Provide and deliver a high standard of nursing, care (i.e. washing, mouthcare, toileting, manual handling and mobility), recognising and meeting the specific needs of patients. Prioritise own tasks under the direction of registered nurse. To carry out clinical observations on patients, recognising, recording and reporting all changes in patients condition to senior staff. To support maintenance of fluid balance and dietary charts, recognising, recording and reporting all adverse findings to senior staff. To support nutritional needs of patients by assisting with feeding and drinking, reporting on concerns about dietary intake to senior staff. An awareness of skin integrity over pressure points, recognising and reporting all adverse findings to senior staff. To promote independence in patients and work within the Multi-Disciplinary Team towards rehabilitation and discharge from hospital. To recognise the importance of health education and teaching of patients and carers, and refer patients to senior staff Document and sign for all observations and care given with counter signature from a registered practitioner. To maintain his/her own professional development, attending courses/further training to enhance and optimise his/her role within the work area. To promote and safeguard the well being of patients, their families and colleagues. To share responsibility in the care and maintenance of all equipment on the ward and stock control. To respect the confidential information, in line with Trust policy Data Protection Act, obtained in the course of work and not disclose this information. To be familiar with and adhere to Trust and Departmental policies and procedures mindful of responsibilities to self, colleagues and patients. Report untoward incidents, complaints, clinical emergencies to senior staff Demonstrating an awareness of and compliance with Health and Safety regulations / Procedures that apply to staff, patients and visitors within the trust premises, reporting any deficiencies in equipment, furnishings or matters of hygiene. 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. Infection Control Team. Consultants in area of responsibility. Housekeeping and domestic staff Physiotherapists and Occupational Therapists Social Care Staff Portering staff Bank/Agency Nurses and Healthcare Assistants