Trainee or Advanced Clinical Practitioners Adult/Paed Emergency Floor Leicester, England
Job description
Are you a qualified ACP with a desire to work in one of the busiest Emergency Departments in the country, or considering a role in Advanced Practice and looking for a new challenge? The Emergency Department and Emergency Floor team are a large team of 42 ACPs of nurse, paramedic and physiotherapy backgrounds.
As a qualified ACP, you will fit into an already established team with an agenda to push forward advanced practice. You will receive protected training, as well as provide teaching to others and will have opportunities to undertake audit and clinical research. You will be supported in this with a dedicated ACP lead and Consultant led clinical supervision. We actively encourage RCEM accreditation and welcome candidates already engaged in the process. The East Midlands ACP RCEM Representative is currently within our emergency team.
If joining us as a trainee, you will undertake a period of supervised practice working towards becoming an integral member of the medical team. You will work collaboratively with nursing and allied healthcare professionals undertaking advanced clinical practice that has traditionally been within the remit of junior medical staff. The Trainee ACP will observe advanced practices within agreed protocols and guidelines in history taking, examination, assessment, diagnosis, and treatment. You will work with a diverse and undetermined caseload of critically or acutely ill or injured patients within either an adult or paediatric setting.
The post will have a primary location of the Emergency Department but may extend and influence across UHL and the Emergency Floor.
Participate in accurate history taking of patients who present to the emergency department and emergency floor requiring treatment and management of illness and injuries, and to develop the knowledge of signposting and referring patients onto other services or specialities.
Participate in a wide range of advanced clinical skills where appropriate training has been completed and competency achieved. These skills should include: venepuncture, female and male catheterisation, bronchoscopy, arterial and central venous cannulation, arterial blood gas sampling and interpretation of results requesting investigations (such as blood test, ECG, CXR, and US) and interpretation of results to support clinical management plans, and advanced life support during cardiac arrests.
Where appropriate and under the appropriate level of supervision, initiate diagnostic tests, interpret and act upon results and provide advice to members of the multidisciplinary team on patient treatment.
There may be opportunities for rotations into acute medicine, surgery, stroke, cardiology, primary care and pre hospital environments.
We are one of the biggest and busiest NHS trusts in the country, incorporating the General, Glenfield and Royal Infirmary hospitals. We have our very own Children’s Hospital and run one of the country’s leading heart centres.
Our team is made up of more than 17,000 staff providing a range of services primarily for the one million residents of Leicester, Leicestershire and Rutland.
We work with partners at the University of Leicester and De Montfort University providing world-class teaching to nurture and develop the next generation of doctors, nurses and other healthcare professionals, many of whom go on to spend their working lives with us.
Our purpose is to provide ‘Caring at its best’ and our staff have helped us create a set of values that embody who we are and what we’re here to do. They are:
- We focus on what matters most
- We treat others how we would like to be treated
- We are passionate and creative in our work
- We do what we say we are going to do
- We are one team and we are best when we work together
About the University Hospitals of Leicester NHS Trust: (leicestershospitals.nhs.uk)
The detailed job description and main responsibilities are included as an attachment to this advert.
KEY RESPONSIBILITIES
1.0 ADVANCED CLINICAL PRACTICE
1.1 To observe or participate in the comprehensive assessment of a caseload of patients, including those with a complex presentation, in line with evidence based practice, legislation, policies and procedures. Using investigative and analytical skills; observe or participate in the review and interpretation of all information available, utilising a systematic process of reasoning to make a differential diagnosis.
1.2 Observe or participate in the provision of treatment plans for patients that are consistent with the outcome of assessment and the most probable diagnosis using current clinical pathways where required in order to facilitate timely, quality patient care and / or appropriate onward referral.
1.3 Where appropriate and under an appropriate level of supervision, initiate diagnostic tests, interpret and act upon results and participate in providing advice to members of the multidisciplinary team on patient treatment. Evaluates the effectiveness of interventions/treatments and makes any necessary modification under full supervision.
1.4 Undertake, with full supervision from the medical lead or Advanced Clinical Practitioner the advanced practice skills that have been agreed with the senior nursing and medical teams within the specialty.
1.5 Recognise any limitations in knowledge and competence, referring to senior medical staff when scope of practice is exceeded because agreed competencies have not been achieved
1.6 Maintain a safe environment for patients, relatives and staff, and adhering to infection prevention and control policies.
1.7 As a non-medical prescriber, independently prescribe medication and fluids within current legislation, Trust policies and completion of specific Student ACP competency assessments relating to prescribing.
1.8 Observe or participate under full supervision in the acceptance of referrals both from and to consultants, GPs, and other healthcare professionals. Under full supervision, clinically review the patient and act accordingly, thereby reducing length of time patients wait for intervention.
1.9 Improve the quality of the patient experience by identifying and meeting the individual clinical needs of patients identified as competencies within the Student ACP training programme. Act at all times in the patients best interests and as a patient advocate.
1.10 Observe or participate in the provision of specialist advice on patient care to the healthcare team and act as a specialist resource within the service.
1.11 To maintain comprehensive and accurate assessment and treatment records (written and electronic) in line with legal, professional and Trust requirements, and communicate assessment and treatment results that have been reviewed and agreed with clinical supervisor to the appropriate disciplines in the form of letters and / or reports.
2.0 MANAGEMENT AND LEADERSHIP
- Understands professional accountability and legal frameworks for advanced practice
2.3 Demonstrate safe practice in line with the Trust Quality, Safety and Risk Management Policies, Child Protection and Safeguarding Vulnerable Adults Policies, Consent and assent regulations and the UHL ‘Do Not Attempt Resuscitation’ Policy all of which must be in line with the Student ANP training programme.
2.4 Act as a role model in the clinical area, promoting and demonstrating the standards of care and behaviours expected of a registered professional. Provide appropriate challenge to individuals when required raising quality issues and related risks with relevant people and addressing poor performance as per Trust policy (i.e. complaints and incidents, poor communication with patients, relatives or staff).
2.5 Demonstrate and plan efficient and effective use of resources
2.6 Contribute towards Ward / Department / Service or Trust meetings at which broad professional and service issues are discussed.
2.7 Within the Student ACP training programme, encourage and influence the multidisciplinary team to identify and discuss opportunities to develop clinical practice, protocols, policies and guidance for the speciality utilising current evidence and ensuring meaningful consultation, effective evaluation and sharing of results.
2.8 Be proactive in developing own professional practice, demonstrating evidence of increasing autonomy, clinical judgment and decision making skills whilst working under clinical supervision but also contributing to the development of others where appropriate.
3.0 EDUCATION AND TRAINING
3.1 Provide an authoritative and credible source of knowledge and specialist clinical advice/information to the team by keeping abreast of new treatments and technologies for the speciality and within scope of competency.
3.2 Actively maintains self development, objectively reviewing own performance in terms of management, clinical practice and decision making, identifying own needs and taking steps to meet those needs.
3.3 Demonstrate responsibility for personal professional development using feedback and reflection aligned to the requirements of regulatory bodies (NMC Code and HCPC); maintain a Professional Portfolio to improve personal clinical practice whilst meting the future requirements of Revalidation.
3.4 Within scope of competency, participate in planning and delivery of multidisciplinary education programmes for staff within speciality and wider arena to promote learning opportunities and the development of clinical skills.
3.5 Where own competencies have been achieved, provide supervision, support and training for post registered nurses and undergraduate students enabling them to develop and apply their knowledge and skills in practice. Provide timely feedback to individual students, nurses and their line managers to support this process, identifying, reporting and proactively dealing with poor performance.
3.6 Participate in the development and delivery of specialist training programmes for nursing and medical undergraduate students, post-registration nurses and other groups of learners, making effective use of all learning opportunities developing the workplace as a learning environment.
3.7 Be an active member of the continuing education, in-house programmes by the attendance and presentation at staff meetings, tutorials, training sessions, journal clubs, external courses, clinical supervision and reflective practice.
3.8 Continues to advance knowledge and understanding and develops new skills; undertakes annual mandatory training and ‘essential to job role’ updates and other relevant courses in line with professional and Trust policies.
4.0 AUDIT, RESEARCH AND EVALUATION
4.1 Participate in data collection for audit and research projects.
4.2 Participate in audit, mortality and morbidity and other clinical meetings where the outcomes and recommendations have the potential to improve the quality of care, give case presentations as required.
4.3 Identify areas of own clinical practice that require research/audit. Devise audit/research tools, analyse data, write report and present findings to the multidisciplinary team. Complete audit cycle by implementing change in practice as required and re-auditing.
4.4 Research that has been undertaken should be disseminated both locally and nationally at seminars, conferences and through publication in national journals.
4.5 Participate in the development of evidence based policies and procedures specifically required by the specialty.
5.0 COMMUNICATION
5.1 Communicates effectively with a wide range of people in a manner consistent with their level of understanding, culture and background and preferred ways of understanding that meet mental or physical health needs e.g. altered conscious level, sensory loss, altered perception, pain, fear, and severe psychosocial problems; identifying and managing challenging behaviour .
5.2 Under full supervision, observe and participate in assessing capacity, gain valid informed consent and have the ability to work within a legal framework with patients who lack capacity to consent to treatment.
5.3 Demonstrates an empathetic and reassuring approach to communicating highly sensitive condition related information and advice to patients, carers and relatives under supervision if required.
5.4 Competently receives highly sensitive information concerning patient’s medical condition and acts appropriately under full supervision.
