Senior Nurse IV Home and Extended Access

1. Clinical/patient care To deliver and participate in the clinical care of patients / service users working to own skill grade as a registered professional. To ensure that every patient receives advice and appropriate management. Direct responsibility for the management of patients within own case load and supervision /development of junior members of the team. To manage patient expectations using highly developed communication skills, recognising that many patients will have chronic conditions that should be managed within primary care This communication will often involve conflict due to unrealistic expectations and that managing these expectations will require delivery of a contentious message. To work in an environment that is high pressured, with multiple competing priorities, caring for patients from a range of backgrounds and conditions. Maintain own clinical development by keeping abreast of new treatments and technologies within primary, acute and emergency care. To improve the quality of the patient experience by identifying and meeting the individual clinical needs of patients. Practice with confidence and competence within professional bodies guidelines as appropriate. To ensure that accurate documentation and records of patient care are kept. Actively implement effective systems and processes for infection control management and relevant audit within their clinical area. To be a conscientious, confident and competent healthcare worker who works within their own scope of practice. 2. Management and Leadership To provide first line leadership across services Holding team to account for delivery of high standards of care Ensuring effective action is taken where clinical standards fall below expected levels Ensure patients are treated with compassion, dignity and respect. Demonstrate first line clinical leadership by being visible, accessible and using clinical skills within the workplace as appropriate. Ensure effective workforce planning to maintain cover for specified services and the needs of patients are met. Manage referrals to the IV at Home Service from secondary care teams ensuring treatment regimes are agreed and within the remit of the service and medicines formulary. Manage the IV at Home Service clinical delivery day to day ensuring patients care plans are met and appropriate management of escalation. Work proactively with secondary care teams to prioritise referrals to the service and to ensure capacity utilisation is maximised. Manage the extended access hub nursing services ensuring the needs of patients are met. Work collaboratively with operational colleagues to ensure maximal use of capacity and value for money. Provide credible clinical leadership within the services of the organisation by undertaking clinical / service delivery shifts. Continually evaluate the quality and effectiveness of care given, effecting change to ensure high standards of appropriate care. Embed values, behaviours and attitudes congruent with organisations values Support the Operations team and Clinical Service Lead to ensure that all aspects of risk and clinical governance are robustly and effectively managed. Manage, appraise and provide leadership to direct reports. Monitor issues and escalate matters as appropriate. Ensure all areas within the areas of responsibility have robust induction programmes. Provide professional role modelling to lead and inspire professional development. Ensure that trainees and students are supported and experience a positive learning environment. Ensure policies and procedures for the specific services remain up to date and current. Create a climate for ongoing learning of self and staff. Support service improvement projects or development programmes that contribute to the modernisation of patient services, providing both professional and clinical advice as necessary; Support the delivery of the service KPIs and play an active part in clinical governance, developing and leading on action plans. Be actively involved in the development of effective communication with other members of the multidisciplinary team. Deliver the highest level of interpersonal and communication skills and be actively involved in the development of effective communication strategies with other members of the multidisciplinary team. This will include discussions with patients around sensitive information and difficult conversations with patients and relatives. Participate in the development of a specialist service and act as a change agent, where necessary leading staff and facilitating the change process whilst encouraging others to be innovative and adaptable in the approach to change including development of new services. To act as a champion for the team, proactively liaising with external and internal stakeholders advocating advanced practice provision that is effective and responsive and that patients and clinicians experience a high standard of communication care and continuity. To act as a role model for infection control practice and medicines management ensuring best practice in these areas is intrinsic to care delivery. To develop competencies for staff working within the team. To develop and maintain effective communication with the multidisciplinary team to ensure high standards of care. To work collaboratively with representatives of other clinical areas, disciplines and services to provide a seamless pathway of care. To be conversant with all policies and procedures and ensure they are correctly implemented. Act as clinical advisor on nursing issues to ensure a high-standard of care is maintained utilising evidence-based practice. 3. Education and Training Identify, plan and implement clinical development of staff working within the service, monitor the development of skills within the team. To develop and maintain a positive learning environment for the team by providing support, ensuring developmental requirements are addressed. To support the provision of clinical supervision and provide the opportunity to reflect and discuss areas of practice. To plan, implement and participate in teaching programmes for junior staff. 4. Audit Ensure the specific services meet all audit requirements in a timely manner, working with the clinical service lead to develop remedial / recovery action plans as required. 5. Resource Management To ensure all service delivery offers best value for money to the health system, that equipment and consumable use is managed within service budgets. Manage staff attendance inline with GPN policies and procedures ensuring the specific services are delivered within staffing budgets. 6. Risk Management To ensure that systems are in place to manage, reduce and prevent risk to self and others within services. To assist in the assessment and management of risk in line with the GPN standards and alongside the operational management team by ensuring adverse incidents (learning events) are reported, investigated and utilised to develop and open culture of learning from risk. To monitor incidents highlighted by members of the team and communicate to appropriate areas to address risk issues. Promote best practice in health & safety, utilising organisational policies. All employees are subject to the requirements of the data protection act and must maintain strict confidentiality in respect of patients and staff records. All employees have a responsibility under the organisations health and safety policy, to be aware of and conform to the policy, ensuring all health and safety rules are adhered to and ensuring that all accidents, incidents, near misses, damages and irregularities are documented and reported to a manager in accordance with policy. This job description is not intended to be an exhaustive list of duties and it may be reviewed and altered in the light of changed service needs and developments after discussion with the post holder.