Key Responsibilities: Clinical Practice: Be professionally and legally accountable for all work undertaken and to practices at an advanced level of professional autonomy and accountability that is within national guidelines and Nursing and Midwifery Councils Code of Conduct. Provide clinical leadership and maintain credibility through practice and professional update. Act as a role model Practise evidence based nursing care to ensure high quality care. Act as an expert nurse and resource for patients, families, and staff. Admit, discharge or transfer patients to and from the service as their needs require. Undertake advance clinical assessments of patients referred to the service to enable prompt assessment, diagnosis and treatment according to agreed policies, protocols and guidelines. Clinically examine and assess patient needs from a physiological and psychological perspective and plan clinical care accordingly. Order and interpret blood tests and initiate appropriate action as required. Be competent in using a range of diagnostic tools including bladder scanner, point of care testing & ECG Provide and request appropriate diagnostic and/or therapeutic interventions in order to provide a holistic assessment of the client group. Maintain and develop own repertoire of advanced clinical assessment skills including physical examination, assessment of continence, mental health screening, nutritional status, falls assessment. Prescribe medication within own level of knowledge and competence and within the scope of the Trusts Policy for Non-Medical Prescribing qualification. Facilitate the further development of clinical skills for all nurses caring for patients. Ensure self and staff are provided with adequate protection if exposed to body fluids, odours and infections. Be aware of needs and ensure that staff, patients and relatives use personal protection equipment provided and adhere to Trust policies in relation to health and safety and infection, prevention and control. Support staff as required in the management of challenging situations. Complete documentation relating to patient care and ensure that staff maintain and update documentation as changes occur according to Trust policy. Encouraging nursing staff through role modelling to apply critical thinking through the process of clinical assessment of patients or problem solving. Follow this process through the planning and evaluation stages of patient care and to effectively document this process in the patient records. Liaise and work closely with relevant multi-disciplinary team members, including General Practitioners and therapists in the provision of professional service. Provide support for anxious patients and/or relatives demonstrating empathy and understanding in a professional manner. Provide empathetic support when involved in the process of giving patients and/or relatives bad news; for example, informing patients/relatives of changes of condition. Prioritise, organise and manage own workload in a manner that maintains and promotes quality. Assist in further development of the service and wider organisational strategies. Take responsibility for own learning and performance including participating in clinical supervision and acting as a role model, as well as continuous preparation for annual personal appraisal and development review. Contribute to the development of local guidelines, protocols and standards. Please see the attached job description and person specification for more information about this role and working at North East London NHS Foundation Trust. We encourage you to refer closely to this when completing your application. We welcome your application even if you do not meet all the criteria listed in the person specification. Any development needs to help you succeed in the role, can be discussed at the interview stage.