Trainee Advanced Clinical Practitioner, CICU and HDU, Cardiac Surgery

Dyddiad hysbysebu:	12 Awst 2025
Cyflog:	£38,682.00 i £54,710.00 bob blwyddyn
Gwybodaeth ychwanegol am y cyflog:	£38682.00 - £54710.00 a year
Oriau:	Llawn Amser
Dyddiad cau:	24 Awst 2025
Lleoliad:	Nottingham, NG5 1PB
Cwmni:	NHS Jobs
Math o swydd:	Parhaol
Cyfeirnod swydd:	C9164-25-1538

Crynodeb

Clinical Practice To undertakeappropriate training and development under supervision in order that the following can be achieved: To practice in compliance with respective professional code of conduct and within own scope of practice. To take every opportunity to expand individual practice in line with the appropriate professional code of conduct and identifies personal career development pathway.. To have a critical understanding of broadened level of responsibility, autonomy and limits of own competence. To use highly developed clinical knowledge and advanced clinical reasoning skills or decision-making skills to independently assess, diagnose, plan, implement and evaluate treatments and interventions for patients, in a context of complex undifferentiated or undefined presentations. To undertake physical examination as indicated by the patients condition and autonomously analyse complex clinical signs and investigation results to diagnose conditions. To perform clinical procedures or therapies relevant to the area of practice, as competent to do so, and as appropriate to the history and physical examination of patients, including further invasive testing and treatments requiring highly developed skills . To request investigations such as blood, urine and other laboratory tests, electrocardiographs (ECGs), ultrasound scans, X-Rays, magnetic resonance imaging (MRI) and computed tomography (CT) scans in accordance with IR(ME)R regulations and as local policy allows. To analyse multiple sources of information (including patient history, physical examination and investigation findings) to make evidence-based diagnoses and/or clinical judgements; presenting this information to senior specialty staff for advice when scope of practice is exceeded. To autonomously formulate appropriate management plans for patients, formulate clinical decisions and often complex intervention plans to manage acute illness and acute episodes of chronic illness. To continuously revaluate findings and clinical response to intervention and establish appropriate ongoing management plan accordingly, including referral, admission or discharge from service. To utilise and demonstrate effective and sensitive communication styles, anticipating and working to overcome potential barriers to communication, to support people in making informed decisions. To create a trusting partnership with patients and/or relatives/carers to communicate complex medical issues (including new diagnoses) to ensure service users are fully informed and consent to intervention and management plans. To prioritise health problems and intervene appropriately in complex, urgent and emergency situations, including initiation and leadership of resuscitation. To appropriately manage risk, especially where there may be complex and unpredictable events, to ensure safety of individuals, families and carers. To prescribe and review medication (as an independent prescriber) for therapeutic effectiveness appropriate to patient need and in accordance with best/evidence-based practice. To maintain competence in the use of electronic prescribing and medication administration (EMPA) and has completed a combined scope of practice and prescribing agreement. To assess patients with mental health needs using local policy and guidelines and refer to the appropriate services. To assess mental capacity, gain valid consent and have to ability to work within a legal framework with patients who lack capacity to consent to treatment To identify and intervene proactively when 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; Support specialty management with risk assessments, DATIX and complaints as appropriate To produce detailed and accurate written information within the patient record regarding all clinical assessments, investigations completed and requested, and treatments administered. To maintain the responsibility for the delivery of a detailed, accurate and potentially complex clinical handover to healthcare colleagues including other specialties and external organisations. To maintain confidentiality as required by professional, local, and national policy. To work towards accreditation with relevant clinical governing body e.g., centre for advanced practice, RCEM (Royal College of Emergency Medicine), FICM (Faculty of Intensive Care Medicine) or equivalent internal tailored programmes. To maintain a personalised e-portfolio that demonstrates competence, capability, and ongoing development. Leadership and Management To undertake appropriate training and development under supervision in order that the following can be achieved: To proactively develop effective partnerships with the existing senior medical, nursing and AHP teams, to encourage productive working in driving new practice and service redesign; Acts a knowledge resource in how to initiate development and manage change. To lead in multi-disciplinary service and team evaluation, demonstrating the impact of advanced clinical practice on service function and effectiveness and the quality. To formulate and implement the co-production of service improvements in response to peer review of own and others practice; feedback and involvement from service users (individuals, families, carers, communities), working across boundaries with a broadened sphere of influence. To act as a resource for staff, advising on specialty, organisational and national policy, procedures and guidelines. To highlight and address areas of witnessed poor practice and demonstrate a preparedness to constructively challenge others, appropriately escalating concerns that affect an individuals safety and well-being (patient/family/carer/colleague). To manage conflicting views and liaise between groups where there may be conflict. To recognise and defuse potentially aggressive and violent individuals or situations in line with local policy and legal frameworks. To manage staff performance, training, and supervision of other staff including annual Trust appraisaland annual review of clinical practice (ARCP). To support staff development to maximise potential, encouraging everyone to learn from each other and from external good practice. To support patients, carers and staff during difficult situations that arise e.g., breaking unwelcome news or following an unexpected event. To develop and contribute to local guidelines, interpret and adapt national protocols and standards to enhance patient care and safety. To maintain awareness of budgetary constraints within the organisation, manages resources appropriately and encourages others to do the likewise. To ensure appropriate representation and participation in organisational meetings as appropriate for the role. To prioritise workload to support and manage the surges in demand across the clinical hospital and organisation in accordance with Trust pressures. To engage in the development of meaningful partnerships from local to international level to deliver a collaborative approach to advanced clinical practice. Facilitating Learning To undertake appropriate training and development under supervision in order that the following can be achieved: To critically assess own learning needs and identify a personal development plan that reflects the breadth of professional development across the four pillars of advanced practice. To engage in self-directed learning, critically thinking to maximise clinical skills, knowledge and ability to lead and develop care and services. To develop health promotion and education in conjunction with other health care professionals ensuring that all patient care within the multi-professional team is based on research and best practice. To empower individuals to participate in decision about their care by supporting health literacy and providing support and clinical advice in specialist areas, based on evidence-based research. To advocate for and contribute to a culture of organisational learning; Supporting and delivering education programmes and training pathways for multi-professional learners across NUH. To act as a role model, educator, supervisor, coach and mentor, identifying and supporting the developmental needs of individuals and the wider team. Evidence, Research and Development To undertake appropriate training and development under supervision in order that the following can be achieved: To critically engage in research activity, e.g. design, coordinate, and undertake collaborative audit and research, to develop and apply evidenced-based practices within Cardiac Surgery. To evaluate own and others clinical practice with valid, reliable methods, and the act on findings. To lead on or actively collaborate in a minimum of annual audit / quality improvement as evidenced by inclusion in their e-portfolio and outputs. To engage in research activity at a minimum of patient selection when required. To contribute towards and/or lead on the development of multidisciplinary research and clinical audit implementing evidence-based practice; Critically review and identify gaps in the evidence and its application to practice. Facilitates collaborative links between clinical practice and research supporting organisational and system research and development plans. To proactively engage in the improvement of the department by enhancing levels of evidence-based practice and the development of guidelines and protocols.