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Swydd ddisgrifiad a phrif gyfrifoldebau manwl

Please refer to the attached job description and person specification for full details of responsibilities.

• To work as an autonomous practitioner within the integrated multi-professional team, neighbourhood teams.
• To be responsible for own caseload and undertake an assessment of patients with complex and multiple pathologies using specialist clinical reasoning skills.
• To be accountable for assessing, interpreting, planning, implementing and evaluating treatment to patients within professional guidelines, with the support of the multidisciplinary team.
• To keep the patient at the centre of care, ensuring patient and carer participation in decision making.
• Provide support and education to peers, new staff non-registered staff and students.
• To supervise junior staff and students overseeing patient intervention and ensure that a high standard of care is delivered and staff achieve set competencies.
• To be accountable for a delegated caseload
• To priorities, all referrals according to clinical lead and allocate or signpost appropriately
• To provide a high standard of nursing intervention within patients own homes this includes lone working, with access to Specialist and Advanced Practitioners when required.
• To identify patient needs, agree on goals and provide appropriate holistic nursing interventions, to refer to other services and provide or order equipment.
• To be professionally and legally accountable for all aspects of your own and delegated work.
• To work within codes of practice and professional guidelines.
• To undertake a holistic assessment (including those with complex presentations and multi pathologies) making use of clinical reasoning skills.
• To use evidence-based practice, to ensure clinical care is effective and appropriate.
• To promote independence and wherever possible to avoid hospital admission and reduce inpatient length of stay to ensure those patients receive the appropriate care in the most appropriate setting.
• Organise and manage own time, delegating work appropriately.
• Contribute to risk assessments and health and safety assessments and including immediately reporting any changes/newly identified risks.
• To demonstrate the importance of gaining patient and carer consent in all interventions.
• To effectively communicate verbally with patients, carers and colleagues using tact and persuasive skills. This may involve using skills where patients have difficulties in communication, e.g. hearing loss, diminished sight, depression, speech problems, cognitive impairment, behavioural problems and pain.
• To contribute to and work towards the service/organisational aims and objectives of the Neighbourhood Teams and the new model of care.
• To work effectively within the neighbourhood team structure and liaise appropriately with members of the MDT and other agencies by attending MDT meetings, case reviews.
• To ensure that accurate and timely written records are kept which comply with the Trust policy and NMC guidance, reporting on any issues as appropriate.
• To inform/update all members of the multi-disciplinary team, service users and appropriate others, of changes involving current care plans, patients progress and other relevant matters that pertain to the care of the patient.
• To support the Community nursing team with day to day planning and delivery of high-quality care.
• To support the neighbourhood team with a case management model.
• To support, educate and advise formal and informal carers with the nursing care which they can provide.
• To act as a patient advocate, providing information, health education and support to facilitate patient choice with regard to nursing care, promoting independence.
• To ensure that medications are stored and recorded according to the rules relating to the drugs policy of CPFT.
• To administer immunisations and vaccinations to adults in accordance with agreed protocols for patients on the current caseload.