Providing and delivering a high standard of specialist nursing care by initiating and co-coordinating the assessment, planning, and evaluating of individual patients needs based on evidence within the, Haemodialysis, Transplantation, Peritoneal teams. Commencement of haemodialysis, cannulation and termination of dialysis using highly complex specialist dialysis equipment to include problem solving skills. Care of the haemodialysis patient with Percutaneous Access to include problem solving skills. Interpret any machine alarms and take corrective action. Assist in the care of patients undergoing minor surgical interventions recognising problems and initiating action when required. To carry out clinical observations on patients, recognising, recording and using a problem solving approach act on all changes in patients condition. To include early recognition and intervention of acute dialysis symptoms administration of intravenous fluids/medication as appropriate. Utilise a problem solving approach to patient care. Promoting and delivering health education within the clinical area and advise patient, family, and others in health promotion issues. Engage; interact with carers/family encouraging them to be actively involved in patients care, planning. Demonstrating and undertaking evidence-based practice playing an active part in the introduction of this evidence to improve patient centred care. Supervising, assessing, and supporting Registered Nurses and Health Care Professionals to including bank and agency staff in the clinical setting. Increasing the level of knowledge and skills within the Ward/Directorate through sharing best practice, mentoring and supporting others to develop their professional abilities. Implementing and sharing good infection control practice. Undertaking manual handling assessments and ensuring identified actions are met and implemented. Day to day direct supervision of a team of patients and staff. Managerial Reporting and managing untoward incidents such as complaints, clinical emergencies, and injury or drug administration errors as detailed in Trust-wide and local protocols and procedures. Contributing towards ward or clinical projects to set and maintain standards of practice in conjunction with other team members, participating in research audits and quality monitoring. Ensuring that resources are used efficiently and in accordance with agreed procedures. Regularly acting, as nurse in charge, leading the allocation of workload and ensuring efficient patient flows and effective patient care. Demonstrating an awareness of and compliance with health and safety regulations/procedures that apply to staff, patients and visitors within the Trust premises including reporting any deficiencies in equipment, furnishings or matters of hygiene. Supporting the Ward Sister in identifying developmental needs of the staff and implementing appropriate staff developmental programmes. Professional Maintaining and continually develop in depth specialist knowledge of nursing practice relevant to the individual clinical area. Undertaking manual handling assessments and ensuring identified actions are met. Initiating appropriate training activities and encourage and support staff development and training. Supporting team members to deliver on their objectives through offering advice, guidance and support as appropriate. Maintaining personal and professional development to meet the changing demands of the job, in line with professional registration requirements. COMMUNICATIONS & WORKING RELATIONSHIPS Patients and their support network. Ward Sisters/Charge Nurses and all ward based nursing staff. Modern Matron. Educational staff. Clinical Nurse Specialists, Nurse Consultants, Nurse Practitioners. Directorate Manager. Consultants in area of responsibility. Housekeeping and domestic staff. Physiotherapists, Occupational Therapists and Dieticians. Portering staff. Bank/Agency Nurses and Healthcare Assistants.