Advanced Clinical Practitioner, CICU and HDU, Cardiac Surgery

Nottingham University Hospitals NHS; Nottingham; On-site; GBP 65,000 - 90,000; Full time

Job summary

Nottingham University Hospitals NHS is seeking an experienced Advanced Clinical Practitioner in Cardiac Surgery to provide autonomous assessment and management of undifferentiated conditions within the CICU/CHDU. The role supports a 24/7 clinical cover with long day and night shifts Monday to Sunday.

The ACP will develop an evidence-based portfolio, participate in audit and research projects, and contribute to policy updates and departmental guidelines while leading and mentoring MDT colleagues.

Job description

Detailed job description and main responsibilities

The Cardiac Surgery ACP team provide 24/7 clinical cover of CICU & CHDU. The rota generally consists of Long Day shifts and Night Shifts Monday-Sunday.

The ACP will use specialist knowledge and skills to provide healthcare autonomously to patients in their area. The ACP is accountable for independent clinical assessment, diagnosis, and treatment of patients with undiagnosed and undifferentiated conditions. In addition to this the ACP is also responsible for appropriately referring patients to relevant specialities for any necessary investigations as well as facilitating safe patient discharge.

The ACP will be a registered healthcare professional and hold an MSc in Advanced Clinical Practice which includes patient assessment modules and/or hold a NHS England Advanced Practice Digital Badge. Possession of a digital badge is essential for those who hold an equivalent MSc not in advanced clinical practice. They will have a completed portfolio of evidence demonstrating competence across the four pillars as described by the advanced clinical practice framework (HEE, 2017), mapped to the trust generic clinical competency framework (if training undertaken at NUH) and NHS England standards. The key job responsibilities as described below are divided across the four pillars of advanced practice.

The ACP will may be an independent Non-Medical Prescriber registered with the appropriate professional body. They will practice at an advanced level demonstrating in depth knowledge and competence in all aspects of Cardiac Surgery, encompassing advanced clinical assessment, critical thinking and clinical management skills that are evidence based and deliver high quality patient centred care.

The ACP will have a Trust-wide responsibility to promote clinical excellence in the care of patients referred or presenting to their area by providing clinical advice and support to the MDT. They will provide expert professional and independent clinical care which enables the coordination of a multi professional seamless service for patients.

The role will include developing audit and research projects within Cardiac Surgery and participating in up-dating and implementing departmental/practice policies, protocols, and guidelines, in line with national guidance and contemporary evidence.

The ACP will have protected time to maintain and further develop their professional competence, participating in annual appraisal and annual review of clinical practice (ARCP). The ACP will also provide ongoing supervision and support, participating in the induction and training of AHP, nursing and medical staff. As a senior member of the team, the ACP will also play a pivotal role in the operational development of their specialty. They will initiate, manage, and drive change within the department, innovating changes in practice for the benefit of patient care in line with national and current trust and local programmes. A minimum of 16% of the post holder's time will be used for these purposes.

The ACP will undertake the role in accordance with organisational guidelines but have independence to act within broad policies and protocols, in accordance with professional responsibilities and boundaries.

Person specification

Training & Qualifications

Essential criteria

• Current registration with professional body such as NMC or HCPC.
• MSc in advanced clinical practice or an equivalent MSc with the NHSE Centre for Advancing Practice Digital Badge.
• Registered Independent Non-Medical prescriber.
• Evidence of teaching, supervision & assessment skills.
• ALS Provider/Instructor.

Desirable criteria

• Mentor/assessor and/or teaching qualification.
• NHSE Centre for Advancing Practice Digital Badge (or working towards it).
• FICM ACCP membership.
• Cardiac Advanced Life Support Provider.
• Completed Non-medical Authorisation of Blood Components course.

Experience

Essential criteria

• Currently working clinically in an autonomous Advanced Practitioner role.
• Has an up-to-date portfolio of supervised practice in advanced clinical practice.
• Has evidence of continued professional development (CPD) following successful completion of MSc & qualification as an ACP.
• Evidence of multi- professional teaching.

Desirable criteria

• Management and leadership experience.
• Evidence of involvement in policy and practice change.

Communication and Relationship Skills

Essential criteria

• Ability to work within a multi-professional team, often presenting and receiving complex information.
• Negotiating and influencing skills.
• Ability to work independently and within a team.
• Assertiveness skills and the ability to deal with interpersonal conflict.
• Ability to adapt communication styles that facilitate building honest & trusting partnerships with patients, families, & carers.
• Ability to accept constructive feedback & teaching from a variety of sources.

Desirable criteria

• Evidence of conflict management.

Physical Skills

Essential criteria

• Ability to undertake the required clinical duties and procedures.
• Ability to manoeuver patients and perform clinical examinations as required.
• Ability to undertake skills involving computers and other equipment.

Desirable criteria

• IT skills to manage and report on complex performance management information.
• Completion of a clinical skills module.

Commitment to Trust Values and Behaviours

Essential criteria

• Must be able to demonstrate behaviours consistent with the Trust's behavioural standards.

Analytical and Judgement Skills

Essential criteria

• Ability to respond to, prioritise and analyse complex undifferentiated and undiagnosed health conditions and ensure that effective interventions are actioned in a safe and timely manner.
• Ability to deal effectively with clinical issues within defined procedures and guidelines.Ability to work with undifferentiated and undiagnosed healthcare problems.
• Participation in research and audit projects.
• Active involvement in organisational operational management.

Desirable criteria

• Leadership in research or audit projects.
• Involvement in the investigation of serious clinical incidents.

Planning and Organisation Skills

Essential criteria

• Ability to provide education, and complete research and audit.
• Adaptability according to the needs of the patient/s and organisation.
• Self-motivation with evidence of efficient time and deadline management.
• Ability to identify learning opportunities and organise own learning and development.
• Ability to schedule work commitments across the four pillars of advanced practice with CPD & relevant academic workloads.

Other requirements specific to the role (eg be able to drive or work shifts)

Essential criteria

• Flexibility in working patterns and practices.
• Ability to support colleagues, patients, families and carers in a variety of circumstances, sometimes distressing.
• Exposure Prone Procedures clearance by NUH Occupational Health.

Come and join our wonderful team at NUH. We are big believers in diversity and welcome new ideas to help develop our team in order to deliver world class healthcare to the vast patient populations we serve. With endless personal development opportunities available, at the NUH we will endeavour to turn your job into a career!

We particularly welcome applications from people who identify as Black, Asian and Minority Ethnic, or Disabled, as we are striving to be better represented at NUH.

Applicants are kindly requested to refrain from using AI at any stage during the recruitment process.

Closing Dates: Please submit your application form as soon as possible to avoid disappointment; we reserve the right to close vacancies prior to the published closing date if we receive a sufficient number of completed application forms.

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