Key Responsibilities
Clinical
Develop a high level of clinical decision making, monitor and improve standards of care, working within their advanced scope of professional practice. Lead clinical care by managing a patient caseload providing expert assessment, planning and evaluation. Co-ordinate and manage nurse-led clinics (within Speciality/service). Contribute towards a multi-professional approach in the management of patients within the specialist area, especially in relation to ongoing care needs and discharge arrangements.
Support patients and their families and ensure that they receive the required information to enable them to self-manage, lead or participate in their care delivery. Work with the Matron to promote the development of nurses undertaking the CNO Ten Key Roles as considered appropriate e.g. Nurse Prescribing Leadership. Be an innovative, enthusiastic role model providing leadership, guidance and advice to staff on operational and professional issues promoting an open and honest and transparent culture. Identify, develop and sustain mechanisms to support patient involvement and feedback. Be a resource for health care professionals by being visible, available, and accessible for support and advice in relation to the management of patients in the speciality.
Provide leadership to the team of nurse specialists and working with the matron, develop new roles/ways of working (High Impact Changes) linked to directorate business plans. Lead on consultations and develop strategies for delivering effective care within a changing environment that improves the quality of care and health outcomes in the specialist area.
Management / Operational
Employ effective decision-making skills to address complex issues and use effective change management skills to implement these. Take the lead in investigation of incidents/complaints when required, including detailed reports/letters to complainants. Manage a team of specialist nurses/advanced nurse specialists towards achieving directorate and Trust objectives. Identify and develop proposals and business cases as required for future service innovation. Ensure appropriate skill mix and cover is provided when planning rotas and delegating workload.
Delegate work to match capabilities and workload of team members. Manage own and other resources effectively to budget ensuring quality service delivery within budgetary constraints seeking to reduce budgetary costs by ongoing review. With team members undertake performance development reviews including reviewing the performance measures framework. Monitor sickness, absence and competence issues in line with Trust Policy. Manage recruitment and selection of staff in line with Trust Policy.
Education / Training
Takes responsibility for own continuing professional development and performance, including identifying own development needs and maintain own portfolio in accordance with re-registration requirements. Participates in the supervision and the teaching of pre-post registration students, new staff members and junior medical staff. To lead and develop with the Matron educational programmes in relation to the speciality. Supports the ward/department sister in ensuring the clinical environment is conducive to effective learning.
Identifies training needs and develop training resources for nursing staff to enable role development and to meet the needs of the service.
Professional Responsibility
Maintain active status on NMC register. Act always in accordance with NMC code of conduct and guiding documents, Health Care Standards. Adhere to Trust Policy & Procedure. Maintain a professional portfolio.
Maintain a high level of awareness of relevant research issues and trends within the specialist area of practice and in nursing generally. Take an active part in the development of nursing in the Trust via participation in professional nursing forum and shared governance initiatives. Take responsibility for personal development and education with regard to Personal Development Plan objectives. Participate in Clinical Supervision for self and others and utilise reflective practice techniques.
Provide support and development for nurses through mentorship. The post holder is responsible for ensuring the safety of patients at all times and promoting a safety culture through the effective management of risk.
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