NursingNetUK

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Clinical

• Works autonomously under the remote supervision of the Hosptial24 Consultant Heads of Service to undertake sound clinical decision making and clinical assessments of patients, formulating plans in conjunction with the patient, their family, if appropriate, and the patients' nurse.
• To take histories, undertake physical examination and order appropriate investigations.
• To interpret investigations, diagnose and plan treatment and interventions for this group of patients.
• Works as part of the multidisciplinary Hospital24 team to provide safe and effective clinical care, referring to other specialties as required.
• Works as part of the Acute Rescue Team (ART) to deliver emergency care to deteriorating patients, including patient transfer to higher dependency areas.
• Undertakes non-medical prescribing as per the Hospital24 prescribing formulary and NUH guidelines.
• Works within scope of practice and knows when to refer patients to medical or specialist teams in seeking advice or support.
• Attends and assists with all medical emergencies utilising Advanced Life Support Skills. Leads the cardiac arrest when required.
• Supports the wider hospital team to deliver specialist clinical interventions as required.
• Maintains accurate and legible records of all clinical documentation with regards to Statutory and Trust policies.
• Undertake clinical activities working autonomously and within the boundaries of their competence.
• Undertakes Working in New Way (WINW) and development packages as required by the role.

Management

• Line manage the Hospital24 service in the absence of the Hospital24 Matron or service leads.
• Lead the shift and be responsible for ensuring the delivery of safe and effective care by the Hospital24 team.
• Work alongside Medical HR to ensure an adequate provision of service.
• To be involved in the resolution of complaints at a local and Trust wide level under the supervision of the speciality Matron.
• Participate in departmental meetings, operational link roles and quality improvement groups as appropriate for role.
• Undertake any other duties that may reasonably be required.

Wellbeing

• To provide leadership for the clinical area and to create an environment that is supportive, innovative, challenging and stimulating for all staff.
• In the absence of ward management teams, be a visible senior nurse to provide management support and wellbeing support to all areas.
• To act as a role model, maintaining a highly visible profile and have regular contact with clinical staff, patients and their families promoting and demonstrating the standards of care and behaviour expected and act as a resource/advisor to all staff in order to maximise opportunities to improve nursing care and the environment in which it is provided.
• Promote a safe and caring environment for the team, leading on handovers and SIT reps.

Education

• To be a reflective practitioner, to remain fully conversant with current clinical practice in your area and to refresh clinical skills as appropriate.
• To demonstrate continuous learning and development at appraisal by maintaining a portfolio of evidence that reflects the maintenance and on-going development of clinical skills.
• To attend regular meetings with the Consultant Heads of Service for clinical guidance and support and ensure that development needs are identified and met.
• To undertake continued, regular, mandatory education within the role to maintain competence, expand knowledge and skill.
• In conjunction with the Individual Performance Review Process (IPR), undertake individual annual reviews and ensure adequate training needs are met.
• Contributes to the teaching, development and supervision of all grades of staff including Student Nurses, Registered and Unregistered Nursing Staff and Junior Doctors.

Research / Audit

• To promote evidence-based practice through the interpretation and dissemination of relevant research findings including the initiation of audit / research project, with the support of a senior clinician.
• To ensure the dissemination of research through a variety of media, including conferences and presentations, with the support of your mentor and senior staff.
• In collaboration with other areas and the Clinical Lead/Matron, improve and maintain standards of fundamental nursing care, using tools such as Clinical Benchmarking.

Use of Resources

• Utilise your agreed establishment effectively to ensure that an appropriate skill mix of staff is available to meet the needs of the service. Ensure that measures are in place to assist in identifying and addressing deviations to agreed levels.
• Contribute to the management of the recruitment and selection process for staff in collaboration with the Matron/Clinical Lead, as appropriate.
• Actively participate in initiatives needed for quality improvements, contributing to the work of Trust wide committees and project groups.

General Duties

In addition to the key job responsibilities detailed in this job description all employees at Nottingham University Hospitals NHS Trust are expected to comply with the general duties detailed below.

Infection Control

To maintain a clean, safe environment, ensuring adherence to the Trust’s standards of cleanliness, hygiene and infection control.

Safeguarding children, young people and vulnerable adults

Nottingham University Hospitals is committed to safeguarding and promoting the welfare of children, young people and vulnerable adults. All staff and volunteers are therefore expected to behave in such a way that supports this commitment.

Information Governance

All staff have an individual responsibility for creating accurate records of their work and for making entries into and managing all NHS records effectively in line with the Health Record Keeping Policy and other Health Records and Corporate Records Management policies and procedures in order to meet the Trust’s legal, regulatory and accountability requirements.

Health and Safety

To take reasonable care to prevent injury to themselves or others who may be affected by their acts or omissions.

To co-operate fully in discharging the Trust policies and procedures with regard to health and safety matters.

To immediately report to their manager any shortcomings in health and safety procedures and practice.

To report any accidents or dangerous incidents to their immediate manager and safety representative as early as possible and submit a completed accident/incident form.

To use protective clothing and equipment where provided.

Whilst the aim of the Trust is to promote a co-operative and constructive view of health and safety concerns in the organisation, all staff must be aware that a wilful or irresponsible disregard for safety matters may give rise to disciplinary proceedings.

Governance

To actively participate in governance activities to ensure that the highest standards of care and business conduct are achieved.

Health and Wellbeing

Employees are expected to take all reasonable steps to look after both their physical health and mental health. To support employees to achieve this NUH offers a wide range of health and wellbeing activities and interventions. The full programme can be viewed at on the staff intranet.

Line managers are expected to encourage and support staff to look after their health and wellbeing, including the release of staff to attend health and wellbeing activities and interventions.

General Policies Procedures and Practices

To comply with all Trust policies, procedures and practices and to be responsible for keeping up to date with any changes to these.

Working Conditions

The post holder must be able to:

• work within unpleasant clinical working conditions (for example exposure to body fluids)
• concentrate in an intense and sometimes noisy environment
• cope with potentially violent and threatening situations
• fulfil Trust health and safety policies and procedures when performing risk associated procedures including dealing with hazardous substances

Job Revision

This job description should be regarded as a guide to the duties required and is not definitive or restrictive in any way. The duties of the post may be varied from time to time in response to changing circumstances. This job description does not form part of the contract of employment.