PRIMARY DUTIES & AREAS OF RESPONSIBILITY Provide and deliver a high standard of care, recognising and meeting the specific needs of renal patients, to include peritoneal dialysis parameters and pre and post haemodialysis. Commencement and termination of peritoneal dialysis Commencement and termination of haemodialysis dialysis, Care of exit site for Peritoneal dialysis patients The preparation of highly complex machines. Interpret any machine alarms and correct when appropriate, informing the Registered Nurse. To undertake home visits to strip and reline APD machines and review patients To manage, under indirect supervision, own workload within the community and/or clinical area and competencies of the post. To carry out clinical observations on patients, recognising, recording and reporting all changes in patients condition, including the early recognition and intervention of dialysis side effects. To recognise the importance of health education and teaching of patients and carers, and to be able to advise and refer patients on where to access information. Document and sign for all observations and care given with counter signature from a registered practitioner. To maintain his/her own professional development, attending courses/further training to enhance and optimise his/her role within the work area. To participate in the training and development of junior staff on the unit and participate in the supervision and support of trainee Health Care Assistants. Act as a mentor to new Health Care Assistants & HCA Trainees, participating in induction programmes, and on-going development of their practice. To promote and safeguard the well-being of patients, their families, and colleagues. To participate in the development and implementation of Unit area policy and nursing strategies. To supervise and share responsibility in the care and maintenance of all equipment and stock control within the unit and/or community for peritoneal dialysis patients Participate in unit research and audit work to include data collection To respect confidential information, in line with Trust policy Data Protection Act. To be familiar with and adhere to Trust and Departmental policies and procedures, mindful of responsibilities to self, colleagues, and patients. Report untoward incidents, complaints, clinical emergencies to senior staff. Following patient assessment by registered staff, undertake extended skills specific to individual competence under the indirect supervision of registered staff. To be familiar with Trust infection control, decontamination and cleanliness polices. To undertake the decontamination and cleaning of department equipment and community machines. COMMUNICATIONS & WORKING RELATIONSHIPS Work collaboratively within a multi-disciplinary team Ward Sisters/Charge Nurses and all ward-based nursing staff Modern Matron Educational staff Clinical Nurse Specialists, Nurse Consultants, Nurse Practitioners. Infection control team Consultants in area of responsibility. Patients and their support network Housekeeping and domestic staff Dieticians Bank/Agency Nurses and Healthcare Assistants