Advanced Clinical Practitioner - SDEC/Emergency Floor

at  279 University Hospitals Sussex NHS Foundation Trust

We are recruiting Advanced Clinical Practitioners (ACP) to support in the running and continued development of an integrated SDEC within the Emergency Floor . If you are a qualified ACP or just qualifying with a master’s level award or equivalent and keen to take on an extended role within an Urgent and Emergency Care environment, we would welcome your application.
You will be working autonomously within your sphere of competency as a clinician in a diverse multi skilled team.
We welcome applications from those who currently hold a UK NMC registration. If you currently hold an overseas nursing qualification and require sponsorship we are not currently direct hiring Internationally Qualified Nurses.
The Advanced Care Practitioner will formulate clinical decisions and treatment plans to manage the urgent and/or emergency patient illness and injury. The Advanced Care Practitioner will demonstrate specialist knowledge and skills in the management of care of the urgent and/or emergency patients.
They will carry out holistic needs assessments of patients, initiating interventions and referring to members of the multidisciplinary teams as appropriate. They will exercise advanced clinical expertise, levels of judgement for the development and review of care protocols and training for staff within their area of specialism.
Audit and monitoring of standards of patient care, using the results to influence practice, thereby continually improving evidence-based practice and delivery6 of patient focused care. They will be required to develop and maintain links with local and national strategic organisations.
The duties and responsibilities listed below should be undertaken in accordance with the levels of competence as defined in the KSF outline for the post. In addition, staff ar4e expected to act in accordance with the values and behaviours of the Trust.
There is an expectation that all staff will lead by example, encouraging and promoting cross-professional working across the directorate.
Hours of work: 37.5 hours per week. The shift pattern is required to be flexible to meet the needs of the service.
At UHSussex, diversity is our strength, and we want you to feel included to help us always put the Patient First, as shown in our Outstanding for Caring CQC rating. Your uniqueness and experiences will be part of our creative and innovative community where everyone is encouraged to succeed. We have a range of Staff Networks to help break down barriers, and can offer a buddy to help new members settle in. We’re proud to be a Disability Confident Employer (Level 2) and a Veteran Aware Trust.
We treat our patients and staff with the same compassion and empathy we expect for ourselves. We’re here for them when they need us, and we go above and beyond to meet their needs. This can be seen in our Wellbeing Programme for staff which is extensive and designed to support you when you need it - because we know that to look after others we must first look after ourselves.
As a university trust and a leader in healthcare research, we value learning, teaching and training so that we can be the best that we can be. From the moment you start with us and throughout your career we will help you to grow and develop. We hope that in choosing UHSussex you are choosing a long and happy career where you will be able to see the difference you make and feel valued for all that you do.
We look forward to receiving your application and the start of your journey with UHSussex.
Acting as the Advanced Care Practitioner for Urgent/Emergency Care Service, clinically managing own caseload.
To be professionally accountable and legally responsible for all aspects of your own work including the management of patients in your care.
Take responsibility for the patients assigned through the streaming process
Perform assessments of patients care needs, plan, implement and evaluate clinical treatment and care using advanced clinical knowledge and skills. Liaise with other professionals as required to meet identified needs in a coordinated and timely fashion and ensure own approach adheres to values of patient centred care.
To assess diagnostics including ECG’s, bloods, urinalysis and x-ray’s
Be able to discuss with patients and carers the range of possible treatment/management options and their implications before treatment decisions are made.
Instigate and implement clinical management and treatment changes when appropriate.
Provide highly specialised clinical and technical knowledge in the Urgent/Emergency Care specialism. Participate in training of multi-professional staff including Clinical staff, students and other professions. Provide advice to other staff or agencies e.g., community nursing teams, carers, hospital staff etc. Consistently synthesise complex information, formulate innovative solutions to achieve desired outcomes.
Prioritise workload to ensure time is made available to study and update regarding practice within specialist field.
Contribute to the development of pathways, specific care guidelines and standards supporting the care of patients across the heath economy.
To accept clinical responsibility for undertaking the comprehensive assessment of a caseload of patients, including those with a complex presentation, in line with evidence-based practice, legislation, policies and procedures.
Using investigative and analytical skills review and interpret all information available, utilising a systematic process of reasoning to make a differential diagnosis.
Provide treatment plans for patients that are consistent with the outcomes of assessment and the most probable diagnoses using current clinical pathways where required to facilitate timely, quality, patient care and / or appropriate onward referral.
Where appropriate, initiate diagnostic tests, interpret and act upon results and provide advice to members of the multi-disciplinary team on patient treatment. Evaluate the effectiveness of interventions/treatments and make any necessary modification.
Practice autonomously in planning and implementing treatment and care, undertaking advanced clinical practice that has been agreed with the senior nursing, midwifery, therapy and medical teams within the specialty.
To use an extended scope of practice beyond own profession recognising any limitations in knowledge, referring to senior medical staff or Senior Advanced Practitioners when scope of practice is exceeded.
Maintain a safe environment for patients, relatives and staff, adhering to infection prevention and control policies
If registered as a non-medical prescriber independently prescribe medication and fluids within current legislation and Trust policies.
Accept referrals from and make referrals to consultants, GPs, and other healthcare professionals. Review the patient and act, accordingly, thereby reducing length of time patients wait for intervention.
Improve the quality of the patient experience by identifying and meeting the individual clinical needs of patients. Act at all times in the patient’s best interests and as a patient advocate.
Provide specialist advice on patient care to the healthcare team and act as a specialist resource within the service and other areas within the Trust
Contribute to speciality national programmes for example RCEM led pain audits, ankle fractures. Contribute to clinical reviews and safety meetings as r4equired. Actively seek user feedback and participate in action planning for service improvement.
To implement Health and Safety & Risk Management appropriate to area of work: - understand and undertake role as referrer for example radiology requests and IR(ME)R guidance. Maintain own and others compliance in safe working practices in relation to infection control, moving and handling, medicines management and incident reporting. Challenge poor standards of care or inappropriate behaviour and raises and escalates concerns about the safety and wellbeing of patients.
To deliver aspects of the clinical governance agenda, following the direction of the Clinical Leadership Tea

Please refer the Job description for details