Duties and Responsibilities
Key results from the job holder:
1. Responsible for the delivery of a high quality service, ensuring that clinical care is organised to meet the needs of the individual whilst ensuring patient safety.
2. Provide and deliver specialist care to patients with minor injuries/illnesses.
3. Make autonomous clinical decisions and carry responsibility for them, including discharge or referral of patients to appropriate services.
4. Act as a leader, motivating staff.
Planning and Organisational Duties
1. Manage and develop the team of Practitioners, providing an autonomous, evidence-based Practitioner service.
2. Undertake additional training to develop specialist skills and knowledge as appropriate e.g. PGD's, clinical examination skills, suturing, interpretation and diagnostic tests.
3. Ensure that staff adheres to Trust procedures and protocols.
4. Responsible for ensuring compliance with local and national targets.
5. Arrange the reception, transfer and discharge of patients in accordance with the unit's policies and procedures, through effective liaison with the multidisciplinary team, other disciplines, and if necessary, external agencies.
6. Ensure that effective communication is maintained both within the department and with other relevant external agencies or individuals to ensure the management of the service meets the demands.
7. Organise and prioritise personal workload, adjusting priorities, coordinating care and delegating work in an ever-changing environment.
8. Recognise and respond appropriately to issues that require urgent or immediate attention, reporting to other members of the multi-disciplinary/management team as necessary.
9. Provide support to the organisation in the maintenance of equipment to ensure quality control standards are met.
10. Ensure self and staff comply with Trust's policies, procedures, and clinical guidelines.
11. Responsible for proactive risk recognition, recording and reporting untoward incidents and actively carrying out steps to minimise further risk.
12. Participate in the Trust's quality monitoring programme.
13. Ensure all staff are aware of major incident/decontamination procedures.
Communications and Key Working Relationships
1. Work autonomously as an independent practitioner without supervision.
2. Undertake triage of patients.
3. Receive patients directly with undiagnosed minor injuries/illnesses.
4. Assess, diagnose, prescribe, treat, refer, or discharge those patients using problem-solving and clinical decision-making skills.
5. Provide expert clinical intervention and make complex judgements when specialist knowledge and experience are required in ensuring optimum care and treatment is maintained.
6. Maintain self-development and clinical competence in advanced nursing practice with specific reference to the treatment of minor injuries/illness.
7. Provide specialist clinical knowledge in relation to minor injuries/illnesses to patients, carers/relatives, and colleagues.
8. Lead in advancing the development of clinical practice with regard to minor injuries/minor illnesses.
9. Perform a comprehensive assessment of the patients' clinical needs presenting with minor injuries/illnesses, implementing best practice and maintaining high standards of care.
10. Assess patients' condition by history taking, clinical examination, and analysis of investigations to confirm diagnosis and prescribe treatment within Trust protocols and clinical guidelines.
11. Undertake and interpret a range of diagnostic tests e.g. X-rays, blood tests.
12. Prescribe a wide range of medications supported by Patient Group Directions and Trust guidelines.
13. Maintain safe administration of medicines, concordant with the NMC and Trust policies.
14. Support the delivery of nursing care, ensure safe discharge, referral, or transfer to other areas.
15. Support the provision of health education during patient consultations, ensuring that patients and their relatives are properly informed about their condition, treatment, and expected outcomes.
16. Responsible for ensuring all patients are triaged and have a comprehensive assessment of their clinical needs.
17. Ensure the accurate maintenance of records is compliant with legal, professional, and organisational standards.
18. Maintain accurate high quality and effective communication, written, verbal interpersonal, and via computer with all professional colleagues, hospital departments, and other agencies.
19. Deal with complex and sensitive information relating to patients and procedures.
20. Demonstrate communication skills with patients/carers with communication difficulties e.g. language barriers, learning difficulties.
21. Maintain a responsibility for ensuring that patients' care is planned, implemented, and evaluated in accordance with their individual health care needs and varying levels of complexity.
22. Work in close collaboration with members of the multidisciplinary team to ensure that patient needs are met.
23. Recognise and respond appropriately to urgent and emergency situations.
24. Ensure effective communication and sensitivity is maintained when dealing with people regarding difficult matters and/or difficult situations, in highly complex situations with both patients and relatives e.g. sudden bereavement, violence, and aggression.
25. Maintain professional accountability through the practice of safe standards in compliance with the NMC Code of Conduct / HCPC.
Responsibility for Finance
1. Contribute to ensuring the effective use of all resources.
2. Maintain adequate stock levels and ensure appropriate ordering of stock.
3. Ensure that each individual patient receives prescribed treatment and the most appropriate cost-effective care within the resources available.
Responsibility for Human Resources
1. Responsible for the day-to-day management and supervision of staff.
2. Actively involved in selection, recruitment, and retention of staff.
3. Actively conduct IPR/PDP process.
4. Undertake IPR/PDP of staff to monitor their performance and identify corporate and individual objectives.
5. Implement the Trust's attendance management policy and monitor staff sickness.
6. Plan, supervise, and monitor staff rostering to facilitate maximum care delivery in line with Improving Working Lives initiatives.
7. Ensure that all newly appointed staff receive an induction to the unit and obtain mentorship as appropriate.
8. Act as a role model and leader by means of personal example and direct involvement in the professional activities of the unit.
9. Responsible for maintaining own professional accountability through the practice of safe standards in compliance with NMC/HCPC policies.
10. Ensure that all staff understand and adhere to the relevant policies, procedures, and guidelines.
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