Advanced Nurse Practitioner
This is an exciting opportunity to join our established Acute Oncology Advanced Practitioner team to deliver expert nursing care to patients with acute oncology issues relating to their treatments or disease progression.
The successful candidate will be highly motivated and driven to improve patient care and experience and although oncology experience advantageous it is not essential as you will be supported with an extended supernumary period to develop the required skills as experience in an acute care or medicine is transferable. The successful candidate will have completed formal ACP training and have achieved a master's in advanced clinical Practice, enabling them to work autonomously in the planning and delivery of care for this complex group of patients in both inpatient and outpatient settings.
The post will comprise of 80% clinical, 20% non-clinical hours to allow for service development, audit and research and professional development opportunities within the four pillars of advanced clinical practice.
Main duties of the job
Following the success of our nurse-led Acute Ambulatory Care Unit we are now expanding the current Advanced Clinical Practitioner Team. Successful candidates will become integral members of our team of Acute Oncology Advanced Practitioners and provide clinical assessment and support to the care and treatment of a diverse caseload of patients requiring specialist acute oncology care. Demonstrating highly developed specialist knowledge and skills, the post holders will be integral in the early identification of complications and the treatment management of acutely unwell oncology patients. Responding quickly the advanced clinical practitioner will formulate clinical decisions to manage acute illness and escalate to specialist teams appropriately and deliver expert nursing care to renal medical oncology patients with advanced or relapsed disease.
The Advanced Clinical Practitioners will work autonomously demonstrate a highly specialist knowledge and skills in the diagnosis and management of patients within oncology. They will order investigations, make appropriate/ timely referrals and maintain relevant clinical records. Non-medical prescribing is fundamental in supporting this role. The post holder will provide clinical expertise for developing and enhancing the service.
About us
The Christie is one of Europe's leading cancer centres, treating over 60,000 patients a year. We are based in Manchester and serve a population of 3.2 million across Greater Manchester & Cheshire, but as a national specialist around 15% patients are referred to us from other parts of the country. We provide radiotherapy through one of the largest radiotherapy departments in the world chemotherapy on site and through 14 other hospitals highly specialist surgery for complex and rare cancer and a wide range of support and diagnostic services. We are also an international leader in research, with world first breakthroughs for over 100 years. We run one of the largest early clinical trial units in Europe with over 300 trials every year. Cancer research in Manchester, most of which is undertaken on the Christie site, has been officially ranked the best in the UK.
Job description
Job responsibilities
DUTIES AND RESPONSIBILITIES
Clinical Practice
- To participate in the direct clinical management of acute oncology patients from first presentation at the hospital, until discharge. This will include history taking, systematic physical examination and formulating clinical management plans
- Plan, deliver and evaluate interventions and/ or treatments when there are complex issues and/ or serious illness
- Review and interpret all information available utilizing a systematic process of reasoning to make a working and differential diagnosis.
- Develop and record a treatment plan consistent with the outcome of assessment and most probable diagnosis.
- Prescribe drugs within the capacity of non-medical prescribing, adhering to Trust policy and existing frameworks.
- Communicate complex clinical and supporting information/ findings to patients and significant others according to individual situations. Ensure patients receive appropriate information and support in relation to their illness and treatment
- Arrange or refer the patient for appropriate diagnostic test, investigations, other professional colleagues. Check and interpret, taking action as clinically appropriate
- Perform clinical procedures safely according to defined protocols. These may include arterial blood gas sampling and analysis, oxygen therapy
- Support equality and value diversity.
- Prepare accurate and concise reports both verbal and written.
- Plan and manage own workload/ caseload in a flexible manner, ensuring that service provision meets the needs of patients.
- To liaise with the other members of the multi-professional team and facilitate excellent and effective communication to provide a patient focused service.
- Ability to self-manage, plan and adjust priorities to meet the dynamic demands within the oncology and acute oncology teams.
Leadership & Management
- Work within professional codes and policies both nationally and by the Trust
- To demonstrate an up-to-date knowledge of oncology/ acute medicine practice and responsibility for ones own professional development.
- To maintain a portfolio to fulfil requirements of the NMC in maintaining effective Advanced Practitioner registration.
- Maintain safe practice and development through regular peer review of evidence-based practice with medical Consultant supervisor.
- Liaise and collaborate with multi-professional disciplines and outside agencies.
- Participate in clinical audit in respect to evaluating service effectiveness and future developments within the role.
- To develop clinical protocols, standards, and guidelines in own area.
- Contribute to wider issues in the trust, such as committee membership, clinical progression, and policy development.
- To actively contribute to the process of clinical risk management.
- Act as a role model in developing advanced nursing roles at local, regional, and national level.
- To inspire others and encourage them to seek advice and solutions to problems.
- Challenges other to take an active part in developing knowledge, ideas, and work practice
- Promotes the service and encourages the Acute Oncology team to disseminate good practice both internal and external to the Trust
- To identify own development needs and set own personal development objectives in discussion with his/her reviewer keeping abreast of any new trends and developments and incorporate them as necessary into your work
- Undertakes annual mandatory training updates and other relevant courses in line with Trust and local policies.
- Acts as a resource for the acute oncology nursing team
- To act as a role model ensuring own actions promote quality and identify and manage any risks
- To raise quality issues and report related risks within the trust to address poor standards and incidents.
- To inform and influence clinical governance issues.
- To keep up to date and act consistently with quality standards and guidelines within their own clinical area and associated areas
Research
- Initiate and support clinical audit with respect to evaluating service effectiveness and future developments within the role, developing, and managing strategies to address any shortfalls.
- Involvement in medical and/or nurse-led research within oncology in response to identified need. Disseminate results and implement findings appropriate to practice
- Demonstrate knowledge of current research in all aspects of his/her work and to site specific disease group.
- Implement research findings appropriate to practice
- To undertake the measurement and evaluation of your work and current practices though the use of evidence-based practice projects, audit and outcome measures, and lead others in doing so. Make recommendations for and lead change.
- Maintain accurate records and provide necessary data for statistical analysis
Education and Development
- To participate in training and education programmes allowing professional and clinical updating to take place within the normal working week (Journal Club, Annual OSCE, Non-Medical Prescribing, Communication Skills Training, Informed Consent, Mandatory Training etc.)
- Identify own development needs in line with service requirements within personal development plan. Undertake continuing professional development to ensure that skills remain optimal and new elements can be added to the skills portfolio.
- Assist in the identification of the training needs of colleagues and participate in their continuing education, mentorship and skills development.
- Ensure personal, peer group support and clinical supervision needs are met.
- Contribute to the development and dissemination of new knowledge by submitting papers for publication and/or abstracts for appropriate conferences.
- Have a named mentor from within the medical team for continuing clinical support and development.
- Provide specialist training and education locally, nationally and internationally (eg organising/hosting/presenting at meetings, study days, conferences etc).
- To provide clinical and professional support and advice to all staff.
- Develop and deliver specific and relevant teaching programs for all disciplines.
- Support, supervise and assess clinical competencies of nursing staff and other members of the multidisciplinary team
Equality and Diversity
- To recognise and promote the importance of peoples rights and interpret them in a way that is consistent with Trust procedures, policies and legislation
- Acts in a way that acknowledges and recognises peoples expressed beliefs preferences and choices
- Respects peoples diversity and values them as individuals
- To challenge behaviour that undermines the rights of others
- To identify and act where necessary to address discrimination
Health and Safety
- Be aware of the Health and Safety aspects of your work and implement any policies which may be required to improve the safety of your work area, including the prompt recording and reporting of accidents to senior staff, and ensuring that equipment used is safe
- To take immediate and appropriate action in relation to adverse incident reporting
- To comply with the organisational and departmental policies and procedures and to be involved in the reviewing and updating as appropriate
- Monitors and maintains health, safety and security of self and others in own work area
- Contributes to risk register
Person Specification
Qualifications
Essential
Desirable
Experience
Essential
Desirable
Skills
Essential
Desirable
Knowledge
Essential
Desirable
Values
Essential
Other
Essential
Employer details
Employer name
The Christie NHS FT
Address
Acute Oncology ANP - E00018
Manchester
M20 4BX
Any attachments will be accessible after you click to apply.
413-84179-CSSS-AK
The successful candidate will be highly motivated and driven to improve patient care and experience and although oncology experience advantageous it is not essential as you will be supported with an extended supernumary period to develop the required skills as experience in an acute care or medicine is transferable. The successful candidate will have completed formal ACP training and have achieved a master's in advanced clinical Practice, enabling them to work autonomously in the planning and delivery of care for this complex group of patients in both inpatient and outpatient settings.
The post will comprise of 80% clinical, 20% non-clinical hours to allow for service development, audit and research and professional development opportunities within the four pillars of advanced clinical practice.
Main duties of the job
Following the success of our nurse-led Acute Ambulatory Care Unit we are now expanding the current Advanced Clinical Practitioner Team. Successful candidates will become integral members of our team of Acute Oncology Advanced Practitioners and provide clinical assessment and support to the care and treatment of a diverse caseload of patients requiring specialist acute oncology care. Demonstrating highly developed specialist knowledge and skills, the post holders will be integral in the early identification of complications and the treatment management of acutely unwell oncology patients. Responding quickly the advanced clinical practitioner will formulate clinical decisions to manage acute illness and escalate to specialist teams appropriately and deliver expert nursing care to renal medical oncology patients with advanced or relapsed disease.
The Advanced Clinical Practitioners will work autonomously demonstrate a highly specialist knowledge and skills in the diagnosis and management of patients within oncology. They will order investigations, make appropriate/ timely referrals and maintain relevant clinical records. Non-medical prescribing is fundamental in supporting this role. The post holder will provide clinical expertise for developing and enhancing the service.
About us
The Christie is one of Europe's leading cancer centres, treating over 60,000 patients a year. We are based in Manchester and serve a population of 3.2 million across Greater Manchester & Cheshire, but as a national specialist around 15% patients are referred to us from other parts of the country. We provide radiotherapy through one of the largest radiotherapy departments in the world chemotherapy on site and through 14 other hospitals highly specialist surgery for complex and rare cancer and a wide range of support and diagnostic services. We are also an international leader in research, with world first breakthroughs for over 100 years. We run one of the largest early clinical trial units in Europe with over 300 trials every year. Cancer research in Manchester, most of which is undertaken on the Christie site, has been officially ranked the best in the UK.
Job description
Job responsibilities
DUTIES AND RESPONSIBILITIES
Clinical Practice
- To participate in the direct clinical management of acute oncology patients from first presentation at the hospital, until discharge. This will include history taking, systematic physical examination and formulating clinical management plans
- Plan, deliver and evaluate interventions and/ or treatments when there are complex issues and/ or serious illness
- Review and interpret all information available utilizing a systematic process of reasoning to make a working and differential diagnosis.
- Develop and record a treatment plan consistent with the outcome of assessment and most probable diagnosis.
- Prescribe drugs within the capacity of non-medical prescribing, adhering to Trust policy and existing frameworks.
- Communicate complex clinical and supporting information/ findings to patients and significant others according to individual situations. Ensure patients receive appropriate information and support in relation to their illness and treatment
- Arrange or refer the patient for appropriate diagnostic test, investigations, other professional colleagues. Check and interpret, taking action as clinically appropriate
- Perform clinical procedures safely according to defined protocols. These may include arterial blood gas sampling and analysis, oxygen therapy
- Support equality and value diversity.
- Prepare accurate and concise reports both verbal and written.
- Plan and manage own workload/ caseload in a flexible manner, ensuring that service provision meets the needs of patients.
- To liaise with the other members of the multi-professional team and facilitate excellent and effective communication to provide a patient focused service.
- Ability to self-manage, plan and adjust priorities to meet the dynamic demands within the oncology and acute oncology teams.
Leadership & Management
- Work within professional codes and policies both nationally and by the Trust
- To demonstrate an up-to-date knowledge of oncology/ acute medicine practice and responsibility for ones own professional development.
- To maintain a portfolio to fulfil requirements of the NMC in maintaining effective Advanced Practitioner registration.
- Maintain safe practice and development through regular peer review of evidence-based practice with medical Consultant supervisor.
- Liaise and collaborate with multi-professional disciplines and outside agencies.
- Participate in clinical audit in respect to evaluating service effectiveness and future developments within the role.
- To develop clinical protocols, standards, and guidelines in own area.
- Contribute to wider issues in the trust, such as committee membership, clinical progression, and policy development.
- To actively contribute to the process of clinical risk management.
- Act as a role model in developing advanced nursing roles at local, regional, and national level.
- To inspire others and encourage them to seek advice and solutions to problems.
- Challenges other to take an active part in developing knowledge, ideas, and work practice
- Promotes the service and encourages the Acute Oncology team to disseminate good practice both internal and external to the Trust
- To identify own development needs and set own personal development objectives in discussion with his/her reviewer keeping abreast of any new trends and developments and incorporate them as necessary into your work
- Undertakes annual mandatory training updates and other relevant courses in line with Trust and local policies.
- Acts as a resource for the acute oncology nursing team
- To act as a role model ensuring own actions promote quality and identify and manage any risks
- To raise quality issues and report related risks within the trust to address poor standards and incidents.
- To inform and influence clinical governance issues.
- To keep up to date and act consistently with quality standards and guidelines within their own clinical area and associated areas
Research
- Initiate and support clinical audit with respect to evaluating service effectiveness and future developments within the role, developing, and managing strategies to address any shortfalls.
- Involvement in medical and/or nurse-led research within oncology in response to identified need. Disseminate results and implement findings appropriate to practice
- Demonstrate knowledge of current research in all aspects of his/her work and to site specific disease group.
- Implement research findings appropriate to practice
- To undertake the measurement and evaluation of your work and current practices though the use of evidence-based practice projects, audit and outcome measures, and lead others in doing so. Make recommendations for and lead change.
- Maintain accurate records and provide necessary data for statistical analysis
Education and Development
- To participate in training and education programmes allowing professional and clinical updating to take place within the normal working week (Journal Club, Annual OSCE, Non-Medical Prescribing, Communication Skills Training, Informed Consent, Mandatory Training etc.)
- Identify own development needs in line with service requirements within personal development plan. Undertake continuing professional development to ensure that skills remain optimal and new elements can be added to the skills portfolio.
- Assist in the identification of the training needs of colleagues and participate in their continuing education, mentorship and skills development.
- Ensure personal, peer group support and clinical supervision needs are met.
- Contribute to the development and dissemination of new knowledge by submitting papers for publication and/or abstracts for appropriate conferences.
- Have a named mentor from within the medical team for continuing clinical support and development.
- Provide specialist training and education locally, nationally and internationally (eg organising/hosting/presenting at meetings, study days, conferences etc).
- To provide clinical and professional support and advice to all staff.
- Develop and deliver specific and relevant teaching programs for all disciplines.
- Support, supervise and assess clinical competencies of nursing staff and other members of the multidisciplinary team
Equality and Diversity
- To recognise and promote the importance of peoples rights and interpret them in a way that is consistent with Trust procedures, policies and legislation
- Acts in a way that acknowledges and recognises peoples expressed beliefs preferences and choices
- Respects peoples diversity and values them as individuals
- To challenge behaviour that undermines the rights of others
- To identify and act where necessary to address discrimination
Health and Safety
- Be aware of the Health and Safety aspects of your work and implement any policies which may be required to improve the safety of your work area, including the prompt recording and reporting of accidents to senior staff, and ensuring that equipment used is safe
- To take immediate and appropriate action in relation to adverse incident reporting
- To comply with the organisational and departmental policies and procedures and to be involved in the reviewing and updating as appropriate
- Monitors and maintains health, safety and security of self and others in own work area
- Contributes to risk register
Person Specification
Qualifications
Essential
- MSc Advanced Clinical Practice that includes history taking and clinical examination of patients.
- Independent Non-Medical Prescribing Qualification
- Registered General Nurse or Registered Allied Health Professional
- Teaching/ Mentorship degree module/ENB998/PGCE.
Desirable
- Advanced Life Support Course.
- Evidence of proactive involvement in the mentorship and development of nurses and nursing practice
Experience
Essential
- Post registration experience.
- Experience within acute care/ medicine/ oncology specialties
- Demonstrates highly developed specialist knowledge and expertise, that is underpinned by a foundation of theory and continues acquired knowledge and skills through CPD
- Effective communicator, able to communicate complex and highly sensitive information appropriately
- Excellent clinical reasoning / clinical decision making
- Experience of working autonomously and as part of a team.
- Ability to work across professional boundaries.
Desirable
- Experience in undertaking audit and management of change in practice related to audit results.
Skills
Essential
- Excellent communication skills: interpersonal, written and verbal.
- Confidence to adapt to an evolving and changing service.
- Ability to assess and manage patient risk effectively and safely. Excellent time management, organisational skills and ability to prioritise a busy/ unpredictable workload.
- IT skills
- Committed to professional development.
Desirable
- Leadership and Management skills.
- Innovative and motivated.
- Ability to think strategically in relation to long-term service development.
- Presentation skills.
- Reflective practitioner.
- Advanced communication skills
Knowledge
Essential
- Working knowledge of clinical governance.
- Ability to use research findings in clinical practice.
- Knowledge of national standards and policy that inform best practice (for example: NICE/ Department of Health guidelines).
- Appreciate the accountability associated with advanced
Desirable
- Evidence of involvement with research and audit.
- Good Clinical Practice qualification
- Experience of policy and procedure writing.
Values
Essential
- Ability to demonstrate the organisational values and behaviours
Other
Essential
- Ability to work unsocial hours on a rotational basis.
Employer details
Employer name
The Christie NHS FT
Address
Acute Oncology ANP - E00018
Manchester
M20 4BX
Any attachments will be accessible after you click to apply.
413-84179-CSSS-AK
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