KEY RESPONSIBILITIES:To provide nurse leadership and management support to the team(s)To provide leadership in assessing; and undertake physical assessment and treatment of patients and support nursing team members to achieve this goal.To assess, plan, implement and provide evaluation of health care needs inconjunction with patients, their carers and other appropriate members of the multi professional team.To be responsible for keeping up to date with current issues and events inPrimary and Secondary Health CareLiaising with community services partnersTo take a supportive lead role in the development of the Joint EmergencyTeam and integrated team working with out of hospital services.To provide support and health education for patients and carers througheffective interpersonal skills.To support team members, comply with professional codes of conduct and trust organisational policies and procedures and the implementation of performance management when required.To arrange transfer of the patients care to the appropriate health care setting for further ongoing assessment, rehabilitation treatment and care.To be able to work flexibly and relieve colleagues/rotate within the trust as required and requested by the line manager to meet the needs of the service.To ensure that own mandatory training and junior nurses mandatory training is kept up to date in line with Trust policies.Management responsibilitiesTo assist in the management of the Joint Emergency Team andappropriate delegation of the workload (clinical and non clinical).To report all clinical and non-clinical incidents or near misses promptly and when required, to co-operate with any investigation undertaken.To ensure efficient and effective use of resources within own practice.To undertake formal and informal supervision of junior staff and activelyparticipate in own clinical supervision.To understand and adhere with all Trust policies, procedures andguidelines and ensure other team members adhere to policies.To understand the implication of and work in conjunction with Social Care policy within the Health and Social Care Team, e.g., Approved SocialWork, Safeguarding Adults process.To promote the local and national priorities of health care delivery e.g.,Long Term Conditions and National Services Frameworks.To independently analyse and manage complex changing clinicalsituations in conjunction with supporting the nursing team.Assist in the development and monitoring the quality of the JointEmergency Team service and contribute to the development ofquality measures, including the full audit process.To work in full partnership with other disciplines and organisations toinfluence and shape service delivery. LeadershipTo demonstrate and utilise a variety of leadership and influencing skillsand be able to work with health and social care colleagues in many localorganisations.To provide leadership and line management to delegated members of theteam.To comply with NMC code of conduct and PREP requirements.To act as a mentor/preceptor to new staff, junior staff, students (bothhealth and social care) and other nonqualified team members and supportthem to achieve their learning objectives. To participate in the PersonalDevelopment Review (PDR) process and in so doing identify trainingneeds for self and delegated members of the team and encourage accessto professional development opportunities. ClinicalTo manage clinical situations and effectively in a variety of settings making sound judgements from own observations to enable safe, timely transfer of care to community services.To be a role model to team members to ensure that they are motivated,and all their practices are clinically effective and that plans of care arecarried out to the agreed standard.To undertake comprehensive holistic nursing assessment anddocumentation of physical, psychological, social and spiritual needs ofpatient/client care plan accordingly. To be a competent practioner able toassess at first point of contact.Through specialist holistic assessment to implement packages of nursingand social care in conjunction with locality colleagues (day and nightservices) and private providers to ensure that patients and clients ongoingcare needs are met by community services.When appropriate undertake evidence-based Community PractitionerNurse Prescribing/ independent nurse prescribing (under supervision)when required in line with clinical assessment and reasoning.Undertake CannulationManagement of intravenous devises i.e., cannulas Picc Hickman linesUndertake administration of Intravenous additivesManagement wound careTo work within the clinical effectiveness framework using the bestavailable evidence, research, and audit to plan, implement and evaluatecare.To promote good practice in order to improve standards of care.To participate in the development and evaluation of teaching programmes for students on community programmes and junior members of staff.To be competent in additional clinical skills for example, wound care,palliative care management and be willing to develop advanced nursingskills.To be able to delegate appropriately, ensuring that staff are competent toundertake and perform delegated duties and tasks.To be able to recognise own limitations and seek help/guidance whenappropriate.To prevent unnecessary hospital admissions by responding to LAS, GPs,community colleagues and actively identifying patients in conjunction withmedical teams from Emergency Department, Adult medical unit, Clinicaldecision unit, short stay unit, that would benefit from Joint EmergencyTeam intervention and out of hospital services. ResearchTo keep up to date, implement and monitor current research-basedpractice.To support in any audit or quality assurance projects.Promote current research and evidenced based care within the team. CommunicationTo ensure effective communication with patients/clients and theircarers, including the provision of patient education, health promotionand emotional support where appropriate.To ensure effective communication with all members of themultidisciplinary team at all levels.To ensure daily communication is maintained with the bed-based unitto ensure safe, appropriate and effective patient transfer.To record treatment and care carried out in a variety of settings onappropriate documentation. Records must be kept up to date andaccurate in accordance with Trust policies.Ensure all relevant information regarding patients/clients isdocumented in keeping with the Trust policy and where appropriate tobe reported and acted upon immediately.To provide accurate written and verbal reports as and when required.To keep a diary for the purpose of planning work and recording allvisits, both effective and non effective.To maintain confidentiality of information relating to patients, staff andorganisation.To have the ability to interpret and communicate, complex, contentious,and sensitive information to patients, carers and members of the multidisciplinary team.Demonstrate ability to appropriately work with barriers tocommunication and communicate with a sympathetic and empatheticapproach to patients and carers.To ensure team members adhere to record keeping policies andprovide accurate documentation. Health and SafetyTo develop a working environment and culture that promotes health,safety and security.To be conversant and adhere with trust policies.To ensure the correct use of equipment and supplies and report anydeficiencies.To have responsibility for the health, safely and welfare of self and teammembers and to comply at times with the Health and Safety regulations.To minimise the risk of cross infection and be conversant with the Trustsinfection control policy.