Key Responsibilities To contribute to the smooth running of the inpatient Pain Management Service. Provide holistic assessments, plan and conduct pain treatment. Follow-up planned treatment, under the supervision of expert colleagues and within agreed guidelines and protocols. This involves undertaking daily specialist ward rounds and twice weekly multidisciplinary ward rounds. To carry the inpatient pain bleep once competent and respond to urgent or non-urgent situations. If required, offer specialist advice in accordance with agreed guidelines and protocols. This may involve: dealing with patients in severe pain or with suboptimal pain management, managing side effects and administering or recommending the appropriate treatment. Finally, recognising the unwell patient who requires referral or urgent medical attention and escalating as appropriate. To draw on both their own and others knowledge in decision making to determine evidence-based interventions within guidelines and actively monitoring these. To act as an advocate for the patient in treatment related decisions and choices. To refer a patient who requires the administration of an epidural bolus or IV opioid for severe pain to an Anaesthetist and following a period of supervision from the CNS & Consultants, deliver this treatment according to agreed guidelines and protocols. To seek medical advice in patients with respiratory depression / over dosage of opioids. To co-ordinate with an Anaesthetist, to provide a 24-hour inpatient pain service for patients in all clinical areas (adults and paediatric). Provide handover information to the on-call Anaesthetist for out of hours care where necessary. To have supervised input into the delivery of the outpatient Pain Management Service and assist the Consultants and other CNSs in the development and future delivery of paediatric outpatient Pain Management Services. Participate in Pain Management Service multidisciplinary team meetings. To use effective communication and interpersonal skills to provide information, explanation and reassurance to both patients and families. Furthermore, build an environment of trust, promoting patient empowerment. To maintain accurate and contemporaneous records of patients assessment, care, treatment and follow up. To participate in providing specialised aspects of patient care and treatment, working in partnership with others. To provide holistic assessment, care and treatment to patients under the supervision of expert colleagues and within agreed guidelines and protocols and plan / conduct appropriate patient follow up. To address patients health promotion and prevention needs through comprehensive assessment of individuals for risk factors and early signs of illness. Key Working Relationships Consultant Anaesthetists - Pain Management Service Consultant Paediatric Anaesthetists Consultant Paediatricians and wider teams Members of the Pain Management Service Multidisciplinary team Lead Clinical Nurse Specialist in Pain Management Please see the attached Job Description for more detailed information.