Job responsibilities
Clinical Responsibilities.
- Act as a self-directed practitioner who directs, provides and evaluates the highest standard of evidence based nursing care to patients within their own home, founded on agreed management care plans and protocols.
- Work independently and without direct supervision in a variety of clinical settings and in the community, prioritising workload to meet the regular unpredictable situations that may occur within this role.
- Make clinical decisions within the home autonomously and in liaison with GPs, hospital clinicians and other agencies in preventing some hospital admissions.
- Manage own and the teams capacity to ensure optimum provision of care to patients and responsive decision making to meet the needs of those newly referred. This includes maintaining a database and caseload reporting.
- Make and receive direct referrals to and from the relevant members of the multi-professional teams.
- Have the necessary knowledge, skills and training to recognise emergency clinical situations such as anaphylaxis, cardiac, respiratory deterioration and sepsis to act appropriately knowing when to seek assistance.
- The post holder will be enabled to monitor and further develop such extended roles for all team members using a competency based system.
- Work in close collaboration with the Hospital at Home team for the delivery of an effective service by defining and overseeing the development of service standards in-line with Government, NMC guidelines and PML Policy.
- Ensure clinical effectiveness by use of evidence based practice and outcome measures, ensuring that all clinicians in this multi-disciplinary team practice these.
- Take the lead and the responsibility, notably at weekends and out of hours in conjunction with the Urgent Care services, regarding decisions for the safe management of patients.
- Liaise with patients, carers and colleagues to assess the safety of a patients home environment, acting quickly to protect patients and staff from potential risk.
- Recognise high risk, difficult situations regarding the transfer of some patients and prioritise promptly actions needed for the safety and well being of patients/carers.
- Ensure that appropriate, consistent and realistic information is provided to patients and families.
Managerial/Leadership Responsibilities.
- Act as a role model and inspiration to others, leading by example in regard to behaviour attitudes, conduct and appearance.
- Collaborate with the senior management team (SMT) for the induction, training, appraisal and personal development of team members.
- Support and enable team members to: communicate their views about improvements; to see development as essential for personal growth; to share achievements jointly with their colleagues; to challenge, take agreed calculated risks and express dissatisfaction without prejudice.
- Report, escalate and manage untoward incidents and safeguarding concerns.
- Have a sound working knowledge of PML Human Resources (HR) policies and procedures across the Service.
Financial responsibility
- Monitor stock levels and co-ordinate requests for new equipment ensuring that these are within available budget.
- Ensure that team members use resources efficiently and in a sustainable and environmentally friendly manner.
- Have the ability to negotiate any amendments to planning if and when requested resources are unavailable.
Professional Responsibilities.
- Inform, consult and educate members of the multi-professional team regarding the purpose and function of the H@H Team
- Effectively contribute to change management.
- Work in close partnership with PML colleagues and external agencies such as Social Services, commissioning groups, housing associations, GPs and voluntary organisations.
- Develop and maintain appropriate documentation/records in accordance to PML policy.
- Ensure that clinical practice is in accordance with PML policies, procedures and guidelines and the NMC Code: Standards of conduct, performance and ethics for nurses and midwives.
- Maintain own professional and personal development.
Education and Development Responsibilities.
- Continuously review practices and plan and work towards further improvement and development of services to ensure that service delivery matches patient, service and organisational (PML) needs.
- Participate and support team members in the ongoing training and professional development in order to maintain their individual CPD as well as contributing to their annual appraisal.
- Provide and assist in the education/training for new members of the team, acting as mentor/practice facilitator.
- Address unmet needs and service shortfall and openly challenge ones own practice and current nursing practice in a constructive way to maintain and improve the standards of care.
- Maintain and adhere to PMLs mandatory training and keep records of training.
Physical Working Conditions and Environment
- Ensure appropriate measures are in place to protect self and other staff and patients in minimising and dealing with exposure to unpleasant aspects of patient or environmental contact as they arise: for example exposure to body fluids, infectious diseases / infestations, unpleasant bodily odours, secretions, unpleasant home environments.
- Have due regard for ones own personal safety and that of staff/patients/carers, in particular driving to a patients home and other localities adhering to PMLs Lone Worker Policy.
- Be compliant with the lone worker devices provided by the service at all times in line with the Lone Worker Policy.
- Be flexible to the demands of the environment including unpredictable work patterns, deadlines, frequent interruptions and multi-tasking. This will include weekend shift rotation.
- Have a clean UK driving licence.
Other Responsibilities
All staff to have a Disclosure and Barring Service Check (DBS) to ensure the protection of patients/carers notably due to the nature of the Service caring for individuals within their home environment.
REGISTERED HEALTH PROFESSIONAL
All staff who are members of a professional body must comply with standards of professional practice/conduct. It is the post holder's responsibility to ensure they are both familiar with and adhere to these requirements.
INFORMATION GOVERNANCE
PML is committed to consistently high standards of information governance. All employees have an individual responsibility to ensure that in the course of their duties, any records that they create are of high quality, accurate and up to date and compliant with PMLs Records Management, Freedom of Information and Health Records policies and procedures and that the confidentiality and security of all information is maintained in accordance with the Data Protection Act 1998 and associated PML policies.
CONFIDENTIALITY
The post holder must maintain confidentiality of information in accordance with professional and PML policy. The post holder may access information only on a need to know basis in the direct discharge of duties and divulge information only in the proper course of duties.
Quality
- To provide a quality service to internal and external customers at all times.
PML Policies and Procedures
- To adhere to PMLs agreed Policies and Procedures.
Health and Safety
- To share responsibility for abiding by Health and Safety Policies and Regulations, and acting in accordance with the Risk Management Policy.
Equal Opportunities
- To promote and develop the equality of opportunities in accordance with the PML Equal Opportunities Policy.
Confidentiality
- To protect the confidentiality of information relating to the trust, patient and staff or other agencies.
Staff should be prepared to work at any location within the Company to accommodate the needs of the service.
It is the duty of all employees of PML to ensure a safe working environment and safe working practices are maintained at all times.
Staff should be prepared to work at any location within the Company to accommodate the needs of the service.
This job description seeks to outline the key duties and responsibilities of the post holder and is not a definitive document and does not form part of the main statement of terms and conditions. This job will be reviewed periodically and changes may be made in consultation with the post-holder.
