NursingNetUK

Swydd ddisgrifiad a phrif gyfrifoldebau manwl

• To work closely with acute medical teams to provide effective and reactive services for people presenting to the Same Day Emergency Care Unit to ensure rapid delivery of treatment, care planning and hospital admission prevention where appropriate.
• Practice as an autonomous professional in a self-directed manner, with confidence, authority and expertise, undertaking comprehensive range of clinical procedures.
• Have direct responsibility for patient caseload, ensuring all patients have an accurate plan of care, which reflects the assessment undertaken and incorporate the issues and recommendations made.
• Work clinically to optimise health and wellbeing, through comprehensive history taking and physical assessment of patients.
• Drawing on a diverse range of knowledge and skill, determine appropriate therapeutic interventions,
• Plan, prioritise and manage complete episodes of care, for patients presenting with undifferentiated and undiagnosed conditions.
• Be proactive in clinical decision making, underpinned by an advanced level of theoretical and practical knowledge and be able to demonstrate improved patient care outcomes.
• To be responsible and accountable for own decisions, actions and omissions at this level of practice. Demonstrating a critical understanding of own level of responsibility and autonomy and the limits of own competence and professional scope of practice, including when working with complexity, risk, uncertainty and incomplete information
• To prescribe and review medication (as an independent prescriber) for therapeutic effectiveness appropriate to patient need and in accordance with best/evidence-based practice and national and local protocols and within the roles scope of practice and legal framework
• Initiate pharmacological intervention, using non-medical prescribing or patient group directives and administer medications as prescribed by others in accordance with the CHFT policies
• Accurately request radiological and pathology investigations and make clinical decisions based upon the results.
• Demonstrate a high level of knowledge in relation to pattern of disease or disorder, markers of condition progression and range of treatment available at each stage of disorder or condition.
• Be able to assess critically and re-evaluate the clinical situation as the patient’s condition changes. Anticipating likely potential physical and psychological problems caused either by the condition or by treatment for individuals living with frailty.
• To be responsible for the delivery of a detailed, accurate and potentially complex clinical handover and to produce detailed and accurate written information within the medical notes regarding all clinical assessments, investigations completed and requested, and treatments administered.
• To advise, communicate and work in conjunction with a wide range of clinical colleagues specifically, primary care and community teams and Social Care professionals, leading and facilitating a patient or client focused, coordinated case management approach across primary and secondary care for people who are most vulnerable to, and at high risk of repeat admissions to hospital.
• Take a lead in empowering and facilitating other professions to meet the care needs of service users and their carers by the promotion of principles and philosophies such as care closer to home, rehabilitation and optimal self-care.
• To proactively participate in and influence efforts across health and social services to shape multi-disciplinary pathways designed to support patient choice, improve quality of life, promote self-management and assure early intervention through the proactive provision of care in or as close to the patient’s own home as possible.
• Provide specialist advice and support to patients, their families and other healthcare professionals following assessment, diagnosis, treatment, and discharge/admission.
• Lead the development, implementation and audit of protocols and guidelines.
• Establish and maintain a regional and national network of contacts relevant to the service.
• Work in partnership with others, delegating and referring as appropriate to optimise health outcomes and resource use.
• Use professional judgement in managing complex and unpredictable clinical care.
• Draw upon an appropriate range of multi-agency and inter-professional resources in their practice.
• Appropriately define boundaries of practice and access support or advice where appropriate.
• Communicate effectively to develop and sustain partnership working with individuals, groups, communities and agencies.