Supporting Clinical Excellence Demonstrate specialist expertise and professional knowledge acquired through post registration academic, clinical, leadership and management development. Works as a role model for professional practice. Undertake face to face autonomous assessment and referral of patients with undifferentiated and undiagnosed presentations in the Emergency Department (ED) to the appropriate pathway Liaise with the onsite GP, ED Consultants, ED Doctors, ED Nurses and MDT to ensure appropriate referrals and safe efficient patient care Ensure that patients receive high quality clinical care decisions, delivered in a timely manner Supply and administer medicines in line with Patient Group Directives and within scope of practice Ensure complete and accurate documentation Professional responsibilities Adhere to the NMC or HCPC Code of Professional Conduct and at all times work within own scope of professional practice Maintain confidentiality with regard to information pertaining to patients and staff Maintain a professional manner and act as a positive role model for all members of the ED team Ensure accurate record keeping and documentation in line with local policy and NMC or HCPC Code of Professional Conduct Attend yearly appraisal with line manager and maintain registration Maintain a professional portfolio which will meet the requirements of NMC revalidation Managerial Manage people and financial resources to ensure the effective operation of the team for which he/she is responsible. Ensure effective skill-mix and appropriate caseload management at all times. Allocate work and assess performance of the team members objectively against set criteria/competencies. Provide clear feedback to team members in a way that is conducive to maintaining and improving performance. Demonstrate excellent personal communication. Establish and maintain effective two-way communication channels with individuals and groups. Demonstrate appropriate assertiveness and ability to challenge others when the rights of patients and others may be infringed. Be responsible for the standard of nursing care delivered in work area. Display evidence that staff provide holistic, evidence-based, patient-centred care. Demonstrate that patients are involved in both decisions affecting their care and well-being and in service development. Practice in accordance with the professional, ethical and legal codes of the Nursing and Midwifery Council, and Trusts protocols and guidelines. Be accountable for own practice and for the delegation of care he/she gives to more junior colleagues, support workers and students. Be responsible for the standards of cleanliness in the clinical area and for a well-maintained Ward/Department environment. Prioritise workload to meet targets. Ensure that Nursing and Operational Management teams are alerted to quality issues. Support change in own area that improves the quality of systems and processes Contribute to the improvement of services by encouraging ideas, problem solving and decision making Have awareness of impact of own behaviour on others and dealing with consequences of actions as required Clinical Governance and Service Improvements Work with Nurse Manager, utilising the umbrella of Clinical Governance to maintain/improve and develop high standards of patient care. Place the patients experience at the core of service delivery. Monitor and audit the quality of care through a range of strategies, including risk management, incident reporting, complaints, research and effectiveness monitoring, and clinical audit Promote/develop and maintain a culture within clinical environment which challenges and questions practice, and promote the quality of thinking amongst practitioners. Ensure that students and staff receive effective induction, mentorship, development and support. Contribute to the implementation of the development of the service. Be aware of new evidence and research in both general and specialist fields. Support staff in the analysis of evidence. Work creatively to develop practice and new ways of working, taking the lead in the change management process when appropriate. General Responsibilities Demonstrate commitment to flexible working patterns, to meet the needs of the service Be aware of and comply with all local infection prevention and control policies Comply with health and safety legislation and trust policies and procedures Actively promote equality and diversity and encourage colleagues to do the same Support a zero tolerance approach to bullying and harassment in all forms, and to lead by example in this area Support students and junior staff in the form of supervisor/assessor and preceptorship and work shadowing Provide teaching in areas of expertise to ED, SDEC and assessment area staff on allocated teaching and learning sessions