CLINICAL LEADERSHIP The Registered Nurse will maintain a nursing culture which is open to change, new ideas, concepts and innovations. This will be achieved by: Participating in the development and delivery of a philosophy of care which involves/respects the rights of patients carers and staff. Ability to relate to all staff and patients in a confident manner, demonstrating good listening skills and able to work effectively as part of team. Creating, maintaining and enhancing effective working relationships. Recognising areas of conflict and assisting in the management of this to promote a healthy working environment. Maintaining an awareness of national and regional initiatives. Participating in the individual performance review process. Participating in Clinical Supervision where this is appropriate Participating in the implementation and monitoring of the Trusts Nursing Charter standards. Acting as a positive ambassador for the Trust. Contributing to the Trusts Shared Leadership process. Striving for continuous improvements in the delivery of high quality patient focused care. Submitting new ideas/Innovations aimed at improving patient care. LEARNING ENVIRONMENT/EVIDENCE BASED NURSING The Registered Nurse will support and contribute to a ward culture which is conducive to learning incorporating high quality evidence based practice into patient centred care. This will be achieved by: Utilising and contributing to resources within the ward environment which encourage evidence based nursing. Supporting and enabling professional development of team members. Undertaking own personal development to meet identified needs. Contributing to the mentorship of students and Allied Health Professionals as directed by senior management team Ensuring statutory training is undertaken. COMPETENT PRACTICE The Registered Nurse will combine theory and experience to demonstrate clinical competence in practice. This will be achieved by: Receiving initial appropriate training/supernumerary period to be assessed as clinically competent in achieving core critical care step competencies and using all equipment available Developing further skills to allow the nurse to provide all care for any general intensive/high dependency patients admitted to the individuals area of work. As experience progresses demonstrate ability to competently provide care for critically ill patients presenting with a wide range of conditions and treatment requirements, initiating and promoting excellence in clinical practice. Evidence provided by completion of step 1, 2 and 3 critical care competencies and relevant critical care post registration courses. Assess, plan, implement and evaluate patient care using evidence to rationalise care for both conscious and unconscious patients, under the indirect supervision of a senior nurse. As the nurse becomes more experience demonstrates specialist knowledge and skills in this process. Able to make ongoing evaluation of the effectiveness of interventions in meeting prior agreed goals and make necessary modifications to the care plan. Direct care to patients will be delivered in accordance with the Trusts policies and NMC Guidelines Contributing towards the formulation of a plan of care with the patient and their family/carers. Participating in the assessment of health related needs of patients and their families/careers Promoting a multi professional approach to maximise the patients health and independence utilising resources appropriately. Maintaining up to date knowledge of current nursing issues/practices.