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Swydd ddisgrifiad a phrif gyfrifoldebau manwl

· To conduct patient telephone triage for new referrals prior to home visit. 

· Have the ability to make a clinical decision that the patient is appropriate to be assessed within the 2-hour response time. 

· To have the clinical judgement to escalate the care of the patient or carer to dial 999 if the patient triage is highlighting red flags or you feel it is unsafe for the patient to wait two hours. 

· To have the clinical knowledge and confidence to discuss complex diagnosis with the team and wider multidisciplinary team.

· To have the clinical awareness to understand these complexities and the impact for the team and patient’s care.

· To perform comprehensive, specialist, holistic assessment and physical examination for individuals with acute illness.

· To plan, implement and evaluate care delivery for short term acute care, using evidence based best practice.

· To provide clinical support, advice and guidance to other members of the wider Home 1st team. 

· To use advanced clinical skills to determine if symptoms warrant further investigation and/or treatment.

· To liaise closely with Out of Hours Services, General Practitioners and other professionals involved in the patient’s care and provide updates.

· To continually have awareness of the need to respect people’s privacy, dignity and individuality and aim to provide care in an environment which is appropriate to the wishes of the person and to their current physical and emotional needs.

· To be competent, or willing to work towards, extended clinical skills including prescribing, phlebotomy, cannulation, female, male and suprapubic catheterisation. Physical manual handling of patient and the care of mechanical aids.

· To provide empowerment and support and act as an advocate where appropriate to help people to actively engage in agreed treatment programs or goals, to maximise their independence, reviewing and evaluating efficacy of intervention.

· To provide medicines management support and advise in accordance with national and local guidance.

· If appropriate refer to the Senior Medicines Optimisation Technician for support with medication issues.

· Collect, collate and evaluate a range of information to support clinical and service audit 

· Following training, use SystmOne to document care record activity. Obtain patient’s information using available electronic database from CNWL and MKUH HSCN (eCare and EDM).

· Maintain accurate and up to date patient’s records, databases and specialist reporting in accordance with CNWL MK Health Records Policy and professional guidance.

· To work with the Team Leads and other colleagues in continually developing and reviewing acute illness pathways and practices to ensure that services are delivered efficiently and effectively providing best value to people and organisations.

· Ability to work remotely away from office while maintaining confidentiality of information.

· Work as part of the Home 1st UCR Team to provide 24 hours service delivery 365 days a year.