INFORMATION FOR CANDIDATES
POST OF:
BASE:
REF NO:
Senior Advanced Neonatal Nurse Practitioner
Ayrshire Maternity Unit
N/104/13
Thank you for applying for the above post with NHS Ayrshire & Arran. This information sheet
summarises the terms and conditions related to the post.
Please note if you provide us with an email address on your application form any future
correspondence regarding this post will be emailed to you. If you do not wish to receive this
correspondence by email then please contact us as soon as possible.
A job description and person specification for the post are attached.
This post is Permanent
The salary for the post is based on the Band 8B salary scale which is currently £45,254 to
£55,945 per annum (pro rata for part time posts).
The hours for the post are 37.5 per week.
DISCLOSURE SCOTLAND
PROTECTION OF VULNERABLE GROUPS (PVG) SCHEME
The following provides information relevant to the post you have applied for and requires your
attention and completion.
PVG MEMBERSHIP
The post you have applied for is considered to be in the category of “Regulated Work” as
defined by the above scheme and successful candidate(s) will be required to be a member of
the scheme prior to commencing employment.
Membership currently costs £59.00. The cost of membership, if you are successful in your
application, will be paid by NHS Ayrshire and Arran.
EXISTING PVG MEMBER
Applicants who are already a PVG member will require to confirm their membership and the
regulated workforce this covers, eg, Adults, Children or both. Prior to employment, NHS
Ayrshire and Arran will determine whether the current level of membership is appropriate for
the post offered. If further membership to cover another regulated workforce is required, the
conditions of membership as stated above will be applied. If however the level of current
membership is appropriate, NHS Ayrshire and Arran will seek a Scheme Record Update
(SRU) and will both pay and incur the costs associated with obtaining the update.
Further information on the scheme can be found on the Disclosure Scotland website at
www.disclosurescotland.co.uk
PVG SCHEME MEMBERSHIP MANDATE
(Please complete Sections 1+2 and return with your application)
Section 1. Personal details (* circle as applicable)
Name ____________________________
Post Reference Number:
Post Applied for: ___________________
___________
Are you currently a member of the PVG Scheme
*YES/NO
If YES, please provide
Membership Number _________________
Date of Membership _______________
Date of last Scheme Record Update (if applicable)
Member of which Regulated Workforce:
*Adult
__________________________
*Children
*Both
Section 2. Declaration
I understand if my application for this position is successful, I will require to become a
member of the scheme covering the appropriate regulated workforce.
Signed:
Name:
______________________________
______________________________
Section 3 - For office use only
Full membership required Yes/No
Update only:
Yes/No
SPN:
Date: _______________________
Post Ref no: _________________
Regulated workforce:
Adult / Children / Both
_____________________________
GENERAL CONDITIONS:
Conditions of Service - The conditions of service are those laid down and amended from
time to time by the appropriate negotiating bodies e.g. NHS Staff Council/NHS Pay
Negotiating Council.
Annual Leave – The leave year runs from 1 April to 31 March. Annual leave entitlement
for full time staff on appointment is 202.5 hours (27 days), with 217.5 hours (29 days)
upon completion of 5 years NHS service and 247.50 hours (33 days) after 10 years NHS
service. Entitlements for part time will be pro rata.
Public Holidays – Public holiday entitlement for full time staff is 60 hours based on the 8
designated Public Holidays per annum, and on a 5 day week working 7.5 hours per day.
The 60 hours entitlement is due to all whole time staff irrespective of work pattern. For
part time staff, this will be applied on a pro rata basis and also allocated in hours.
KSF - The NHS Knowledge and Skills Framework is essentially a development tool but
will also contribute to decisions about pay progression. It will promote equality for and
diversity of all staff, having the same opportunities for learning, development and review.
It will promote effectiveness at work – with managers and staff being clear about what is
required within a post. It will support effective learning and development of individuals –
with all members of staff being supported to learn throughout their careers.
Pensions - Employees are automatically opted into the NHS (Scotland) Superannuation
Scheme. Contributions are at the rate of 9% up until £48,982 where will rise to 11.3%.
Employees may opt out by obtaining and completing the relevant Opt Out form from the
Scottish Public Pensions Agency website.
Disabled Applicants - A disability or health problem does not preclude full consideration for
the job and applications from people with disabilities are welcome. All information will be
treated as confidential. NHS Ayrshire & Arran has been approved, by the Employment
Services Department, as an Equal Opportunities employer with a positive policy towards
employment of disabled people. NHS Ayrshire & Arran guarantees to interview all applicants
with disabilities who meet the minimum criteria for the post.
You will note on our application form we ask for relevant information with regards to your
disability. This is simply to ensure that we can assist you, if you are called for interview, to
have every opportunity to present your application in full. We may call you to discuss your
needs in more detail if you are selected for interview.
Asylum and Immigration Act 1996 and 2004 (Section 8) - The Asylum and Immigration Act
1996 and 2004 requires employment checks to ensure that all employees are legally
employed in the United Kingdom. Candidates will be asked to provide relevant original
documents prior to an offer of employment being made. Any offer of employment will only be
made when the organisation is satisfied that the candidate is the rightful holder of the
documents and is legally eligible for employment within the United Kingdom.
Medical Examination - Any offer of employment is conditional upon a satisfactory
medical report from our Occupational Health Services. You may be offered employment
conditional on confirmation that you are medically fit for employment. A commencement
date for employment will only be agreed following this confirmation.
Policy Relating to Staff with Bloodborne Virus Infection - Candidates for posts which
involve exposure prone procedures will not be allowed to commence employment until
they have been assessed as fit to perform EPPs by Occupational Health. The preemployment screening must be completed prior to any job offer being made. Where a
candidate is not able to perform EPPs, Occupational Health will notify the appropriate
manager that the candidate is ‘fit with restrictions’ and is unable to perform EPPs. The
health status of the individual will not normally be notified to management. Where the
restrictions recommended by Occupational Health are unable to be accommodated due
to the clinical duties of any of the posts within the staff groups specified in the policy, an
offer of employment to the post will not be made.
Candidates who are not offered employment due to being deemed unfit to undertake
EPPs as an essential requirement for a post, may be offered the opportunity to apply for
another advertised vacant post and be considered with other applicants. The preemployment screening for EPP posts above do not apply to staff undertaking non-EPP
posts who could have direct contact with blood, bloodstained body fluids or patients’
tissue in the course of their work activities. These staff will be offered and strongly
advised to be immunised against Hepatitis B in line with the Immunisation Policy including
recall for boosters and further antibody checks.
References - Two satisfactory written references must be obtained prior to any offer of
employment being made. These should include current and previous employers as
requested in the job application form. This is in line with the Recruitment and Selection
Policy.
YOUR APPLICATION:
Informal Enquiries - Informal enquiries are welcomed by Caroline Blake, Senior Midwife,
Neonatal Unit, who can be contacted on 01563 825355 / 825352
Interview Date – Interviews are scheduled for 01 July 2013.
Closing Date - Your completed application form should be submitted by 28 May 2013 via the
online application form on the SHOW website. Alternatively your completed application form
can be returned to the address below or can be e-mailed to Carol.Bell@aaaht.scot.nhs.uk
Department of O&HR Development
63A Lister Street
University Hospital Crosshouse
KILMARNOCK
Ayrshire
KA2 0BE
JOB DESCRIPTION
1. JOB IDENTIFICATION
Job Title:
Senior Advanced Neonatal Nurse Practitioner (ANNP)/Consultant
Nurse Neonatology (CNN)
Responsible to:
Clinical Nurse Manager, Neonatal Unit
Clinical Director Paediatric Services(Clinical Supervisor)
Department:
Neonatal Unit Ayrshire Maternity Unit
Directorate:
Children’s Women’s and Sexual Health Services
Operating Division:
Integrated Care and Partner Services
No of Job Holders:
1
Last Update (insert date):
May 2011
JOB PURPOSE
The Senior ANNP/CNN role is distinct from nursing and develops from extensive Advanced
Neonatal Nursing practice. The role incorporates the traditionally medical role enabling a holistic
approach to neonatal care providing expert clinical skills to neonates and supporting their
families within the neonatal service. The Senior ANNP/CNN works strategically and in
collaboration with the Clinical Nurse Manager Neonatal services and Consultant
Neonatologist/Paediatricians.:
 Ensure clinical excellence by providing expert clinical care at an advanced level to neonates
and families, making complex autonomous diagnosis and management decisions, about
patient care, utilising advanced skills and knowledge.
 Undertake research and development pertinent to wellbeing of neonates and their families,
across the public health spectrum.
 Develop specialist education modules and programmes, delivering these to the
multidisciplinary team.
 Provide expert advice and support within the neonatal specialism and lead in the
formulation and updating of evidence based Neonatal guidelines
 Take the lead role in providing advanced newborn resuscitation, across a range of settings
 Advise medical, midwifery/nursing staff, medical, nursing and midwifery students acting as
an educational resource ensuring that evidence based practice is promoted
 Establish interchanging roles with middle grade medical staff on a regular, planned basis by
working in partnership to ensure neonates receive the most appropriate expert, specialist
care, regardless of the unpredictability of the workload
 Be the clinical lead in the safe transport of the critically ill Neonate
 Provide expert knowledge and advice at a strategic level both locally and nationally.
 Devise, teach and deliver education, training and support to other staff and students:
developing specialist training education programmes.
3. DIMENSIONS
The postholder will be responsible for the delivery of expert neonatal care, working as an
autonomous practitioner, prioritising own workload and being accountable for the direct delivery
of highly specialised packages of care.
The post holder works across professional boundaries, undertaking duties of a senior
practitioner being accountable to the Consultant Neonatologist/Paediatrician. This includes
participating in middle grade medical rotas.
Takes responsibility for teaching and supervision of medical staff, nursing / midwifery staff and
students to ensure safe, evidence based practise is delivered.
As lead clinician attends neonatal clinical emergencies in all areas, delivering advanced
resuscitation skills and stabilisation of the infant prior to transfer to the Neonatal Unit
The Senior ANNP/CNN utilises expert levels of judgement, analytical skills and clinical decision
making in the assessment, investigation, diagnosis, prescription and evaluation of highly
specialised treatment plans.
4. Organisational Position
Clinical Director
Senior ANNP/CNN
ANNP’S
Clinical Nurse Manager
Neonatal Unit Band 7
Neonatal Unit Nurses/Midwives
5. Role of Department
The Neonatal Unit is part of the integrated maternity service based at Ayrshire Maternity Unit.
There are 3,713 babies delivered per year within the hospital.
The level 3 Neonatal Unit consists of :
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5 cot intensive care area
4 cot high dependency area
11cot special care area
2 isolation rooms
Neonatal Homecare Team providing support at home for parents of recently discharged
premature infants
As part of the integrated Maternity Service the Neonatal Intensive Care Unit provides on site
family centred care for parents of ill premature babies.
The unit provides 24 hour neonatal care for ill, premature infants and their families. There
are approximately 440 admissions to the unit per annum. The unit is consultant led
providing full neonatal intensive care services on a 24-hour basis also providing routine and
advanced neonatal life support to theatre and delivery suite and attendance at all high risk
deliveries within these areas.
The specialised neonatal staff advises and provides expert clinical support in all areas of the
Maternity Unit in the event of any neonatal emergency.
The Unit is part of a Scottish Neonatal network that participates in the Scottish Neonatal Bed
Bureau which assists in facilitating the procurement of an intensive care cot for any unit that
is unable to admit an ill or premature baby due to there being no cots available in the
mothers booking unit.
6. Main Duties
PROFESSIONAL
 Works as an Senior ANNP/CNN within the statutes and guidelines governed by the Nursing
and Midwifery Council (NMC)
 Comply with local and national guidelines and policies
 The Senior ANNP/CNN is an accountable and responsible professional, managing self,
his/her own practice and that of others within an ethical and legal framework that ensures
the primacy of the interest of neonates and their families
 Act as an ambassador for the Neonatal Unit, ANNPs and the neonatal specialty
 Ensure that written nursing and medical documentation is clear, concise, contemporaneous
and chronological, and complies with NMC Standards of Record and Record Keeping
 Act as an advocate on behalf of babies and families
 Conveys the role of the Senior ANNP/CNN and ANNP to staff and parents
 Network with Consultant Nurses and ANNPs nationally, ensuring advanced practice and
national guidelines are comparative and research based across Regions and Networks
6. Main Duties
CLINICAL:
 Utilise highly developed specialist knowledge and clinical skills to undertake a
comprehensive health history and examination of any neonate in order to diagnose, and
treat the neonates (including the prescription of drugs as necessary).
 Develop medical and nursing patient management plans for a case load of neonates, that
deliver a holistic approach to their care throughout the patient pathway from admission to
discharge
 Review identified/perceived problems, analyse information and take responsibility for
decisions made ensuring that the care provided to neonates is safe and effective.
 Regularly weigh up differential diagnosis and the potential range of treatment options,
selecting from variable options some of which may be contentious.
 Attend high risk deliveries as the lead practitioner, ensuring that neonates receive safe and
effective resuscitation
 Carry the emergency neonatal bleep/pager acting as the senior responder
 Non medical prescribing – including calculating, prescribing, administering and evaluating
the effects of drug and fluid therapies in accordance with local policies
 Initiate and authorise blood transfusions and volume expanders as clinically indicated, in
accordance with local policies
 Order and interpret x-rays and diagnostic investigations to ensure accurate diagnosis and
treatment of the neonate. Act on results and develop management plans
 Perform any of the advanced procedures for ill and premature neonates if required:
1)
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16)
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Venepuncture and capillary blood sampling
Insertion / withdrawal of umbilical catheters, which require suturing
Insertion of percutaneous catheters
Insertion of intra-osseous needle
Connection and calibration of invasive blood pressure transducer
Sampling from indwelling umbilical catheters
Perform direct arterial sample aspiration
Blood gas analysis
Endotracheal intubation / extubation (emergency and elective)
Implementing / managing respiratory support, including ventilation
Cold light transillumination of the chest
Insertion of chest drain, and its removal
Insertion and removal of urinary catheters
Supra-pubic aspiration of urine
Lumbar puncture
Examination of the newborn
(This list is neither exclusive or exhaustive)
Lead in the stabilisation, transfer and admission of the extremely ill neonate to or from the
Neonatal Unit including complex life support therapies
Ensure that parents are aware of their baby’s condition and provide advice and support to
parents
Participate in palliative care for neonates, leading to a pain free, dignified ending to life.
Provide intensive support, for families of neonates who are receiving terminal care
6. Main Duties
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As a recognised clinical expert, act as a resource for the multidisciplinary team
Co-ordinate referral to other services, e.g. physiotherapist, occupational therapist, dietician,
surgeon, cardiologist or any other service which is vital to the appropriate care of the
neonate
Lead health promotion activity, raising awareness of health and wellbeing to promote
healthy lifestyle choices for the benefit of neonates and their families
MANAGERIAL AND LEADERSHIP:
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Manage ANNP and medical resource to provide effective use of resources to provide 24
hour cover.
As the Clinical lead ensure the management of neonates in your care is assessed planned,
implemented and evaluated, and that there is consultation and involvement of relevant staff
of groups and parent / carers.
Prioritise own workload and assign work to other ANNPS.
Monitor and analyse performance/ attendance issues to ensure organisational policies are
consistently and fairly applied in line with future department requirements to achieve
desired cover levels and skill mix required to maximise effective and efficient utilisation of
budgetary resources.
Initiate first level incident investigation with respect to grievance, disciplinary and complaint
matters raised to ensure organisational policies are equitably and consistently follow3ed
within designated timescales.
Conduct performance appraisal, mentoring, assessing and designing personal
development plans for the Band 8A Advanced Neonatal Nurse Practitioners, identifying
training needs and monitoring and reviewing levels of effectiveness to maximise personal
and organisational potential.
Participate in the recruitment of staff at short-listing and interview stages to ensure
organisational policies and national guidelines are followed and the most appropriate
candidate for the post is selected.
Provide a high level of expert clinical leadership to Neonatal Unit staff, acting as a role
model and providing expert advice and clinical support.
Comply with policies relating to child protection and protection of vulnerable adults
instigating actions and developing management plans
Share responsibility with senior clinicians and managers for clinical governance issues
including clinical risk management and staff governance.
Lead and / or participate in local and national meetings to promote development of
neonatal services and disseminate information to colleagues.
The postholder will liaise with colleagues and managers to ensure that sufficient resources
are available to meet clinical need.
Participate in the induction of nursing and medical staff and students
Promote equality and diversity
Authorise the procurement / ordering of controlled drugs from Pharmacy
Authorise procurement / ordering of unit stores and supplies in the absence of the Clinical
Nurse Manager
Maintain, check and authorise computerised duty rota when required for onward
transmission to the payroll department to ensure accurate and timeous payment of staff
within designated timescales.
6. Main Duties
EDUCATIONAL/CONTINUING PROFESSIONAL DEVELOPMENT:
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Identify own educational and training support needs
Maintain professional development portfolio
Responsible for devising personal and professional development and teaching packages
for colleagues undertaking appraisal and objective setting.
In association with unit management develop, update and evaluate service training plan
Participate in teaching and supervision of ANNPs, medical trainees, midwives and nurses.
Act as an expert practitioner to provide a supportive learning environment which promotes
continuous professional development lifelong learning.
Develop, deliver and participate in formal educational programmes to nursing / midwifery
and medical staff, including those provided by Higher Education Institutes. Use computers
and multimedia technologies as appropriate.
Participate in national meetings and conferences, delivering presentations to audiences
which may include large groups from varying backgrounds.
Act as a role model and mentor to ANNPs, trainee ANNPs, junior medical staff, nurses and
midwives.
Teach specialist neonatal skills to staff and parents / carers e.g. neonatal resuscitation,
home oxygen, nasogastric feeding, stoma care and suction.
Act as formal clinical supervisor for colleagues undertaking professional development
programmes
QUALITY, RESEARCH AND DEVELOPMENT:
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Initiate evidence based changes in clinical practice which deliver advanced levels of
neonatal care.
Initiate, lead and co-ordinate research and audit relevant to specialist area to optimise
patient outcomes.
Create an environment conducive to research and evidence based neonatal care and
ensure relevant changes are implemented.
Initiate audit and research within the NNU and encourage others to do so. Use the results
to facilitate changes to practice where indicated.
Evaluate newly generated research findings. Disseminate findings and incorporate them
into practice using advanced knowledge and skills to influence best practice.
Initiate, develop and implement and review specific guidelines and clinical management
plans. Ensure standards maintained, monitored and reviewed in adherence with local,
national and NMC guidelines.
Disseminating results at national conferences and within peer reviewed journals.
7a. EQUIPMENT AND MACHINERY
 Staff must ensure their competence in the safe and appropriate use of all equipment and
machinery within the clinical practice. This will require the post holder to undertake
recognised training for the use of specific equipment
 This equipment may cost in excess of £30,000 and be in excess of 25kg
 They must also be cognisant with correct decontamination procedures and with local devise
management policies, including reporting defects, faults or harm caused by pieces of
equipment.
 The postholder will participate in trials, training and clinical evaluation of all equipment
 Ensure all equipment is stocked, functioning and ready for use.
This list is neither exclusive nor exhaustive.
Generic
Telephone
Fax
Fridge
Freezer
Ice machine
Visitor intercom
Water boiler
Fire equipment
Pneumatic tube
system
Wheelchair
Pram
Computer
Scales
Emergency call bell
Washing machine
Tumble Dryer
Procedure lighting
Door release system
Mobile phones
Pager system
Specialised
Digital Thermometer
Cot
Incubator
Open care cot
Infant resuscitaire
Bag & Mask (infant
resuscitator)
Laryngoscope
ET Tubes
T-piece/Neopuff
Oxygen analyser
Oxygen flow meter
Humidifier
Phototherapy unit
Pulse oximeter
Volumetric Infusion device
Syringe driver
Non invasive blood pressure
monitor
Apnoea monitor
Kanmed bed / heated cot
Humilactor
Glucometer
Oxygen/Air cylinders &
regulators
Adult resuscitation equipment
Suction equipment
Stethoscope
Ophthalmoscope
Very Specialised
Blood gas machine
Transcutaneous PO2/CO2
monitor
Gas calibrator
Multiparameter monitor
Invasive blood pressure monitor
CPAP driver
Ventilator
HFO ventilator
Florian monitor
Inovent (Nitric Oxide)
Transport Incubator
Blood warmer
Insight monitor
Ultrasound scanner
Infant Resuscitaire with ventilator
and blender
CFAM brain monitor
Total Body Cooling system
PICC lines and central catheters
Chest drainage equipment
Transport ANNPs
Air Transport Incubator
Life jackets and survival suits
Securing clamps
Nitric oxide Equipment
Specialist vehicles and aircraft
7b. SYSTEMS
Maintenance of patient records – paper & electronic
Local Patient Administration System
Input data on computer, including patient monitoring systems
Generating patient referral, discharge letters and documentation
Tele-medicine
e-KSF
NHS mail
PACS
Incident reporting and management system
Laboratory System (specimen requesting & obtaining results).
Internet and Intranet.
Electronic workforce planning systems
8. ASSIGNMENT AND REVIEW OF WORK
 Work will be generated by clinical activity within the neonatal unit and wider women’s and
children’s directorate(s)
 Annual review from Line Manager and Consultant Neonatologist / Paediatrician
 The Clinical Nurse Manager in consultation with the Clinical Director is responsible for
setting short and long term objectives with the ANNP. Achievement of these is measured
against set objectives and evaluation of clinical performance.
 The Senior ANNP / CNN, as an expert practitioner will have direct link to the oncall
Consultant Neonatologist / Paediatrician.
 The Senior ANNP / CNN will assign work to junior medical and ANNP staff providing
supervision and feedback.
 Work will be directly influenced by local and national policies, priorities and performance
indicators.
 The practitioner in line with the needs of the service will initiate audit, research and service
development aspects of the role.
9. DECISIONS AND JUDGEMENTS
 The Senior ANNP/CNN is an autonomous practitioner with freedom to act and initiate actions
to implement medical and nursing patient management plans for a case load of neonates.
 The Senior ANNP/CNN is accountable for his/her own practice, therefore he/she is
answerable for all actions and omissions, regardless of advice or direction from other
professionals.
 Act decisively as clinical lead in time sensitive situations, leading the multidisciplinary
neonatal team and independently anticipating and resolving clinical problems
 As an expert practitioner, the Senior ANNP/CNN will be responsible and accountable for
advanced clinical decisions.
 As an expert practitioner in the field of neonatology the CNN will make highly complex
judgements about multiple aspects of care and treatment which may result in conflicting
diagnoses. They will analyse the available information and the potential range of treatment
options, some of which may be contentious
 The Senior ANNP/CNN has the authority and is expected to order investigations and
prescribe treatment following analysis of the results without recourse to medical staff.
 As a clinical lead the Senior ANNP/CNN will judge the competence of other multidisciplinary
team members, assigning responsibility to others appropriately
 The Senior ANNP/CNN will use own initiative and acts independently within the bounds of
own existing knowledge and skills.
 Recognise when supervision is required and seek advice appropriately
 The Senior ANNP/CNN is accountable for optimal use of resources balanced against the
needs of each individual neonate
 Freedom to act and make clinical decisions is guided by precedent and clearly defined
policies, procedures and codes of conduct in accordance with NMC regulations, Clinical and
Staff Governance Framework and the EU Clinical Trials Directive
10. MOST CHALLENGING/DIFFICULT PARTS OF THE JOB
 Leading resuscitation at high risk deliveries and having the responsibility for the care of
critically ill neonates whilst simultaneously prioritising and managing other work demands for
the service
 The unpredictability of the workload and the dynamic change from routine to emergency with
no prior notice
10. MOST CHALLENGING/DIFFICULT PARTS OF THE JOB
 Making highly complex and high level independent clinical decisions at a level of
experienced medical staff
 Complex nature of and emotional demands within the specialty, for example when caring for
critically and terminally ill neonates
 Supervision, training and development of medical and ANNP staff in all aspects of their work
 Supporting parents, families and colleagues in difficult and emotional circumstances
 Giving evidence at Child Protection hearings or Court appearance
 Giving presentations at local and national conferences, teaching sessions and meetings
 Requiring an awareness of support mechanisms for women / families with complex health or
social issues which impact on the management of the neonate’s care
 Gaining the confidence of stressed parents who may be perceived as being aggressive and
abusive.
 Dealing with stressed staff and managing conflict in the workplace.
11. COMMUNICATIONS AND RELATIONSHIPS
 The postholder will be required to communicate verbally, by telephone in writing and by
email to medical staff, midwifery / nursing and the later multidisciplinary team encompassing
both hospital and community settings on a number of clinical matters.
 Liaise with specialist transport services, Scottish Ambulance Services and other units when
arranging inter-hospital transfers.
 Develop effective communication and relationships with parents and visitors which will assist
in creating the optimum caring family centred environment.
 Establish, maintain and enhance professional relationships with medical, midwifery and
nursing colleagues and other health care professionals.
 Communicates with senior team regarding clinical and managerial issues
 Adhere to policy on confidentiality including the requirements of the Data Protection Act and
Caldicott guidelines.
 The ability to handle highly sensitive information in a manner not liable to offend or
antagonise.
 Engage in effective communication with parents and relatives, often delivering highly
complex and highly sensitive condition – related information, including diagnosis and
prognosis.
 Makes appropriate referrals to a wide range of other healthcare professionals and
specialities.
 Frequent requirement to receive and communicate highly complex and contentious
information tactfully.
11. COMMUNICATIONS AND RELATIONSHIPS
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Maintain accurate records in line with NMC Guidelines.
Provides a supportive environment in the interest of staff morale.
Develop external professional networks that promote both the profession and organisation.
Aware of and disseminates relevant safety action notices and other essential communication
within the nursing and clinical support worker team.
 Utilise interpreter service to overcome cultural and language difficulties
 Present at local and national conferences and meetings.
12. PHYSICAL, MENTAL, EMOTIONAL AND ENVIRONMENTAL DEMANDS OF THE JOB
As the (patients) Neonates can be as small as 500 grammes, procedures require extreme
manual dexterity, accuracy and the utilisation of highly developed skills, as well as intense
concentration in an emotionally charged, hot environment.
PHYSICAL :
On most of the shifts worked, the post holder will be involved in:
 Performing highly complex medical procedures while standing in a restricted position
over incubators and cots
 Walking/standing for majority of shift, can be in excess of 7 miles per day
 Adapting to changing shift patterns
 Use of computer keyboards and VDU screens
 Frequent lifting, moving of moderate weights including equipment >25kg for short periods
 Frequent moving of cots and incubators
 Frequent bending at awkward angles to assist breast feeding mothers
 Frequent bending at awkward angles over cots to carry out nursing procedures
 Transporting sick or preterm infants receiving respiratory support using a transport
incubator / resuscitaire which require manipulation en route
 Shifts frequently in excess of 10 hours
 Irregular breaks
 Breaks not bleep / pager free
MENTAL :
 Concentration is required on every shift while undertaking intricate clinical care to
neonates, including invasive procedures with little or no margin for error
 Frequent requirement for concentration is required as the workload is unpredictable and
subject to very frequent interruptions from colleagues, parents and bleeps.
 Intense concentration required for prolonged periods when dealing with resuscitation,
stabilisation and management of acute emergencies, balanced against other competing
priorities
 The clinical condition of babies requiring neonatal care can change very quickly and
requires meticulous attention to detail to ensure that any changes in condition are acted
on immediately. This can result in an unpredictability of the workload, as there may be a
requirement to change from one task to another to deal with these changes in condition.
 Concentration to undertake complex calculation of drugs in minute doses
12. PHYSICAL, MENTAL, EMOTIONAL AND ENVIRONMENTAL DEMANDS OF THE JOB
 Maintaining work/life balance
 Providing telephone support and advice to remote areas without direct access to patient
 Being lead clinician and making complex decisions about cases and priorities
EMOTIONAL :
 Dealing on a daily basis with distressing or highly emotive situations involving neonate,
parents, siblings and the extended family e.g. death of an neonate, breaking bad news,
supporting distressed parents, their families and staff
 Attending traumatic neonatal resuscitations where there is a poor outcome or dealing
with a sudden collapse of a previously well baby within the neonatal unit
 Coping with the fluctuating anxieties of parents of unstable neonates
 Conveying distressing news and dealing with severely challenging behaviour
 Diffusing potential complaints
 Dealing with complaints
 Dealing with verbally abusive parents, relatives and visitors
 Coping with the erratic, unpredictable behaviour of parents involved in substance misuse
ENVIRONMENTAL :
 Constantly working within a hot room environment (>24°) which is necessary to maintain
body temperature of small neonates nursed in cots
 Frequent daily exposure to body fluids, hazardous and infectious materials
 Using complex medical equipment involving noxious gases, i.e. Nitric Oxide
 Exposure to phototherapy lights
 Holding patients for radiological investigations
 Working in personal protective equipment
 Lone working
 Extremes of temperature
 Working in confined, cramped conditions
 Adverse weather conditions
Transport
 Motion sickness
 Travelling under hazardous conditions
13. KNOWLEDGE, TRAINING AND EXPERIENCE REQUIRED TO DO THE JOB
The post holder will operate as an expert practitioner and will be in possession of a Masters
degree:
 1st level registered nurse (child or adult) / midwife with current (NMC) registration and
relevant post basic neonatal qualification
 Advanced Neonatal Nurse Practitioner Qualification at Master’s level or equivalent
education/ clinical experience
 Experience of working as an ANNP and gained competence in managing all aspects
(nursing and medical) of complex intensive care for neonates
 Demonstrable ability to teach, assess and supervise ANNPs and medical staff
13. KNOWLEDGE, TRAINING AND EXPERIENCE REQUIRED TO DO THE JOB
 Non Medical Prescribing course – NMC recorded
 Evidence of a commitment to continuing professional development
 Successful completion of (and update as directed) an accredited Neonatal Resuscitation
course
 Evidence of highly complex problem solving skills
 Ability to lead a team in highly emotionally charged, life critical and sensitive situations
 Self motivated and able to manage own time and to work in complex environment
 Effective communication and presentation skills are essential
 Experience in clinical training / teaching
 IT skills
 Team building and leadership skills
 Experience of audit and/or research
NHS Ayrshire and Arran
Person Specification
Post Title
Senior Advanced Neonatal Nurse Practitioner
Post Reference Number N/104/13
Selection Factors
(Person Specification)
QUALIFICATIONS &
TRAINING
Criteria
Essential
First level nurse ( child or adult) / midwife with current NMC registration and relevant post basic neonatal
qualification. ANNP qualification at Masters level or equivalent education and clinical experience. Nonmedical prescribing. Successful completion of and updates as directed of an accredited Neonatal
resuscitation course. Evidence of commitment to continuing professional development.
Desirable
Current specific instructor qualification
EXPERIENCE
Essential
Desirable
KNOWLEDGE
COMPETENCIES &
SKILLS
Essential
Evidence of sound neonatal expert knowledge.
Provision of advice at strategic level both locally and nationally.
Desirable
Active participation in the delivery of on-going education within current workplace.
Essential
Demonstrate the ability to teach, assess and supervise student and junior ANNP’s and medical staff.
Evidence of highly complex problem solving skills. IT skills.
Effective communication and presentation skills.
Team building and leadership skills. Ability to network within wider ANNP circle across the Managed Clinical
Network and within other networks.
Desirable
PERSONAL
CHARACTERISTICS AND
OTHER
Experience of working as an ANNP and gained competence in managing all aspects ( nursing and medical)
of complex intensive care for neonates. Experience of audit and/ or research. Skilled and competent in
performing advanced procedures.
Participation in research and audit relevant to neonatal care.
Essential
Desirable
Self motivated and able to manage own time and to work in a complex environment.
Ability to work autonomously and be accountable for the delivery of highly specialised packages of care.
Ability to work across professional boundaries. Ability to recognise when supervision is required and seek
advice appropriately.
Flexible approach to working