DRAFT

POST NURSE PRACTITIONER

 

MINIMUM Current NMC registration

Recognised Nurse Practitioner Qualification

QUALIFICATIONS (Degree or equivalent) recorded on NMC ‘Advanced

Level practice.

Extended/Supplementary prescriber or working towards

RESPONSIBLE TO Head of Nursing - Adults

RESPONSIBLE FOR Practice population within GP practice area

 

To initiate assessment, diagnosis and the implementation of a range of care interventions for patients presenting with undifferentiated and undiagnosed problems. To evaluate the effectiveness of the treatment and referrals through autonomous and accountable decisions in nursing practice supported by current research and in accordance to Practice / Bromley PCT protocols and procedures.

Provide direct access clinics, also telephone triage, and undertake an initial assessment and treatment of all referrals within the scope of practice

To receive patients/carers with complex undifferentiated and undiagnosed problems, including complex cases, initiate assessment and treatment of patients, discharge or refer to the relevant health professional following agreed protocols and quality standards

Analyses and interprets history, presenting symptoms, physical finding and diagnostic information to develop appropriate differential diagnosis

Assumes responsibility and accountability for own decisions and practice and strives to attain the highest standards of practice.

Orders the appropriate clinical investigations to support initial diagnosis.

Diagnoses and manages acute and chronic conditions while attending to the patients response to illness

Screen patients/clients for disease risk factors as part of the ongoing assessment and provides health promotion and disease prevention services to clients

Priorities health problems and intervenes appropriately including the initiation of effective emergency care

To be responsible for holistic approach to assessment of care

Provide counselling to promote health and reduce risk factors preventing disease and disability as required

Recognise environmental health problems affecting clients/patients and provide health protection interventions that provide health environments for individuals, families and communities

To monitor and evaluate practice through clinical audit and formal evaluation processes

Contributes to the work of various steering group, as required.

Shares responsibility for recruitment of PCT staff, as required.

To liaise with and promote effective communication strategies with other team members, and members of the wider Bromley PCT multidisciplinary team, for the benefit of the client

Provides leadership and support to other team members promoting innovation and managing change to improve service delivery

Establish links with other clinical nurse specialists in order to share and /or learn from examples of best practice

Records contemporaneous and accurate records of delivered care on I.T. information system, including provided using appropriate Read Codes

Apply the principles of empowerment in promoting behaviour change but upholds the decision making responsibility the client holds

Manages resources equitably and effectively within the primary care setting

To identify with other primary care team members the health needs of the practice population and develop services appropriate to those needs as agreed by the primary care team

Initiates and leads practice development to enhance the nursing contribution and quality of care within practice setting

Facilitates, undertakes and evaluates audit in their practice setting within Bromley PCT

Creates an environment of mutual trust and participates in education and training of staff

Maintains professional credibility as an advanced nurse practitioner by continuously updating knowledge in fields relating to primary care

Acts as a resource for Bromley PCT and nurses within Bromley PCT

Contributes to own professional development using a Personal Development Plan

Demonstrates knowledge of relevant regulations for Nurse Practitioner practice including the NMC Scope of Professional Practice and the NMC Code of Professional Conduct

Interprets and implements National and local policies in Bromley PCT within the Primary Care setting

Coordinates the collection, analysis, synthesis and presentation of appropriate quantitive and qualitative data within practice setting

Implements and evaluated strategies for quality assurance and quality audit within practice

Identifies, applies and disseminates research findings relating to evidence based practice

Acts ethically to meet the needs of patients

Participates in clinical supervision and self-evaluation concerning practice and uses this reflective practice as a means to improve personal practice and patient outcomes

Uses evidence based approach to client management and critically evaluates and applies research findings appropriately

Evaluates the patients response to the health care provided and the effectiveness of the care

Comply with the duties placed on employees by Bromley Primary Care Trust’s Health and Safety Policy and related procedures.

Act in accordance with all instruction, information and training required in relation to those duties

 

Clinical Governance

The Post holder will exercise individual accountability in line with clinical governance and professional requirements

Any Other Duties

 

1 To observe confidentiality of records and health information at all times and be aware of and practice the principles of the Data Protection Act of 1984, as this applies to computerised information.

2 To comply with the duties placed on employees by the Bromley NHS Primary Care Trust’s Health and Safety Policy and Related Procedures and to act in accordance with all instruction, information and training supplied in relation to those duties.

 

2 Any other duties as designated by senior staff and commensurate with the post.

The PCT is firmly committed to the continuous development of all its staff and to promoting lifelong learning throughout the organization.

The PCT is also committed to Continuous Professional Development for all staff groups so that staff keep their professional knowledge up-to-date and ensure that best practice is delivered to our clients.

All staff have specific personal responsibility for their own development which includes their involvement in:

Identification of individual training needs

Pre-course discussions to identify objectives

Post-course reviews to establish if objectives are achieved

Transfer of knowledge into the workplace

Evaluation of individual training

This job description reflects the immediate requirements and objectives of the post. To reflect changing needs and priorities, some elements of this post may be subject to change but not without prior negotiation and discussion with the post-holder.

The occupant of this post may, in the course of normal duties, acquire knowledge of confidential matters, including personal information about staff and clients. All information is to be regarded as strictly confidential, whether it appears important or otherwise. Any breach of the rules of confidentiality will be regarded as a serious disciplinary matter and may lead to dismissal. The only exception to this is when confidentiality is appropriately breached as a result of a genuine concern being raised under the terms of the Trust’s Whistle blowing Policy and Procedure.

The Data Protection Act 1998 gives individuals a right to find out what information, including personnel information, is held about them on computer and in some manual records. There is also a right to have inaccurate data corrected, blocked, erased or destroyed.

Further information on Data Protection and confidentiality (including the contact details of the Data Protection Co-ordinator) is contained in the "Staff Notice: Personal Information - Data Protection" which you will be asked to sign when you join the Trust.