Advanced Clinical Practitioner Same Day Emergency Care/Acute Medicine

at  Dorset County Hospital NHS Foundation Trust

Deliver and participate in the clinical care of patients attending the Trust. Prioritises health needs and intervenes appropriately. To be professionally and legally accountable for all work undertaken. To practice at an advanced level of professional autonomy and accountability that is within the Trusts policies and that of their professional regulatory body.
Provide a level of advanced and comprehensive clinical skills, assessment based on a specialist body of knowledge and advanced clinical reasoning skills evidenced at academic level 7. To appropriately assess, examine, investigate, diagnose and treat patients, resulting in the safe and appropriate management of patients with undifferentiated, differentiated and complex presentations. Ensure patients are informed and consent is gained prior to treatment, investigation and management, as appropriate. Take responsibility for the management of patients within own caseload and supervision/development of junior members of the multi-professional team.
Is able to identify the need for appropriate diagnostic tests and interpret the results. To identify and intervene proactively where circumstances contribute to an unsafe environment for patients, staff or relatives and escalate these to the Departmental Risk Lead and/or Consultant Leads for Clinical Governance To share knowledge and expertise, acting as an expert resource to others across primary and secondary care, as appropriate. Contribute to the development and improvement of systems and processes that facilitate patient flow. To improve the quality of the patient experience by identifying and meeting the individual clinical needs of patients, including issues pertaining to child protection and vulnerable adults.
For those who complete the independent prescribing qualification during their pathway (relevant to role and discipline) the post holder is able to prescribe / de-prescribe medicines for patients as per the legal requirements for their professional regulatory body, National Prescribing Centre and national guidelines and in accordance with the Trusts non-medical prescribing policy and Trust formulary. Ability to adapt specialist clinical knowledge and skills to different clinical settings and influence service delivery and patient care. To provide specialist advice on patient care to the healthcare team, taking into account all aspects of clinical governance and act as a specialist resource within the Trust. Initiates prescribed treatment and medication (where appropriate) Screening of patients for the early signs of disease and risk factors Responsible for rapidly and continuously evaluating the patients condition and response to therapeutic interventions and treatment modalities, and modifies the plan of care for optimal patient centred outcomes Responsible for both initiating and then terminating an episode of care by either referring on to another agency or by autonomously discharging the patient Provides highly specialised clinical advice regarding care.
Contribute to the review and development of clinical patient pathways to ensure a standardised approach to care. Actively implement effective systems and processes for infection prevention and control management and relevant audit within their clinical area. Demonstrate dexterity and expertise in physical skills e.g. cannulation, suturing, endoscopy Educates patients, relatives and staff as necessary.
Ensures patients views are taken into account in the decision-making process. Participates in meeting and promoting the health education needs of patients and carers. Promotes health through co-ordinated activities and programmes with patients, colleagues and carers where appropriate. To maintain up to date patient records in accordance with Trust policy, including the use of the Electronic Patient Records syste

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