- Carry out clinical practice within designated clinical areas, ensuring that high quality current evidence based care underpins all actions and interactions with patients - Be responsible for completing/ undertaking relevant nursing/ clinical procedures and practice underpinned by theoretical knowledge and practical experience - Use up to date knowledge and evidence to assess, plan, deliver and evaluate care, communicate findings, influence changes and promote health and best practice. The individual must make person centred, evidence based judgments in partnership with others involved in the care process to ensure high quality care - Act as advocate for patients within the areas, to ensure a patient focused approach to the delivery of care - Ensure patients receive high quality clinical care and a positive patient experience, having regard to their customs, beliefs and ethnicity - Promote a clean and safe environment for staff, patients and visitors by ensuring compliance with legislation /policies and procedures, health care associated infection prevention, governance including risk management and incident reporting and act without delay in the reporting and escalating of any areas of concern - Recognize and act to avoid situations that may be detrimental to the health and wellbeing of patients - Advise on the promotion of health and the prevention of illness - Ensure accurate, legible and timely documentation relating to all aspects of patients care and treatment both paper based and electronically - Carry out those specific activities required to complete a comprehensive assessment of a persons nursing requirements - Undertake a range of physical observations appropriate to the individuals scope of practice using a range of equipment, recording, reporting and escalating findings and concerns - Develop and initiate nursing assessments and care plans based on assessment and observation of the patients physical and psychological well-being / illness - Monitor patients progress, ensuring accurate records of all relevant observations and clinical assessments are kept and take appropriate action as indicated - Work towards safe and timely discharge plans and or transfer of care from the ward/ service and ensure barriers to discharge/ transfer are identified and acted on appropriately - Work alongside other health care professionals to ascertain treatments and advise on nursing priorities - Have accountability for the correct administration and custody of medicines according to the Trust Policy to include the safe administration of medicines, controlled drugs, intravenous drugs, transfusion of blood and blood products as required by the clinical area - Ensure all nursing documentation is completed prior to the span of duty ending. Entries must be legible, updated and in accordance with Trust/ NMC standards (including electronic records) - Ensure effective handover of patients between shifts / healthcare professionals using a range communication aids such as verbal handover/ written documentation/ referral - Achieve and maintain skills and clinical competencies specific to the post/ department role including equipment training. KEY RESPONSIBILITIES - The post holder will work according to the NMC Code of Professional Standards of Practice and Behaviour and relevant professional guidelines and be accountable for their own professional actions - The post holder must use up to date knowledge and evidence to assess, plan, deliver and evaluate care, communicate findings, influence changes and promote health and best practice - The post holder must achieve and maintain competence in identified mandatory and statutory training, develop and maintain clinical competencies, skills and knowledge which relate to the area of clinical practice - The post holder must respond to patients, relative and carers concerns as they arise and take remedial action as required - The post holder will take charge of the practice setting as required/ or a defined area of the practice setting - The post holder will assume responsibility for undertaking tasks delegated by the nominated line/shift manager. This may include representing the practice setting at meetings, link nurse responsibilities, audit, governance initiatives and supervision and role competence assessments for unregistered nurses and students/ trainees - The post holder will contribute to the development of service and quality improvement initiatives within a collaborative framework to enhance patient experience and outcome and ensure standards of care are monitored and maintained at the highest level