Job responsibilities
Clinical Responsibilities
To provide the delivery of an advanced specialist nursing service for people with specialist needs.
To provide highly specialist nursing advice and support of patients and families and other healthcare professionals following diagnosis and through treatment.
To ensure continuity of a high standard of evidence based nursing care, assessing health, health related and nursing needs of patients, their families and other carers by identifying and initiating appropriate steps for effective care. This can include: managing a caseload, ordering diagnostic tests, making and receiving referrals, admitting and discharging patients for specified conditions and within agreed protocols and running clinics
To accept responsibility for own caseload, ensuring all patients have an accurate plan of care, which reflects the assessment undertaken and incorporates the issues and recommendations made using clear documentation in the patients records and hand-held records.
To be actively involved in in-patient care, liaising with the ward staff to ensure a high quality of nursing care.
To attend outpatients, ensuring nurse consultation with all newly diagnosed patients.
To follow-up patients as appropriate and ensure all relevant information is available to enable patients/carers to make an informed choice about their treatment
To attend and co-ordinate MDT meetings ensuring all patients are represented
To deliver a seamless service through the development of enhanced Multidisciplinary team (MDT) processes and communication
To participate in the identification and development of clinical protocols and strategies to enhance both the continuity and standard of specialist care whilst ensuring equity of access to the service
To contribute in the process of operational policies review annually in accordance with national standards.
To ensure all care is given in accordance with agreed protocols.
To work with key staff members to maintain nurse led follow-up services. Providing detailed baseline patient assessment, education, and support to patients and their families.
To liaise with the discharge coordinator and ward staff to ensure appropriate and timely discharge/follow-up arrangement in place for patients
To maintain a suitable mechanism for MDT referrals to the Clinical Nurse Specialists
To work with the MDT to develop, implement and evaluate integrated care pathways and systems of MDT documentation
To liaise with local community, social services, educational services and voluntary organisations in order to develop existing services for clients, carers and health professional
To actively involve service users in providing feedback of their experience of the current service and suggestions for improvements.
To participate in the development of appropriate patient group directives to facilitate/enhance the discharge process
To participate in relevant fora at Care Group, Trust or PCG/PCT Level to represent the specialist service or generic child health perspective
To be aware of the Trusts Safeguarding children policies and procedures and demonstrate ability to effectively raise concerns and work with other agencies to protect children
To set up and co-ordinate shared care management of patients
Communication & Interpersonal Relationships
Highly developed interpersonal skills to communicate with all members of the MDT both within the trust, regionally and nationally to achieve a coordinated specialist service for patients, communicating specialist and highly complex or sensitive information verbally, formally written or electronically as appropriate.
To actively involve service users in providing feedback of their experience of the current service and suggestions for improvements.
To participate in relevant forums at Care Group, Trust or CCG Level to represent the specialist service or generic Child Health perspective
Ensure accurate records of patient care are maintained i.e. patient notes and referral letters.
To liaise with pharmaceutical companies and charitable organisations appropriately.
To establish and maintain individual and team communication networks within primary and secondary care settings to ensure multi-disciplinary and multi-agency communication.
To ensure all patients have an accurate plan of care that reflects the assessment undertaken and incorporates the advice and recommendations made.
To ensure clear documentation in the patients records.
To follow-up patients as appropriate and ensure all relevant information is available to enable patients/carers to make an informed choice about their treatment
Governance / Quality Control
To contribute in the process of operational policies review annually in accordance with national standards and agreed protocols
Develops protocols for the provision of care of patients with liver disease
To comply with measures to actively manage and reduce risk to patients. Ensuring the formal reporting and recording and investigating adverse incidents in line with Trust policy
To utilise and maintain information systems to aid audit and to provide regular activity analysis reports
Maintain contemporaneous and accurate treatment records, submitting relevant statistics, reports and activity data as requested.
To participate in the evaluation of the service in terms of clinical effectiveness, clinical excellence and value for money
To ensure the best use of available resources is used within agreed budget to provide a cost-effective service.
Community Relationships
Develop links with other areas within the trust and community including dietitians,GPs and district nurses, to facilitate continuity of care for patients.
To liaise effectively with all other disciplines within the Trust and at local level.
Provide clinical advice and support nurse specialists within the department and other nurse specialists within the trust.
Research, Education & Service Development
To ensure all patients are fully informed of the risks and benefits of proposed procedures / treatments, contributing to the process of securing informed consent
To produce and provide all patients with relevant and accessible written information regarding their treatment in accordance with Trust standard
To develop information for clients, carers and health professionals about all aspects of specialist care
To develop and update as appropriate, information and educational literature to assist parents / carers making informed choices as to their childs treatment plan and continuing management
To develop and participate in programmes of education to enhance the nursing contribution and quality of care to patients across the trust, nationally and internationally
To supervise and participate in the delivery of programmes of education and training according to the identified needs of clients, carers and other involved in their care
To work with other clinical staff to identify knowledge gaps in relation to specialist patients and ensure staff are appropriately educated
To contribute to the development of nursing practice within the team.
To attend meetings and conferences as appropriate ensuring that you are fully conversant with current issues both within the Trust and within the specialist services locally and nationally.
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 and informing business and service development plans.
To participate in and assist with any appropriate/relevant Trust approved research projects conducted within the department.
To identify, apply and disseminate research findings relating to specialist nursing practice
To promote nursing research and evidenced based practice relevant to the speciality
Promote the role of the Paediatric Liver CNS within the directorate, Trust and national arena. Provide cover in the absence of colleagues within the team.
To collaborate with other clinical nurse specialists across the Trust as required, and act as a resource for newly appointed nurse specialists.
Participate in the specialist education and training of all levels of staff within the trust in relation to Paediatric Liver.
Responsibility for dealing with difficult situations
Act as a role model to ward nursing staff, providing clinical support and advice and demonstrating high standards of nursing expertise and patient care.
To participate in the management of change to improve standards and communication links from Acute Trusts through to Primary and community Care.
To actively contribute to any relevant initiatives within the care group and provide support to colleagues.
To contribute positively to the leadership of nursing within the care group acting as an effective role mode
Ensures compliance with the Trust's Equality and Diversity Policy, supporting the delivery of the Trusts Race Equality Scheme and the Trust's duty to positively promote race equality and equality of opportunity for disabled people ensuring services are responsive to the needs of equality groups.
To forge effective links within primary, secondary and tertiary care to ensure effective communication.
Ability to work under pressure and meet agreed deadlines.
Able to deal with confrontation and deal with complaints effectively.
To achieve a range of clinical competencies as required within the Trust and Care Group
To keep up-to-date with current literature and research in the speciality.
To maintain your own personal and professional development in accordance with NMC Revalidation requirements, attending mandatory study sessions as required
To undergo and actively participate in your own performance appraisals
To keep up to date with NMC & Trust guidelines and protocols
To adhere to the NMC Code of Professional conduct working within and accepting responsibility for maintaining agreed levels of competence
