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1. Planning Individualised Patient Care

Responsibility for the specialist assessment, provision, and co-ordination of care to individual patients in conjunction with patients and carers.

Advises and supports other staff in their planning of patient care.

Provides support and advice to patients’ carers and relatives (with consent) on patient’s conditions and prognosis where appropriate.

Responsibility for reviewing care delivery and maintaining records in accordance with local and with NMC guidelines.

Works as part of a multi-disciplinary team

Acts as patient representative to facilitate appropriate care pathways which involves effective communication to peers, other specialist practitioners, GPs, and Consultants.

2. Delivery of Direct Care

To assess, plan and evaluate care provided for patients including those with complex needs. Facilitates the monitoring of evidence-based standards through research, clinical trials, audits, and staff initiatives. Initiates prescribed care in conjunction with Team Manager/Consultant/GP and other clinicians. Without direct supervision, reporting directly to Consultant Physician or AGP undertakes care delivery involving an extensive range of activities acquired through additional short courses or equivalent experience:

• Acute and chronic disease awareness / management
• Assisting the multi-disciplinary team in palliative care
• Acute/chronic pain management
• Facilitating appropriate care for elimination needs
• Wound assessments and management
• Blood glucose monitoring
• Health promotion
• Acting as a formal mentor to pre-registration nursing students
• Adopting link roles
• Intravenous drug, fluid therapy, infusions
• Administration of Nebulised drugs
• Administration of oxygen therapy
• Computer skills
• Liaising with and referring on to other agencies and professionals
• Pulse oximetry and interpretation
• Venepuncture and venous cannulation
• Management of central and mid lines
• Performing ECGs
• In-depth history taking

Develop advanced clinical assessment skills that have the potential to allow for the implementation of appropriate tests and procedures and are pivotal to ensuring that individuals receive the most appropriate plan of care recognising and managing emergency situations e.g. treatment of anaphylaxis and cardiac/respiratory arrest. Undertake and interpret acute observations using an appropriate tool e.g., Mews, ABCDE

3. Management and Leadership:

Delegation, line management and supervision of workload of junior staff within the team as directed by the Band 7 team manager. Carrying out appraisal and line management of those staff reporting to the job holder as per organisation policy. Participate in the recruitment process. Have on-going responsibility and duty of care for patients, staff, self, and others in all aspects of Health, Safety and Risk.  Act as a role model, promoting good performance and practice. Reporting of all incidents and near misses.  Supporting team manager in investigations of incidents. Inform managers of any on-going nursing/management issues affecting patient care or working capacity.  Act as authorised signatory for expenses as delegated by team manager. Deputise for line manager in absence. Act as shift co-ordinator on a rotational basis.

4. Professional

To work within the NMC code. To remain updated and competent and ensure that clinical practice is evidence based. To have an up-to-date personal development plan and professional portfolio.

To participate in an annual appraisal of their work in line with the Knowledge and Skills Framework (KSF) where the job description will be reviewed, and objectives set.  In line with the annual development plan the post holder will be expected to undertake any training or development required to fulfil their role.

5. Education and Training

Support the team manager in providing and maintaining a learning environment and maximise opportunities for education and development in the clinical are to enhance individual development and performance in the delivery of high standards of care.

Take part in the process of clinical supervision and support clinical supervision for junior team members. Take responsibility for your own personal and professional development; maintain competence, knowledge, and skills commensurate with role. To undertake all required training and competencies required for the role.  Maintain attendance at mandatory and statutory training as per organisation guidelines. Integrate theory into practice by bringing new knowledge around acute care from training into the practice environment. Act as a mentor for students and fulfil requirements of a practice placement. To facilitate induction for new members of the team. Act as a link nurse for speciality to enhance team education.

6. Research

Actively participate in audit as directed by the Team Manager. Collect, collate and evaluate a range of information to support clinical and service audit.  Maintain accurate and up to date patient records, data bases and specialist reporting in accordance with organisation policy and professional guidance. Support the team manager in working towards the achievement of specific performance targets related to the team.

For further details please see attached JD&PS