Professional work in accordance with NMC Code of Professional Practice and Scope of Professional Practice. Professionally and legally accountable and responsible for all activities. Work within the community (e.g., within clients' own homes) as a lone practitioner managing situations of risk with telephone support.
Seek support and advice with cases from more experienced colleagues when faced with matters outside sphere of responsibility, knowledge, or skills. Provide a calm and supportive approach to the management and delivery of sensitive and complex information, offering both practical and emotional support, utilizing flexibility and empathy in difficult situations. Use effective communication techniques to communicate with the multidisciplinary team to ensure the child and family referred to Children's Rapid Response receive the best possible care. Undertake risk assessments prior to service delivery within the home setting to ensure staff safety.
Work in partnership with children, families, and carers to provide optimum individual outcomes, acknowledging children and families' personal preferences, spiritual, and religious beliefs. Formulate individualized management and treatment plans using sound knowledge and evidence-based practice. Plans should be in response to sound clinical reasoning and include expected signs of deterioration. Provide timely, effective symptom management, resulting from comprehensive history taking utilizing independent non-medical prescribing, GPs, or hospital team, completing symptom flow charts to monitor the child's changing condition/deterioration.
Provide and promote strategies/detailed plans of care to parents and carers empowering care that will prevent inappropriate admissions and reduce length of hospital stay. Ensure assessment, planning, and delivery of holistic care is of the highest standard utilizing an agreed nursing model. Liaise and work in collaboration with acute services, primary healthcare team, and other agencies when planning and implementing programmes of care facilitating early discharge and preventing admissions. Advise the Team Leader, Clinical Lead, or Service Manager of any circumstances which give cause for concern in relation to patient care and/or any concerns raised by the primary healthcare team or partner agencies.
Maintain clear, concise, and contemporaneous records adhering to BCHC record keeping policies. Provide a flexible service to accommodate the changing needs of children and families. In the absence of the Team Leader/Clinical Lead, provide leadership to ensure effective service delivery. Responsible for accepting referrals and discharging patients from own caseload.
Responsible for reassessing children, ensuring regular formal review of the caseload in conjunction with the Team Leader, ensuring these are documented and evidenced as per record keeping guidelines. Ensure standards are maintained with both clinical quality and governance being central to the function and delivery of the service. Accountable for advice and guidance to patients, families, carers, and other team members. Act as an effective role model for other team members, students, and professionals.
Participate in research and audit relevant to the service in conjunction with the Team Leader/Clinical Lead. Appropriately manage service resources e.g., equipment, staffing, supplies in conjunction with the Team Leader/Service Manager. Develop policies, procedures, and guidelines in conjunction with the wider multidisciplinary team.
Ensure staff maintain organisational standards in relation to record keeping. Undertake risk assessment for own clinical caseload, action planning effectively in response to risk assessment. Ensure effective communication to line manager relating to any circumstances which give rise for concern. Manage informal complaints from service users, raising any recurrent themes or concerns with the Clinical Lead and Service Manager and assist with formal investigations as requested.
Demonstrate critical thinking, problem solving, and decision-making skills. Work positively with colleagues to maintain effective working relationships. Accurately record and maintain client records daily using electronic and paper systems e.g., RiO.
Education and Development
To maintain and update knowledge and skills in relation to the post. Identify and undertake specific training to maintain skills in line with NMC Scope of Practice and development needs of the service. Participate in the teaching of students and other staff within the clinical and university environment. Participate in the teaching and mentorship of staff as required, ensuring they have the knowledge and skills to fulfil their roles. Maintain own professional development in line with post-registration ongoing education and practice, Revalidation.
Act as a link Nurse and take clinical lead in areas of expertise. Attend courses and meetings as required to fulfil the link role as delegated by the Team Leader. Participate in reflective practice/clinical supervision, critical incident analysis, and debriefings.
Management and Leadership Responsibilities
Develop and empower all members of your team to perform to high standards and innovate. Ensure supportive staff management arrangements are in place and carry out personal development reviews for direct reports. Ensure all staff in your team/s have annual PDRs resulting in specific objectives and effective personal development plans in line with the Knowledge and Skills Outline Framework. Develop staff knowledge and skills to promote equality and diversity and address inequalities both in employment and service delivery. Ensure specific equality objectives are included in PDRs.
Develop a culture that ensures that the standards of Improving Working Lives and Investors in People are achieved and maintained for all staff and that staff's perception about their working lives are measured and improvements made.
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