Advanced Nurse Practitioner

CLINICAL ROLE

· Provide the choice of direct access to a NP, both in the Practice, over the telephone and via domiciliary visits, for the general practice population. · Make professionally autonomous decisions for which he/she is accountable. · Provide a first point of contact within the Practice for patients presenting with undifferentiated, undiagnosed problems, making use of skills in history taking, physical examination, problem-solving and clinical decision-making, to establish a diagnosis and management plan. · Instigate necessary invasive and non-invasive diagnostic tests or investigations and interpret findings/reports. ·

As an independent prescriber

prescribe safe, effective and appropriate medication as defined by current legislative framework. · Provide safe, evidence-based, cost-effective, individualised patient care. · Offer a holistic service to patients and their families, developing where appropriate an on-going plan of care/support, with an emphasis on prevention and self-care. · Promote health and well-being through the use of health promotion, health education, screening and therapeutic communication skills. · Refer patients directly to other services/agencies as appropriate. · Work with nursing, medical and health care assistant colleagues to ensure that National Service Frameworks (eg Coronary Heart Disease/Older People/ Diabetes /Mental Health) are being delivered. · Work with multi-disciplinary teams both within the Practice and external organisations to promote integrated and seamless pathways of care. · Contribute to the practice achieving its quality targets to sustain the high standards of patient care and service delivery e.g. QOF and enhanced services. · Participate in identification of community health needs and develop patient/family-centred strategies to address them · Be aware of current initiatives to improve existing patient services. · Be prepared to embrace IT and all computer services to update knowledge, educate patients and use templates etc.

TEACHING AND MENTORING ROLE

· Promote a learning environment for patients, nurses and other health professionals.

PROFESSIONAL ROLE

· Promote evidence-based practice through the use of the latest research-based guidelines and the development of practice-based research. · Monitor the effectiveness of their own clinical practice through the quality assurance strategies such as the use of audit and peer review. · Maintain their professional registration. · Participate in continuing professional development opportunities to ensure that up-to-date evidence-based knowledge and competence in all aspects of the role is maintained. · Work within the latest NMC Code of Professional Conduct. · Record accurate consultation data in patients records in accordance with the latest NMC guidance and other pertinent standards. · To work with Partners in identifying issues related to nursing which need to be further discussed within the practice. · Actively take part in mandatory and internal\external training as requested including annual appraisal (both external and internal).