Advanced Nurse Practitioner
NHS Jobs Winchester
Job Summary The Advanced Nurse Practitioner (ANP) will be the first point of contact for children and/or young adults with all types of health needs in-house. He/she will work as an autonomous practitioner and in conjunction with other professionals to make decisions and apply appropriate nursing interventions to the individual.
This will include history taking, clinical assessment, diagnosis, treatment, and evaluation of care. He/she will work within the Hospices and NMC policies, protocols, and guidelines, demonstrating safe clinical decision making, high levels of critical thinking and holistic practice.
To be responsible for contributing to the assessment of care needs and the development, implementation, and evaluation of programs of care. To teach other clinical and non-clinical staff, supporting competency assessments and sign off. To support day-to-day clinical leadership to the clinical team, participating fully in the delivery of healthcare provision.
To utilise clinical expertise and experiences towards developing and enhancing services within the Hospice and the wider health and social care economies Demonstrate the development and implementation of advanced skills and competencies and ensure that evidence-based practice is inherent in all aspects of care and treatment.
Ensure full and accurate documentation in the children and young adults notes of clinical history, physical examination, diagnosis and treatment plan. Co-ordinate, and participate as required in any research projects and clinical audits. A member of the Clinical On-Call rota, providing out of hours support for the hospice teams.
Managerial Responsibilities Demonstrate commitment to developing the ANP role within the Organisation. Acting as a positive role model. Work as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working.
Delegate clearly and appropriately, adopting the principles of safe practice and assessment of competence. Prioritise own workload, ensure effective time-management strategies are embedded in the team. To be responsible for ensuring an holistic assessment is completed for all children and young people to enable up to date care plans incorporating all necessary risk assessments.
To provide support and supervision to staff and students across the wider care team. To work in partnership with the hospice multidisciplinary team as well as any other agencies involved in the care, to ensure the delivery of seamless services.
To ensure all resources, human, financial and environmental, are used in the most economic, efficient and equitable way. To ensure that Health and Safety requirements are met and that risks to service users and staff are assessed and action taken to minimise these.
To participate in the development, monitoring and audit of policies and SOPs relating to clinical practice and care,and ensure that these are adhered to across all areas of work with children, young people and families. To act as a representative of the organisation taking part in professional relationships, collaborative working and external promotional activities as appropriate encouraging partnership working.
Clinical Responsibilities Assess, diagnose, plan, implement and evaluate treatment/interventions and care for the children and young adults presenting with undifferentiated and undiagnosed conditions and complex needs. Clinically examine and assess patient needs from a physiological and psychosocial perspective, and plan clinical care accordingly.
Proactively identify, diagnose and manage treatment plans for the children and young adults 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 in liaison with the child, young adult and family as appropriate.
Ensure that where a child or young adult requires referral to a service for their health needs it is made by the same day. To refer appropriately children and young adults to other healthcare professionals as required. Prescribe and review medication for therapeutic effectiveness, appropriate to the children and young adults needs and in accordance with evidence-based practice and national/local protocols and within scope of practice.
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 children and young adults in complex, urgent or emergency situations, including initiation of effective emergency care.
Always working within your scope of professional practice, recognising your limitations and when to seek advice and support from peers. To ensure you provide the children and young adults with robust safety netting advice in relation to their health need providing a safe transfer.
This will include history taking, clinical assessment, diagnosis, treatment, and evaluation of care. He/she will work within the Hospices and NMC policies, protocols, and guidelines, demonstrating safe clinical decision making, high levels of critical thinking and holistic practice.
The post-holder will be expected to act independently but will have access to a Consultant/Associate Speciality Doctor for advice and additional support as necessary. The ANP is expected to be a senior clinical leader and expert within Naomi House and Jacksplace and at times work alongside other care teams and professionals where indicated Key Responsibilities Practice as an ANP within own sphere of competence and agreed acceptable limits of practice being accountable for own professional actions.
Be responsible for assessing, diagnosing, interpreting investigations, and treating the children and young adults within the In-House Hospice service within a developing scope of competence. To work as part of the multi-disciplinary team in providing quality evidence-based health care to meet the immediate needs of the children and young adults.To be responsible for contributing to the assessment of care needs and the development, implementation, and evaluation of programs of care. To teach other clinical and non-clinical staff, supporting competency assessments and sign off. To support day-to-day clinical leadership to the clinical team, participating fully in the delivery of healthcare provision.
To utilise clinical expertise and experiences towards developing and enhancing services within the Hospice and the wider health and social care economies Demonstrate the development and implementation of advanced skills and competencies and ensure that evidence-based practice is inherent in all aspects of care and treatment.
Ensure full and accurate documentation in the children and young adults notes of clinical history, physical examination, diagnosis and treatment plan. Co-ordinate, and participate as required in any research projects and clinical audits. A member of the Clinical On-Call rota, providing out of hours support for the hospice teams.
Managerial Responsibilities Demonstrate commitment to developing the ANP role within the Organisation. Acting as a positive role model. Work as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working.
Delegate clearly and appropriately, adopting the principles of safe practice and assessment of competence. Prioritise own workload, ensure effective time-management strategies are embedded in the team. To be responsible for ensuring an holistic assessment is completed for all children and young people to enable up to date care plans incorporating all necessary risk assessments.
To provide support and supervision to staff and students across the wider care team. To work in partnership with the hospice multidisciplinary team as well as any other agencies involved in the care, to ensure the delivery of seamless services.
To ensure all resources, human, financial and environmental, are used in the most economic, efficient and equitable way. To ensure that Health and Safety requirements are met and that risks to service users and staff are assessed and action taken to minimise these.
To participate in the development, monitoring and audit of policies and SOPs relating to clinical practice and care,and ensure that these are adhered to across all areas of work with children, young people and families. To act as a representative of the organisation taking part in professional relationships, collaborative working and external promotional activities as appropriate encouraging partnership working.
Clinical Responsibilities Assess, diagnose, plan, implement and evaluate treatment/interventions and care for the children and young adults presenting with undifferentiated and undiagnosed conditions and complex needs. Clinically examine and assess patient needs from a physiological and psychosocial perspective, and plan clinical care accordingly.
Proactively identify, diagnose and manage treatment plans for the children and young adults 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 in liaison with the child, young adult and family as appropriate.
Ensure that where a child or young adult requires referral to a service for their health needs it is made by the same day. To refer appropriately children and young adults to other healthcare professionals as required. Prescribe and review medication for therapeutic effectiveness, appropriate to the children and young adults needs and in accordance with evidence-based practice and national/local protocols and within scope of practice.
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 children and young adults in complex, urgent or emergency situations, including initiation of effective emergency care.
Always working within your scope of professional practice, recognising your limitations and when to seek advice and support from peers. To ensure you provide the children and young adults with robust safety netting advice in relation to their health need providing a safe transfer.
Work supportively alongside clinical and administrative colleagues in ensuring the highest standards of care for all the children and young adults. Maintain accurate and contemporaneous records. To be aware of the safety needs of children, young adults and families and other staff and to comply with The Children Act 2004 DoH No Secrets Guidance on developing and implementing multi-agency policies and procedures to protect vulnerable adults from abuse Health and Safety at Work Act 1974 NMC codes and guidelines Personal Responsibilities To be responsible and proactive in personal professional development by: Maintaining awareness of current developments in palliative care for children, young people and families.
Maintaining clinical skills identified in the Competency Framework. Ensuring timely revalidation with the NMC Demonstrating commitment to the Trusts values
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