Job description
Patient CareUndertake a range of delegated and specific clinical skills for patients that demonstrate anenhanced level of competency /technical expertise documented in the plan of care (see specificclinical skills).Prepare patients, families/carers and the environment for clinical activities supporting andreassuring patients and their families/carers and preparing specific equipment as necessary.Monitor closely patients having undergone a clinical activity ensuring their safety, comfort and wellbeing.Assist all patients of all genders with their personal care needs, empowering patients, and/orfamilies/carers and actively encouraging participation. This may involve maintaining hygieneneeds for individuals such as helping patients to wash and dress themselves and assisting withtoileting needs, maintaining privacy and dignity at all times.Assess and monitor the patients skin integrity and to report document immediately any changes or concerns in their condition.Demonstrate clinical competence in order to undertake minor dressings and treatment asspecified in the plan of care and in consultation with the registered practitioner.Actively encourage all patients, families/carers to share the responsibility for maintenance of theirhealth and to promote healthy living where appropriate and identified as part of the care plan.Assist patients to mobilise safely taking account of developmental/physical needs, usingequipment and techniques as prescribed and record in plan of care. Contribute to the falls andmoving and handling risk assessment.Assist in the care of a patient requiring end of life care in accordance within their spiritual andcultural needs.Assist as appropriate in the support of families/carers of patients receiving end of life care.Recognise when a patients condition changes and seek advice and expertise from registered practitioners in accordance with Trust policy.Contribute to, understand and report identified patient risk assessments, e.g. nutritionalassessment scores, slips, trips and falls assessment, e.g. Humpty Dumpty, use of medical devicesas appropriate in line with Trust policy.Perform clinical observations (following appropriate assessment of proficiency) accuratelyrecording using agreed electronic national early warning systems such as SEND and report andescalate any concerns appropriately by reporting to the registered practitioner immediately.Participate in the initial assessment of patient needs under the direct supervision of a registeredpractitioner.Assist patients to meet their food and fluid intake giving attention to special diets, supplements,enteral feeding and cultural requirements, recognising and understanding the importance ofadequate nutrition and hydration. In order to avoid malnutrition, ensure an age appropriatenutritional assessment is undertaken for example, MUST. All food, nutritional supplements andfluid intake should be recorded accurately as required.Seek support for self and others following an untoward incident.Report and raise concerns in relation to poor practice, attitude and behaviour of any health careprofessional through appropriate channels.Undertake patient transfer and escort duties between departments as appropriate as per policy.Recognise where a patient or family member/carer is becoming agitated, disorientated or appearsnon-compliant with care or treatment; support colleagues and report immediately to a registeredpractitioner.Respond swiftly to individuals who require immediate assistance, eg are who are in pain or aredistressed, reporting to a registered practitioner in a timely manner.Competently obtain specimens as requested such as mid-stream urine, stool, sputum, urineanalysis, hospital acquired infections and any more specialist specimens as directed by theregistered practitioner ensuring accurate labelling and transportation as per Trust policy.Demonstrate a good understanding of safeguarding children, the Mental Capacity Act/Deprivationof Liberties and applies principles to everyday practice seeking advice/guidance from theregistered nurse or registered care professional as required.
CommunicationCommunicate effectively with patients, families/carers, recognising there may be a need to utilisealternative methods of communication. Where there are barriers to understanding, arrange accessto information, support and other services to aid effective communication.Greet all patients and visitors to the department with courtesy and respect, being mindful of agespecific body language and tone of voice. Demonstrate sensitivity and empathy.Help patients, families/carers and visitors orientate themselves to their surroundings when admittedto the ward specific to their needs, providing written and verbal information where required.Answer telephone calls and bleeps appropriately and efficiently, accurately relaying messages toboth colleagues and patients using SBARR as appropriate.Maintain a high standard of personal behaviour, acting as a role model and ensure effectivecommunication with all members of the multidisciplinary team, patients, families/carers and relatives.Use paper and electronic systems to retrieve and record patient information in line with Trustdocumentation standards and operational systems. Ensure information is accurate and securelymaintained.Apply the principles of information governance and patient confidentiality to all aspects of your role.Obtain age/capacity appropriate consent from the patient/family/carer/guardian before any clinicalintervention is undertaken; where this is not given report this to a registered practitioner.Actively participate and contribute to discussions about patient care and ward and departmentalissues at handover and ward/departmental meetings. Encourage more junior members of staff tocontribute.In instances when a patient, family/carer or visitor feels the need to raise a concern or complainattempt to deal with this locally initially, but always inform a registered practitioner.Support families, carers and colleagues following a patient bereavement, or when bad news hasbeen shared.Seek and acknowledge constructive feedback and encourage others to do so.Seek support for self and others following an untoward incident as required.Escalate concerns regarding any health care professional through the appropriate routes andchannelsMaintain professional boundaries and working relationships with patients and colleagues.Ensure patients, families and carers are kept informed of delays with their treatment, investigationsand clinic times in a professional manner.Actively participate in the handover process to ensure continuity of care and accurately feedback toa registered practitionercondition.
Respect, Equality and DiversityAdhere to Trust, directorate and unit policies, protocols and guidelines taking action to addressbehaviour that undermines equality and diversity.Recognise and respect people at all times with regard to age, disability, gender, position, race,religion and sexual orientation through sensitivity, professionalism and courtesy, treating allpatients, colleagues, visitors, carers and others as they would wish to be treated.Ensure the privacy and dignity of patients and challenge colleagues should this not be practicedconsistently.Respect the patient s right to choice and act as the patient s advocate as necessary.Chaperone and act as an advocate for patients during examination by clinical staff as perChaperone Policy.Act in a non-discriminatory manner at all times being mindful of the requirements of each individualpatient and colleague.Ensure patients, family's / carer's property is respected and handled as per Trust policyEscalate concerns regarding discriminatory practises.Take account of own behaviour and its effect on others. Challenge the behaviour of others that isnon-aligned with Trust values.
Planning and OrganisationPrepare healthcare records for patient appointments/procedures to enhance the smooth running ofthe department.Demonstrate flexibility and effective time management skills to prioritise and organise own workloadand that of others acting on own initiative.Develop an understanding of all elements of patient/family centred care and be able to contribute tothe on-going assessment, planning, management and evaluation of care.Contribute to and follow a plan of care that accurately reflects the assessment needs of the patient.Record the care given to patients in an accurate, legible way that meets legal requirements ensuringa countersignature by a registered practitioner.Under supervision participate in the admission and discharge of patients ensuring appropriate riskassessments and documentation are completed.Be familiar with the concept of working within a team, be involved in team discussions, meetings,project developments and audits.Manage own time and that of others effectively, ensuring good time keeping in relation to shiftcommencement and breaks and start to develop management skills.Work confidently in the challenging clinical environment undertaking agreed aspects of clerical work as required.
Job description
Job responsibilities
Patient CareUndertake a range of delegated and specific clinical skills for patients that demonstrate anenhanced level of competency /technical expertise documented in the plan of care (see specificclinical skills).Prepare patients, families/carers and the environment for clinical activities supporting andreassuring patients and their families/carers and preparing specific equipment as necessary.Monitor closely patients having undergone a clinical activity ensuring their safety, comfort and wellbeing.Assist all patients of all genders with their personal care needs, empowering patients, and/orfamilies/carers and actively encouraging participation. This may involve maintaining hygieneneeds for individuals such as helping patients to wash and dress themselves and assisting withtoileting needs, maintaining privacy and dignity at all times.Assess and monitor the patients skin integrity and to report document immediately any changes or concerns in their condition.Demonstrate clinical competence in order to undertake minor dressings and treatment asspecified in the plan of care and in consultation with the registered practitioner.Actively encourage all patients, families/carers to share the responsibility for maintenance of theirhealth and to promote healthy living where appropriate and identified as part of the care plan.Assist patients to mobilise safely taking account of developmental/physical needs, usingequipment and techniques as prescribed and record in plan of care. Contribute to the falls andmoving and handling risk assessment.Assist in the care of a patient requiring end of life care in accordance within their spiritual andcultural needs.Assist as appropriate in the support of families/carers of patients receiving end of life care.Recognise when a patients condition changes and seek advice and expertise from registered practitioners in accordance with Trust policy.Contribute to, understand and report identified patient risk assessments, e.g. nutritionalassessment scores, slips, trips and falls assessment, e.g. Humpty Dumpty, use of medical devicesas appropriate in line with Trust policy.Perform clinical observations (following appropriate assessment of proficiency) accuratelyrecording using agreed electronic national early warning systems such as SEND and report andescalate any concerns appropriately by reporting to the registered practitioner immediately.Participate in the initial assessment of patient needs under the direct supervision of a registeredpractitioner.Assist patients to meet their food and fluid intake giving attention to special diets, supplements,enteral feeding and cultural requirements, recognising and understanding the importance ofadequate nutrition and hydration. In order to avoid malnutrition, ensure an age appropriatenutritional assessment is undertaken for example, MUST. All food, nutritional supplements andfluid intake should be recorded accurately as required.Seek support for self and others following an untoward incident.Report and raise concerns in relation to poor practice, attitude and behaviour of any health careprofessional through appropriate channels.Undertake patient transfer and escort duties between departments as appropriate as per policy.Recognise where a patient or family member/carer is becoming agitated, disorientated or appearsnon-compliant with care or treatment; support colleagues and report immediately to a registeredpractitioner.Respond swiftly to individuals who require immediate assistance, eg are who are in pain or aredistressed, reporting to a registered practitioner in a timely manner.Competently obtain specimens as requested such as mid-stream urine, stool, sputum, urineanalysis, hospital acquired infections and any more specialist specimens as directed by theregistered practitioner ensuring accurate labelling and transportation as per Trust policy.Demonstrate a good understanding of safeguarding children, the Mental Capacity Act/Deprivationof Liberties and applies principles to everyday practice seeking advice/guidance from theregistered nurse or registered care professional as required.
CommunicationCommunicate effectively with patients, families/carers, recognising there may be a need to utilisealternative methods of communication. Where there are barriers to understanding, arrange accessto information, support and other services to aid effective communication.Greet all patients and visitors to the department with courtesy and respect, being mindful of agespecific body language and tone of voice. Demonstrate sensitivity and empathy.Help patients, families/carers and visitors orientate themselves to their surroundings when admittedto the ward specific to their needs, providing written and verbal information where required.Answer telephone calls and bleeps appropriately and efficiently, accurately relaying messages toboth colleagues and patients using SBARR as appropriate.Maintain a high standard of personal behaviour, acting as a role model and ensure effectivecommunication with all members of the multidisciplinary team, patients, families/carers and relatives.Use paper and electronic systems to retrieve and record patient information in line with Trustdocumentation standards and operational systems. Ensure information is accurate and securelymaintained.Apply the principles of information governance and patient confidentiality to all aspects of your role.Obtain age/capacity appropriate consent from the patient/family/carer/guardian before any clinicalintervention is undertaken; where this is not given report this to a registered practitioner.Actively participate and contribute to discussions about patient care and ward and departmentalissues at handover and ward/departmental meetings. Encourage more junior members of staff tocontribute.In instances when a patient, family/carer or visitor feels the need to raise a concern or complainattempt to deal with this locally initially, but always inform a registered practitioner.Support families, carers and colleagues following a patient bereavement, or when bad news hasbeen shared.Seek and acknowledge constructive feedback and encourage others to do so.Seek support for self and others following an untoward incident as required.Escalate concerns regarding any health care professional through the appropriate routes andchannelsMaintain professional boundaries and working relationships with patients and colleagues.Ensure patients, families and carers are kept informed of delays with their treatment, investigationsand clinic times in a professional manner.Actively participate in the handover process to ensure continuity of care and accurately feedback toa registered practitionercondition.
Respect, Equality and DiversityAdhere to Trust, directorate and unit policies, protocols and guidelines taking action to addressbehaviour that undermines equality and diversity.Recognise and respect people at all times with regard to age, disability, gender, position, race,religion and sexual orientation through sensitivity, professionalism and courtesy, treating allpatients, colleagues, visitors, carers and others as they would wish to be treated.Ensure the privacy and dignity of patients and challenge colleagues should this not be practicedconsistently.Respect the patient s right to choice and act as the patient s advocate as necessary.Chaperone and act as an advocate for patients during examination by clinical staff as perChaperone Policy.Act in a non-discriminatory manner at all times being mindful of the requirements of each individualpatient and colleague.Ensure patients, family's / carer's property is respected and handled as per Trust policyEscalate concerns regarding discriminatory practises.Take account of own behaviour and its effect on others. Challenge the behaviour of others that isnon-aligned with Trust values.
Planning and OrganisationPrepare healthcare records for patient appointments/procedures to enhance the smooth running ofthe department.Demonstrate flexibility and effective time management skills to prioritise and organise own workloadand that of others acting on own initiative.Develop an understanding of all elements of patient/family centred care and be able to contribute tothe on-going assessment, planning, management and evaluation of care.Contribute to and follow a plan of care that accurately reflects the assessment needs of the patient.Record the care given to patients in an accurate, legible way that meets legal requirements ensuringa countersignature by a registered practitioner.Under supervision participate in the admission and discharge of patients ensuring appropriate riskassessments and documentation are completed.Be familiar with the concept of working within a team, be involved in team discussions, meetings,project developments and audits.Manage own time and that of others effectively, ensuring good time keeping in relation to shiftcommencement and breaks and start to develop management skills.Work confidently in the challenging clinical environment undertaking agreed aspects of clerical work as required.