This Advanced Clinical Practitioner post sits in the Acute Care at Home service, which runs the Community Rapid Intervention Service and Community Virtual Ward for University Hospital of North Midlands NHS Trust. The post holder independently assesses, diagnoses, treats and prescribes for acutely unwell patients in their own homes. Responsibility is shared between the trust and MPFT, with lone working, driving between visits and training of trainee ACPs. Applicants need an MSc in Advanced Clinical Practice and independent non-medical prescriber registration.
What the job involves
- Independently assess, diagnose and plan treatment for patients with undifferentiated acute presentations referred to the Virtual Ward
- Examine patients and carry out clinical procedures in the home, including catheterisation, cannulation and arterial blood gas sampling
- Request and interpret investigations, including bloods, ECGs, ultrasound, X-ray and CT, in line with IR(ME)R
- Prescribe and review medicines as an independent prescriber
- Lead resuscitation and manage urgent and emergency situations
- Continuously reassess patients and make referral, admission and discharge decisions
- Provide clinical advice to nursing staff and other health professionals, and hand over care to other specialties and GPs
- Manage staff performance, training, supervision and annual appraisals for trainee ACPs
- Plan and deliver education and training for ACPs, nurses and medical staff
- Develop local guidelines and clinical pathways by adapting national protocols
- Undertake and publish audit and research
- Communicate sensitively with patients, carers and families, including breaking bad news, and assess patients with mental health needs
What's required
Qualifications
- Clinical-based Master's degree in Advanced Clinical Practice
- Leadership qualification
- Current Advanced Life Support (ALS) certification
Registration & licences
- Current NMC registration as a first level nurse
- Registered independent non-medical prescriber
Experience
- Substantial post-registration experience, significantly at senior level in emergency, acute or general medicine
- Extensive expert clinical knowledge in emergency, acute or general medical care, supported by specialist training and CPD
- Involvement and leadership in teaching, supervising and mentoring learners
Skills & knowledge
- Excellent interpersonal, written and verbal communication, including complex and sensitive information
- Excellent clinical reasoning and decision making
- Ability to lead and motivate others
- Excellent teamworking
Other
- Frequent concentration during patient assessment with changing needs
- Ability to cope with frequent distressing and emotional circumstances
- Ability to exert frequent moderate physical effort over several short periods in a shift
- Reflective practitioner who uses research-based practice and has an interest in the research process
Nice to have
- Current IR(ME)R certification
- Evidence of providing acute care in a community setting or service
- Evidence of autonomous decision making in a patient's own home
- Evidence of involvement in policy and practice change
- Evidence of proactive mentorship and development of junior healthcare professionals
- Computer literacy
- Good presentation skills
- Autonomous qualities to be a confident lone worker