Analytical and Judgemental Skills

·       Assess patients using clinical skills and knowledge to make a clinical judgement on condition and discuss treatment plan with clinical colleagues

·       Work as a specialist practitioner, providing support and advice relevant to patient care and treatment/ management plan

·       Utilise analytical and judgement skills in the implementation of agreed protocols e.g. nurse led discharge

·       Effectively deal with complaints from patients and relatives

·       Effectively deal with sensitive issues and upset patients and relatives

·       Analyse clinical information through detailed patient assessment

·       Analyse audit data and research, relating it to practice

·       Make judgements and recommendations about clinical nursing practice

·       Comply with the Trust’s Risk Management Strategy and report any incidents/accidents and near misses in accordance with the Trust Policy

Planning and Organisational Skills

·       Actively participate in the planning, organisation and implementation of individual patient care

·       Plan short term adjustments to own workload depending on priorities and staffing

·       Support the planning and implementation of audits to meet the needs of reviews, service development and improvements

·       Carry out audit of compliance with protocols/care pathways

·       Plan care in collaboration with other health care professionals, other agencies and the patient and devise nursing care plan for implementation

·       Contribute where appropriate to the Clinical Quality Assurance Framework

Physical Skills (manual dexterity)

·       Undertake highly developed physical tasks and clinical skills where accuracy is important

·       Deliver practical/clinical care which may involve a range of physical skills, e.g. IV cannulation and phlebotomy, IV drug administration, recording and interpreting ECGs, taking arterial blood gases, male/female catheterisation, physical assessment of patients using clinical skills

·       Deliver enhanced clinical care which may involve a range of specialist physical skills, e.g. stoma care, bladder scanning, chest examination

·       Competence in the use of all medical devices

·       Competence in the use of specialist equipment relevant to the role

·       Accurate IT skills required for policy, presentation, reports, date entry and email communication

Patient/Client care:

·       Develop and deliver the specialist nursing service

·       Support an environment where health promotion and informed patient choice is encouraged and developed to its maximum potential, with the available resources

·       Support the evaluation of specialist clinical practice by monitoring the standards of care and ensuring that nursing practice is audited and research based in order to provide a continually improving service and support the clinical governance  framework

·       Request patient investigations within protocols and manage patient care with own professional /enhanced competence

·       Monitor treatment compliance and advise on modifications to treatment within agreed guidelines and protocols

·       Contribute to the development of nursing practice guidelines, policies and protocols/ care pathways within defined area of practice

·       Act as patients advocate in all matters relating to his or her  care,  treatment and welfare; acknowledging and incorporating cultural preferences, health beliefs and behaviours

·       Demonstrate specialist knowledge and skills through delivery of enhanced nursing practice to the highest standard

·       Act as a professional role model and provide specialist support and advice to colleagues

·       Take a lead in assessing, planning, implementing and evaluating specialist programmes of care in partnership with the patient and the multidisciplinary team

·       Respond to enquiries from patients, relatives and carers; deal with concerns, formal complaints, PALS concerns and actively problem solve to improve the patients experience Comply with NMC Professional Registration; practice in line with current NMC Code and keep up to date with current nursing practices

·       Complete and maintain the required specialist training and related clinical, technical and interpersonal skills and competence required to undertake a holistic approach to the systematic assessment of patient needs and implementation of care required

·       Ensure safe administration of drugs in accordance with current NMC guidelines for administration of medicines and GHNT Policies

·       Ensure accurate nursing records are kept in line with current NMC guidelines on records and record keeping and GHNT Policies

·       Ensure  that evidentiary documentation of competence and skills is maintained and reviewed annually though appraisal and personal development plan

·       Provide trust wide education and training on both specialist area of practice and generic nursing and care management

Policy and Service Development:

·       Audit areas of practice encouraging change where necessary to ensure best practice

·       Implement locally devised PGDs

·       In conjunction with all members of the team ensure that all national targets, standards and guidance are achieved

·       Contribute to policies, procedures & Governance relevant to services

·       Ensure that Trust policies are adhered to by self and others

·       Deliver the quality standards and targets outlined in the Trusts’ Risk Management Strategy and local Operational Policies

·       Demonstrate learning from compliments, complaints and concerns and patient experience feedback

·       Contribute to team discussion on proposed and planned changes affecting clinical area and the continuing development of services

Financial and Physical Resources

·       Ensure a safe working environment, using the resources available

·       Comply and adapt to the changing needs of the health care system

·       Utilize resource effectively using evidence based practice

·       Demonstrate awareness to be cost effective

·       Report the failure or mechanical problems of any items of equipment in line with the Medical Devices Policy

·       Adhere to the Trust Information Governance Procedures

Human Resources

·       Identify and pursue own educational and professional development to meet the requirements of role including revalidation

·       Mentor junior staff, participate in teaching programmes for all learners in accordance with their objectives and work closely with the Clinical Facilitators

·       Provide clinical advice and support to colleagues

·       Lead by example and act as a specialist resource for all staff

·       Assess ward/departmental nurse competencies where applicable

·       Attend mandatory training days

·       Support and contribute to the delivery of education and training to nursing staff, AHPs and the wider multi-professional team

·       Participate in the induction of staff new to the clinical area

·       Monitor work performance of junior staff and make accurate and honest reports to the person with continuing responsibility as appropriate

·       Behave in a manner that respects the differing needs and cultures of patients and other staff

·       Actively participate in  Annual Appraisal and provide evidence to demonstrate achievements towards Knowledge and Skills Framework

·       Ensure that CPD requirements are achieved and demonstrated in practice including revalidation requirements

·       Demonstrate the Trust vision and core behaviours in delivering a quality service to both internal and external customers

Information Resources

·       Access patient results and act appropriately in a timely manner

·       Maintain accurate documentation with patients records, integrated care pathways and electronic systems

·       Maintain confidentiality and follow Trust data management and documentation policies

·       Complete relevant records relating to annual leave, study leave and travel expenses

·       Use of PAS and any other IT programmes

·       Use IT/databases in clinical and non-clinical work

Research and Development

·       Support the development of audit tools to assess patient experience and satisfaction

·       Support the evaluation of clinical practice by monitoring standards of care and ensuring that nursing practice is audited and research based in order to provide a continually improving service

Remain up to date with developments in research and evidence based practice in relation to own and associated areas

·       Proactive in developing own and others practice and in contributing to quality improvement within the Trust

·       Participate in research and practice development activities

Freedom to Act

·       Accountable for own professional practice and able to work without direct supervision

·       Work within the Trust policy and guidelines to meet current standards

·       Able to prioritise and arrange own workload and that of others on a daily basis according to service needs

·       Use management and judgemental skills to analyse complex situations and formulate appropriate solutions

·       Maintain own high professional standards and discuss opportunities to develop clinical practice with line manager

·       Alert the line manager or of any untoward situation

Practice in accordance with current NMC code with particular reference to acknowledging the limitation of competence of staff in order to safeguard the wellbeing of patients.