Emergency Nurse Practitioner (ENP)
The post holder will autonomously undertake assessment and treatment of patients in the UTC who may present with complex and/or chronic illnesses and/or injury; to determine a clinical diagnosis, treatment and appropriate discharge as indicated as well as maintaining patient records.
The post holder will be a source of clinical expertise to less experienced staff, enhancing the nurses’ skills and knowledge, and work in partnership within a multi-disciplinary team.
To contribute to meeting the identified Key Performance Indicators within the time frames identified.
The post holder will work the full complement of the rota as required by the service.
Our Vision and Values:
Greenbrook is passionate about providing high quality NHS care and putting patients first. To underpin this, we have established a set of Core Values:
Patients First: Our first priority is to our patients, providing them with excellent, safe and timely care.
Quality: We work hard to improve the quality of our services, learning from our successes and mistakes, and avoiding blame.
Integrity: We are open, honest, empathetic and respectful, avoiding discrimination at all times.
Safe and: We provide safe clinical care to every patient, in a timely fashion.
Efficient: We keep our administrative actions and processes simple.
Communicating and Listening: We communicate clearly and listen well, whilst employing the highest standards of confidentiality.
Teamwork: We recognise the importance of good teamwork, within our
teams and across organisational boundaries.
Our training, policies, procedures and practices are all intended to support
behaviours in line with our values we expect all staff to uphold these.
· To independently undertake highly specialised clinical assessments, diagnose, treat and discharge patients with a wide range of minor illnesses and injuries, including management of complex cases.
· To ensure patients are fully involved in the design and implementation of their treatment plans.
· To ensure effective coordination and liaison with multidisciplinary teams across Primary and Secondary Care Services, statutory and voluntary
disciplines/groups in order to provide a seamless service to the patients and their carers and prevent.
· To refer appropriately to in-house UTC GP’s where a second opinion is required.
· To adapt styles of communication appropriately in order to promote empowerment, self-management and health education for patients.
· To attend clinical case conferences , review and clinical meetings as required.
· To be a source of clinical expertise to less experienced staff within the team.
· To delegate duties/tasks to other members of staff where appropriate
· Provide specialist advice relating to minor illness and/or injury to local healthcare teams, patients, relatives and carers.
· To identify actual or potential clinical risks and take appropriate action using, when required, the appropriate reporting structure.
Service delivery responsibilities:
· To ensure that patient records and documentation are maintained in line with NMC standards, Greenbrook Healthcare policies and use of the electronic patient records system.
o Documenting full and accurate records of assessments, investigations,
procedures, treatments and aftercare.
o Encouraging colleagues to maintain good and complete records.
o Working closely with the reception team and the administrator, ensuring all
records pertinent to patients are scanned and filed as appropriate.
o Contributing to the development of computer-based patient records
o Contributing to the Read-Coding of patient data
· Work within local protocols, guidelines, PGDs (Patient Group Directives).
· Work within Greenbrook Non-Medical Prescribers Agreement if post holder is a Non-Medical Prescriber
· To participate in audits and use the results, current research, and government guidelines to make recommendations for changes to service delivery and clinical practice, and to share knowledge with other healthcare professionals.
· To contribute to the maintenance and improvement of communication networks with all disciplines including community healthcare teams, patients, acute hospitals and relatives/carers in order to ensure continuity of care.
· To collect data, and provide service information to the Service Manager as required.
· To work flexibly, including a shift pattern that covers 24 hours a day, 7 days a week, with the Service Manager and UTC Lead Nurse /GP in delivering and promoting the needs of the service.
· To contribute to the development and establishment of systems to gather feedback from patients.
· To ensure that Service Manager, Lead Nurse / GP are kept informed on service issues and potential risks.
· To work with the Service Manager and UTC Lead Nurse /GP in delivering and promoting the needs of the service.
· To work with the UTC Lead Nurse /GP and Service Manager to meet the Clinical Governance needs of the UTC; including investigation of incidents (including serious incidents) and complaints, where required, sharing learning that arises from the investigations within the service with the UTC team.
· To provide clinical supervision /mentorship (where appropriately trained) to junior practitioners.
· To remain updated in the use all equipment used in the UTC and to report any technical problems or issues with that equipment.
· To participate in nurse / team meetings to discuss day to day operational issues.
Personal & professional development
· To be a skilled practitioner in routine and specialist skills.
o Recognise and work within own competence and professional code of
conduct as regulated by the Nursing and Midwifery Council (NMC)/Health
& Care Professions Council (HCPC).
o To keep abreast of developments in nursing practice and topical issues
ensuring that skills are maintained and enhanced through continued
· To collaborate in the continuing development of the ENP/ECP role to include:-
o Level of autonomy in practice.
o Progression from a role focusing on minor injuries to include minor illness
where not previously trained.
o Appropriate education and preparation for the role to develop.
o Show self-motivation toward expanding practice and developing
advanced skills and knowledge.
· Development of others
o Be an effective role model and expert resource for nursing staff and other
members of the multi- disciplinary team.
o To maintain clinical excellence within the department and provide
education and training – both formerly and informally – for colleagues.
· To initiate and /or participate in research if required.
Policies & Guidelines
· Awareness of and compliance with all relevant company policies/guidelines, e.g. prescribing, confidentiality, data protection, health and safety, to ensure that the UTC complies with NHS/NHS England/CCG contractual obligations in relation to patient care and meets contractual key performance requirements.
· To participate and contribute to operational policy making, attending appropriate meetings and representing the UTC as required.
· Work within policies relating to domestic violence, vulnerable adults, substance abuse and addictive behaviour, and refer as appropriate
Health & Safety
· To act responsibly in respect of own and colleagues’ health, safety, welfare and security, following safe work practices and complying with Health and Safety Policies.
· Ensure safe storage, rotation and disposal of vaccines and drugs is undertaken. Where appropriate, oversee the monitoring, stock control and documentation of controlled drug usage according to legal requirements
· Apply infection control measures within the UTC according to local and national guidelines.
· Using personal security systems within the workplace according to UTC and organisational guidelines.
· Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks.
· Reporting potential risks identified.