Job responsibilities
The Health Board currently operate a number of different shift systems. The most common are a 12.5 hour shift, inclusive of either one 30 minute or two 30-minute unpaid breaks. These shift patterns are subject to review and the Health Board reserves the right to change working arrangements. CTM is a Health Board committed to meaningful consultation with staff and to making balanced decisions that consider all aspects of our service and workforce.
The post holder will:
Using the Mental Health Measure 2012 framework, to work with the individual to assess, plan, implement and evaluate their needs. Using the recovery process; agreeing realistic and achievable outcomes.
Participate in the individualised Care and Treatment (multi-disciplinary team) care reviews.
Ensuring that reviews are carried out on a regular basis and the review is documented accurately in the individual inpatient records.
To administer, monitor and supervise prescribed medication.
Observe for and report, as appropriate, therapeutic effects, any possible side effects using evidence based scales.
Offer support, advice and information to carers/relatives.
Encourage participation of carers in planning of care and work in a manner which will engender trust and co-operation, thereby enhancing patient care, maintaining confidentiality at all times.
As a member of the multi-disciplinary team contribute to clinical reviews/case formulation and report on the condition of patients to other professionals and when required provide written reports as requested, including Mental Health Tribunals.
Adhere to the Cwm Taf Morgannwg University Health Board (CTMUHB) Policies and Procedures in all areas of clinical practice.
To ensure that nursing care is of the highest standard.
Act as a positive role model and mentor new/less experienced members of staff.
Ensure that the privacy and dignity of patients is protected at all times and that the CTMUHB Safeguarding Adults policy is followed.
Ensure that risk assessments and care plans are continuously updated and that Safe and Supportive Observations are carried out according to the CTMUHB Policy.
Ensure that the rights of individuals are respected and that they are treated in the least restrictive manner possible taking into account the risk to the individual and others.
Report, in an accurate and timely manner, any accidents, incidents which occur or complaints received, to the Unit Manager.
Participate in the investigation process, as required.
To exercise nurse leadership and develop collaborative relationships with statutory and non- statutory agencies in relation to the rehabilitation and recovery service.
To actively partake in audit of services to ensure regular review, efficiency of services and action plans for improvement.
To support the unit manager in completion of Care Indicators and Fundamentals of Care audit process
To maintain statutory and mandatory training as per CTMUHB policy.
Responding to queries from patients relatives/carers and ensuring that all care is delivered to the highest standard and in accordance with the UHB and Mental Health Policies and Procedures.
Ensure that effective communication is maintained between multi-disciplinary team members and other agencies.
To maintain secure methods of record keeping and professional exchange of information, adhering to the Data Protection Act (1998).
Assist, co-ordinate and participate in the education of learners; this will include staff and students of all disciplines.
Ensure that staff who have been delegated tasks are competent to carry out those tasks effectively.
Maintain a high level of professional knowledge and ensure continued professional development through involvement in appropriate post basic training programmes.
To work within the guidance of the NMC Professional Code.
To participate in the PADR process on a regular basis
Adhere to all UHB Policies and Procedures, including Financial Policies and Procedures.
To supervise and participate in the training of staff, including student nurses, providing mentorship support to appropriate staff.
To keep updated with clinical trends and evidence based practice in patient care and clinical practice.
Undertake Clinical Supervision and Reflective Practice Groups on a regular basis.
Develop a knowledge and understanding of the legislation likely to be encountered in the role of the staff nurse with particular reference to the Mental Health Act 1983 and 2007, the Mental Health Measure (Wales) 2012, the Misuse of Drugs Act 1971,The Mental Capacity Act (2005).
Ensure that the Health and Safety at Work Act and COSHH regulations are adhered to.
To adhere to the Health Board Risk Management Strategy.
Develop a knowledge and understanding of the statutory agencies and those relevant groups within the voluntary sector.
Work as part of a multi-disciplinary, fostering good communication with colleagues of all disciplines.
Manage highly complex and contentious information effectively demonstrating excellent communication skills, both orally and in writing.
Liaise with statutory and voluntary sector agencies in particularly Care Co-ordinators and Independent Mental Health Advocates, to meet patient needs.
Provide specialist clinical reports as required e.g. MHRT, continuing healthcare applications.
Ensure record keeping meets the standard required by the NMC, utilising paper-based or IT systems as directed by the Senior Nurse and ensuring information sharing protocols are understood and appropriately explained to patients.
Provide skilful and comprehensive assessment of clients within inpatient mental health service ensuring risk assessment is an integral component of all clinical work.
Demonstrate ability to present cases to the multi-disciplinary team considering the range of care and treatment options available in line with the current evidence base and making recommendations regarding the appropriate course of action.
Assess and manage critical/unpredictable situations that arise in the unit.
Dexterity and ability to undertake Restricted Physical Intervention training/Violence and Aggression training and interventions when required.
Able to escort patients inside and outside of the in-patient setting.
Dexterity, skills and accuracy to administer oral/intramuscular medication and to monitor physical health using appropriate equipment e.g. thermometer, sphygmomanometer.
Keyboard skills and information technology skills including word processing, email, intranet and internet, correspondence, clinical reports, teaching preparation, clinical literature searches.
Create a therapeutic environment for patients promoting a philosophy of user/carer involvement in all aspects of the service.
Ensure consistency and continuity in the maintenance of high standards of care.
Evaluate the care given systematically, using evidence based practice and review care plans to reflect the changing needs of the individual.
Provide expert knowledge in the care and treatment of patients experiencing a range of mental health problems relevant to the area of practice.
Be competent in and provide a range of therapeutic interventions relevant to the area of practice e.g. family intervention, medication management, and psycho-social interventions.
Support the Care Co-ordinator to undertake nursing assessments integral to the overall continuing healthcare assessment process, making recommendations regarding potential specialist placement.
Be responsible for ordering essential clinical supplies demonstrating an awareness of efficient resource management.
Demonstrate an understanding of the resource implications of clinical decision making.
Use available resources effectively ensuring adherence to financial control procedures.
Have an overall duty of care in relation to patient cash, property and valuables in the ward area and ensuring the implementation of relevant financial control procedures.
