Job responsibilities
This
list of duties and responsibilities, which follows, represents the broad range
of tasks which may be required to be undertaken either routinely or
periodically. This list is not exhaustive and the role may include additional
duties which are not listed here:-
Communication
1)
Communicates
effectively as a member of a multi-disciplinary team.
a)
Refers
when necessary to general practitioners, Paramedics, Accident and Emergency,
Secondary Care, District nurses, Night rapid response nurses, Emergency
social workers, Emergency mental health team, and Emergency dental services.
2)
With
Primary care nurses giving support, advice and leadership.
3)
With
reception staff regarding patient information.
4)
Recognise
and effectively manages situations where there are barriers to effective
communication.
5)
Recognises
and effectively manages situations where there are barriers to effective
communication.
Clinical Skills:
1)
Works
independently as a Nurse Practitioner or ACP within the scope of professional
practice.
a)
Functions
at a high level to a carry out clinical decision making such as diagnosing
and discharging patients with input from a medical practitioner remaining
with the scope of professional practice.
b)
Practices
as an autonomous practitioner where possible with non-medical prescribing
authority.
2)
Functions
at a high level in relation to communication skills through patient
consultation and nursing assessment of physical, psychological and social
needs.
a)
Takes
an accurate history, building rapport towards a therapeutic relationship.
b)
Assess,
plan and implements patient centred plan of care for patients with in the out
of hours treatment centres, independently discharge patients from your care
and refer when necessary to other healthcare professionals for further
specialised care.
3)
Demonstrates
clinical competence in the assessment and management of patients of all ages
from infants to the elderly and management of lifelong illness such as
diabetes, asthma and chronic obstructive pulmonary disease during the time of
acute illness and managing minor illness.
4)
Adapts
to change within working situation managing unscheduled emergency
situations.
a)
Basic
life support, severe breathing problems, serious cardiovascular problems,
collapsed patients and seriously ill patients.
5)
Performs
investigations to reach a differential diagnosis using core clinical skill
and competence. Initiate treatment including diagnostic investigations.
a)
Recognition
of abnormal vital signs observing paediatric and adult respiratory rate and
effort, heart rate rhythm and volume, temperature and blood pressures as
appropriate.
b)
Performs
investigatory procedures including; Performing ECGs, Urinalysis, Blood
Glucose monitoring, Venepuncture, measuring and interpreting Peak Flow.
6)
Demonstrates
competence in examination techniques
a)
Examination
of the Ear Nose and Throat system
b)
Basic
Neurological examination of Headaches and Head injury
c)
Basic
Muscular-skeletal examination in the assessment of injury
d)
Basic
eye examination in the assessment of injury, foreign body and infection.
e)
Respiratory
Examination
f)
Abdominal
Examination
g)
Cardiovascular
Examination
h)
Vaginal
Examination and sexual health screening
7)
Performs
safe manual handling techniques.
8)
Recognises
own limitations, seek assistance and refer appropriately.
9)
Delivers
a high standard of care without discrimination to all ages, sexes and ethnic
origins of the population through continuum of life.
10) Deliver safe, effective evidence based care
and advice to ease patient problems.
11) Promotes improving the health of the
individual through advice and education to aid adjustment of lifestyle,
including Contraception advice.
Leadership;
1) Provide initial line management to Cumbria
Health nursing team
a) Undertake appraisals
b) Manage staff sickness, return to work
interviews, monitoring & review
c) Manage annual leave
d) Manage mandatory training and
individual performance
2)
Is
a support network for other colleagues
a)
Provide
induction, mentorship and supervised practice for new staff and trainees.
b)
Acts
as a support network and training resource for nurse colleagues in their
ongoing supervision. Contributes and supports learning of others through
education, training, mentorship and supervised practice.
3)
Supports
the Head of Nursing in delivering new services and projects.
a) Deputise for the Head of Nursing as
required.
4) Attends and participates in clinical
meetings, cascading acquired knowledge in order to improve services and
monitor quality.
5)
Organises,
promotes and participates in Clinical Supervision programmes and team
meetings and ensures this is accessible to all staff.
6)
Participates
and supports the implementation of clinical governance, clinical audit and
clinical risk assessment, setting and monitoring standards of care.
7)
Promotes
improving the health of the community through reporting and preventing
occurrences of infectious disease, proving advice and education.
8) Identify and or participate in
strategies of risk assessment to avoid or prevent clinical incidents and near
misses incorporated into CUMBRIA HEALTH.
9) Maintain close working relationships
with all staff within the organisation and with outside agencies.
10) Comply with CUMBRIA HEALTH policies,
procedures and Code of Good Practice.
11) Contribute own expertise and knowledge
whilst working collaboratively within a multidisciplinary team.
12) Demonstrates a positive attitude of
self and Cumbria Health service by being a role model, to inspire and
motivate others
Organisational
Skills;
1)
Aware
of and complies with Cumbria Health policies and procedures.
2)
Able
to adapt to change in the workplace being involved in new developments in the
delivery of care.
3)
Ensures
clinical equipment at each site is appropriate for service delivery, well
maintained and adequate for use.
4)
Ensures
store supplies are adequately ordered and maintained.
5)
Has
a flexible approach to geographical locations across county sites.
Professional;
1)
Ensures
practice and implementation of care is evidence based by adhering to local
and national guidance.
2)
Complies
with Nursing and Midwifery council code of conduct and works within scope of
professional practice
3)
Maintains
confidentiality of information regarding patients.
4)
Ensures
accurate, concise documentation.
5)
Reports
any adverse incidents or near miss events through agreed Cumbria Health
system.
6)
Identifies
and/ or participates in strategies of risk assessment to avoid or prevent
clinical incidents and near misses incorporated in the clinical governance
framework including:
Risk
management, Child and Adult safeguarding policies, Drug policies and
Infection prevention policies.
Training and Educational;
1)
Enhances
professional development.
2)
Continually
keeps up to date with current evidence based practice.
3) Ensures mandatory training has been
completed and identify and action own development needs.
4) Participates in in-house training
provided / clinical meetings / supervision to keep up to date professionally
and personally and be involved in lifelong learning to maintain own clinical
knowledge. Maintain personal development plan identified during Appraisal
process.
5) Participate in clinical audit and
research and incorporate findings into practice
