Job summary This is an exciting opportunity within Northampton General Hospital NHS Trust Trauma and Orthopaedics department to recruit a full time Lead Nurse for the Trauma service. This is a role for a clinical leader Nurse role and will facilitate the trauma pathway for all trauma patients from admission to discharge while working alongside the whole Multidisciplinary team. The individual must have a passion and sound knowledge or orthopaedics and be able to take the lead to provide high standards of individualised patient care from planning, assessing and implementing care. This is a multifaceted role the crosses the traditional boundaries between nursing and medicine, which facilitates the trauma process for all trauma patients from their admission to discharge. Main duties of the job The Trauma Practitioner will work closely with the orthopaedic medical teams to provide efficient and effective patient care for trauma patients throughout Northampton Generla Hospital. The post holder will work in a variety of settings such as the A&E, the Orthopaedic wards and Fracture clinics. The post holder will demonstrate strong clinical assessment skills, clinical leadership and clinical decision making skills. The post holder will work collaboratively with members of the multidisciplinary teams, anaesthetics and theatres to improve patient flow and promote efficient trauma care. The TNP will facilitate efficient for hip and femoral fractures to achieve BPT and will be involved in Iliac fossa blocks, data collection for the NHFD, research and audit projects. The Trauma service runs currently a 6 day service with the scope to extend to a 7 day rota working on a longer day shift pattern which includes weekend working. The post holder will be a registered nurse and is required to work autonomously at an advanced level. They will require a qualification in health assessment and clinical examination and require good clinical decision making skills and a commitment to on-going learning at masters level. A broad knowledge of trauma and orthopaedic or muscular skeletal conditions is essential. A non medical prescribing qualification would be desirable. About us Northampton General Hospital is one of the largest employers in the area and we are on an exciting journey. All of our divisions are committed to doing things better, with more efficiency as we update, modernise, and advance. We have also entered into a Group Model with neighbouring Kettering General Hospital NHS Foundation Trust and become University Hospitals of Northamptonshire. Our Excellence Values Compassion Accountability Respect Integrity Courage We want to recruit the best people to deliver our services across the University Hospitals of Northamptonshire and help to unleash everyone's full potential. As an organisation, we value how we communicate and promote our vacancies to all communities. We are a Defence positive trust, supporting our reservists, veterans, spouses and partners. The Hospital Group encourages applications from people who identify from all protected groups, especially those from BAME, Disabled and LGBTQ backgrounds as these are underrepresented in our hospitals. We understand that we need to work with colleagues from diverse backgrounds and make sure the environment they work in is inclusive and collaborative. Please submit your application as soon as possible as we reserve the right to close any adverts before the closing date once we have received sufficient applications. Date posted 05 November 2024 Pay scheme Agenda for change Band Band 7 Salary £46,148 to £52,809 a year Per annum / Pro rata Contract Permanent Working pattern Full-time Reference number 265-6762503 Job locations Northampton General Hospital Cliftonville Northampton Northampton NN1 5BD Job description Job responsibilities To be responsible for the day-to-day management of the Trauma service. Use expert knowledge to assess and examine patient in the A&E department. History taking and facilitating the admission process by assisting in the requesting of relevant investigations. Facilitatesfast tracking patients to the trauma wards. The co-ordination for the process for all trauma patients from the A&E to theatre and through to discharge. The post holder will be proactive within the daily consultant led trauma ward rounds, contributing to the review and treatment planning for all trauma patients. Ensuring treatment plans are communicated and implemented. Liaising with other clinical teams to optimise patients for their surgery. Contribute to the planning and organisation of the trauma theatre list. Provide an outreach service for outlying patients, including regular review of patients to ensure plan of care is implemented. They will offer support and advice for trauma patients and staff throughout Northampton General Trust. Effective planning, co-ordination and communication within the multidisciplinary team. Provide the interface between the clinical trauma service, patients and relatives to explain current treatment plans, delays and cancellations in treatment. Provide education information and advice to other professionals, including medical and surgical teams across the Acute Unit, district nurses, GPs, practice nurses, community hospitals and community therapists. The post holder will take an active role in getting patients with hip fractures to achieve Best Practice Tariff for Hip Fractures. They will drive the process and be an active part of the audit process, contributing to NHFD and the Harm reviews for hip fractures. Clinical Assessment/ Ward environment Clinical examination/assessment Assessment of the deteriorating patient Maintenance of records and databases Involvement in discharge planning Participation in pre and post-operative ward rounds Undertake nurse-led ward rounds if applicable. Referral for investigations and formulation of a treatment plan based on interpretation of results Interpretation of X-rays and other diagnostic investigations. Performing Fascia iliaca blocks to patient with confirmed hip fractures. Working with anaesthetic team to ensure alternative pain relief. Application of skin and skeletal traction Application of surgical appliances such as collars, TLSO, and splints etc Identification of medical risks and referral to specialty teams such as Anaesthetics Providing information and taking informed consent or working towards consenting patients Undertake clinical assessment to assist Consultants in making multifaceted complex clinical decisions regarding patient management and clinical outcomes, including, where appropriate, listing patients for trauma procedures and discharging patients from the service when treatment is complete. Demonstrate a high level of competence in examination skills. Facilitates the Trauma admissions process for trauma patients admitted to the Trust. Participates in the daily on call orthopaedic consultant trauma meeting and trauma rounds. Uses advanced knowledge and skills to accelerate the admissions process through the A&E department and fast-tracking hip fracture patients as appropriate. Ensures all trauma patients have a detailed care plan, which reflects the specialist trauma care patients receive for their condition or injury. Ensures patients are medically fit for surgery or makes appropriate referrals to other specialities for assessment or treatment of conditions, which prevents patients having surgery. Requesting investigations that assist in optimisation of patients for surgery. Works in conjunction with the Site team to repatriate and/or transfer trauma patients form the other trusts to Northampton. Facilitates good communications with all agencies involved in the continuity of patient care. Provides efficient and effective liaison, co-ordinates and facilitates multi-disciplinary care for outlying trauma patients. Acts as a resource for patients, relatives and carers requiring information and advice regarding episodes of care. Take referrals for ambulatory trauma cases, ensure the patient is prepared and schedule cases on the theatre lists. Maintain the Ambulatory referrals trauma board Advice and support for medical and nursing staff Outcome data collection e.g. NHFD Working closely with the Orthogeriatrician Liaise with therapies and other members of the multidisciplinary team Liaise with bed managers and senior managers regarding priority for treatment Organising additional theatre lists for extra capacity for trauma cases. Drive Best Practice Tariff process for hip fractures Provide an interface between patients waiting at home for surgery and admission on various pathways. Practice and Service Development, Research & Evaluation Participate in audits. Participate in medical/nursing research. Undertake independent audit projects. Contribute to the Surgical site infection data collection Participate in developing new skills and advancing the service Be a source of knowledge and advise at all levels within the organisation. Provide support and advice to the junior medical team. Provide both formal and informal teaching for orthopaedic ward staff and outlying ward staff and as part of the clinical study days. Provide informal teaching to patients and relatives. Offer teaching to community staff regarding trauma and the management and conditions. Participate in induction for both medical and nursing staff programmes and mandatory training for all grades of staff. Pursue personal study in professional development and clinical upgrading relating to liaison and discharge planning. Management of the trauma team Assist in investigation of complaints. Ensure effective communication to ward staff, clinic staff and theatre staff regarding clinical decisions to maximise clinical benefit and the appropriate use of resources. Full time post 37.5 hour per week Job description Job responsibilities To be responsible for the day-to-day management of the Trauma service. Use expert knowledge to assess and examine patient in the A&E department. History taking and facilitating the admission process by assisting in the requesting of relevant investigations. Facilitatesfast tracking patients to the trauma wards. The co-ordination for the process for all trauma patients from the A&E to theatre and through to discharge. The post holder will be proactive within the daily consultant led trauma ward rounds, contributing to the review and treatment planning for all trauma patients. Ensuring treatment plans are communicated and implemented. Liaising with other clinical teams to optimise patients for their surgery. Contribute to the planning and organisation of the trauma theatre list. Provide an outreach service for outlying patients, including regular review of patients to ensure plan of care is implemented. They will offer support and advice for trauma patients and staff throughout Northampton General Trust. Effective planning, co-ordination and communication within the multidisciplinary team. Provide the interface between the clinical trauma service, patients and relatives to explain current treatment plans, delays and cancellations in treatment. Provide education information and advice to other professionals, including medical and surgical teams across the Acute Unit, district nurses, GPs, practice nurses, community hospitals and community therapists. The post holder will take an active role in getting patients with hip fractures to achieve Best Practice Tariff for Hip Fractures. They will drive the process and be an active part of the audit process, contributing to NHFD and the Harm reviews for hip fractures. Clinical Assessment/ Ward environment Clinical examination/assessment Assessment of the deteriorating patient Maintenance of records and databases Involvement in discharge planning Participation in pre and post-operative ward rounds Undertake nurse-led ward rounds if applicable. Referral for investigations and formulation of a treatment plan based on interpretation of results Interpretation of X-rays and other diagnostic investigations. Performing Fascia iliaca blocks to patient with confirmed hip fractures. Working with anaesthetic team to ensure alternative pain relief. Application of skin and skeletal traction Application of surgical appliances such as collars, TLSO, and splints etc Identification of medical risks and referral to specialty teams such as Anaesthetics Providing information and taking informed consent or working towards consenting patients Undertake clinical assessment to assist Consultants in making multifaceted complex clinical decisions regarding patient management and clinical outcomes, including, where appropriate, listing patients for trauma procedures and discharging patients from the service when treatment is complete. Demonstrate a high level of competence in examination skills. Facilitates the Trauma admissions process for trauma patients admitted to the Trust. Participates in the daily on call orthopaedic consultant trauma meeting and trauma rounds. Uses advanced knowledge and skills to accelerate the admissions process through the A&E department and fast-tracking hip fracture patients as appropriate. Ensures all trauma patients have a detailed care plan, which reflects the specialist trauma care patients receive for their condition or injury. Ensures patients are medically fit for surgery or makes appropriate referrals to other specialities for assessment or treatment of conditions, which prevents patients having surgery. Requesting investigations that assist in optimisation of patients for surgery. Works in conjunction with the Site team to repatriate and/or transfer trauma patients form the other trusts to Northampton. Facilitates good communications with all agencies involved in the continuity of patient care. Provides efficient and effective liaison, co-ordinates and facilitates multi-disciplinary care for outlying trauma patients. Acts as a resource for patients, relatives and carers requiring information and advice regarding episodes of care. Take referrals for ambulatory trauma cases, ensure the patient is prepared and schedule cases on the theatre lists. Maintain the Ambulatory referrals trauma board Advice and support for medical and nursing staff Outcome data collection e.g. NHFD Working closely with the Orthogeriatrician Liaise with therapies and other members of the multidisciplinary team Liaise with bed managers and senior managers regarding priority for treatment Organising additional theatre lists for extra capacity for trauma cases. Drive Best Practice Tariff process for hip fractures Provide an interface between patients waiting at home for surgery and admission on various pathways. Practice and Service Development, Research & Evaluation Participate in audits. Participate in medical/nursing research. Undertake independent audit projects. Contribute to the Surgical site infection data collection Participate in developing new skills and advancing the service Be a source of knowledge and advise at all levels within the organisation. Provide support and advice to the junior medical team. Provide both formal and informal teaching for orthopaedic ward staff and outlying ward staff and as part of the clinical study days. Provide informal teaching to patients and relatives. Offer teaching to community staff regarding trauma and the management and conditions. Participate in induction for both medical and nursing staff programmes and mandatory training for all grades of staff. Pursue personal study in professional development and clinical upgrading relating to liaison and discharge planning. Management of the trauma team Assist in investigation of complaints. Ensure effective communication to ward staff, clinic staff and theatre staff regarding clinical decisions to maximise clinical benefit and the appropriate use of resources. Full time post 37.5 hour per week Person Specification Skills Essential Time management and prioritisation skills Excellent communication skills Team leadership skills. Innovator. Ability to demonstrate leadership skills and staff management Knowledge of appraisals Knowledge of recruitment and retention of staff Knowledge of Iliac blocks for fracture neck of femur patient Negotiation skills Knowledge of the national hip fracture data base Desirable IT skills Education, Training & Qualifications Essential Registered Nurse, degree level Teaching/Assessor qualification. Evidence of continuous professional development Completion of a clinical leadership programme or equivalent Undertaken a Trauma and Orthopaedic course Desirable Masters or working towards Counselling or coaching skills/qualification Knowledge & Experience Essential Substantial experience in a clinical setting as a band 6. Substantial experience and knowledge of Trauma and Orthopaedics Experience in spinal care Experience with traction and plaster cast care Multi -professional working. Sound knowledge of assessment and examination of patients including history taking Desirable Project management. Presentation skills. Audit and research projects. Person Specification Skills Essential Time management and prioritisation skills Excellent communication skills Team leadership skills. Innovator. Ability to demonstrate leadership skills and staff management Knowledge of appraisals Knowledge of recruitment and retention of staff Knowledge of Iliac blocks for fracture neck of femur patient Negotiation skills Knowledge of the national hip fracture data base Desirable IT skills Education, Training & Qualifications Essential Registered Nurse, degree level Teaching/Assessor qualification. Evidence of continuous professional development Completion of a clinical leadership programme or equivalent Undertaken a Trauma and Orthopaedic course Desirable Masters or working towards Counselling or coaching skills/qualification Knowledge & Experience Essential Substantial experience in a clinical setting as a band 6. Substantial experience and knowledge of Trauma and Orthopaedics Experience in spinal care Experience with traction and plaster cast care Multi -professional working. Sound knowledge of assessment and examination of patients including history taking Desirable Project management. Presentation skills. Audit and research projects. Disclosure and Barring Service Check This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions. Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab). From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab). UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Additional information Disclosure and Barring Service Check This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions. Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab). From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab). UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Employer details Employer name Northampton General Hospital Address Northampton General Hospital Cliftonville Northampton Northampton NN1 5BD Employer's website https://www.northamptongeneral.nhs.uk/Home.aspx (Opens in a new tab)