Nurse Practitioner role for an Emergency Department Observation Unit in Colburn

Locum General Practitioners

JOB OVERVIEW

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We are looking for a Nurse Practitioner to join our clients  Emergency Department Observation Unit, located at the Colburn

Primary Function

To work collaboratively with the medical director as a self-directed practitioner who provides leadership and facilitates coordination of services for patients posted to the ED Observation Unit. In collaboration with the Physician Medical Director, Case Managers, Physicians, Nurses, Social Workers and other healthcare team members, the Nurse Practitioner will be directly involved with a facilitation of the treatment plan through working with the admitting physician to improve outcomes, promote optimal resource utilization and foster efficient throughputs

emergency department nurse

 

 

 

 

 

 

 

 

 

 

Emergency Nurse Duties And Responsibilities:

  • Consults with physicians regarding the patient’s condition, diagnosis and treatment plan, medication orders and need for alternate dispositions if necessary.
  • Keeps attending physician advised of status as necessary.
  • Initiates referrals to appropriate resources and services, promoting a collaborative approach to patient care.
  • Initiates order sets and clinical protocols according to patient diagnosis as indicated.
  • Prescribes medications as credentialed by the Joint Practice Committee of the Delaware Board of Medical Practice.
  • Writes orders and documents in the medical record as indicated;
  • Initiates requests for laboratory data and radiologic studies as needed and interprets results as related to the treatment plan.
  • Informs counsels and instructs individuals and families on their specific health problems and test results.
  • Prepares and maintains complete and accurate medical records and other documents.
  • Attends, participates in discharge planning and multi-disciplinary case discussions and/or family meetings to promote a high quality of care as necessary.
  • Analyzes documentation and feedback to facilitate problem resolution.
  • Participates in multi-disciplinary protocol development.
  • Oversees the utilization of healthcare resources to facilitate the care of the patient within a length of stay targets.

Nurse Practitioner Qualifications And Experience Requirements:

  • A Graduate of an accredited Nurse Practitioner or Clinical Nurse Specialist Program
  • Must possess licensure to practice as an RN and as an APN
  • Certification in BLS and ACLS
  • Emergency Department experience preferred

Please contact us today to find out more.

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What is Emergency Nurse Practitioner:

An ENP is a senior emergency department nurse who has been specially trained to treat minor injuries. ENPs are qualified to assess, diagnose, treat and discharge patients with certain injuries without having to refer to a doctor.

Emergency Nurse  salary / Pay:

The salary of an  Emergency Nurse Practitioner role varies depending upon the following;  Hours worked, experience, Education, how eager the organisation are in your skills, references, reputation, location, the list goes on…

Locum Meds have years of experience in accurately determining your pay rate, give us a call today to discuss either what you should be getting paid or what you should be paying a prospective or current employee.

Emergency Nurse Practitioner Job Description:

The content of this job description is designed to be inclusive of a broad range of tasks which may be performed by an emergency nurse practitioner. An emergency nurse practitioner role will responsible for the assessment of care needs, the development, implementation and evaluation of programmes of care, without supervision and will be required to teach other nursing and non-nursing staff. The position encompasses a specialist clinical role of Emergency Nurse Practitioner. It is essential that an ENP will be  NMC registered Nurse with formal ENP qualification.

This post is written to be an equivalent for Agenda for Change (AFC) Band 8. Duties will vary from practice to practice and this is a guide only. Practice accountability structures will also vary.

Scope Of Emergency Nurse Practitioner Job:

Co-ordinates the provision of seamless care for patients from admission to discharge by utilising efficient verbal and written communication practices with all members of the Multi-Disciplinary Team / Primary Care Services and Carers.

Provides senior cover for, and is responsible for the ongoing management of the ward/ department area in the absence of the senior nurse.

Clinical Practice

  • Assess/examine patients, diagnose, plan, treat and review/evaluate.  Assessment may be face-to-face by appointment or by telephone as part of a triage/unscheduled care team and will include patients presenting with an undifferentiated diagnosis.
  • Demonstrate competency in professional skills relating to ENP practice and expand those skills to meet the needs of the patients. The post holder will be responsible for the assessment, diagnosis, treatment and discharge of specific groups of patients according to ENP policy, utilising a range of investigatory procedures without reference to a doctor.
  • Assist the ward/department manager to facilitate change processes within the area whether clinical or managerial in nature to ensure that the ward/department team foster innovative practice and meet patient needs.
  • In the absence of the ward/department manager, the post holder will supervise, deploy and develop all staff to ensure efficient management of a rapidly changing and developing nursing service.
  • Co-ordinates the provision of seamless care for patients from admission to discharge by utilising efficient verbal and written communication practices with all members of the Multi-Disciplinary Team / Primary Care Services and Carers.
  • Ensure that all written documentation within the ward/department area is clear, concise, timely and complies with the NMC Standards for Records and Record Keeping.
  • Establish, maintain and develop effective communication with all disciplines, patients and relatives.

Managerial  Responsibilities Of Emergency Department Nurse

  • Provides senior cover for, and is responsible for the ongoing management of the ward/ department area in the absence of the senior nurse.
  • In conjunction with and/or in the absence of the ward/department manager, participate in efficient and effective HR planning – management of employee conduct, duty rosters, annual leave, study leave, mandatory training sessions, sickness absence reporting and management of the appropriate use of Bank and Agency nursing complying with agreed policy and procedure.
  • Assist the ward/department manager in the recruitment and selection of staff as required.
  • Ensures effective management of ward/department resources including stores, supplies and medicines.
  • Participate in ward/department, ENP and directorate audit activity where appropriate and assist the ward/department manager in the development of evidence-based practice as required.
  • Reports all accidents/incidents/complaints involving patients, carers and staff to the senior nurse and commence enquiries or documentation as necessary.

Emergency Nurse Practitioner Education

  • Assists the senior nurse in the development of ward/department based orientation and education programmes for newly qualified staff and student nurses and acts as mentor/preceptor as required.
  • Provides teaching, guidance, supervision and support for junior staff (qualified and non-qualified) acting as a resource, advisor and role model to colleagues in the delivery of care.
  • Help foster and maintain an environment which encourages staff development, supporting and counselling staff as necessary.
  • To maintain an extensive knowledge of A&E and ENP nursing practice by participating in on-going education and continuing self-development, including regular appraisal of own performance.

Risk Management/Health And Safety

  • Actively promote the safety of patients, visitors and staff at all times and ensure that systems are in place to identify clinical risk and report incidents to the Directorate Nurse
  • Lead, complying with all Organisational, Health and Safety and Infection Control policies.
  • Participate in the identification of risk and risk management strategies incorporating these, through nurse management, to the risk register and ensure that all risks to patients and staff are identified through the use of the Clinical Incident Reporting System
  • To keep abreast of and inform junior staff of changes in Health and Safety Legislation and policies with particular regard to COSHH, Fire, RIDDOR, Infection Control and Manual Handling

Communication

  • Advise patients of the emergency department nurse role, its extent and limits.
  • Communicate effectively, promptly and appropriately with patients and team members.
  • Provide links to additional information/guidance/support for both colleagues and patients/carers including onward referral where required.
  • Modify method of communication with patients to suit the situation, recognise problems/barriers take action and seek help at an early stage when they arise.
  • Communicate risk to patients and ensure proper consent gained where appropriate.
  • Act as an advocate for patients or colleagues who need assistance and representation.
  • Establish and maintain effective communication with internal and external stakeholders/organisations/individuals.
  • Contribute to practice and nursing team meetings.

Physical, Mental, Emotional and Environmental demands of the ENP job

Physical Skills

  • Manual Handling skills/patients/trolleys
  • Physical Life Support skills at advanced level
  • Dexterity of managing venous/arterial lines/IV injections and infusions
  • Wound management/ Suturing/Wound closure
  • Management of body cavity drains
  • Keyboard skills for computer use
  • Application of plaster casts
  • Management of aggression skills

Physical Demands

  • Movement of patients/ equipment/beds/trolleys/monitors
  • Long and rotational shift patterns
  • Cleaning and maintenance of equipment

Mental Demands

  • Calculation of drug dosages
  • Increased concentration in developing rosters /manpower
  • Planning/patient care with unpredictable interruptions in task
  • Due to emergency event eg; cardiac arrest/major trauma
  • Complaints Handling and responses
  • Multi-tasking and prioritising
  • Assessment and teaching of qualified nurses
  • Management of major incidents

Emotional Demands

  • Bereavement and breaking bad news in sudden death cases
  • Challenging behaviour from patients and carers/verbal and physical aggression
  • Exposure to substances hazardous to health eg; body fluids
  • Managing potential /actual disciplinary issues
  • Exposure to trauma Domestic abuse issues Child protection issues in paediatric abuse

Working Conditions For Emergency Nurse Practitioner

Working in allocated area which is split into 4 areas

  • Majors
  • Minors
  • Triage
  • Reus

Confidentiality In Emergency Nurse Job

In the course of their duties, the emergency department nurse role will have access to confidential information relating to patients, their carers and relatives and colleagues within and outside the practice. They may also have access to information relating to the practice as a business. All such information from any source whatsoever will be treated as strictly confidential.

Information relating to patients, their careers and relatives and colleagues within and outside the practice and in relation to the practice as a business will only be shared in accordance with the practice’s Confidentiality Policy, the Data Protection Act and the Freedom of Information Act and in such a way that personal and sensitive patient-identifiable data is protected.

Other duties of Emergency Nurse Practitioner role

The emergency nurse practitioner role may, from time-to-time, be asked to undertake other reasonable duties, with appropriate training. It is important that all members of staff are prepared to undertake additional or relinquish current duties to maintain service delivery to patients. It is expected that requests from the Partners will not be unreasonably refused.

Emergency Nurse practitioner Courses and Programmes

Emergency Nurse Practitioner programmes can be found at the following links:

https://www.sheffield.ac.uk/scharr/prospective_students/masters/aec

https://www.kcl.ac.uk/study/postgraduate/taught-courses/advanced-practice-msc-pg-dip-pg-cert.aspx

https://www.cumbria.ac.uk/study/courses/cpd-and-short-courses/practice-development-emergency-care/

https://www.birmingham.ac.uk/postgraduate/courses/taught/med/advanced-critical-care-practitioner.aspx

https://www.brookes.ac.uk/courses/postgraduate/postgraduate-certificate-in-emergency-nursing-practice/

https://www.qmul.ac.uk/postgraduate/taught/coursefinder/courses/181703.html

Online Nurse Practitioner Programs

best online nurse practitioner programs can be carried out, these are very far in between and recommend that you go with a qualification that is hands-on and practical.

Locum Meds also recommend that you choose a course which has the V300 Independent Prescribing qualification (Independent and Supplementary Non-Medical Prescribing) incorporated within the course, or you can study this qualification alongside Nurse Practitioner qualifications, make sure you achieve a V300 Independent Prescribing qualification as this will determine your prescribing rights as shown on the NMC website for each individual nurse.

https://www.city.ac.uk/courses/cpd/independent-and-supplementary-non-medical-prescribing

https://www.derby.ac.uk/courses/modules/nmp-nurses/

http://www.salford.ac.uk/ug-courses/non-medical-prescribing-single-module

http://www.dmu.ac.uk/study/courses/postgraduate-courses/non-medical-prescribing-pg-cert/non-medical-prescribing.aspx

How to become a Certified Emergency Nurse Practitioner:

An emergency nurse practitioner role is an advanced-practice nurse who works in emergency medicine. They are trained to manage acutely ill or injured patients of all ages. This fast-paced nursing speciality requires the skill to treat patients with varying levels of acuity in busy emergency rooms and other urgent care facilities. Depending on the state in which they practice, oversight by physicians may or may not be required.

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