Job Description

Applications are invited for the post of Advanced Neonatal Nurse Practitioner (ANNP) For the Liverpool Neonatal Partnership at Liverpool Women's Hospital and the Neonatal Surgical Unit at Alder Hey Children's Hospital



A 15 million development of the Liverpool Women's site is now complete, and the Liverpool Neonatal Partnership is developing a single neonatal service, building a new Neonatal Surgical Intensive Care unit on the Alder Hey site due for completion in 2024. The new neonatal surgical unit will facilitate optimal family integrated care provision with parent bedrooms attached.



Clinical duties will comprise a minimum 80% your working time, with up to 20% non-clinical time for supporting professional activities to include continuing professional development (CPD) and evidence of work toward the ongoing development of the service utilising the other three pillars of advanced practise ( leadership/management, research and education.)



Advanced Clinical Practice incorporating expert clinical skills and

autonomous decision making.



You will be required to fulfil a secondment to Connect North West Neonatal Transport service, which will help develop your skills as an ANNP.



You will be competent and proficient your area of clinical practice, independently managing clinical conditions, making autonomous decisions and seeking advice when appropriate.



You will demonstrate advanced communication skills, recognise the different roles and contributions of clinical staff, and be able to work collaboratively with the multidisciplinary care team.



You will evaluate your own practice; ensuring that you maintain clinical skills and competency in your area of practice and work to develop your role in line with the needs and objectives of the service. You will complete yearly clinical competency assessments.



Liverpool Women's NHS Foundation Trust delivers the highest standards of care for women, babies and families. Each year we deliver over 7,500 babies, carry out over 49,000 gynaecological inpatient and outpatient procedures, care for over 1,000 poorly & preterm newborns, perform around 1,000 IVF cycles and have over 4,000 genetic appointments taking place. We believe that this along with a strong dedication to research & innovation makes us the specialist health provider of choice in Europe for women, babies and families.



We have some of the leading experts in their field, which has been showcased on national TV and news, making our teams famous across the world for professionalism, skill & compassion.



The Trust is constantly innovating and evolving it's services to provide the most cutting edge and modern care possible. As well as developing services on our current site we have long-term aspirations for the future. We have recently launched a number of new strategies which provide a detailed long-term plan for our services.



Check out why Liverpool Women's NHS Foundation Trust is a great place to work using the links below:

Video:

https://vimeo.com/556197652

Online brochure:

https://www.liverpoolwomens.nhs.uk/media/4121/recruitment-pack-great-place-to-work-16pp-v4-final.pdf



Clinical responsibilities



Have specialist knowledge of neonates gained through an ANNP training programme at master's level and significant experience gained in a neonatal unit.



Provide expert clinical care for babies on the unit at LWH, Alder Hey neonatal surgical unit and as part of Connect North West Neonatal transport service following appropriate training and competency assessment.



Exhibit a strong patient and family focus in your practice; applying the principles of patient and family-centred and family integrated care and shared decision making with neonates, infants, families and carers. Act as a liaison between parents and health care professionals and gain informed consent for relevant procedures where necessary



Attend high risk deliveries and take the lead for the resuscitation, stabilisation and safe transfer of babies using advanced resuscitation and life support techniques.



Respond to neonatal emergency situations within agreed protocols, initiate appropriate intervention and treatment.



Undertake independent prescribing and evaluate the effects of drug therapies, working within trust non-medical prescribing policies and guidelines.



Maintain effective communication with parents / families about clinical decisions and plans of care, involving them in decision making and promoting a family centred approach to care.



Provide counselling and support parents who babies are receiving intensive care. Teach and advise parents and carers in relation to their baby's condition



Contribute to antenatal discussions when abnormality of pregnancy identified.



Collaborate with members of the multidisciplinary team undertaking a key role in assessment, planning, implementing and evaluating total care of the sick and well neonate in accordance with local policies and protocols.



Communicating on an ongoing basis with the consultant neonatologists, surgeons, registrars, and other specialist teams responsible for the patient, updating him/her on changes and progress.



Attend the ward round with members of the multidisciplinary team and contribute to the clinical management of individual patients utilising nursing / medical knowledge and skills to plan , implement and initiate changes where required. This will include monitoring and evaluating the response to treatment through analysis and interpretation of diagnostic interventions



Participate in the National Immunisation Programme and neonatal audiology and retinopathy screening/surveillance within the department.



Make and receive referrals to and from the collaborative care team.



Extended Practice List



Insertion of endotracheal tubes.



Initiation and management of all forms of mechanical ventilation



Surfactant administration



Venepuncture and capillary blood sampling



Peripheral and umbilical venous cannulation



Peripheral and umbilical arterial cannulation



Percutaneous arterial sampling



Insertion of percutaneous central venous lines



Withdrawal of blood from in-dwelling arterial and venous lines



Supra-pubic aspiration of the bladder



Lumbar puncture



Newborn examination



Insertion of chest drains and needle aspiration



Plasma dilution/exchange transfusion



Removal of ETTs, PCVLs, UAC/UVCs and chest drains



Can undertake other areas of extended practice, where it's felt appropriate for the advancement of the service in order to deliver an improved quality service ( eg cranial US Scanning).



Management and Leadership



As a senior clinical figure in our organisation, you will be a role model for advanced clinical practice across all 4 pillars of practice. You will demonstrate this by :



Operationalising the values and vision of the organisation and working towards these as a fundamental component of your role.



Liaise with senior nursing and midwifery shift coordinators on the neonatal unit and delivery suite to ensure babies receive appropriate care in the appropriate place.



Develop strong working relationships with operational support staff and give clinical guidance to benefit patient care.



Provide the highest standard of clinical and professional leadership and management to a multidisciplinary team working shift patterns which complementing the other medical staff rotas undertaking identified shifts / sessions accordingly.



Accept constructive challenges and look for opportunities to improve service at individual-patient, patient-cohort and organisational levels. You will also have a role in engaging beyond your organisation in clinical networks where these exist.



Participate in service evaluation against quality or service specifications and/or national guidance and where appropriate, engage in peer review to inform and develop practice.



Actively demonstrate an understanding of domains of Quality, and of Quality Improvement; work continuously to improve safety and quality of care in the organisation by recognised improvement methodologies and understand how this relates to national regulation.



Engage in risk management, incident reporting, and incident investigation within your organisation and be able to share learning within and beyond your organisation through your professional networks.



Implement new practice, and of new models of care will also be part of your role, based on your clinical, organisational and strategic knowledge and exposure.



Lead in the development and implementation of policies, procedures and guidelines for the unit.



Actively participate in clinical governance and risk management, respond to complaints and incidents and ensuring learning is disseminated and integrated into practice.



Be aware of the code of professional conduct in the performance of advance nursing and be professionally accountable for own actions during the working shift.



Provide leadership and expert clinical advice and supervision to junior medical and nursing / midwifery staff.



Including, assessment and support to staff on the post natal ward and delivery suite.



Encourage and guide staff to utilise resources within the department to attain and maintain high levels of medical and nursing performance.



Education Training and Professional Development



Actively participate in an annual personal development review (PDR) covering all four pillars of practice to evidence continued competence and on-going development.



Through sharing your experience and expertise across the organisation you will make a wider contribution to general patient care.



Support the organisation in building capacity and capability of its workforce through participating in teaching and learning activities and the development of teaching materials.



Continue to develop and enhance clinical and non-clinical professional skills through self-directed, independent learning. Within your team, you will identify current and future learning needs for clinical colleagues and work to meet these.



With your excellent communications skills this will enable you to educate and empower the families and carers on how to manage their neonates or infants condition and enable them to make informed decisions about their care



Be active in, and provide evidence of achieving the following criteria: clinical supervision and mentorship to junior medical staff on the unit.



Act as a role model and mentor for nursing / midwifery colleagues identifying and utilising educational opportunities.



Maintain continuous professional development and keep up to date of advances in research in neonatal care.



Lead on the development of the multi-professional educations and training programmes



Participate in the development of structured programmes of education and provide regular teaching sessions



Undertake all extended role procedures according to agreed protocols with the scope of professional practice and identify areas for further advancement.



Ensure a climate conducive to life- long learning is fostered within the Neonatal unit



Lead in teaching of the expanded role of the nurse.



Research Audit and Evaluation, Practice and Service Development



Actively participate and engage in audit and research activities and use an expert level of knowledge to identify gaps in research and work towards filling them. You will use your internal and external professional networks to facilitate the development of this research and audit plan.