Detailed job description and main responsibilities

Professional and Clinical Responsibilities:
1)    Provide direct expert advanced clinical practice through assessment, treatment and monitoring of care ensuring interventions and treatments are undertaken in line with best practice. 
2)    Undertake advanced clinical assessment of the patient, analysing complex clinical signs, findings from physical examination, patient history and investigation results to diagnose medical/surgical conditions whilst considering differential diagnoses and initiating treatment. 
3)    To assess the need for and appropriately order investigations including (though not exhaustive blood tests, laboratory investigation, x-rays, ultrasound scans, MRI and CT scans in accordance with IR(ME)R regulations. 
4)    Interpret clinical results and act on findings, initiating treatments accordingly. 
5)    Perform highly skilled and advanced clinical procedures adhering to agreed protocols, capabilities in practice, guidelines and competencies; including (though not exhaustive): Peripheral and Central line cannulation, Intravenous/intra-arterial cannulation and blood sampling. 
6)    Initiates emergency treatment plans for unanticipated clinical situations, including actively assisting in resuscitation of patients when required.
7)    Admit and discharge patients in accordance with unit policies and guidelines. 
8)    Prescribe medications and intravenous fluids within their sphere of competence whilst complying with the Non-Medical Prescribing policy, the requirements of their professional regulatory body 
and the Royal Pharmaceutical Frameworks for prescribers. Or prescribe / administer medicines under patient group directive (PGD).
9)    Leads in the undertaking of advanced skills, initiating interventions and treatments and evaluating their effectiveness.  
10)    To function at an advanced level of practice as part of the multidisciplinary team as determined by capability and competency frameworks.
11)    To develop and maintain effective communication with the patient, relatives, and MDT. Where required communicates complex information to patients/carers during the consent process prior to commencement of treatment plans and invasive procedures including explaining treatment options.
12)    Use advanced communication skills to impart highly sensitive, complex, and potentially distressing information to patients and carers, provide them with details of additional agencies available for emotional support in hospital or upon discharge as appropriate. 
13)    To provide accurate and effective clinical handovers across all professional boundaries. 
14)    Make and receive patient referrals to/from other medical specialities, health care professionals or agencies, ensuring accurate written and verbal communication. 
15)    Solo transfers of patients both intra and inter hospital where applicable, documents in medical notes, history, clinical findings, physical examination, interpretation, and plan of care. 
16)    To actively support the discharge planning process of patients and communicates with the receiving area/team discharge in collaboration with the healthcare team. 
17)    Recognises own limitations and effectively seeks appropriate help from a range of multiagency and interprofessional resources in their practices. 
18)    Maintains adequate patient documentation to the requirements of professional regulatory bodies for all patients seen and where advice is given in any practice setting.