Trainee Advanced Clinical Practitioner - Orthopaedics

Trainee Advanced Clinical Practitioner - Orthopaedics Chelsea and Westminster Hospital NHS Foundation Trust Trainee Advanced Clinical Practitioner - Orthopaedics, Band 7

Permanent

West Middlesex University Hospital - Isleworth

We are looking for a trainee Advanced Clinical Practitioner (tACP) to join our Orthopaedics team in Planned Care.

We are very excited to be expanding our Advanced Clinical Practitioner workforce in our high achieving and friendly Trauma and Orthopaedics team. We are looking for a tACP, who is looking for a new challenge and will be focused on the care of elective orthopaedics patients, both in the inpatient and outpatient settings.

With support of the senior medical team, the tACP will be supported towards being accountable for independent clinical assessment, diagnosis and treatment of patients with undiagnosed and undifferentiated conditions. In addition to this, the tACP will be supported towards developing skills and capabilities to appropriately refer patients to relevant specialties for any necessary inpatient or outpatient investigations as well as facilitating safe patient discharge.

Main duties of the job The tACP will use specialist knowledge and skills to provide healthcare autonomously to patients in their area. This will be focused on the care of elective orthopaedics patients, both in the inpatient and outpatient settings. With supervision and guidance from the senior medical team, the trainee ACP will be supported towards being accountable for independent clinical assessment, diagnosis and treatment of patients with undiagnosed and undifferentiated conditions and refer patients to relevant specialties for any necessary inpatient or outpatient investigations as well as facilitating safe patient discharge.

The post holder will be a registered nurse or registered healthcare professional and will undertake an MSc in Advanced Clinical Practice as part of the role. Throughout the training program the tACP will have access to an educational supervisor and a clinical supervisor who will support in developing a training pathway based upon previous experience. Upon successful completion of the master's pathway and internal competencies the post holder will be assessed for clinical competence to progress from a band 7 tACP role to a qualified ACP role at an 8a.

The role will include participating in audit and research projects, and participating in updating and implementing departmental policies, protocols and guidelines, in line with national guidance and contemporary evidence.

Job responsibilities Clinical Provision & Expert Practice

• Develop high degree of clinical knowledge to independently assess, diagnose, plan, implement and evaluate treatments and interventions for patients presenting to the specialty with complex undifferentiated or undefined presentations.
• Develop to undertake physical examination as indicated by the patient's condition; autonomously analysing complex clinical signs and investigation results to consider differential diagnoses and diagnose conditions, initiating treatment as required.
• Develop the skills and knowledge to perform clinical procedures appropriate to the history and physical examination of the patient, including further invasive testing and treatments requiring highly developed skills and precision.
• Develop the skills and knowledge to request investigations such as blood, urine and other laboratory tests, electrocardiographs (ECGs), ultrasound scans, X-Rays and computed tomography (CT) scans in accordance with IR(ME)R regulations and as local policy allows.
• Develop the skills and knowledge to analyse multiple sources of data including patient history, physical examination and investigation findings when making diagnoses, clinical judgements and evaluating care provided; presenting this information, to specialty/senior medical staff for advice when scope of practice is exceeded.
• Develop the skills and knowledge to autonomously formulate appropriate management plans for patients, formulate clinical decisions and often complex treatment plans to manage acute illness and acute episodes of chronic illness including referral, admission or discharge.
• Develop the skills and knowledge to continuously evaluate findings and clinical response to treatment and establishes an appropriate ongoing management plan accordingly.
• Develop the skills and knowledge to prioritise health problems and intervenes appropriately in complex, urgent and emergency situations, including initiation and leadership of resuscitation.
• Develop the skills and knowledge to manage clinical events involving patients, often requiring unpredictable and high levels of mental and/or physical effort according to the patients' dependency and clinical need.
• Develop the skills and knowledge to provide clinical cover to the specialty wards according to patient and staffing needs.
• Develop the skills and knowledge to prescribe and review medication (as an independent prescriber) for therapeutic effectiveness appropriate to patient need and in accordance with best/evidence-based practice and national and local protocols and within the roles' scope of practice and legal framework.
• Develop the skills and knowledge to integrate both pharmacological and non-pharmacological treatment in patient care/management plans.
• Develop the skills and knowledge to assess patients with mental health needs using local policy and guidelines and refers to the appropriate services.
• Communicates effectively with patients, carers, colleagues and others using appropriate communication styles. Anticipates barriers to communication and ensures patients and significant others are kept fully informed and consent to treatment.
• Acts as a resource for staff, advising on local, national and Trust policy, procedures and guidelines ensuring patient safety and clinical governance.

Clinical Leadership

• Works in partnership with the existing senior medical, nursing and AHP teams in driving departmental development and change.
• Manages conflicting views and liaises between groups where there may be conflict.
• Highlights and addresses areas of witnessed poor practice and manages the situation appropriately.
• Supports staff development to maximise their potential, encouraging everyone to learn from each other and from external good practice.
• Supports patients, carers and staff during difficult situations arising in the clinical area.
• Produces accurate and complete documentation and patient records consistent with legislation, policies and procedures.
• Possesses excellent time management and personal organisation skills.
• Acts as a knowledge resource in how to initiate and manage the impact of change.
• Develops and contributes to local guidelines, interpreting and adapting national protocols and standards to enhance patient care and safety.
• Maintains awareness of budgetary constraints within the department, manages resources appropriately and encourages others to do likewise.
• Ensures appropriate representation and participation in departmental meetings as appropriate for role.
• Actively contributes and provides leadership with service development plans within the directorate.
• Ensures optimization of preoperative investigations, ensuring all appropriate imaging has been requested and updated in a timely manner.
• Ensures optimal care is delivered for patients while in hospital and co-ordinates efficient discharge and postoperative care.
• Reviews patients in clinic postoperatively and acts upon or escalates concerning findings.

Person Specification Education and Qualifications

• RGN/ HCPC Registered professional
• Qualification in Advanced Assessment Skills with evidence of clinical practice
• Registered independent non-medical prescriber
• Enrolled in an MSc in Advanced Clinical Practice
• Teaching qualification

Experience

• Currently working as a senior nurse/AHP in Trauma and Orthopaedics/MSK or similar
• Senior clinical leadership experience
• Significant post-registration experience in inpatient surgery
• Experience and evidence of developing practice
• Experience of supporting learning in the clinical environment
• Acknowledged expert in their field who is clinically credible
• Significant post-registration experience in Trauma and Orthopaedics/MSK
• Experience of participating in clinical audit
• Experience of disseminating work through presentation/publication
• Previous experience in a practice development role/formal teaching experience
• Previous experience of working in an inpatient surgery setting

Skills and Knowledge

• Evidence of excellent communication and interpersonal skills to enable effective relationships with all staff, the patients and their carers
• Experience and evidence of working collaboratively in a multidisciplinary environment
• Experience of anticipating stressful situations and act in a supportive manner, safeguarding team wellbeing and leading debriefs
• Evidence of effective leadership, practice development, expertise and innovation in clinical practice
• Evidence of teaching/facilitating skills
• Ability to critically appraise research literature and apply research findings to practice as appropriate
• Good insight into current health policy developments
• Work autonomously, demonstrating critical analysis and decision-making skills. Ensure provision of care
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