Job Summary To act as team leader for clinical staff To be responsible for clinical and non-clinical management of a ward area in the absence of the Senior Sister / Charge Nurse KEY PERFORMANCE AREAS 1.0 OPERATIONAL RESPONSIBILITIES 1.1 Responsibilities for establishing and maintaining communication and relationship both internally and externally. 1.2 Establish and maintain effective communication and foster good working relationships with all multidisciplinary teams, both internal and external. 1.3 Provide and receive complex and / or sensitive information from patients and staff. For example, breaking bad news to patients, giving complex information about procedures and their outcomes, dealing with performance issues, holding staff meetings. Able to support and talk to distressed patients, visitors, and staff members. 1.4 Responsible for cascading information to ward staff and chairing staff meetings from which minutes are provided. 1.5 Make use of electronic internal / external mail and Internet systems as appropriate and necessary. 1.6 Deal effectively with comments, complaints, or incidents that affect staff and users of the ward in accordance with complaints, risk management, or human resources procedures. 1.7 Bring to the attention of the Senior Sister/Charge any factors which may adversely affect patient care or service provision. 1.8 Report all serious incidents to the appropriate Manager/Director within 24 hours; these include Never Events, serious falls, and grade 3 or 4 pressure ulcers. 2.0 KNOWLEDGE SKILLS & EXPERIENCE (also see person specification) 2.1 Be knowledgeable about the specific care requirements of patients who may be admitted to the area. 2.2 Be knowledgeable about current infection control procedures and policies and ensure all staff and visitors adhere to these at all times. 2.3 Be knowledgeable about the risks of infection and take responsibility for minimising cross infection within the clinical environment, assist in giving information and placing patients appropriately. 2.4 Be knowledgeable about all aspects of Acute Medical care. 2.5 Ensure that patient care is evidence based and that the patients journey is streamlined. 2.6 Use a wide range of knowledge in determining at the time of assessment or admission, the most appropriate and safe patient pathway. 2.7 Identify, assess, and act accordingly at any point on the pathway including discharge when patients are no longer meeting the agreed appropriate and safe patient pathway. 2.8 Assess and act upon potential problems or issues to ensure a safe, effective environment for staff, patients, and visitors. 2.9 Identify, analyse, and act upon staff situations when there is conflict and / or deviation from Trust or local policies and procedures. 2.10 Identify, analyse, action and discuss with Senior Sister/Charge Nurse as appropriate any change management issues that arise. Planning and organisational skills 2.11 Assist in planning of duty rotas or alter planned rotas to ensure maximum service delivery, standards of patient care and human, and resource management. Use e-rostering as it becomes available. 2.12 Assist Senior Sister/Charge Nurse by utilising available resources to ensure safe and effective patient care e.g. periods of unplanned staff absence and / or equipment failure. 2.13 Be aware of Trust financial position and target objectives and ensure that ward area is as effective as possible in meeting these objectives. 2.14 Work with the multi disciplinary team to streamline care and shorten patient length of stay. 12.15 Work with the multi disciplinary team towards protocol led discharge for suitable patients. 2.16 Participate in Directorate/Departmental Sisters meetings 2.17 Be involved in practice development and patient experience issues. 3.0 RESPONSIBILITIES FOR PATIENT CARE THERAPY & TREATMENT 3.1 Oversee set patient care programmes in accordance with agreed policies, using expert nursing experience and skills. 3. 2 Ensure that safe and effective nursing care is delivered, this to be in accordance with Trust policies and best practice guidelines, also Nursing & Midwifery Council (NMC) Codes of Practice and guidelines. 3.3 Act as a role model when carrying out and demonstrating demonstrating nursing care and procedures. 3.4 Ensure all staff carry out all appropriate general risk assessments within 24 hours of admission document and plan care accordingly e.g. manual handling, pressure risks, slips trips and falls, nutrition. 3.5 Ensure clinical staff assess the conditions of patients within the clinical area, ensuring that signs and symptoms are acted upon accordingly and in a timely fashion. 3.6 Ensure clinical area staff effectively manage the admission, transfer, and discharge of patients while incorporating other relevant Trust policies, for example Patients Property. 3.7 Ensure clinical area staff carry out appropriate nutritional risk assessments and follow current policies as indicated e.g. red tray policy, protected mealtimes. 3.8 Ensure clinical area staff participate in delivery of meals to patients and take responsibility for monitoring and recording dietary and fluid intake for group of patients. 3.9 Undertake nurse led services which will include autonomous nurse led discharge within defined protocols where appropriate. 3.10 Supervision of, and participation in the discharge planning system and process and deal with speciality or complex plans of care by liaison with community nursing services and other agencies. 3.12 Work with patients, carers/relatives, nursing and other healthcare professionals in secondary care to promote timely discharge, through appropriate discharge planning. 6.13 Provide telephone advice to patients and / or their carers as appropriate 6.15 Provide expert advice and support to colleagues in the care and management of patients within speciality. 6.16 Actively contribute to the health and well being of patients by promoting health through a number of methods e.g. healthy eating, exercise and smoking cessation. 6.17 Ensure accurate, comprehensive contemporaneous and clear documentation of patients care. 6.18 Ensure that own and others written reports are in accordance with Trust policy and NMC guidelines 6.19 Be familiar with the policy for safe administration of prescribed therapies, including Medicines Management, Intravenous Therapy, Patient Group Directives, clinical guidelines for example Diabetes, Warfarin. 6.20 Demonstrate the ability to safely monitor and provide care for the patient once therapies have been administered. 4.0 RESPONSIBILITIES FOR DEVELOPMENT AND IMPLEMENTATION OF POLICY AND/OR SERVICES 4.1 At all times act in accordance with Trust policies, procedures and guidelines and NMC Codes of Practice standards and guidelines. 4. 2 Be aware of and support policies and procedures existing and being introduced throughout the Trust 4.3 Assist Senior Sister/Charge Nurse by cascading information and new policies and guidelines to staff in the clinical area 4.4 Represent clinical area at forums and meetings as requested by Senior Sister/Charge Nurse. 4.5 Assist Senior Sister/Charge Nurse in staff appraisal and the progress of staff while completing goals and development plans. 4. 6 Assist Senior Sister/Charge Nurse in the formulation of induction and training programmes and assist in the delivery of these to staff and learner nurses. 4.7 Undertake agreed mandatory training and to seek out opportunities to enhance knowledge, skills and develop practice. 4.8 Participate in the teaching and development of staff and ensure records kept of all training activities within the department. Ensure these records are sent to the Training department to maintain the ESR (electronic staff record). 4.9 Ensure risk assessment of working environment and conditions, equipment, chemicals and activities is routinely carried out within the department. 5.0 RESPONSIBILITIES FOR FINANCIAL AND PHYSICAL RESOURCES. 5.1 Assist Senior Sister/Charge Nurse by ensuring supplies are managed in accordance with budgetary limits and constraints, including regular stock reviews, to ensure best value from supplies and to set stock limits. 5.2 Work within Productive Ward principles to ensure storage is Well Organised (WOW). 5.3 Assist Senior Sister/Charge Nurse with staff training to ensure they are competent in the use and care of special equipment, maintain details on the Medical Devices register within the ward. 5.4 Ensure that all equipment within the department is serviced and maintained on a regular basis and that records are kept. 5.5 Report and assist Senior Sister/Charge Nurse in management of health & safety issues within the ward area. 5.6 Assist Senior Sister in ensuring an adequate nursing skill mix to cover the 24 hour period. 5.7 Authorised signatory for timesheets on a shift by shift basis. 5.8 Contribute to the drawing up of department budgets, capital bids and new services. 5. 9 Inform the Senior Sister/Charge Nurse of any changes, which affect the standards of care, the service delivery, or have an impact on the budget. 5.10 Ensure the ordering, safe custody, usage, and recording of drugs within agreed Trust policy.