Advanced Nurse Practitioner/Advanced Clinical Practitioner

NHS Jobs; Scunthorpe; On-site; GBP 45,000 - 60,000; Full time

Job summary

Rotherham Doncaster & South Humber NHS Foundation Trust is seeking an Advanced Nurse Practitioner/Advanced Clinical Practitioner to perform clinical triage and assessment, undertake autonomous telephone assessment, and determine the appropriate care pathway for acute, urgent and same-day problems. You will work with the practice administrator and multidisciplinary team to ensure timely clinical responses.

You will prescribe safely within your independent prescribing authority, develop

Qualifications

• Maintains professional registration and prescribing status.
• Develops evidence-based management plans.
• Recognises red flags and potential deterioration.

Responsibilities

• Clinical triage and assessment of acute, urgent, and same-day problems.
• Autonomous telephone assessment and triage.
• Determine appropriate clinical pathway: telephone, face-to-face, GP review, or referrals.
• Provide treatment, advice and safety-netting; arrange investigations and follow-up.
• Work with practice administrator to manage daily clinical load.
• Collaborate with GPs, nurses, pharmacists and the multidisciplinary team.
• Uphold clinical governance and information governance standards.

Skills

Autonomous practice

Clinical triage

Independent prescribing

Clinical assessment

Team collaboration

Clinical governance

Job description

Advanced Nurse Practitioner/Advanced Clinical Practitioner

Clinical triage and assessment Undertake autonomous telephone assessment and triage of patients presenting with acute, urgent and same-day clinical problems. Work systematically through the daily clinical assessment list in conjunction with the practice administrator. Ensure patients receive an appropriate clinical response within the same day. Obtain a comprehensive clinical history and undertake appropriate remote clinical assessment. Use advanced clinical reasoning to assess undifferentiated presentations and determine clinical priority. Recognise red flags, clinical deterioration and potentially serious or time-critical presentations. Determine the most appropriate pathway for each patient, including: telephone management; face-to-face assessment; GP review; another member of the multidisciplinary team; investigation; referral; urgent or emergency assessment. Provide appropriate treatment, advice and safety-netting. Arrange appropriate investigations, referrals and follow-up. Maintain accurate, contemporaneous and clinically appropriate records. Minor illness and face-to-face assessment Undertake face-to-face assessment and management of patients presenting with minor illness and acute clinical problems when required. Assess, diagnose and manage undifferentiated presentations within the practitioner's scope of competence. Undertake appropriate clinical examination. Develop evidence-based management plans. Prescribe safely within independent prescribing authority and scope of practice. Recognise patients requiring GP review, specialist assessment or urgent/emergency intervention. Provide appropriate follow-up and safety-netting. Independent prescribing Act as an autonomous non-medical prescriber within professional competence. Prescribe safely and effectively in accordance with legislation, national guidance, local formularies and practice policies. Consider contraindications, drug interactions and adverse effects. Review treatment and medication effectiveness where clinically appropriate. Working with the practice administrator Work closely with the allocated administrator to manage the daily clinical assessment workload. Provide clear clinical direction regarding the appropriate handling and allocation of patient requests. Ensure effective communication between administrative and clinical staff. Identify and escalate urgent cases, clinical risk and capacity concerns appropriately. Contribute to the ongoing development of efficient and safe clinical triage processes. Team working and flexibility Work collaboratively with GPs, ANPs/ACPs, nurses, pharmacists, healthcare assistants, administrative staff and the wider multidisciplinary team. Provide reasonable cover for colleagues during annual leave, sickness and periods of increased demand. Be flexible regarding the balance between telephone triage and face-to-face clinical work. Participate in relevant clinical and practice meetings. Contribute to the development of safe and effective same-day care pathways. Clinical governance and professional responsibilities Practise within professional, regulatory and legal requirements. Work autonomously while recognising the limits of individual competence and seeking appropriate clinical support when required. Maintain professional registration and prescribing status. Participate in clinical supervision, appraisal, reflection and continuing professional development. Participate in audit, significant event reviews, quality improvement and service development. Maintain appropriate clinical governance and information governance standards. Recognise and appropriately manage safeguarding concerns. Maintain patient confidentiality at all times. Adhere to practice policies and procedures.

Rotherham Doncaster & South Humber NHS Foundation Trust