Provide and deliver a high standard of nursing, care (i.e., washing, mouthcare, toileting, manual handling & mobility), recognising and meeting the specific needs of patients. To manage, under indirect supervision, own workload within clinical area and competencies of the post. To carry out clinical observations on patients, recognising, recording and reporting all changes in patients condition to senior staff. Undertake the escort of patients to and from other departments once the escorting module has been successfully completed, under the direction of the registered nurse. To support maintenance of fluid balance and dietary charts, recognising, recording, and reporting all adverse findings to senior staff. To carry out observations of skin integrity over pressure points, recognising and reporting all findings to senior staff. To complete documentation for Manual Handling Charts, to be assessed by registered staff. To recognise the importance of health education and teaching of patients and carers, and to be able to advise and refer patients on where to access information. 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 participate in the training and development of junior staff on the ward and participate in the supervision and support of trainee Healthcare Assistants. Act as a mentor to new Healthcare Assistants & HCA Trainees, participating in induction programmes, and on-going development of their practice. To promote and safeguard the wellbeing of patients, their families, and colleagues. To participate in the development and implementation of ward area policy and nursing strategies. To supervise and 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 Following patient assessment by Registered staff, undertake extended skills specific to individual competence under the indirect supervision of Registered staff.