Responsibilities
* Undertake a range of delegated and specific clinical skills for patients that demonstrate an enhanced level of competency and technical expertise documented in the plan of care.
* Prepare patients, families/carers and the environment for clinical activities, supporting and reassuring patients and their families/carers and preparing specific equipment as necessary.
* Monitor closely patients having undergone a clinical activity, ensuring their safety, comfort and well-being.
* Assist all patients of all genders with their personal care needs, empowering patients and/or families/carers and actively encouraging participation; this may involve maintaining hygiene, helping patients to wash and dress themselves and assisting with toileting needs, while maintaining privacy and dignity at all times.
* Demonstrate clinical competence to undertake minor dressings and treatments; actively encourage all patients and families/carers to share responsibility for maintaining their health and to promote healthy living where appropriate as identified in the care plan.
* Assist patients to mobilise safely, taking account of developmental/physical needs, using equipment and techniques as prescribed and recorded in the care plan, and contribute to falls and moving and handling risk assessments.
* Assist in the care of a patient requiring end-of-life care in accordance with their spiritual and cultural needs.
* Assist as appropriate in the support of families/carers of patients receiving end-of-life care.
* Recognise when a patient’s 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., nutritional assessment scores, slips, trips and falls) and use of medical devices as appropriate in line with Trust policy.
* To perform clinical observations (following appropriate assessment of competence) accurately recording using agreed electronic systems such as SEND, and report and escalate any concerns appropriately by reporting to the registered practitioner immediately.
* Participate in the initial assessment of patient needs under the direct supervision of a registered practitioner.
* To assist patients to meet their food and fluid intake, considering special diets, supplements, enteral feeding and cultural requirements; recognise and understand the importance of adequate nutrition and hydration, undertake age-appropriate nutritional assessments (e.g., STRONG/MUST) and record all food, nutritional supplements and fluid intake 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 care professional through appropriate channels.
* Undertake patient transfer and escort duties between departments as appropriate and as per policy.
* Recognise when a patient or family member/carer is becoming agitated or disoriented, or appears non-compliant with care or treatment; support colleagues and report immediately to a registered practitioner.
* Respond swiftly to individuals who require immediate assistance, are in pain or distressed, and report to a registered practitioner.
* Competently obtain specimens as requested (e.g., mid-stream urine, stool, sputum, urine analysis, hospital-acquired infections) and any other specialist specimen as directed by the registered practitioner, ensuring accurate labelling and transportation as per Trust policy.
* Demonstrate good understanding of safeguarding children, the Mental Capacity Act/Deprivation of Liberties and apply these principles to everyday practice, seeking advice/guidance from the registered nurse or registered care professional as required.
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