Working Together to Achieve the Healthiest

Candidate information pack

Visit our website: www.nhsaaa.net All our publications are available in other formats Find us on Facebook at www.facebook.com/nhsaaa Follow us on Twitter @NHSaaa Post Title:

Acute Care Advanced Nurse Practitioner

Job Reference Number:

N/465/17

Informal Enquiries: Informal enquiries are welcomed by: Mrs Barbara Cowley, Ms Julie Smith or Mrs Gillian McNaughton – ANP Clinical Nurse Managers, telephone number – 01563 826986.

Closing Date:

1st November 2017

Process for Submitting Application Form:

You can apply using the online application form on the SHOW website – www.jobs.scot.nhs.uk Alternatively your completed application form can be returned to [email protected] or to the Department of O&HRD, 63A Lister Street, University Hospital Crosshouse, Kilmarnock, KA2 0BE

Please note: if applying using the online application facility on the SHOW website, please avoid using symbols, &/£ signs, etc. For all applications, either online or paper, please limit your supporting statement to no more than 500 words. If limit is exceeded text will be cut off.

All correspondence will be sent by email. We have experienced some issues with personal email addresses and there is no guarantee correspondence will be sent to your inbox. It is therefore your responsibility to check all email folders, including your junk folder, as we have no control over which folder the correspondence will be sent to. Section one: Why work in Ayrshire?

Ayrshire is situated in the south-west of Scotland on the Firth of Clyde, and is characterised by 80 miles of varied coastline, picturesque beaches, rolling green hills and islands.

Just a 30-minute drive from Glasgow city centre, Ayrshire is an ideal location for those who want to enjoy city life, with all the benefits of living in a semi-rural area. Ayr, Irvine and Kilmarnock are the largest towns. However, there are many rural towns, villages and communities throughout the area should you wish to relocate to Ayrshire. Whether you decide to locate to Ayrshire or a neighbouring area, you will find that property prices are more affordable than in other parts of the UK.

Alternatively, working in Ayrshire provides an easy commute from both Glasgow and the wider central belt. There is an excellent network of both rail and bus links throughout Ayrshire to Glasgow and beyond. There are UK and international flights available from Glasgow Airport, as well as a range of services from Glasgow Prestwick Airport.

Ayrshire provides a wide range of excellent recreational activities: whether you are interested in history and heritage, outdoor pursuits, events and festivals, or simply food and drink, there is something for everyone.

Ayrshire boasts more than 40 quality golf courses, including two Open Championship courses at Turnberry and Royal Troon.

For more information on the range of recreational activities in Ayrshire, visit www.visitscotland.com /ayrshire-arran

Local educational standards are very high at primary and secondary level. However, private education is also available in the area. See below for more information on local authority services:

East Ayrshire Council – www.east-ayrshire.gov.uk

North Ayrshire Council – www.north-ayrshire.gov.uk

South Ayrshire Council – www.south-ayrshire.gov.uk Section two: NHS Ayrshire & Arran as an employer

NHS Ayrshire & Arran recognises that our staff are vital to delivering our purpose, values and commitments and to achieving our strategic objectives. Our purpose

Working together to achieve the healthiest life possible for everyone in Ayrshire and Arran

Our values Caring Safe Respectful

Our aim is to create an organisation where people want to work and strive to deliver excellence each day; where staff wellbeing and personal resilience is supported; where careers are interesting and developed; where staff are encouraged to reach their full potential; and where staff feel their contribution is recognised and valued.

To do this, we need to attract, develop, support and retain our staff and enhance their work experience. This will directly contribute to our aspiration to deliver excellent high quality services to every person every time. We believe the unique factors that help to define us as an employer are:

 our friendly and supportive environment;  our commitment to staff engagement and effective team working;  our track record in creativity and innovation and our ability to successfully implement change and redesign;  our track record in supporting our staff’s learning, development and career aspirations, from an initial comprehensive three-day corporate induction programme to the availability of a wide range of internal training programmes;  our commitment to supporting flexible working through a wide range of family friendly policies; and  our commitment to support and improve our staff’s health, safety, wellbeing and resilience. We do this by implementing our Staff Health, Safety and Wellbeing Strategy, and in our work towards achieving and maintaining the Health Working Lives Gold Award. In addition, our Staff Care and Occupational Health Service provide a range of support and interventions to our staff.

The organisation has a statutory responsibility to ensure the Staff Governance Standard is embedded and adhered to as part of the governance framework – staff, financial, information and clinical governance – in which NHS Boards operate. The Staff Governance Standard requires all NHS Boards to demonstrate that staff are:

 well informed;

 appropriately trained and developed;

 involved in decisions;

 treated fairly and consistently, with dignity and respect in an environment where diversity is valued; and

 provided with a continuously improving and safe working environment, promoting the health and wellbeing of staff, patients and the wider community.

During 2013, we consulted with our staff to select the key values and behaviours which they believed were essential to create a safe, effective and person-centred working environment which benefits patients, staff and carers. This allowed us to develop our purpose, values and commitments. We passionately believe in creating a culture which is open, fair and just. Section three: Delivering our services

Acute Services

Emergency and elective hospital services are provided by our acute services, which includes inpatient, outpatient and day case care. There are two district general hospitals within Ayrshire: University Hospital Ayr and University Hospital Crosshouse. These hospitals provide a wide range of acute services:

 University Hospital Ayr

University Hospital Ayr provides medical and surgical services on an inpatient, day case and outpatient basis. It is the main Accident and Emergency service for South Ayrshire. It provides a number of Ayrshire-wide services including Vascular Surgery, Ophthalmology and Audiology.

 University Hospital Crosshouse

University Hospital Crosshouse provides medical and surgical services on an inpatient, day case and outpatient basis. It is the main Accident and Emergency service for East and North Ayrshire. Inpatient paediatrics, the Ayrshire Maternity Unit and the main Laboratories for Ayrshire are on the Crosshouse site.

Community, mental health and learning disabilities services

Following the introduction of Health and Social Care Integration, the operational delivery for the range of community healthcare services and mental health and learning disabilities services is through the newly created Health and Social Care Partnerships and the Integrated Joint Boards:

 East Ayrshire Health and Social Care Partnership

 North Ayrshire Health and Social Care Partnership

 South Ayrshire Health and Social Care Partnership

Community Services

General medical and dental services are provided throughout Ayrshire and Arran by general practitioners, dentists, community pharmacies and optometry practices. Community nurses, health visitors and Allied Health Professionals are all involved in providing care within our local communities.

Out-of-hours general medical services are provided by Ayrshire Doctors On Call (ADOC) within the community. Mental health and learning disability services

Inpatient mental health services, including the Intensive Psychiatric Care Unit, are largely delivered at Ailsa Hospital in Ayr with further mental health inpatient services provided at University Hospital Crosshouse

Learning disability services are provided from Arrol Park in Ayr. Elderly mental health inpatient services are provided from Ayrshire Central Hospital in Irvine, and East Ayrshire Community Hospital in Cumnock. Community based services are provided throughout Ayrshire for the range of clinical groups: adults, child and adolescent, elderly and addiction services.

For more information on the full range of clinical services provided by NHS Ayrshire & Arran, visit our website www.nhsaaa.net Section four: Investing for the future

There are two major capital developments underway within NHS Ayrshire & Arran to ensure safe, effective and person centred care:

Building for better care

We are investing £27.5 million to provide fit for purpose front door services for University Hospitals Ayr and Crosshouse, in order to improve emergency and urgent care for patients who come to hospital for anything other than a scheduled appointment.

North Ayrshire Community Hospital – Woodland View

We are investing £47 million to provide a 206 en-suite bedroom integrated mental health and community facility, including older people’s long term care and rehabilitation. This development will bring together a full range of outpatient and inpatient facilities. Section five: Post Details

1. Job Identification

Job Title: Acute Care Advanced Nurse Practitioner Responsible to (insert job title): Advanced Nurse Practitioner – Clinical Manager Department(s): Hospital at Night/Day Base: Pan Ayrshire Operating Division: Acute Services Job Reference: N/465/17 No of Job Holders: 46 Last Update (insert date): 28 February 2017

2. Job Purpose To utilise expert knowledge base and clinical competence, to support multi-professional teams within NHS Ayrshire & Arran, ensuring a high standard of clinical care, in accordance with the Nursing and Midwifery Council and Health and Safety legislation.

To work across role and organisational boundaries, as an integral member of the Acute Care Advanced Nurse Practice Team throughout NHS Ayrshire & Arran. Supported by protocols to perform clinical assessment, initiate investigations, determine differential diagnosis and undertake appropriate first line interventions;

To provide leadership, clinical support and advice to nursing and junior medical staff, making appropriate referrals to, and co-ordinating the contribution of other members of the multi-professional team;

To facilitate and participate in audit and quality assurance programmes, promoting evidence based practice within NHS Ayrshire & Arran.

To provide expert clinical care and management of both the stable and acutely unwell adult patient and his/her family, making complex, autonomous decisions using advanced skills and knowledge, having overall responsibility for the assessment of care needs and the delivery of advanced nursing care, to own caseload at a level equivalent to that of junior grade medical staff.

To provide specialist education, training to nursing and junior medical staff within NHS Ayrshire & Arran and to act as a role model, encouraging high standards of patient care. 3. Dimensions The Acute Care Advanced Nurse Practitioner carries out an expanded role which includes physical assessment, diagnosis of conditions, nurse independent prescribing and planning of care or onward referral to other members of the multi-professional team as appropriate, during normal and out of hours working.

The post holder works as an autonomous member of the multi-professional team within NHS Ayrshire & Arran and is the first responder to patients requiring clinical assessment and intervention. If required, supervision and support is provided through senior medical colleagues on the team.

The post-holder will also, working under the direction of a Medical Consultant and in partnership with other medical junior grade staff, share the clinical responsibility for a service.

The Nurse Consultant (Acutely Unwell Adult/Advanced Practice) is responsible for professional development and achievement of clinical competence for this role.

The Acute Care Advanced Nurse Practitioner has responsibility for the assessment of care needs and the delivery of optimal care to own caseload.

The post holder will have specialist knowledge of the needs of patients across a range of clinical issues, underpinned by the theory and practice acquired through an in-house education programme.

The post holder acts as a resource to other nursing and medical staff.

The post holder is not responsible for overall management of the budget but is responsible for ordering supplies for own use and provision of advice regarding specialist nursing equipment. 4. ORGANISATIONAL POSITION

Associate Nurse Director

(Acute Services)

Nurse Consultant

(Acutely unwell adult/Advanced Practice)

Advanced Nurse Practitioner Acute Care Clinical Manager Advanced Nurse Medical Consultants Practice Team Clinical Lead

Acute Care Advanced Nurse Practitioner (this post)

Medical & Nursing Night Co-ordinators Teams Clinical Support Workers 5. Role of Department The overall role of the department is to work across role and organisational boundaries, to provide competent nursing input to work as an integral member of the Acute Care Advanced Nurse Practice Team throughout NHS Ayrshire & Arran. This is multi-faceted role, which encompasses care of both the stable and acutely unwell adult in-patients.

The Acute Care Advanced Nurse Practice Team incorporates a generic multi-professional team approach to clinical care throughout NHS Ayrshire and Arran. The Emergency Response Team (ERT) is an in-patient rescue service that liaises with the Acute Care Advanced Nurse Practice Team to actively identify and respond to patients who are identified as being at risk of acute deterioration. It facilitates an improved system of communication and prioritisation, to provide safe and effective patient care based on clinical need.

The ERT and Acute Care Advanced Nurse Practice Team sits within Acute Services, promoting patient centred services, based upon local and National strategies, taking account of NHS Ayrshire and Arran’s clinical, corporate and staff governance agenda.

Working collaboratively the department assesses, plans, implements and evaluates individualised programmes of care. The department works to promote a culture of openness and honesty and provides a learning and stimulating environment where staff can flourish.

6. Key Result Areas

Clinical  To work closely with medical and nursing colleagues, to ensure that patients receive appropriate assessment, investigation and treatment during and out-with working hours;  Provide an appropriate response to calls regarding patients from ward areas outside normal working hours;  To triage patients, prioritising clinical need, initiating treatment supported by protocols and refer those patients who require medical intervention;  To be responsible for the management of own caseload during the span of duty, and assist in medical management of Acutely Unwell patients. This will be in partnership with the multidisciplinary team and will include the patients’ journey from admission to discharge.  Utilise advanced knowledge and highly specialist clinical skills to assess, plan, implement and evaluate programmes of care in order to deliver the highest possible standard of care to patients and their families within the confines of available resources;  Prescribe and administer intravenous fluids and medications according to Patient Group Direction (until independent nurse prescribing course completed);  Assess need for medication and undertake nurse prescribing duties in line with organisational policy;  Be involved in a range of clinical responsibilities, which will improve and maintain the experience of patients within NHS Ayrshire & Arran  Routinely undertake clinical assessment of acutely unwell adults and stable patients including history taking, clinical examination and arranging relevant investigations;  Routine management of stable patients including regular monitoring, communication with ward staff and medical staff where clinical concerns arise and responsibility for the discharge process;  To carry out venepuncture, cannulation, arterial blood gas sampling and analysis, IV preparation and administration, management of fluid balance, undertake12 lead ECG and basic interpretation;  Initiate treatments, supported by written protocols and guidelines eg. commencing intravenous infusions, anticoagulation, ordering emergency chest x-ray and cross-matching for blood transfusion;  Liaising with laboratory and radiology departments and ensure that results are acted upon promptly;  Lead and act as a specialist resource by promoting the service and increasing the awareness of the care and management of medical conditions in the acute hospital setting to enhance standards of care;  Act as a role model for staff, giving clinical guidance, advice and support  As an Acute Care Advanced Nurse Practitioner, give advice and support to medical colleagues, Ward Manager and team leaders on medical clinical matters and act as a resource to nursing staff.  As an Acute Care Advanced Nurse Practitioner, support the nursing team to ensure that the appropriate clinical skills and competencies are used effectively to meet the needs of both acutely unwell and stable patients and their families;  Demonstrate expert clinical knowledge and skill, by keeping up to date with evidence based; practice, through continuous professional development, to maintain high levels of clinical practice  Share responsibility for clinical and staff governance with medical colleagues, Ward Managers and nursing staff;  Report complaints, incidents and accidents via the appropriately identified channels and assist managers in their investigation and resolution. Ensuring action plans are appropriately implemented;  Participate in internal and external committees relating to, Acute Care Advanced Nurse Practice services in order to contribute to the development of future service provision;  Participate in the clinical improvement programme to ensure the quality of patient care is reviewed, assessed, implemented and monitored to maintain standards of care given to patients and their families;  In partnership with senior members of the clinical team develop highly specialist programmes of care/care packages for patients within the organisation;  Critically evaluate current practice, developing innovative ideas to improve effectiveness and efficiency of care;  To provide support and advice to patients and their carers relating to medical procedures.

Professional  Practice at all times within the Nursing and Midwifery Council Code of Professional Conduct.  Develop the role by using evidence-based practice and continuously improve own knowledge, following PREP guidelines.  Conduct clinical evidence based practice in accordance with clinical guidelines and standards.  Act as an exemplary professional role model for nursing services.

Leadership and Management Manage own time to meet the various demands of the role, including clinical, educational and administrative elements. Plan and organise education and training events for staff.

Participate in internal and external committees relating to services in order to contribute to the development of future medical service provision.

 In partnership with the multidisciplinary team, develop, implement and maintain policies, procedures, standards and protocols of Acute Care Advanced Nurse Practice Team; ensure adherence to these in order to deliver the highest possible level of patient care within available resources;  Ensure that patient needs are assessed, care planned, implemented and evaluated, and that there is consultation and involvement of patients/carers;  Ensure that all nursing staff and members of the multidisciplinary team are aware of, and work within, local, directorate and Division policies and procedures to ensure that safe working practices are maintained for both patients and staff;  Identifying, minimising and managing interpersonal conflict, maintaining the trust and support of other healthcare professionals and disciplines  Report all incidents as per incident reporting policy;  The role will integrate into the existing clinical structures to support a team of professionals. Research and Audit  Critically evaluate current practice, developing innovative ideas to improve effectiveness and efficiency of care;  Develop clinical audit programmes to support ongoing assessment of practice to ensure improvements in care and best practice;  Evaluate newly generated research findings and adapt them for practice using advanced knowledge and skills and disseminate findings internally to influence best practice;  Contribute to and take an active role in key clinical research projects;  Encourage and facilitate research by the multi-disciplinary team;  Participate in the systematic review of guidelines and protocols for practice.

Education  In support of the Line Manager, participate in the on-going personal development and professional education of all members of the Acute Care Advanced Nurse Practice Team nursing team utilising mentorship, objective setting and appraisal, enabling education needs of nursing staff to be met;  Participate in the development and delivery of specific educational programmes for the ongoing professional development of nurses;  Participate in the provision of study days and in-service education programmes for staff within NHS Ayrshire & Arran, including presenting in classroom settings;  Direct and support the provision of clinical practice for pre registration and post registration learners, to fulfil curriculum requirements and ensure that appropriate educational opportunities are provided.

7a. Equipment and Machinery  Staff must ensure their competence in the safe and appropriate use of all equipment and machinery within the clinical area. This may require the post holder to undertake recognised training for the use of specific equipment. This list is neither exclusive nor exhaustive

Highly specialised  Adult resuscitation equipment;  Blood gas machine.  BIPAP  CPAP  High Flow Oxygen Systems

Specialised  ECG machine;  Defibrillator;  Bladder Scanner Generic  Pulse oximeter;  Volumetric Infusion device;  Syringe driver;  Non invasive blood pressure monitor;  Computer;  Scales;  Pneumatic tube system;  Emergency call bell system;  Blood glucose analyser;  Glucometer;  Digital Thermometer.

7b. Systems  Maintenance of paper / electronic based patient record system;  Occasional ordering of supplies for the department using a paper based, stock control system;  Any other system relevant to speciality e.g. electronic ordering, electronic prescribing, SSTS, etc.;  Investigation requests;  Local Patient Administration System;  DATIX Intranet - Manage Incident Reporting

8. Assignment and Review of Work  The post is largely clinically based requiring self-direction and discretion in response to the clinical needs of the patients and their families as well as the educational needs of the staff;  Work is generated by service developments, advances in practice and research;  Review will be annually by formal performance appraisal, personal development plan and objective setting.  The Post Holder will have a Professional Personal Development Plan and be reviewed by the Advanced Nurse Practitioner – Clinical Manager.  Initiate and follow through appropriate procedures when a breach of policy occurs.  Work will be generated and allocated to the post holder following the multi-professional handover, and at designated times during out-of-hours;  During working hours clinical work will be generated and assigned by the multi-professional teams.  Aspects of work related to service development and training will be assigned through senior management teams 9. Decisions and Judgements As an autonomous professional, the post holder is expected to:

 Make complex clinical and professional autonomous decisions on a daily basis regarding the nursing and medical management of patients. This will also include the provision of advice to the multidisciplinary team;  Justify clinical decision making with regard to patient’s health care, through stringent monitoring of the patient’s condition and acting on clinical judgement;

 Act as patient’s advocate to ensure their rights are upheld;  Freedom to act and make clinical decisions is guided by precedent and clearly defined divisional policies, protocols/procedures and codes of conduct in accordance with NMC regulations, Clinical and Staff Governance Framework;  Post holder has the autonomy to proactively identify and resolve operational and clinical issues that impinge on service needs/ patients safety;  Assessment of patients complex needs (physical, psychological, social and spiritual) to establish change in condition, inform clinical decision making and plan care;  The ability to quickly assess and respond to patient needs in emergency situations.

10. Most Challenging/Difficult Parts of the Job  To function in the role of an Acute Care Advanced Nurse Practitioner within the Acute Care Advanced Nurse Practice Team, will encompass work at an equivalent level of a junior grade medical practitioner;  To implement change effectively in a multidisciplinary environment;  Effective time management, responding to unexpected patient activity and demand;  Ability to prioritise own workload under continually increasing demands;  Ability to continually change and adapt to new situations and strategies, being responsive to new practices and communicate these to colleagues and junior staff;  Challenging inappropriate/poor clinical practice.  Makes complex clinical decisions, including differential diagnosis and clinical management, based on an in-depth specialist knowledge and interpretation of clinical and diagnostic investigations;  Uses own initiative and acts independently, within the bounds of own existing knowledge and skills, and is guided by clearly defined policies and guidelines;  Demonstrates sound judgement in assessing the physical, psychological, social and spiritual care of the patient; 11. Communications and Relationships The main purpose of communication would be regarding issues relating to patient care. There will be a frequent requirement to receive and communicate complex, condition related information tactfully and in a manner which can be readily understood by patients/carers and to handle sensitive information in a manner not liable to offend or antagonise.

The postholder will:

 Use appropriate communication skills including motivation, negotiation and persuasion to achieve optimum outcomes for service users;  Demonstrate empathy, sensitivity, support and reassurance when communicating with patients, relatives and staff, particularly in relation to breaking bad news and dealing with emotionally challenging situations, dealing with situations where patients do not easily understand their care packages due to cultural, language, physical or learning disability or where there is denial or anger;  Communicate effectively to help establish good working relationships with colleagues, patients and their families, and the general public;  Liaise with other Health Care Professionals and disciplines from within and out with the organisation to support quality patient care;  Coach others in the use of effective communication and the interpersonal skills required to develop/improve performance;  The post holder would be expected to communicate with the department manager regarding nursing team issues and to liaise with the multidisciplinary team on service needs and requirements

12. Physical, Mental, Emotional and Environmental Demands of the Job

The post holder will be involved in clinical, research and education activities and may frequently be required to move between tasks at short notice to meet the needs of the service. There is a requirement for flexibility of working patterns and for the ability to deal with situations as they arise. Workload is unpredictable, with priorities changing constantly.

Physical  Frequently working in highly unpleasant working conditions such as having contact with un-contained body fluids, foul linen,  Potential exposure to hazards such as verbal and physical aggression;  Prolonged light to moderate physical effort, including bending, walking, lifting, pushing and operating equipment is required on most shifts;  The post holder will be required to work within limited spaces, and will be required to assist immobile patients;  The post holder will be required to be able to initiate appropriate emergency care.  The post holder needs to adapt to the shift pattern required and may be required to work a variety of shifts.

Mental  Concentration required due to the nature of the Acute Care Advanced Nurse Practitioner role, where there is a requirement for high levels of concentration and for absolute accuracy for clinical tasks;  Clinical decision making which may affect a patients care;  Frequent direct and indirect interruptions from patients, relatives and the multidisciplinary team;  Prescribing and administering treatment under nurse prescribing;  Balancing the various aspects of the post;  Time management;  The post holder will be required to use own initiative and be able to make decisions with minimal supervision.

Emotional Effort/Skills  Discussing complex clinical issues with the multidisciplinary team and patients;  Impart bad news to patients and families;  Caring for and supporting patients and their families following receipt of bad news;  Caring for the terminally ill patients;  Caring for Acutely Unwell and stable patients with complex problems;  Dealing with parents/carers/relatives with severely challenging behaviour;  There is a requirement to deal with distressed/anxious/worried/bereaved patients / carers/ staff in a professional and sensitive manner on a daily basis;  There is a requirement to deal with complicated family dynamics and high levels of public expectations;  There is a requirement to on occasion work in hostile and emotive atmospheres, which may result in the need for sudden intense effort and concentration;  The post holder will be required to deal with complaints, involving meeting the complainant and seeking to address their concerns, whilst supporting staff involved.

Environmental and working conditions  Constant exposure to body fluids each shift;  Exposure to verbal aggression high frequency;  Temperature of working environment. 13. Knowledge, Training and Experience Required to do the Job The post holder will be an expert, Acute Care Advanced Nurse Practitioner within the Acute Care Advanced Nurse Practice Team, with a highly developed specialist knowledge gained by:

 Registered Nurse qualification with current NMC registration;  Specialist post-graduate/post registration qualification in an Acute care setting;  Significant comprehensive post registration experience within the Acute Care Setting, some of which must be at a senior level within an acute environment  Demonstrable competencies in medical assessment and interventions;  Evidence of continued professional development,  Nurse independent prescribing qualification  Masters level short courses including Post Graduate Certificate in Advanced Clinical Practice  A commitment to lifelong learning and demonstrates evidence of continuing professional development;  Evidence of management, education and training;  Ability to keep relevant skills / knowledge updated and documented;  The post holder will be required to demonstrate excellent team working skills with ability to work using own initiative;  Evidence of effective problem solving skills;  IT Skills. Person Specification

Qualifications & Training – Essential Criteria Level 1 Registered Nurse with current NMC registration

Degree (or knowledge and training equivalent)

Specialist post-graduate/post registration qualification (or equivalent experience) in specialty

Qualifications & Training – Desirable Criteria

Masters or willing to undertake

Nurse Prescribing or willing to undertake

Clinical Assessment or willing to undertake

Specialist qualification

Experience – Essential Criteria

Extensive post-registration experience

Significant comprehensive post registration experience within specialty, some of which must be at a senior level within a relevant environment Experience – Desirable Criteria

Developing protocols

Understanding of Quality Improvement Knowledge – Essential Criteria

Understanding holistic care

Knowledge of acutely ill adult

Understanding of group dynamics

Awareness of evidence based practice Knowledge – Desirable Criteria

Demonstrates understanding of clinical governance

Demonstrates patient centered care

Understands the principles of advanced practice Competencies & Skills – Essential Criteria

Manual dexterity/ manipulation

Able to safely carry out moving and handling as per policy

Ability to write and evaluate reports

Ability to carry out complex care planning Excellent communication and interpersonal skills

Ability to communicate with all members of the multi-disciplinary team

Able to communicate concerns in a timely manner

Manage own caseload during span of duty

Ability to delegate

Ability to recognise own limitations

Act as mentor when required

Influencing and persuasion skills

Experience of developing and delivering innovative and creative nursing solutions to underpin service delivery

Have achieved competency in expanded role as appropriate Competencies & Skills – Desirable Criteria

Critically evaluate current practice

Good attendance record

Able to work flexible shifts Personal Characteristics and Other – Essential Criteria Problem solving skills

Ability to prioritise

Planning skills

Ability to work as part of a multidisciplinary team

Commitment to personal and professional development

Flexible and responsive to change

Proven leadership skills Ability to deal with emotional consequences of illness, in particular, difficult and upsetting situations after breaking bad news Ability to deal with and diffuse conflict situations

Ability to work within high turnover/ pressurised environment on a daily basis Personal Characteristics and Other – Desirable Criteria

Shows initiative and thinks positively