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• Providing and delivering a high standard of specialist nursing care by initiating and co-coordinating the assessment, planning, and evaluating of individual patients needs based on evidence within the, Haemodialysis, Transplantation, Peritoneal teams.
• Commencement of haemodialysis, cannulation and termination of dialysis using highly complex specialist dialysis equipment to include problem solving skills.
• Care of the haemodialysis patient with Percutaneous Access to include problem solving skills.
• Interpret any machine alarms and take corrective action.
• Assist in the care of patients undergoing minor surgical interventions recognising problems and initiating action when required.
• To carry out clinical observations on patients, recognising, recording and using a problem solving approach act on all changes in patient’s condition. To include early recognition and intervention of acute dialysis symptoms administration of intravenous fluids/medication as appropriate.
• Utilise a problem solving approach to patient care.
• Promoting and delivering health education within the clinical area and advise patient, family, and others in health promotion issues.
• Engage; interact with carers/family encouraging them to be actively involved in patient’s care, planning.
• Demonstrating and undertaking evidence-based practice playing an active part in the introduction of this evidence to improve patient centred care.
• Supervising, assessing, and supporting Registered Nurses and Health Care Professionals to including bank and agency staff in the clinical setting.
• Increasing the level of knowledge and skills within the Ward/Directorate through sharing best practice, mentoring and supporting others to develop their professional abilities.
• Implementing and sharing good infection control practice.
• Undertaking manual handling assessments and ensuring identified actions are met and implemented.
• Day to day direct supervision of a team of patients and staff.

Managerial

• Reporting and managing untoward incidents such as complaints, clinical emergencies, and injury or drug administration errors as detailed in Trust-wide and local protocols and procedures.
• Contributing towards ward or clinical projects to set and maintain standards of practice in conjunction with other team members, participating in research audits and quality monitoring.
• Ensuring that resources are used efficiently and in accordance with agreed procedures.
• Regularly acting, as nurse in charge, leading the allocation of workload and ensuring efficient patient flows and effective patient care.
• Demonstrating an awareness of and compliance with health and safety regulations/procedures that apply to staff, patients and visitors within the Trust premises including reporting any deficiencies in equipment, furnishings or matters of hygiene.
• Supporting the Ward Sister in identifying developmental needs of the staff and implementing appropriate staff developmental programmes.

Professional

• Maintaining and continually develop in depth specialist knowledge of nursing practice relevant to the individual clinical area.
• Undertaking manual handling assessments and ensuring identified actions are met. Initiating appropriate training activities and encourage and support staff development and training.
• Supporting team members to deliver on their objectives through offering advice, guidance and support as appropriate.
• Maintaining personal and professional development to meet the changing demands of the job, in line with professional registration requirements.

• COMMUNICATIONS & WORKING RELATIONSHIPS
• Patients and their support network.
• Ward Sisters/Charge Nurses and all ward based nursing staff.
• Modern Matron.
• Educational staff.
• Clinical Nurse Specialists, Nurse Consultants, Nurse Practitioners.
• Directorate Manager.
• Consultants in area of responsibility.
• Housekeeping and domestic staff.
• Physiotherapists, Occupational Therapists and Dieticians.
• Portering staff.
• Bank/Agency Nurses and Healthcare Assistants.