Job responsibilities Communication To liaise effectively with the multidisciplinary team and other departments Service Delivery and Improvement Adhere to the unit philosophy for patient care, to maintain and improve safe holistic care which meets the needs of individual patients. Partake in improvement projects in line with the trust goals. People Management and Development Is prepared to undertake link nurse responsibilities and a workload of home dialysis patients. Undertakes teaching and mentoring of junior staff, students, and patients in individual/group settings, showing understanding of appropriate methods of teaching and an ability to evaluate the effectiveness of same Implements evidence-based pathways of care, taking account of Renal Association and Trust and National protocols. Engage in the supervision, mentorship, and development of both pre and post registration students, attending the department formally assessing as needed and communicating with their learning supervisors. Implementing competency-based assessments and ongoing practice review for colleagues developing their clinical skills Patient Care Delivery Working with pre-dialysis and ward colleagues develop and evaluate the pathway for acceptance of new patients onto the home dialysis programme, promoting holistic care, independence, and minimum disruption to their lives. Train patient and carers to dialyse and manage at home safely and confidently. Co-ordinate the care and follow-up support of a caseload of home dialysis patients, always ensuring their safety. Provide specialist care to home dialysis patients, adjusting and negotiating care management plans as appropriate for individual patients, liaising with the medical team as required. Deliver pre dialysis education sessions in unit. /work in the community to monitor patient dialysis technique, safety, ability to cope, general self-care ability, and arrange community visits. Give support and expert advice to patients, referring to other members of the multidisciplinary team (MDT) as appropriate. Recognise, document and act on laboratory results, liaising closely with the multidisciplinary team where appropriate. Work closely with social, care workers to plan respite dialysis or timely referral to consultants as care needs change. Undertakes, reviews and follow-up with the renal technician team home assessments of prospective new patients for dialysis installations (PD or HD) Work in the community to deliver and monitor high standard of home visits to home dialysis patients.