UHWN Advanced Nurse Practitioner, Candidate Canp

*********PLEASE COMPLETE THE APPLICATION FULLY, CV'S ARE NOT ACCEPTED*******

Principle Duties and Responsibilities

The post holder’s practice is based on developing a higher level of capability across the six domains of competences as defined by Bord Altranais agus Cnáimhseachais na hÉireann Advanced Practice (Nursing) Standards and Requirements (NMBI 2017)

The domains are:

• Professional Values and Conduct
• Clinical-Decision Making
• Knowledge and Cognitive Competences
• Communication and Interpersonal Competences
• Management and Team Competences
• Leadership and Professional Scholarship Competences

Domain 1: Professional Values and Conduct

Standard 1

The cANP Orthopaedic Geriatric will gain increased competence in applying ethically sound solutions to complex issues related to individuals and populations by:

• Demonstrating accountability and responsibility for professional practice as a lead healthcare professional in the Breast Care Services

Collaborating with His/her supervisor and local stakeholder group to scope the caseload and scope of practice for the RANP (Orthopaedic Geriatric)

Collaborating with his/her supervisor and local stakeholder group to determine the inclusion criteria for the RANP (Orthopaedic Geriatric)

Collaborating with his/her supervisor and local stakeholder group to determine the exclusion criteria for the RANP (Orthopaedic Geriatric)

• Articulating safe boundaries and engaging in timely referral and collaboration for those areas outside his/her scope of practice, experience, and competence by establishing, in collaboration with key stakeholders, referral pathways and locally agreed policies, procedures, protocols and guidelines to support and guide the RANP (BREAST CARE) service
• Demonstrating leadership by practising compassionately to facilitate, optimise, promote and support the health, comfort, quality of life and wellbeing of persons whose lives are affected by altered health, chronic disorders, disability, distress or life-limiting conditions.
• Selecting a professional practice model that provides him/her latitude to control His/her own practice, focusing on person centred care, interpersonal interactions and the promotion of healing environments

The chosen professional practice model for nursing will emphasise a caring therapeutic relationship between the cANP/RANP (Orthopaedic Geriatric) and his/her patients, recognising that cANPs/RANPs work in partnership with their multidisciplinary colleagues2

• Articulating and promoting the advanced practice nursing service in clinical, political and professional contexts {for example presenting key performance outcomes locally and nationally; contributing to the service’s annual report; participating in local and national committees to ensure best practice as per the relevant national clinical and integrated care programme}.

Domain 2: Clinical-Decision Making Competences

Standard 2

The cANP Orthopaedic Geriatric will enhance his/her advanced knowledge, skills, and abilities to engage in senior clinical decision-making by increasing his/her capability to:

• Conduct a comprehensive holistic health assessment using evidenced based frameworks, policies, procedures, protocols and guidelines to determine diagnoses and inform autonomous advanced nursing care
• Synthesise and interpret assessment information particularly history including prior treatment outcomes, physical findings and diagnostic data to identify normal, at risk and subnormal states of health
• Demonstrate timely use of diagnostic investigations / additional evidence-based advanced assessments to inform clinical-decision making
• Exhibit comprehensive knowledge of therapeutic interventions including pharmacological and non-pharmacological advanced nursing interventions, supported by evidence-based policies, procedures, protocols, and guidelines, relevant legislation, and relevant professional regulatory standards and requirements
• Initiate and implement health promotion activities and self-management plans in accordance with the wider public health agenda
• Discharge patients from the service as per an agreed supporting policy, procedure, protocols, guidelines and referral pathways

Domain 3: Knowledge and Cognitive Competences

Standard 3

The cANP Orthopaedic Geriatric will actively contribute to the professional body of knowledge related to his/her area of advanced practice by enhancing his/her capability to:

• Provide leadership in the translation of new knowledge to clinical practice (for example teaching sessions; journal clubs; case reviews; facilitating clinical supervision to other members of the team)
• Educate others using an advanced expert knowledge base derived from clinical experience, on-going reflection, clinical supervision and engagement in continuous professional development
• Demonstrate a vision for advanced practice nursing based on service need and a competent expert knowledge base that is developed through research, critical thinking, and experiential learning
• Demonstrate accountability in considering access, cost and clinical effectiveness when planning, delivering and evaluating care (for example key performance areas, key performance indicators, metrics).

Domain 4: Communication and Interpersonal Competences

Standard 4

The cANP Orthopaedic Geriatric will negotiate and advocate with other health professionals to ensure the beliefs, rights and wishes of the person are respected by gaining increased competence and capability to:

• Communicate effectively with the healthcare team through sharing of information in accordance with legal, professional and regulatory requirements as per established referral pathways
• Demonstrate leadership in professional practice by using professional language (verbally and in writing) that represents the plan of care, which is developed in collaboration with the person and shared with the other members of the inter-professional team as per the organisation’s policies, procedures, protocols and guidelines
• Facilitate clinical supervision and mentorship through utilising one’s expert knowledge and clinical competences
• Utilise information technology, in accordance with legislation and organisational policies, procedures, protocols and guidelines to record all aspects of advanced nursing care.

Domain 5: Management and Team Competences

Standard 5

The cANP Orthopaedic Geriatric will manage risk to those who access the service through collaborative risk assessments and promotion of a safe environment by:

• Promoting a culture of quality care
• Proactively seeking feedback from persons receiving care, families and staff on their experiences and suggestions for improvement
• Implementing practice changes using negotiation and consensus building, in collaboration with the multidisciplinary team and persons receiving care.

Domain 6: Leadership and Professional Scholarship Competences

Standard 6

The cANP Orthopaedic Geriatric will lead in multidisciplinary team planning for transitions across the continuum of care by enhancing his/her competence and capability to:

• Demonstrate clinical leadership in the design and evaluation of services (for example findings from research, audit, metrics, new evidence)
• Engage in health policy development, implementation, and evaluation (for example key performance indicators from national clinical and integrated care programme/HSE national service plan/ local service need to influence and shape the future development and direction of advanced practice in {cite speciality})
• Identify gaps in the provision of care and services pertaining to his/her area of advanced practice and expand the service to enhance the quality, effectiveness and safety of the service in response to emerging healthcare needs
• Lead in managing and implementing change.

Advanced Practice Performance Management and Evaluation

Performance Indicators (PI’s) are required to evaluate nursing interventions and implement initiatives to improve quality and quantity of the nursing care provided. They should have a clinical nursing focus as well as a breakdown of activity, including patients seen and treated. In addition, they identify areas of good practice that must be recognised and celebrated (HSE 2015).

The Department of Health (2017) Framework for National Performance Indicators for Nursing and Midwifery provides a Guiding framework for the development of Nursing and Midwifery PI’s.

In collaboration with the Director of Nursing, the cANP will identify and develop Nursing PI’s for their area of practice, collect and collate data which will provide evidence of the impact and effectiveness of the interventions undertaken.

The cANP will evaluate audit results and research findings to identify areas for quality improvement in collaboration with nursing management and multidisciplinary team colleagues (primary and secondary care).

Professional / Clinical

The cANP Orthopaedic Geriatric will practice nursing according to:

• Professional clinical guidelines
• National Health Policy.
• Local policies, procedures, protocols and guidelines
• Current legislation
• Values for Nursing and Midwifery – Care, Compassion and Commitment (DoH, 2016).

Education and Training

The cANP Orthopaedic Geriatric will:

• Contribute to service development through appropriate continuous education, research initiatives, keeping up to date with nursing literature, recent nursing research and new developments in nursing practice, education and management.
• Provide support and advice to those engaging in continuous professional development in his/her area of advanced nursing practice.

The cANP (Orthopaedic Geriatric) practises nursing according to:

• The Code of Professional Conduct and Ethics for Registered Nurses and Registered Midwives (NMBI 2014);
• Scope of Nursing and Midwifery Practice Framework (NMBI 2015);
• Values for Nurses and Midwives in Ireland – Care, Compassion and Commitment (Department of Health 2016);
• Advanced Practice Nursing Standards and Requirements (NMBI 2017);
• National Health Policies and Procedures (latest versions) {list as relevant to the service for example: HSE (2013, revised 2016) National Consent Policy;
• Local policies, procedures, protocols and guidelines
• Current legislation {list as relevant to the service for example: Government of Ireland (2015) Assisted Decision-Making Capacity Act as appropriate to the RANP (Orthopaedic Geriatric) service

The cANP (Orthopaedic Geriatric) must develop a professional practice portfolio, incorporating evidence of learning from continuing professional development, clinical supervision, reflective practice and review of his/her own scope of practice in accordance with regulatory requirements and service need.

Health & Safety

The cANP Orthopaedic Geriatric will:

• Ensure adherence to established policies and procedures e.g. health and safety, infection control, storage and use of controlled drugs etc.
• Ensure completion of incident and near miss forms.
• Ensure adherence to department policies in relation to the care and safety of any equipment supplied for the fulfilment of duty.
• Have a working knowledge of the Health Information and Quality Authority (HIQA) Standards Have a working knowledge of the Health Information and Quality Authority (HIQA) Standards or Mental Health Commission (MHC) as they apply to the role, for example; Standards for Healthcare, National Standards for the Prevention and Control of Healthcare Associated Infections, Hygiene Standards etc. and comply with associated HSE protocols for implementing and maintaining these standards as appropriate to the role.
• Support, promote and actively participate in sustainable energy, water and waste initiatives to create a more sustainable, low carbon and efficient health service.

Management

The cANP Orthopaedic Geriatric will:

• Provide support, advice and direction to staff as required.

• Engage with the wider healthcare team and facilitate team building.

• Facilitate communication with the healthcare team across services and within the senior nurse team.

• Provide staff leadership and motivation which is conducive to good working relations and work performance.

• Promote a culture that values diversity and respect in the workplace.

• Manage and promote liaisons with internal and external bodies as appropriate, for example; intra-hospital service, community services, or voluntary organisations.

• Contribute to the strategic management and planning process.

• Formulate service plans and budgets in co-operation with the wider healthcare team.

• Provide reports on activity and services as required.

• Engage in IT developments as they apply to service user and service administration.