Transitional Nurse Practitioner Emergency
- Responsibilities as a Transitional a Nurse Practitioner:
(Total hours 539 hours) (Clinical 100%, 0% non-clinical time)
- Clinical Domain
- - Conduct thorough medical, medication, and physical assessments to inform clinical decision-making.
- - Work autonomously within the emergency department’s Fast-Track and paediatric models of care, under the supervision of an ED Staff Specialist (EDSS).
- - Consult complex patient groups including those with mental health needs, multiple comorbidities, language, or socioeconomic barriers, as well as pregnant women, children, and older adults.
- Conducted comprehensive patient assessments to formulate individualized care plans.
- - Perform a range of clinical procedures to manage acute illnesses and injuries, including:
- Joint reductions
- Plaster application and removal
- Suturing and local/regional anaesthetic blocks
- Incision and drainage of abscesses
- Wound debridement and dressing management
- Utilized customized patient teaching tools to support patients.
- Informed patients and families on disease prevention and health promotion.
- Assessed patient needs, clearly communicating diagnosis and treatment plans to patients and families.
- Collaborated with interdisciplinary teams to ensure cohesive patient care plans, optimizing patient recovery times.
- - Develop pharmacological and non-pharmacological management plans with the Emergency staff specialist, tailored to individual needs and clinical symptoms.
- - Collaborate and communicate effectively with multidisciplinary teams and external specialists to optimize patient care.
- - Coordinate safe and appropriate patient pathways with the EDSS, including referral, admissions, and appropriate discharges home or to designated facilities.
- - Request and interpret diagnostic tests (POCT, pathology, ultrasound, x-ray, CT) in collaboration with the EDSS.
- - Liaise with specialist teams for continuity of care, medical advice for treatment plans, and immediate referrals for urgent interventions.
- - Prescribe and manage pharmacological and non-pharmacological treatments informed by diagnostic outcomes.
- - Using UpToDate and ETG to safely prescribe medications that tailor individual treatment needs based on clinical and historical information.
- - Provide discharge planning with prescriptions, summaries, and safety-netting.
- - Escalate and recognise deteriorating patients whose conditions change or need specialised intervention, monitoring and management.
- - Determines clinical significance from a person’s clinical history and formulates a differential diagnosis that integrated in evidence-based research.
- - Performs and displays comprehensive approach to include cultural safety got all patients including patients from diverse cultural, and mental health backgrounds.
- - Review patient pending results from previous shifts and take responsibility for escalating abnormal results to the patient and their general practitioner.
Education Domain
- - Provide Patient education surrounding treatment, diagnosis, management, presentation, and safety netting for returning symptoms or worsening of conditions.
- - Working alongside nursing staff and providing education, clinical support, shared experience, and demonstration of advanced skills in both adults and paediatric areas.
- - Responsible for bedside teaching and presenting at the emergency nurses fast track course (district SESLHD) teaching on topics such as ophthalmology, ENT, paediatrics, and musculoskeletal emergency presentations.
- - Responsible for the development of simulation training for emergency nurses.
- - Completed Masters of Nurse Practitioner at the University of Newcastle 2024.
- - Provide education to SRMO/REG and assist with Simulation and training on Wednesday with DEMT in emergency.
- - Attending the NP Education days and SRMO/Reg teaching.
- - Panel for new graduate interviews and mentorship of new nurses in Emergency.
- - Panel expert in the critical care program course, involve in the teaching of the postgraduate students and sign of their clinical exams logs for the post graduate in emergency nursing.
Leadership and Support of system domains
- - Contribution to the developed of the redesign of the Emergency models of care including the implementation of the Sahara model to address the Cat 3 and 4 in the emergency department. Having a NP and staff specialist treating and reviewing these patients in 2-hour time window.
- - Promotes the NP pathway and role within the emergency department to patients, colleagues and management in a professional manner.
- - Mentoring CNS and helping with applications for approval and review in our emergency department.
- - Attending NP network meetings to discuss system and clinical issues affecting clinicians and patient care.
- - Attending the leadership forum and reviewing systems
- - Involved in the clinical leadership within the emergency department including mentorship of CNS.
Research domain
- - Currently involved in an audit of intubations in the emergency department and the development of an new airway checklist to include video recording of all intubations for quality and teaching.
- - Keep up to date with current practices and new research findings through reading UpToDate and listening to emergency medicine podcast.
- - Conduct regular case discussions with medical supervisors and review medical management and treatment in line with current guidelines and practices.
- - Currently the editor of the Neck and thoracic trauma chapter for the Prescribed text “Emergency and Trauma Care for Nurses and Paramedics”.
- - Evidence based application by utilising resources such as UptoDate, Therapeutic Guidelines or the Australian Medication Handbook
