The following are the core responsibilities of the Advanced Nurse Practitioner. There may be, on occasion, a requirement to carry out other tasks; this will be dependent upon factors such as workload and staffing levels:
- a. Develop, implement and embed health promotion and wellbeing programmes
- b. Provide autonomous assessment, diagnosis, and treatment for patients within scope of practice.
- c. Manage patients presenting with a range of acute and chronic medical conditions, providing subject matter expert advice
- d. Implement and evaluate individual specialised treatment plans for chronic disease patients
- e. Identify, manage and support patients at risk of developing long-term conditions, preventing adverse effects to the patients health
- f. Provide advanced, specialist nursing care to patients as required in accordance with clinical based evidence, NICE and the NSF
- g. Provide wound care (ulcer/Doppler, etc.)
- h. Undertake the collection of pathological specimens
- i. Request pathology services as necessary
- j. Process and interpret pathology and other test results as required
- k. Provide chronic disease clinics, delivering patient care as necessary, referring patients to secondary/specialist care as required
- l. Maintain accurate clinical records in conjunction with extant legislation
- m. Ensure SNOMED CT codes are used effectively
- n. Maintain chronic disease registers
- o. Chaperone patients where necessary
- p. Prioritise health issues and intervene appropriately
- q. Support the team in dealing with clinical emergencies
- r. Recognise, assess and refer patients presenting with mental health needs
- s. Be an extended and supplementary prescriber, adhering to extant guidance
- t. Support patients in the use of their prescribed medicines or over the counter medicines (within own scope of practice), reviewing annually as required
- u. Contribute to practice targets (QOF, etc.), complying with local and regional guidance
- v. Liaise with external services/agencies to ensure the patient is supported appropriately (vulnerable patients, etc.)
- w. Delegate clinical responsibilities appropriately (ensuring safe practice and that the task is within the scope of practice of the individual)
- x. Support the clinical team with all safeguarding matters in accordance with local and national policies
- y. Deliver opportunistic health promotion where appropriate
- z. Act as a clinical expert and resource for the wider multidisciplinary team.
- aa. Initiate and interpret diagnostic investigations to support clinical decision-making
- bb. Participate in audit, clinical governance, and service improvement initiatives.
- cc. Support the education and development of junior staff and students.
- dd. Undertake autonomous home visits to assess, treat, and manage patients in their own homes.
- ee. Carry out verification of deaths in the community in line with local and national guidance.
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