Job responsibilities
Clinical/Managerial
Clinical line management of the ED department non-medical teams and liaising with patient liaison services, divisional managers, lead nurses and matrons to ensure a high standard of service delivery.
Maintains effective relationships with the multi-disciplinary teams (MDT) to ensure continuity of patient care.
Ensures that the duty rota reflects the workload in the department, allocating leave appropriately to ensure service delivery is not compromised
Responsible for the 24/7 co-ordination of clinical nursing resource with day-to-day management of all areas ensuring safe staffing is achieved across the department
Ensures that departmental resources are used in an appropriate and cost-effective manner, and ensuring that all appropriate stock, risks and incidents are reported
Organise repair/maintenance of equipment, ensure that stock levels of consumables are adequate and cost effective.
Supervise the work of the department team addressing any issues with practice in a timely manner, and keeping the General Manager informed
Communicates effectively to patients and staff, providing and receiving highly complex, sensitive or contentious information. Persuasive, motivational, training, negotiation, empathic and reassurance skills are used as required
Ensures adherence to the Emergency Department Early Warning Score (EDEWS) escalation process to maintain patient flow and support achievement of the national standard of 95% of patients processed by the ED within 4 hours
Hold and manages the areas nursing pay and non-pay budget and is the authorised signatory for the allocated areas
Contribute to the divisional financial balance, cost improvement and income generation plans
Work collaboratively with the GM, Matron and Head of Nursing for the division to escalate issues and concerns, celebrate achievements and opportunities for staff and service development within nursing, patient safety and patient experience
Analyse data and provide reports as required in response to ED performance, roster exceptions, finance etc.
Quality/Governance
To participate in the delivery of the clinical governance and risk management agenda of the department and Trust
Adheres to the Trusts procedures for managing incidents; developing and where appropriate liaising with therapy and medical staff in order to devise action plans to address any risk issues and communicating any changes in practice to all staff. Investigates and prepares statements as requested to assist in investigations.
To develop and maintain effective communication systems with all personnel internal and external to the Trust
To participate in multi-disciplinary clinical audit to ensure standards are continually reviewed and developed
Work in partnership with the General Manager and Clinical Lead to develop, take forward and evaluate direction, policies and strategies.
Responsible for development, implementation and evaluations of projects to improve patient care and service development
Promoting best practice in health, safety and securityTo accept responsibility and act as a role model in compliance with trust infection control policies, ensuring training and awareness for self and the team to maintain good practiceMaintain a safe environment and culture that improves health, safety, quality and security as well as promoting equality and valuing diversityEnsuring that all staff consciously review mistakes, complaints and incidents/near misses as well as successes to improve performance and the level of patient careTo provide support to patients, relatives and staff when exposed to highly unpleasant working conditions and to work towards keeping these exposures to a minimum
Personal and Professional DevelopmentTo maintain clinical skills, assess patients, plan and implement care, carry out nursing procedures using highly developed skills, both mental and physical and maintain records to a high standardParticipate in Appraisal and Personal Development Planning (PDP) that meets personal and service objectives ensuring all staff have annual appraisal and PDPs which reflect personal and professional development as well as divisional and trust objectivesTo assume responsibility for personal and professional development of self, enhancing individual performance to deliver organisational objectivesTo participate in team, professional and personal development activities and promote commitment to continuous development and improvementTo accept responsibility for own NMC registration and practice in accordance with the NMC code and revalidation requirementsTo practice in accordance with all health and safety legislation ensuring attendance at annual statutory trainingTo be accountable for own actions and those of others while having the freedom to use own initiative in managing the ward under no direct supervisionTo maintain personal health in order to manage the physical and mental effort required at work. There is a prolonged requirement for concentration when the work pattern is unpredictable and managerial decisions need to be madeLead the areas providing a culture of professional development ensuring an effective, efficient high-quality service is delivered by competent, motivated practitioners
LeadershipTo provide clinical leadership, giving advice and support to staff as required and acting as patients advocate at all times across the range of A&E servicePromote an environment that supports and values staffDemonstrate through effective leadership the ability to provide professional and emotional support to individuals and groups, e.g. during difficult situations or unexpected eventsProvide an environment that supports practice development, managing change in a supportive and positive mannerParticipating in meetings, both local and national, thereby furthering the development of clinical expertiseDealing with people on complex facts or situations, which require analysis and sound judgement in often crisis situationsTo provide support to patients, relatives and staff when exposed to highly distressing circumstances which can be distressing and/or emotionally demandingTo provide support to patients, relatives and staff when exposed to highly unpleasant working conditions and to work towards keeping these exposures to a minimumLead the implementation of trust policies within sphere of responsibility, e.g. Recruitment, retention, sickness, disciplinary etc.
Research and DevelopmentContribute to the implementation and evaluations of the Emergency Division strategyIn collaboration with the GM and Head of Nursing to ensure that there is a process in place to develop, maintain and update relevant clinical policies, protocols and procedures in line with current research and evidenced based practiceIn collaboration with the ED clinical Lead for IT, support the development of IT solutions within the A&E department e.g.: Ward Tracker, Lorenzo developments etc.To participate in the development of and lead on relevant, implementation and review of specialised care pathways within the clinical area providing a highly specialised nursing inputImplement policies for own work area and propose policy change, which may impact beyond own area of activityTo maintain specialist knowledge across the range of work procedures and practices and use knowledge to maintain and improve standards and train staff and studentsCo-operates in research procedures and clinical auditTo develop and ensure regular auditing is in place to maintain standards and action plans are in place and monitored where gaps are identifiedEnsuring knowledge and understanding of the requirements of the Civil Contingencies Act, inform and develop the role of the A&E department in response to a Major Internal Incident
Educations and TrainingTo participate in the planning, preparation and testing for a major incident and provide support as indicated through the call out process as detailed in the Major Incident PolicyProvide an environment conducive to learning, ensuring systems are in place to develop new and junior members of staffEnsure systems are in place for the induction of newly appointed staff to their duties and that those systems are evaluatedDemonstrates a positive and enthusiastic approach in order to maintain high morale and motivation within the departmentAccepts responsibility for developing competence in relation to the medical devices he/she will be expected to useMaintain and develop own professional knowledge, providing feedback to staff from any courses attendedFacilitate the rotation of staff through the designated areaTo ensure there is robust clinical supervision within the department
