Advanced Critical Care Practitioner Guernsey

Advanced Critical Care Practitioner

Key Responsibilities

• Undertakes comprehensive clinical assessment of patient condition.
• Requests, performs, and interprets diagnostic tests (e.g., blood gases, pathology, medical imaging).
• Initiates and manages clinical treatment plans.
• Provides accurate and effective handovers.
• Undertakes invasive interventions within scope of practice (e.g., arterial, central venous, Vascaths, PICCs, midlines, peripheral venous, nasogastric, and urinary catheters).
• Undertakes advanced airway management, including drug-assisted endotracheal intubation.
• Initiates and adjusts mechanical ventilation and other respiratory support.
• Undertakes point-of-care ultrasound examinations (if trained and competent).
• Provides professional leadership and support within a multidisciplinary team.
• Critically analyses, evaluates, and synthesises information for patient assessment and management.
• Applies principles of diagnosis and clinical reasoning for clinical judgment and decision making.
• Applies theory to practice through clinical decision-making model.
• Initiates emergency treatment plans for unanticipated conditions.
• Undertakes inter- and intra-hospital transfers of level 2 and 3 patients.
• Understands professional accountability and legal frameworks for advanced practice.
• Applies principles of evidence-based practice to critically ill patient management.
• Prescribes medications as an Independent Non-Medical Prescriber (in accordance with HSC policy).
• Authorizes blood product administration (if qualified and authorized by HSC policy).
• Understands and performs clinical audit.
• Provides professional leadership and support within a multi-professional team.
• Maintains accurate and up-to-date patient records.
• Core member of the Critical Care multidisciplinary team.

Skills and Expertise

• Uses specialist knowledge, leadership, and expertise to assess, plan, and implement critical care interventions.
• Recommends adjustments/amendments to treatment plans (in consultation with patients and team).
• Maintains up-to-date knowledge in critical care, affecting practice change and disseminating new knowledge.
• Interprets new knowledge to ensure practice alignment with current thinking.
• Demonstrates accountability for professional actions.
• Possesses theoretical and practical knowledge for high-standard job delivery.
• Maintains a professional portfolio for annual appraisal.
• Develops, organises, and contributes to teaching and training sessions.
• Completes additional training to fulfil role requirements.
• Maintains compliance with mandatory training.
• Participates in supervision and mentorship of students and trainees.
• Undertakes clinical supervision.
• Possesses UK Resuscitation Council Advanced Life Support Provider qualification.
• Demonstrates strong communication and relationship skills with patients and families.
• Communicates complex information effectively.
• Provides empathy and reassurance to patients and families.
• Supports Consultant Intensivists and other medical staff.
• Exchanges information with patients and staff.
• Makes direct referrals to other healthcare team members.

Knowledge, Training and Experience

• Maintains up-to-date knowledge in the specialist field.

Professional and Service Development Responsibilities

• Manages and prioritizes workload.
• Makes representation at meetings, providing feedback on clinical and professional issues impacting care and standards.
• Participates in service development.
• Writes protocols, guidelines, and procedures for own remit, impacting multidisciplinary team members.
• Develops and evaluates protocols, guidelines, and procedures.
• Liaises with the Consultant Intensivist and Senior Leaders.
• Contributes ideas and recommendations for service improvements.
• Complies with hospital policies and guidelines.
• Reports and removes faulty equipment.
• Participates in the clinical governance agenda.
• Participates in recruitment and selection criteria (if required).

Freedom to Act

• Exercises a high degree of autonomy and authority in making clinical decisions.
• Plans workload using organisational and national guidance, policies, and professional code of conduct.
• Prescribes medications within competence and in accordance with local policy (when qualified).
• Uses own initiative, acts independently, and takes appropriate actions.