Nurse Practitioner In Chronic Kidney Disease

Description:

The main purpose of the candidate ANP (cANP) CKD post is to provide safe, timely, evidence based nurse led care to CKD patients, at an advanced level. This post holder will be the first Renal ANP in the St James’s Nephrology Service. The job description and supporting documentation under the direction of the Health Care Provider’s Advanced Practice Stakeholder Governance Group is established, to enable the individual nurse to meet the NMBI Criteria for Registration as an Advanced Nurse Practitioner as set out in Advanced Practice (Nursing) Standards and Requirements (NMBI, 2017).

The individual will undertake the academic preparation and develop the clinical and leadership skills, competencies and knowledge required to meet the criteria to be registered as a RANP with NMBI. The scope of the cANP role must reflect the incremental development of expertise and as such, the cANP cannot deliver care as an autonomous practitioner.

The individual will complete and submit the necessary documentation for registration as an RANP with NMBI.

The value of the nursing contribution as a distinct profession must be safeguarded and articulated in the development of new services led by advanced nurse practitioners, complementing rather than replacing current services delivered by doctors (NMBI 2017 p.9).

This CKD cANP role is responsible for the care of CKD patients throughout the trajectory of their illness from diagnosis to dialysis and transplantation, and conservative care. A major component of the role will be in the development of a nurse led renal conservative care pathway integrating international best practice and palliative care into renal services for the patients who opt not to have dialysis, but still need specialist renal input, and palliative care. An additional part of the role will be in the education and audit of CKD patients receiving Dapagliflozin in order to slow the progression of their disease, preventing them from reaching advanced levels of CKD. This process will be undertaken using the My Patient Space - Renal APP developed at St James’s

This CKD cANP role involves undertaking and documenting a complete episode of patient care according to collaboratively agreed protocols and scope of practice in the clinical setting; demonstrating advanced clinical and theoretical knowledge, critical thinking, clinical leadership and decision making skills.

The advanced practice role demonstrates a high degree of knowledge, skill and experience that is applied within the nurse-patient/client relationship to achieve optimal outcomes through critical analysis, problem solving and accurate decision-making (NMBI, 2017).

Central to this is the provision of quality care, a safe environment and processes for patients by the use of evidence based clinical guidelines that address patient expectations, promote wellness and evaluate care given.

The role will provide clinical leadership and professional scholarship in order to develop nursing practice and health policy at local, regional and national level.

The role will contribute to nursing research to shape and advance nursing practice, education and health care policy at local, national and international levels.