Registered Nurse Associate Community

Detailed job description and main responsibilities

*Know parameters of medication administration within the speciality they are working in Administer medication within NMC  guidelines and the Trust's Medicines Code, within level of competence and job role and ensure they are up to date with their mandatory training

*Demonstrate good understanding of principles of consent and ensure valid consent is obtained prior to undertaking nursing and care procedures

*Demonstrate good understanding of the Mental Capacity Act (2005)/Mental Health Act (1983/2007)/Deprivation of Liberties and applies principles to everyday practice seeking advice guidance from the Registered Nurse or registered care professional as required.

*Develop understanding of all elements of the nursing process and be able to assist the registered nurse in the on-going assessment, planning, management and evaluation of care 

*Support individuals with all aspects of care including daily living, providing person-centred care and promoting health and independence through awareness raising and care navigation to other professionals as appropriate.

*Perform and record clinical observations including blood pressure, temperature, respirations, and pulse.

*Undertake clinical tasks including venepuncture  and ECGs

*Accurately record nutritional and fluid intake

*Ensure the privacy, dignity and safety of individuals is maintained at all times

*Demonstrate the ability to recognise changing priorities seeking advice and guidance from the registered nurse or other registered care professionals as appropriate

*Report back and share information with the registered nurses on the condition, behaviour, activity and responses of individuals

*Recognise issues relating to safeguarding vulnerable children and adults and report any problems or raise concerns to the appropriate registered care professionals

*Assist in the assessment of and contribute to the management of risk across several areas within the environment where care is being administered

*Assist in the implementation of appropriate action to meet the specific physical emotional and psychological, social, cultural and spiritual needs of individuals and carers

*Assist in the delivery of complex care as prescribed by the registered nurse

*Develop understanding of caring for individuals with particular conditions for example dementia, mental illness, learning disabilities

*Develop care plans based on an individual's needs and that outcome based taking into consideration the needs of the family as appropriate and promote their involvement with the care plan and then ensuring that an registered nurse has signed it off.

*Develop skills in relation to coaching/teaching individuals/carers/other staff

*Assist with the implementation and monitoring of clinical standards and outcomes. Develop a working knowledge of other providers' resources and referral systems to ensure individual's needs are met, within parameters of practice

*Engage in reflective practice including management of self and reflection on own reactions, asking questions and reflecting on answers given

*To promote respect for diversity and combat stigma and exclusion

Policy and service development:

*Promote health and safety maintaining best practice in health, safety and security

*Share ideas with colleagues to improve care and suggest areas for innovation

*Participate in audit activities being undertaken in area of practice

*Contribute to the improvement of service by reflecting on own practice and supporting that of others

*Adhere to legislation, policies, procedures and guidelines both local and national regularly attend workplace and staff engagement meetings and contribute positively to discussions about the improvement of care

*Contribute to quality of care through Evidence Based Practice by participating in audits and research

Planning and organisation:

*Plan and manage competing demands of job role and maintain study to continually develop competence

*Work in an effective and organised manner demonstrating excellent time management and organisational skills to effectively deliver person-centred care for an allocated group of individuals 

*Deliver effective care following treatment plans determined by the Registered Nurse or registered care professional and provide feedback on progress against the plans

Communication and relationships:

*Communicate effectively across a wide range of channels and with a wide range of individuals, the public, health and social care professionals, maintaining the focus of communication on delivering and improving health and care services

*Demonstrate those inter-personal skills that promote clarity, compassion, empathy, respect and trust

Communication and relationships:

*Communicate effectively across a wide range of channels and with a wide range of individuals, the public, health and social care professionals, maintaining the focus of communication on delivering and improving health and care services

*Demonstrate those inter-personal skills that promote clarity, compassion, empathy, respect and trust

*Contribute to team success and challenge others constructively

*Communicate with individuals, carers and other visitors in a courteous and helpful manner, whilst being mindful that there may be barriers to understanding

*Report to appropriate registered care professional information received from individuals, carers and members of the team

*Ensure all patient related information is treated sensitively and adhere to the principles of confidentiality at all times

*Report any accidents or incidents and raise any concerns as per  organisational policy

*Ensure clear, concise, accurate and legible records and at communication is maintained in relation to care delivered adhering to local and national guidance

*Ensure ability to manage electronic records system including Care Notes taking cognisance of need to protect access (ID, passwords, swipe cards)

Analytical and judgement skills:

*Exercise personal responsibility and work independently within defined parameters of practice, taking the initiative in a variety of situations and performing a range of clinical and care skills consistent with the role, responsibilities and professional values of a nursing associate

*Exercise judgement in assessing patient condition, comfort and wellbeing using analysis of a range of possible factors

*Ensure that only those activities for which competence has been achieved are undertaken without supervision and that recognition is given to the impact and consequences of practising outside capability

Information resources:

*Develop skills to maintain professional standards of record keeping. Follow all information-governance guidance and policies 

*Maintain confidentiality as outlined within data protection policies

Freedom to Act: 

*Work to standard operating procedures with registered care professionals available for reference

*Work within the organisational policy, procedures and guidelines. Work within the Nursing Associate parameters of practice

*Be responsible and accountable for own practice, working within limits of competence and within professional boundaries

*Raises any concerns to a senior registered care professional or appropriate person

Teaching and Training:

*Be proactive in seeking opportunities to develop own knowledge and skills, achieving and maintaining clinical competencies within agreed timeframes. Seek support/guidance in timely manner if any difficulties are encountered

*Work in partnership with manager to develop and deliver on Specific, Measurable, Achievable, Relevant and Time-bound (SMART) objectives at annual appraisal and personal development planning meeting

*Take responsibility for organising and attending statutory/mandatory updates in accordance with organisational requirements and ensure these are documented on Susi.

*Act as an excellent role model for the nursing associate by upholding and  implementing good practice in the workplace. Recognising and either directly challenging or seeks support to challenge any poor practice observed.