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Paediatric Advanced Nurse Practice Education Helen Roll é

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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 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
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
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