Clinical Site Practitioner PRUH

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Key Relationships

All clinical areas, Inpatient Services Team, Ward Managers, Senior Nurses, Heads of Nursing, Matrons, Resuscitation Officers, Quality and Nursing staff, Medical Staff, Security Staff, Ancillary & Support Staff, External Agencies.

Job purpose:

1.  To triage adult inpatients in the acute hospital setting as part of the Hospital @ Night team (H@N) providing treatment under Management Pathways, independently as a Clinical Site Practitioner, and referring patients to the appropriate SCSP/ medical teams if required, and according to priority system. NB: Management pathways are under development at present. Therefore, sound professional judgement should be used at all times.  
2. To provide an acute response for patients requiring step up or down from critical care areas.
3. To assist the duty SCSP in providing senior nursing support and advice to all clinical areas within the Trust and provide leadership to the H@N teams.
4. To participate in the Trust’s Emergency Response Teams to Fire, Security alerts, Cardiac Arrests and other clinical emergencies.
5. To assist the duty SCSP in their responsibility ‘out of hours’ for the operational management of the Trust, implementing Policies and Procedures as required and providing support and advice to Trust employees.  

Main Duties and Responsibilities:

 Clinical:

1. To provide senior nursing support, professional and clinical advice to all adult inpatient areas within the Trust
2. To undertake advanced patient assessment, advising on or implementing immediate care or referral for SCSP/medical intervention ensuring the prompt and effective management of patients.
3. To undertake a wide range of advanced clinical interventions, which includes Advanced Life Support Skills.
4. To support staff in the management and care of patients requiring Level 2 / 3 type care and to provide an escort service for patients who require their level of care stepping up or being transferred from an area of higher acuity.
5. To respond to and provide senior nursing support in the event of a clinical emergency or as a member of the Trust Resuscitation Team.
6. To proactively seek out patients at risk of deterioration, performing  board and ward rounds  

Site and Duty Management

1.  To support a seamless service through the development of processes and communication with regards to bed management, emergency care performance and out of hours team.
2. In the absence of SCSP immediately co-ordinate and first line manage  the Trust’s emergency response to Fire, Major Incidents, Security Alerts and Serious Untoward Incidents
3.  To play an active and supportive role within the Trust bed management plans, to advise on the effective utilisation of the Trust bed pool, during escalation and incident management.
4.  Initiate escalation through agreed protocol to SCSP or Silver manager out of hours
5.  To play an integral role in the operational development of the service.
6.  To support the Lead Nurse Clinical Site Management &H@N in achieving financial balance, and identifying where the service could make cost improvements.
7. To ensure that clinical and other untoward incidents which includes failure to meet related targets as set out by trust and local policy are reported and escalated appropriately.
8.  Liaise effectively with all other disciplines within the Trust.
9. To participate in the development of the Clinical Site Practitioner & H@N service by maintaining accurate records for the audit process and by liaising with clinical areas and other service users to evaluate the effectiveness of the service.
10. To hold individual and collective responsibility for ensuring that the Clinical Site Practitioner and H@N Service operates effectively across the trust, participating where necessary in providing cover for colleagues’ unexpected sickness /absence.
11.   To contribute positively to the leadership of nursing within the Trust acting as an effective role model.
12. To work with and support managers and clinical staff to identify areas where changes in practice are required.
13. To introduce measures to actively manage and reduce risk to patients. Ensuring the formal reporting and recording of adverse incidents is in line with Trust policy.
14. To support the SCSP in implementing Trust initiatives and strategies.
15. Network with the other H@N Site Practitioner teams to evaluate, develop and promote the specialist-nursing role.
16. To utilise and maintain information systems to aid audit and to provide regular actively analysis reports.
17. Maintain contemporaneous and accurate treatment records, submitting relevant statistics, reports and activity data as requested. To evaluate the service in terms of clinical effectiveness, clinical excellence and value for money.
18. Ensure compliance with the Trusts’ Equality and Diversity Policy supporting the delivery of the Trusts’ Race Equality Scheme and the Trusts’ duty to positively promote race equality and equality of opportunity for disabled people ensuring services are responsive to the needs of equality groups.

Personal Professional Development

1. To achieve a range of clinical competencies and educational attainment as required within the Trust.
2.  To keep up-to-date with current literature and research in the speciality.
3.  To maintain your own personal and professional development in accordance with NMC requirements, attending mandatory study sessions as required
4. To undergo and actively participate in your own performance appraisals
5. To keep up to date with NMC & Trust guidelines and protocols
6. To adhere to the NMC Code of Professional conduct working within and accepting responsibility for maintaining agreed levels of competence

Education and Research

1. To provide information for clients, carers and heath professionals about all aspects of care.
2.  To ensure appropriate information and educational literature is made available to help patients make informed choices as to their treatment plan and continuing management.
3.  To contribute to the development of nursing practice within the team And at ward level
4.  To actively participate in education events provided by the Trust.
5.  To attend meetings and conferences as appropriate ensuring that you are  fully conversant with current issues with in both the Trust and within the specialist services locally and nationally.
6.  To promote and facilitate evidence based practice and clinical audit within the Trust, raising the profile and enhancing the contribution of nursing to patient care.
7.  To participate in and assist with any appropriate trust approved research projects.
8. To promote nursing research and evidence based practice relevant to the speciality.
9. To work with and support clinical staff to identify areas where changes in practice are required. Also where opportunities exist for improving treatment and support of patients.
10.  To publish and present relevant clinical practice and service developments

General:

1. To undertake any other duties which may be appropriate to the post.
2. The post holder has a general duty of care for their own health, safety and well being and that of work colleagues, visitors and patients within the hospital, in addition to any specific risk management or clinical governance accountabilities associated with this post.
3. To observe the rules, policies, procedures and standards of King's College Hospital NHS Foundation Trust together with all relevant statutory and professional obligations.
4. To observe and maintain strict confidentiality of personal information relating to patients and staff.
5. To be responsible, with management support, for their own personal development and to actively contribute to the development of colleagues.
6. This job description is intended as a guide to the general scope of duties and is not intended to be definitive or restrictive. It is expected that some of the duties will change over time and this description will be subject to review in consultation with the post holder.
7. The post holder has an important responsibility for and contribution to infection control and must be familiar with the infection control and hygiene requirements of this role.
8. These requirements are set out in the National Code of Practice on Infection Control and in local policies and procedures which will be made clear during your induction and subsequent refresher training. These standards must be strictly complied with at all times.