Advanced Clinical Practitioner

Clinical Duties Use specialist clinical knowledge to independently assess, diagnose, plan, implement and evaluate treatments and interventions for patients with complex undifferentiated or undefined presentations. Undertake comprehensive knowledge and skills of systematic history taking and clinical examination of patients who have complex needs, developing a co-produced management plan. Perform clinical procedures appropriate to the history and clinical examination of the patient, including further invasive testing and treatments requiring highly developed skills and precision, where indicated. Requests investigations such as blood, urine and other laboratory tests, electrocardiographs (ECGs), ultrasound scans, X-Rays and computed tomography (CT) scans in accordance with IR(ME)R regulations as local policy allows. Utilise clinical reasoning and decision-making skills to make differential diagnosis and provide rationales for patients management plans continuously reflecting and evaluating practice findings and clinical response to treatment and establishes an appropriate ongoingmanagement plan accordingly. Prioritise health problems and intervene appropriately in complex, deteriorating, urgent and emergency situations, including initiation and leadership of resuscitation. Manage regularly clinical events involving patients often requiring unpredictable and high levels of physical effort according to the patients dependency and clinical need. Work as an autonomous professional, within ethical codes and legal frameworks, being responsible and accountable for their decisions, actions and omissions at this level of practice. Act as specialist and a resource to all staff in the delivery of clinical care to patients. Advocate high quality care for people, act as a champion for people byrepresenting/supporting the persons interests at team meetings, during hospital care, home care and when interfacing with statutory and non-statutory service providers. Empower patients and their families through appropriate support and education. Influence, support and take an active role in Public Health/ Self-care of the individual and community. Collect, collate, evaluate and report clinical information, maintain accurate patient records related to assessment and care planning. Develop clinical protocols and guidelines within own area of practice to ensure quality of care at all times. Where appropriate review medication/act as a resource to other colleagues for medication advice and support. Discuss side effects and where appropriate prescribe within own NMP formulary and competencies relevant medication and liaise with Pharmacy, medical team and relevant steering groups of any changes to NMP formulary. Where appropriate prescribe and review medication (as an independent prescriber) for therapeutic effectiveness appropriate to patient need and in accordance with best/evidencebased practice and national and local protocols and within the roles scope of practice and legal framework. Where appropriate deliver psychological therapies appropriate to patient need and in accordance with best/evidence-based practice and national and local protocols and within the roles scope of practice and supervision framework. Regularly evaluate practice to ensure continuous improvement. Work with clinicians and management in examining episodes of care delivery, critical incidents and individual care plans to improve and develop services. Enable effective and comprehensive admission, transfers and discharge of care (where indicated in scope). Will provide advanced practice and ensure effective assessment, advice, treatment and management for patients physiological and psychological needs Be responsible for implementation, monitoring and training of infection control and health and safety policies and procedures. Responsible for audits as required by the organisations and participate in research. Strategic responsibility for Clinical pathway or clinical supervision to other ACPs working on the same treatment pathway (where strategic responsibility in this pillar is indicated)Education Effectively utilise a range of evidence-based educational strategies/interventions to support person centred care with individuals, their families and carers, and other health care colleagues. Critically assess and address individual learning needs that reflects the breadth of ongoing professional development across the four pillars of advanced clinical practice. To present case studies/audit/classic papers at relevant senior meetings. Ensure own compliance with mandatory training programmes and own ongoing professional development and development of the advanced practitioner role. Engage in clinical supervision and self-reflection to develop own clinical standards and work practices. Take lead role in implementing/monitoring supervision of colleagues. Lead the teaching, development, planning and implementation of a range of specialist educational and training programmes for all healthcare professionals, patients and carers. Participate in pre and post registration training for staff from multi professional backgrounds. Undertakes health promotion across organisational boundaries. Participate in the training and supervision of other ACPs Supervise students, learners and trainees in placement including their assessment, training and appraisal Strategic responsibility for education for a clinical pathway or educational supervision of ACPs (where strategic responsibility in this pillar is indicated) Research, QI and Development Carry out research/QI or development work as part of role. Critically appraise available research and apply this knowledge to current clinical practice. Use audit and research skills to examine existing practice ensuring it is based on current best evidence. Work with other clinicians in examining episodes of care delivery, critical incidents and individual care plans to improve and develop services. Implement and evaluate new ways of working through planned programmes of care. Participate in research programme being undertaken in the department. Strategic responsibility for research in service. (where strategic responsibility in this pillar is indicated)