Assess patients for chemotherapy to ensure their physical condition and blood parameters are satisfactory to safely receive treatment according to treatment protocols and escalate any concerns to the coordinator. Administer and dispose of intravenous and chemotherapy safely in accordance with Trust and National Guidelines. Provide information regarding treatment and side effects to ensure each patient is prepared for their specific treatment and elicit informed consent. Provide one-to-one and telephone advice to patients and their families regarding treatment side effects and management to ensure each patient receives care specific and appropriate to their needs.
Use good communication skills to enhance and augment patients' understanding and adapt information to their specific needs as they progress through treatment. Liaise with other appropriate health care professionals within both hospital and community settings regarding individual patient care to ensure seamless transfer of care between disciplines. Recognise and provide the psychological and emotional support needed by individuals and their families whilst undergoing treatment and refer on to other professionals sensitively and appropriately in order to adequately meet patients' needs. Assess patients with difficult venous access and make recommendations, with senior nurse support for alternative access to ensure patients receive treatment safely and with minimum risk. Ensure safe administration of chemotherapy regimens according to trust protocols.
Provide follow-up care and maintenance of central venous lines for patients and advise other health care professionals involved as appropriate, to ensure the patients' line is safely and adequately cared for in accordance with Trust policy. Administer other intravenous therapies, such as blood and bisphosphonates, to patients according to protocols to ensure therapies are delivered safely and with minimum risk. Monitor and instigate care with senior nurse support to address or prevent reactions to and complications of treatment, including administration of prophylactic agents. Discuss with senior nursing and medical colleagues developments and changes which affect patients both directly and indirectly.
Establish and maintain effective communication and foster good working relationships with all multidisciplinary teams, both internal and external. Make use of electronic internal and external mail and Internet systems as appropriate and necessary. Escalate any concerns, complaints, or incidents that affect users of the unit in accordance with complaints, risk management, or human resources procedures. Bring to the attention of the Senior Sister/Charge Nurse/Coordinator any factors which may adversely affect patient care or service provision.
Report all serious incidents to the appropriate Manager/Director within 24 hours, including Never Events and serious falls, and complete datix incident forms in accordance with trust policy. Be knowledgeable about the specific care requirements of patients within the unit and current infection control procedures and policies, ensuring all staff and visitors adhere to these at all times. Be knowledgeable about the risks of infection and take responsibility for minimising cross-infection within the clinical environment, assist in giving information and placing patients appropriately.
Ensure that patient care is evidence-based. Assess and escalate potential problems or issues to ensure a safe, effective environment for staff, patients, and visitors. Participate in departmental meetings and act on any instruction. Be involved in practice development and patient experience issues.
Act as a role model when carrying out and demonstrating nursing care and procedures to junior members of the team and students. Actively contribute to the health and well-being of patients by promoting health through various methods, such as healthy eating, exercise, and smoking cessation. Ensure accurate, comprehensive, contemporaneous, and clear documentation of patients' care.
Ensure that own written reports are in accordance with Trust policy and NMC guidelines. Be familiar with the policy for safe administration of prescribed therapies, including Medicines Management, Intravenous Therapy, Patient Group Directives, and clinical guidelines for cytotoxic administration. Demonstrate the ability to safely monitor and provide care for the patient once therapies have been administered and escalate any concerns to the coordinator. At all times, act in accordance with Trust policies, procedures, guidelines, and NMC Codes of Practice standards.
Undertake agreed mandatory training and seek out opportunities to enhance knowledge, skills, and develop practice. Assist Senior Sister/Charge Nurse by ensuring supplies are managed in accordance with budgetary limits and constraints, including regular stock reviews. Report health and safety issues within the ward area. Inform the Senior Sister/Charge Nurse of any changes that affect the standards of care, service delivery, or impact the budget.
Ensure the ordering, safe custody, usage, and recording of drugs within agreed Trust policy. Maintain an up-to-date understanding of clinical and professional developments within nursing, particularly areas pertinent to the specialty requirements. Provide guidance and teaching for students and nursing staff who are not experienced in the specialty and to set, implement, and monitor patient care plans. Work with the senior team to ensure written patient information is current, evidence-based, and available for patients and their relatives.
Assist Senior Sister/Charge Nurse in ensuring all clinical area resources are up to date, organised, and available for inspection during assessments and visits. Assist Senior Sister/Charge Nurse with auditing and monitoring of all activities within the clinical area to ensure services are delivered effectively within a safe environment. Assist Senior Sister in ensuring audit documentation is kept up to date and collated as required.
To include all the current audits for the KPI and CQuins such as timely saving lives assessments, hand hygiene, and mandatory training matrix.
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