines and agreed clinical management plans including independent prescribing.
Practical Procedures:
The Advanced Neonatal Nurse Practitioner will be expected to undertake practical procedures within the usual medical role, as agreed with the consultant Neonatologists.
This will include: -
Venepuncture / venous cannulation
Percutaneous arterial line insertion and sampling
Blood gases / adjustment of ventilator and respiratory support settings
Insertion and removal of percutaneous long line
Umbilical venous and arterial catheterization and removal
Endotracheal intubation and extubation
Emergency needle aspiration/ chest drain insertion for pneumothorax/ pleural effusion
Maintain contemporaneous records (nursing and medical)
Undertake and interpret bedside therapeutic and diagnostic procedures (blood tests, transillumination, lumbar puncture, supra pubic aspirations, urinary catheterisaion)
Requesting and interpreting chest and abdominal x rays,Request, perform and interpret cranial ultrasounds.
Emergency drug administration, according to unit guidelines.
Initiation of treatment with prescribed drugs as stated within protocols and according to agreed Clinical Management Plans and Independent prescribing.
Request and prescribe parenteral fluids, electrolyte solutions and blood products and volume expanders adhering to local guidelines
Follow newborn life support algorithm and advanced resuscitation of the newborn.
Administer newborn immunisations.
Commence CFM Monitoring and interpretation of trace
In addition to providing clinical cover you would also be responsible for maintaining up to date clinical records, updating Badgernet summaries, and communication with parents and colleagues. There is continuous clinical supervision provided by senior Advanced Neonatal Nurse Practitioners and Consultants.Consultants are present on site from 0900 2200 hours on weekdays and 0900 1400 hours on weekends and bank holidays. All consultants are easily approachable out of hours.
Successful candidate would be expected to work independently and contribute to the delivery of the newborn service, participate in undergraduate and post graduate teaching, quality improvement, governance activities, research and development of the service for the population of Walsall.
Person specification
Qualifications
Essential criteria- Degree/Masters in Nursing studies /Neonatal studies or equivalent
- A19 or equivalent
- 997/998 or equivalent
- NLS provider course certification
- specialist neonatal training to master's level or equivalent experience
- Leadership/management qualification
- NLS instructor
Experience
Essential criteria- Significant Neonatal intensive care nursing experience
- Evidence of service development or change management
Knowledge
Essential criteria- Expert knowledge of Neonatal care
- Knowledge of clinical governance and a commitment to clinical supervision and reflective practice
- Awareness of research methodologies
- Evidence of recent teaching ability
- Awareness of current issues within Neonatal care
Skills
Essential criteria- Able to prioritise workload
- Analyses problems and implements appropriate solutions
- Experience in management of neonatal emergencies, resuscitation, stabilisation and common conditions
- Experience in cliniccal procedures and techniques with the ability to supervise and support colleagues
- Good understanding of IT systems
Please note your application will be transferred from the NHS Jobs system to internal Walsall Healthcare Trac System. All correspondence will be sent via Trac
Following our recent CQC visit the Trust was rated as outstanding for care and this has been recognised by NHS Improvement.
** Please Note that this post may be identified as suitable and a preference given for Internal at Risk Employees**
We would particularly welcome applications from people from a Black, Asian and Minority Ethnic background and from people with a disability; these groups are currently under-represented at senior level, we value diversity within our Trust and are working to achieve equality in our recruitment.
IMPORTANT NOTE ON COMPLETION OF REFERENCE SECTION OF APPLICATION FORM
References from current and previous employers will be sought and must cover a minimum of 3 years employment. When completing the reference section of your application form, please give the address, telephone number and work email address of each of your current/previous line managers that cover this period.Failure to complete this section may result in your application not being processed.
Please review the attached Job description and person specification carefully before applying to ensure that you meet the essential job requirements.
Candidates should be aware that, regardless of country of origin, their ability to communicate in written and spoken English to the standard required to carry out the post, will be assessed during the selection process.
Referee email addresses should be provided on your application form.
Following the closing date, if you have not heard from us within 6 weeks you may assume your application has been unsuccessful.
We reserve the right to close this job early. Interested applicants are therefore advised to apply as early as possible.
If a large number of applicants meet the essential criteria then random selection will be applied.
We are committed to operating flexible working practices wherever possible and committed to equal opportunities.