Case Management Competences: Advanced Clinical Nursing Practice
Advanced clinical practice applies to AHPs as well as nurses. However, this domain refers to the community matron who is a nurse providing nursing care in the home, more usually associated with care offered in an acute setting.
This type of care in the home involves assessing and managing risks associated with working in isolation. The nurse must work in an autonomous manner, being able to assess, diagnose, prescribe and carry out treatments taking into account the risks that are associated with working in the home environment.
The nurse will need to be competent in medical history taking and advanced clinical nursing practice. He/she will be responsible for initiating and interpreting diagnostic tests, critical reasoning, diagnosis and decision-making. The nurse must also be competent in independent extended prescribing to manage acute exacerbation of multiple long term conditions and minimise the impact of compounding co-morbidities to maximise the patient's quality of life. It is expected that the nurse will also combine the competences of managing cognitive impairment and mental well being within the overall clinical care they provide.
- CM.A1 Obtain information to inform the assessment of an individual (PDF, 35KB)
- CM.A2 Establish an individual's functional capabilities in the context of long term conditions clinical management(PDF, 37KB)
- CM.A3 Investigate and diagnose an unwell individual as part of long term conditions clinical management (PDF, 37KB)
- CM.A4 Plan, implement, monitor and review therapeutic interventions with individuals who have a long term condition and their carers (PDF, 42KB)
- CM.A5 Assess individual needs and preferences (PDF, 39KB)
- CM.A6 Enable individuals with long term conditions to manage their medicines (PDF, 39KB)
- CM.A7 Prescribe medication for individuals with a long term condition (PDF, 29KB)
- PSL 10 Verify a death which had been expected (PDF, 30KB)