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Paediatric Advanced Nurse Practice Education Helen Roll é Advanced Children’s Emergency Nurse Practitioner. Objectives. The role of the Advanced Children’s Emergency Nurse Practitioner Explain how the role has changed since it’s original commission ‘The Team’ and it’s dynamics

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Paediatric Advanced Nurse Practice Education Helen Roll é

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Paediatric advanced nurse practice education helen roll

Paediatric Advanced Nurse Practice Education

Helen Rollé

Advanced Children’s Emergency Nurse Practitioner


Objectives

Objectives

  • The role of the Advanced Children’s Emergency Nurse Practitioner

  • Explain how the role has changed since it’s original commission

  • ‘The Team’ and it’s dynamics

  • Educational approaches taken to support ‘the gaps’

  • The KSF and appraisal process


Children s emergency department background

Children’s Emergency Department:Background

  • Initially medical unit only: 13,500 children per year

  • Merged with main A+E in 2009

  • Now classed as a traditional children’s A+E: 34,500 children per year

  • Arrivals: Self referral, GP referral, Other health referrals e.g. Out of Hours, Walk in centre, Minor injury units

  • Current target achievement is 99.3% against 4 hour target

  • Staffing; Nurses, Emergency Nurse Practitioners, Advanced Emergency Practitioners, SHO, Registrar, Consultants, GP VTS


Advanced nurse practitioners children s emergency care

Advanced Nurse Practitioners: Children’s Emergency Care

  • Initial commissioning: 10 practitioners to cover 24/7

  • 22hrs/week Study Leave

  • Post Grad Dip required

  • Actually trained 5

  • Actually employed 4 covering 3.8wte

  • Hours worked 10am-11pm over seven day week

  • Remit included clinical practice, leadership, education, and research


Advanced children s emergency nurse practitioner role development

Advanced Children’s Emergency Nurse PractitionerRole Development

  • Bridge the gap between nursing and medical services in the Emergency Department

  • Initial commissioning: Patients with minor illness

  • Role has developed to work as ‘SHO’ equivalent: All patients

  • Additional educational need

  • Different working hours

  • Additional Governance


Education

Education


Ksf package

KSF Package

  • Interview with medical supervisor

  • Quality review of notes

  • Case Based Discussion

  • Mini CEX

  • Direct Observation of procedure

  • Multi Source Feedback Tool

  • Learning development Plan

  • Teaching feedback formal


Ksf appraisal

KSF appraisal

  • CORE DIMENSIONS

  • 1 Communication: Level 3

  • 2 Personal and people development: Level 3

  • 3 Health, safety and security: Level 3

  • 4 Service improvement: Level 3

  • 5 Quality: Level 4

  • 6 Equality and diversity: Level 3

  • Specific Dimensions also included

  • Medical Appraisal and Nursing Management Appraisal


Governance framework

Governance Framework

  • Professional Accountability & Assurance Framework for Advanced Practice

  • Introduction, Definitions, Boundaries

  • General / specialist role

  • Assessment strategies

  • Competencies

  • Support and supervision (clinical & medical)

  • Activity

  • Training, education, career and Continual Professional Development

  • Regulation & accountability

  • Non – Medial prescribing

  • Medical rota

  • Research, audit and disseminating activity

  • Clinical leadership

  • Sustainability, succession planning and talent spotting

  • Managers roles and responsibilities

  • Electronic repository with live register of practitioners

  • Tool kitRecruitment and selection processJob descriptionPerson specificationRole evaluationConsistency check list


The future

The future

  • Future commissioning of service

  • Nursing staff v Medical staff

  • Role development and promotion opportunities


Paediatric advanced nurse practice education helen roll

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