Detailed job description and main responsibilities
Clinical Provision & Expert Practice
1. Develop high degree of clinical knowledge to independently assess, diagnose, plan, implement and evaluate treatments and interventions for patients presenting to the specialty with complex undifferentiated or undefined presentations.
2. Develop to undertake physical examination as indicated by the patient's condition; autonomously analysing complex clinical signs and investigation results to consider differential diagnoses and diagnose conditions, initiating treatment as required.
3. Develop the skills and knowledge to perform clinical procedures appropriate to the history and physical examination of the patient, including further invasive testing and treatments requiring highly developed skills and precision, including (but not limited to) catheterisation, cannulation, peripheral arterial blood gas sampling.
4. Develop the skills and knowledge to request investigations such as blood, urine and other laboratory tests, electrocardiographs (ECGs), ultrasound scans, X-Rays and computed tomography (CT) scans in accordance with IR(ME)R regulations and as local policy allows.
5. Develop the skills and knowledge to analyse multiple sources of data including patient history, physical examination and investigation findings when making diagnoses, clinical judgements and evaluating care provided; presenting this information, to specialty /senior medical staff for advice when scope of practice is exceeded.
6. Develop the skills and knowledge to autonomously formulates appropriate management plans for patients, formulates clinical decisions and often complex treatment plans to manage acute illness and acute episodes of chronic illness including referral, admission or discharge.
7. Develop the skills and knowledge to continuously evaluate findings and clinical response to treatment and establishes an appropriate ongoing management plan accordingly.
8. Develop the skills and knowledge to prioritise health problems and intervenes appropriately in complex, urgent and emergency situations, including initiation and leadership of resuscitation.
9. Develop the skills and knowledge to manage clinical events involving patients, often requiring unpredictable and high levels of mental and/or physical effort according to the patient's dependency and clinical need.
10. Develop the skills and knowledge to provide clinical cover to the specialty wards according to patient and staffing needs.
11. Develop the skills and knowledge to prescribe and review medication (as an independent prescriber) for therapeutic effectiveness appropriate to patient need and in accordance with best/evidence-based practice and national and local protocols and within the role's scope of practice and legal framework.
12. Develop the skills and knowledge to integrate both pharmacological and non-pharmacological treatment in patient care/management plans.
13. Develop the skills and knowledge to assess patients with mental health needs using local policy and guidelines and refers to the appropriate services.
14. Communicates effectively with patients, carers, colleagues and others using appropriate communication styles. Anticipates barriers to communication and ensures patients and significant others are kept fully informed and consent to treatment.
15. Acts as a resource for staff, advising on local, national and Trust policy, procedures and guidelines ensuring patient safety and clinical governance.
Clinical Leadership
1. Works in partnership with the existing senior medical, nursing and AHP teams in driving departmental development and change.
2. Manages conflicting views and liaises between groups where there may be conflict.
3. Highlights and addresses areas of witnessed poor practice and manages the situation appropriately.
4. Supports staff development to maximise their potential, encouraging everyone to learn from each other and from external good practice.
5. Supports patients, carers and staff during difficult situations arising in the clinical area e.g. breaking bad news or following an unexpected event.
6. Produces accurate and complete documentation and patient records consistent with legislation, policies and procedures.
7. Possesses excellent time management and personal organisation skills.
8. Acts as a knowledge resource in how to initiate and manage the impact of change.
9. Develops and contributes to local guidelines, interpreting and adapting national protocols and standards to enhance patient care and safety.
10. Maintains awareness of budgetary constraints within the department, manages resources appropriately and encourages others to do likewise.
11. Ensures appropriate representation and participation in departmental meetings as appropriate for role.
12. Actively contributes and provides leadership with service development plans within the directorate.
13. Ensures optimization of preoperative investigations, ensure all appropriate imaging has been requested and updated in a timely manner.
14. Ensures optimal care is delivered for patients while in hospital and co-ordinates efficient discharge and postoperative care.
15. Reviews patients in clinic postoperatively and acts upon or escalates concerning findings.
Person specification
Education and Qualifications
Essential criteria
1. RGN/ HCPC Registered professional
2. Qualification in Advanced Assessment Skills with evidence of clinical practice
3. Registered independent non-medical prescriber
4. Registered in an MSc in Advanced Clinical Practice
Desirable criteria
1. Post qualification education in Orthopedics Surgery
2. Teaching qualification
3. Enrolled in an MSc in Advanced Clinical Practice
Experience
Essential criteria
1. Currently working as a senior nurse/AHP in Trauma and Orthopaedics/MSK or similar
2. Senior clinical leadership experience
3. Significant post registration experience in inpatient surgery
4. Experience and evidence of developing practice
5. Experience of supporting learning in the clinical environment
6. Acknowledged expert in their field who is clinically credible
7. Significant post registration experience in Trauma and Orthopaedics/MSK
8. Experience of participating in clinical audit
Desirable criteria
1. Experience of disseminating work through presentation/publication
2. Previous experience in a practice development role/ formal teaching experience
3. Previous experience of working in an inpatient surgery setting
4. Acknowledged expert in their field who is clinically credible
Skills and knowledge
Essential criteria
1. Evidence of excellent communication and interpersonal skills to enable effective relationships with all staff, the patients and their carers
2. Experience and evidence of working collaboratively in a multidisciplinary environment
3. Experience of anticipating stressful situations and act in a supportive manner, safeguarding team wellbeing and leading debriefs
4. Evidence of effective leadership, practice development, expertise and innovation in clinical practice
5. Evidence of teaching/facilitating skills
6. Ability to critically appraise research literature and apply research findings to practice as appropriate
7. Good insight into current health policy developments
8. Work autonomously, demonstrating critical analysis and decision making skills. Ensure provision of care
9. Evidence of effective leadership, practice development, expertise and innovation in clinical practice
Important
1. The closing date given is a guide only. There may be some occasions when we have to close a vacancy once sufficient applications have been received. You are therefore advised to submit your application as early as possible to avoid disappointment.
2. Please check your emails regularly as this is how we will communicate with you throughout the recruitment process.
3. If you have not heard from us within 3 weeks after the closing date, we regret that this usually means your application was not successful.
4. In submitting an application, you authorise the Trust to confirm any previous NHS service details via the Inter Authority Transfer (IAT) process, should you be appointed to the post.
5. During the recruitment process your identity documentation (ie passport, driving licence, visa etc) will be scanned using a device which recognises UV, infrared and machine-readable zone security features of the documents provided.
6. Employment at the Trust is offered subject to successful completion of a six month probationary period.
Applicant requirements
You must have appropriate UK professional registration.
This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service. #J-18808-Ljbffr