Swydd-ddisgrifiad a phrif gyfrifoldebau manwl

Planning and Organisational Duties

• Under the supervision and working in partnership with a registered nurse provide and deliver a high standard of nursing care contributing to the ongoing assessment, providing and monitoring care based on evidence and working in partnership with the multi-disciplinary team.
• Provide compassionate, safe and effective care and support to patients in a range of care settings
•  Monitor the condition and health needs of patients within their care on a continual basis in partnership with patients, families and carers, ensuring appropriate escalation to a registered nurse when required.
• Support patients to improve and maintain their mental, physical, behavioural health and well-being.
• Promote comfort and well-being by ensuring that patients’ personal and social needs are met and be able to care for a patient’s nursing needs.
• To safely undertake the following procedures to meet the patient’s nursing needs to include; undertaking routine procedures including venepuncture, ECG recording, measuring and interpreting blood glucose levels, recording and interpreting vital signs, continence care, bladder and bowel care, pressure area care, wound care, skin clip and suture removal, removal and application of casts, application of splints, nutrition, hydration, foot care, skin integrity, mood identification (as outlined in the NMC Nursing Associate Skills Annex). Identify and report changes in a patient’s condition to a registered nurse.
• Prioritise and manage own workload, recognising where elements of care can safely be delegated to other colleagues, carers and family members.
• Provide and receive sensitive information concerning a patient’s medical condition.
• Work with the registered nurse and engage with other agencies and community teams to ensure a safe, individualised approach to the admission and discharge of patients.
• Maintain accurate, contemporaneous patient records in line with Trust policy and the NMC Code.
• Provide effective evidence-based care for service users under the supervision of registered nurses in order to perform non-complex activities, in line with clinical governance and professional standards.
• Recognise the effects of medicines, allergies, drug sensitivity, side effects, contraindications and adverse reactions.
• Undertake safe and effective administration and optimisation of medicines in accordance with Trust policy and the NMC standards of proficiency for nursing associates.
• Administer medicines via the following routes, oral, topical, rectal, subcutaneous and intramuscular in line with NMC Standards and Trust policies.
• Comply with Trust policy in relation to any safety critical medicines to be administered by Nursing Associates.
• Monitor the condition and health needs of patients within their care following administration of medication.
• Recognise and report any situations, behaviours or errors that could result in poor care outcomes related to medicines management.

Communications and Key Working Relationships

• Communicate effectively with dignity and respect to all patients, relatives and others giving consideration to potential barriers to understanding.
• Communicate effectively with colleagues, providing clear verbal, digital or written information and instructions when sharing information, delegating or handing over responsibility for care.
• Recognise and report any situations, behaviours or errors that could result in poor care outcomes.
• Report accidents, incidents, near misses or complaints following Trust policies/procedures.
• Contribute to a culture where all staff feel safe to raise their concerns [and that] speaking up about what these are is a normal part of their routine.
• Identify relevant sources of evidence to inform practice.
• Critically consider and analyse their own practice in light of best available evidence.
• Contribute to surveys, audits, research activity as required to own role, supporting recommended changes in practice.

Responsibility for Finance

• To be aware of resources and give high-quality cost-effective care. 

Responsibility for Human Resources

• In conjunction with the ward manager, and Registered Nurses, introduce new staff to the ward and their duties. 

Responsibility for Health & Safety

• Compliance with the Health & Safety at Work Act 1974 – the post holder is required to fulfil a proactive role towards the management of risk in all of their actions. This entails the risk assessment of all situations, the taking of appropriate actions and reporting of all incidents, near misses and hazards, and a statutory duty of care for their own personal safety and that of others who may be affected by their acts or omissions. 

Responsibility for Teaching

• Comply with mandatory competencies in line with Trust policy.
•  To engage in a preceptorship period that includes achieving the Nursing Associate Medicines Management Competency framework
•  Maintain own continuing professional development in accordance with NMC CPD requirements and contribute to formulation of own objectives and personal development plans. 
• Support, supervise, teach (where appropriate) and act as a role model to trainee nursing associates, student nurses, healthcare support workers and new staff members, promoting reflection and providing constructive feedback.
• Contribute to the maintenance of the learning environment.
• Adopt a reflective approach to own practice with a view to continually improve.
• Undertake further training as required, prior to carrying out any additional duties identified as relevant to role, to comply with Trust policies and procedures.
• Take personal responsibility for developing and maintaining own knowledge, clinical skills and professional awareness in conjunction with NMC guidance.
• Attend mandatory training as directed by Trust.
• In conjunction with ward manager and Registered Nurses, help create and maintain a suitable learning environment for staff and students and act as a Practice supervisor in the supervision and teaching of less experienced staff.