Advanced Clinical Practitioner (Annex 21) | Liverpool University Hospitals NHS Foundation Trust

We are seeking an enthusiastic and dynamic individual to join our busy, well-established Emergency surgical and urology Assessment team at the Royal Liverpool University Hospital.

As an Advanced Nurse Practitioner in this speciality, the post holder will be working alongside a team of urology and surgical clinicians to support the service in triaging and accepting referrals from both primary and secondary care, utilising and developing urology and surgical pathways to enhance both the patient experience and flow throughout the department.

The post holder will be responsible for undertaking a thorough clinical assessment, have the ability to identify and request appropriate investigations to reach a diagnosis and be confident in initiating a treatment pathway individual to the patients’ needs. This may be as an inpatient within the acute setting or on an outpatient basis by following the local ambulatory care pathways and/or the newly developed virtual review ward. Further input for service development is always encouraged.

Clinical skills such as venepuncture, cannulation, catheterization and obtaining arterial blood gases are common practice, and therefore, demonstrating these skills are key to fulfilling the role. Importantly, the post holder must be able to identify a deteriorating patient and act swiftly to stabilize them and manage well in an emergency with the appropriate support.

The post holder will be required to support the junior doctor team in documenting in patients’ medical records and undertaking tasks that have been requested as part of the patient review. Having the ability to prioritise and delegate tasks will reflect in the post holder’s strong leadership skills.

As an Advanced Nurse Practitioner, the post holder must be able to work autonomously and provide a high quality, safe and supportive clinical service, whilst maintaining the standards as outlined in the multi-professional framework for advanced clinical practice in England. A professional portfolio evidencing the four pillars of advanced clinical practice should be demonstrated and further developed with progression whilst in the role.

Clinical Practice:

• Practise in compliance with respective code of professional conduct and within scope of professional practice by taking responsibility and accountability for all decisions, actions, and omissions.
• Provide a thorough and accurate assessment of presenting symptoms, past medical/surgical history, clinical examination findings, and diagnostic information to develop the appropriate differential diagnoses.
• Demonstrate critical thinking and diagnostic reasoning skills in clinical decision making.
• Act on professional judgement about when to escalate clinical concerns, suspicions and seek help from the senior clinical team.
• Initiate, evaluate, and adapt a range of interventions which may include safe prescribing practice, therapies, and lifestyle information advice.
• Demonstrate effective communication skills to support individuals in making decisions, planning care, or seeking to make positive lifestyle changes.

Leadership & Management:

• Role model the values of the organisation/Trust, demonstrating a person-centred approach to service delivery and development.
• Identify areas for further development to evolve the service and be confident to lead any service redesign.
• Have the ability to constructively challenge others and escalate any concerns that may affect patient’s or colleagues’ safety and well-being.
• Reflect on own clinical practice and contribute to the multi-disciplinary service and team evaluation, to develop the quality and effectiveness of the service.

Education:

• Have the ability to identify and develop own learning needs, with the purpose of broadening own knowledge base and expand on clinical skills.
• Advocate for, and contribute to a culture of departmental learning to develop colleagues and healthcare students.
• Act as a role model, educator, and mentor to encourage and develop confidence in others with the ability to appraise and respond to individuals’ motivation.
• Have the confidence and ability to facilitate teaching sessions for individuals and/or a group of people that will inform their learning of the surgical specialities.
• Demonstrate working towards, and achieving the required competencies as outlined within the local emergency surgery competency framework.

Research:

• Be willing to engage in research and audit activity, adhering to research practice guidance/local guidelines, to aid in developing evidence-based strategies to develop and enhance quality, safety and productivity.
• Role model & disseminate best practice research findings and quality improvement projects.