To provide a high standard Physiotherapy service across Children's Critical Care and the Children's wards, assessing and treating acutely unwell children. This post holder will be expected to cross cover a mixed caseload of paediatric patients across various specialties within Oxford Children's hospital, to backfill for compensatory rest. The post holder is expected to work closely within the holistic team including Doctors, Nurses, Occupational Therapists, Speech & Language Therapists and Play Therapists. This will also support the provision of the respiratory service within the Neonatal unit.
Main duties of the job
* To provide an effective and efficient physiotherapy service to patients, including assessing, treating and delegating the changing workload within the Children's Critical Care unit and across the paediatric wards.
* Perform specialist assessment of patients including those with highly complex presentations, and from this formulates a diagnosis and treatment plan, which is carried out as an autonomous practitioner.
* Maintain a clinical caseload of highly complex patients including acutely ill respiratory patients (with / without ventilatory support) in Children's Critical Care.
* Provide cover and support to the neonatal unit for acutely ill pre-term/ term infants with or without ventilatory support.
* Partake in the supervision, teaching and appraisal of junior physiotherapists and physiotherapy students, including the appropriate teaching component of the on-call competency programme.
* Plays an active role in service development within acute paediatrics.
* Assists in the operational management and overall development of the Acute Paediatric team.
* Supports the team leader and undertakes delegated responsibilities.
* Supervises, initiates and participates in evidence-based projects within Paediatrics, in conjunction with the Band 7 Team Leader. Assists with implementing changes within designated area and setting and monitoring standards of practice.
* To be aware of and operate within specific legal and national frameworks in relation to the care of children. E.g. The Children Act
About us
Our friendly and vibrant Children's Therapy and Gait team consist of approximately 80 staff working across 5 professional groups (physiotherapy, occupational therapy, speech and language therapy, dietitians, healthcare scientists). Together we offer a mix of inpatient and outpatient services to our patients across 4 sites (Nuffield Orthopaedic Centre, John Radcliffe Hospital, Douglas House, Horton General Hospital) to provide world-class collaborative multi-disciplinary care. We are fortunate to work within a large teaching Trust housing many tertiary and regional clinical specialities which encourages staff development, research and quality improvement initiatives.
Children's Therapies sits within the NOTSSCaN division within Oxford University Hospital's NHS Foundation Trust. There is a strong learning ethos, and the team regularly host students across all professional groups in addition to supporting continual professional development of its staff.
We are keen to talk to you if you reflect or aspire to our core values - excellence, compassion, respect, delivery, learning and improvement.
Benefits of working for us include career development and regular supervision, staff recognition and excellence schemes and wellbeing support. We are committed to equality, diversity and inclusion as we know this leads to better patient care and a happier workforce. We will consider applications to work flexibly, part-time or job share.
Job description
Job responsibilities
Clinical:
* To be professionally and legally responsible and accountable for all aspects of own professional activities
* To undertake the specialist assessment of patients as an autonomous practitioner, including those with highly complex presentations, and using clinical reasoning skills, knowledge of evidence-based practice.
* To interpret and analyse clinical and non-clinical facts to form accurate diagnoses in a wide range of highly complex conditions and to formulate prognoses and recommend best course of intervention, developing and implementing comprehensive treatment and discharge plans.
* To continually reassess patients in order to progress treatments effectively and advise patients, carers and other colleagues as required.
* To assess a patients capacity to understand and to gain valid, informed consent for treatment. To work within a legal framework with patients who lack the capacity to consent or refuse treatment.
* To co-ordinate intervention which may include other disciplines advises and educate patient/ carers/ relatives/ other health professionals.
* To demonstrate the ability to communicate complex and sensitive information to patient, carers and other staff, where there may be barriers to communication e.g. non-English speaking patients those with communication disorders, impaired speech, hearing, and ensure all members of the team do likewise.
* To communicate effectively with all other disciplines involved in the patients care both in the Hospital and in the community thus ensuring a multidisciplinary approach and integrated service.
* To manage clinical risk within own caseload at all times.
* To maintain accurate electronic and written records using POMR system, in line with Professional Standards. To provide comprehensive progress and discharge reports to referrers as required. To be responsible for ensuring that Band 5 staff and student physiotherapists are maintaining the department standards.
* To participate in the respiratory overnight on-call, weekend and emergency duties as lone practitioner within the hospital site (with the possibility of twilight working and 7 day service). Provide advice to MDT regarding patients cardiorespiratory function.
* To demonstrate physical ability to carry out physiotherapy assessment and interventions including manual therapy techniques and therapeutic handling.
* To demonstrate highly developed dexterity, co-ordination and palpatory sensory skills for assessment and manual treatment of patients.
* To represent physiotherapy and / or individual patients at multi-disciplinary team meetings, to ensure delivery of co-ordinated care. This will include discussion of patient care / discharge planning.
Management:
* To assist in the day to day running of the Children's Critical Care service and caseload, including attending handover, planning, allocation, liaison with MDT, training and patient care.
* To be responsible for competent use and maintenance reporting of all equipment used including but not limited to gym equipment, hoists, IPPB, ventilators, saturation monitors and patient appliances, and to ensure that junior staff/students and assistants attain competency prior to use.
* To assist in the supervision, teaching and appraisal of junior staff and assistants on a daily basis.
* To be responsible for the operational management of the designated team in the absence of the team leader or as required.
* To flexibly plan and organise own time, patient caseload, meetings, training and adjusting plans as required according to staffing levels.
* To be able to respond to unpredictable work patterns and frequent interruptions.
* To assist in the planning of juniors, students and assistants timetables and deputise for the team leader in organisational duties.
* To represent Children's Critical Care within the Children's Therapy team.
* To support the Induction of all new staff to Children's Critical Care in preparation for their undertaking of on call duties.
* To achieve the effective daily management of a caseload of patients including responding to urgent referrals, prioritising clinical work and balancing other patient related and professional activities in accordance with departmental standards.
Education:
* To contribute to the education of multidisciplinary groups, patients, families and carers as appropriate.
* To be responsible for own personal professional development and keep abreast of new clinical practices in the area of critical care / cardiorespiratory care. To attend and contribute to, specialist continuing education programmes. To attend external courses / education as appropriate.
* To be responsible for undergraduate student physiotherapists as allocated by the team leader.
* To be pro-active with regard to learning from other physiotherapy staff within the department, and other MDT staff in the Trust.
* To be responsible for and actively record own personal professional development and maintain a CPD portfolio in line with HCPC recommendations.
* To maintain current awareness and knowledge of all new developments relevant to physiotherapy treatments and attend training and courses as appropriate.
* To assist in organising and actively participate in the in-service and post-registration education programme within the specialist clinical area.
* To maintain and develop current knowledge of evidence-based practice, developing specialist knowledge of particular conditions and patient types.
* To undertake an evidence-based project / service development with professional presentation of the project to the physiotherapy team / department.
Research and audit:
* To participate in the departments ongoing audits and appropriate work related evaluation/research projects.
* To keep abreast of evidenced based practice in the clinical area by use of relevant reading, attendance at in-service training, external courses and database searches.
* To ensure good working knowledge of national and local standards and monitor quality as appropriate.
General Conditions Risk Management:
The management of risk is the responsibility of everyone and will be achieved within a progressive, honest and open environment.
Staff will be provided with the necessary education, training and support to enable them to meet this responsibility.
Staff should be familiar with the
* Major Incident Policy
* Fire Policy
* Information governance
and should make themselves familiar with the local response plan and their role within that response.
Responsibilities for Health and Safety:
The post holder is responsible for ensuring that all duties and responsibilities of this post are carried out in compliance with the Health & Safety at Work Act 1974, Statutory Regulations and Trust Policies and Procedures. This will be supported by the provision of training and specialist advice where required.
Infection Control:
Infection Control is everyone's responsibility. All staff, both clinical and non-clinical, are required to adhere to the Trust's Infection Prevention and Control Policies and make every effort to maintain high standards of infection control at all times thereby reducing the burden of Healthcare Associated Infections including MRSA.
All staff employed by OUH have the following key responsibilities:
* Staff must wash their hands or use alcohol gel on entry and exit from all clinical areas and/or between each patient contact.
* Staff members have a duty to attend mandatory infection control training provided for them by the Trust.
* Staff members who develop an infection (other than common colds and illness) that may be transmittable to patients have a duty to contact Occupational Health.
Child Protection:
The post holder will endeavour at all times to uphold the rights of children and young people in accordance with the UN Convention Rights of the Child.
Safeguarding Children and Vulnerable Adults:
The Trust is committed to safeguarding children and vulnerable adults throughout the organisation. As a member of the trust, there is a duty to assist in protecting patients and their families from any form of harm when they are vulnerable.
Information Governance:
All staff must complete annual information governance training. If you have a Trust email account this can be completed on-line, otherwise you must attend a classroom session. For further details, go to the Information Governance intranet site.
Data Quality:
Data quality is a vital element of every member of staff's job role. Oxford University Hospitals recognises the importance of information in the provision of patient care and in reporting on its performance. Data quality is therefore crucial in ensuring complete, timely and accurate information is available in support of patient care, clinical governance, performance management, service planning, and financial and resource planning and performance.
All staff should ensure that they have read and understood the Trust's Data Quality Policy.
Person Specification
Essential / desirable
Essential
* Degree in physiotherapy and HCPC Registered
* Broad range of NHS experience inc. of paediatrics and critical care
* Evidence of recent CPD relevant to clinical specialty
* Participation in on-call respiratory physiotherapy rota
* Evidence of good communication with range of MDT
Desirable
* Interest and understanding of research and audit
* Understanding of clinical governance and implications for physiotherapy
* Supervision of other staff (e.g. therapy assistants and students)
* Evidence of presentation skills
Employer details
Employer name
Oxford University Hospitals NHS Foundation Trust
Address
Oxford Children's Hospital, JR Hospital
Headley Way
Headington, Oxfordshire
OX3 9DU
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