ClinicalGeneric Once competent, to be responsible, unsupervised, for implementing the standards and policies relevant to the Hand Therapy team Within specific guidelines and following training, to be solely responsible and accountable for a clinical case load working within codes of practice and professional guidelines. This includes patient documentation in both professional and medical notes. Solely responsible: For the primary assessment of patients relevant to the scope of the Band 4 role Once competent teach, supervise and progress exercises for a specific caseload without direction. This may include (but not exclusively):o Splint fabricationo Wound care and soft tissue techniqueso Strengthening exerciseso Upper limb rehabilitation classeso Issuing and ordering equipmento Functional assessments including personal and domestic tasks Motivating patients to exercise and address barriers to compliance To be responsible for performing given tasks and reporting any concerns to the Band 7 therapist or appropriate member of the clinical team through daily feedback. To be aware of and adhere to Trust and local policies and procedures. To provide programmes (exercise prescription) of activity that have a therapeutic basis following evidenced based guidelines laid down by the Specialist therapists. To be aware of safe practise and the need for onward referral, particularly when carrying out exercise testing and exercise programmes. To demonstrate a physical ability to carry out therapy interventions and therapeutic handling without direct supervision. There is a frequent requirement to exert moderate physical effort for several short periods during the day. To be responsible for the safe use of therapy equipment, adhering to the Trust medical device policy. This includes competency and accuracy to use equipment by you, other healthcare professionals, carers and patients. This job will involve frequent exposure to unpleasant working conditions e.g. bodily fluids, surgical wounds, unpleasant smells and occasional exposure to hostility in the form of verbal and physical aggression. Education To gain the required knowledge and skills in the relevant technical and clinical areas. To be responsible for maintaining these skills under the supervision and with support from the clinical specialist therapist in that area. To attend external courses where appropriate giving feedback from any attended. To be responsible for and actively record your own personal development. To contribute to the induction of new therapists, therapy students to the Therapy Department To participate in the Therapy audits To take part in the Therapy team IST rota through attendance and delivered presentations. To acquire, complete and maintain competencies in order to participate an appropriate weekend rota. Management To prioritise a delegated caseload and balance other patient related and professional activities in accordance with the departments requirements. This will require occasional concentration in an unpredictable and busy environment and may include responding to urgent referrals and occasionally unpredictable work patterns. To organise ongoing outpatient/community therapy treatment on patient discharge if required To be able to manage potentially upsetting or emotional situations in an empathetic manner including but not limited to, Post-op complications, high levels of pain. To work within the therapy team to provide an efficient and effective service and to be involved in the implementation of department policies and the yearly performance plan. To maintain and provide accurate and timely statistical information. To participate in the Trust Appraisal Scheme as an appraisee. To ensure that all equipment defects accidents and complaints are reported to your line manager and the Therapy Manager immediately to ensure that appropriate action may be taken. To be responsible for cleaning and checking the conditions of relevantequipment. Management and organisation of all equipment in stores. To maintain and manage ordering of stock ordering specific pieces for patients on behalf of the lead therapist Undertake associated admin for the role CommunicationGeneric Demonstrate a courteous and helpful approach to patients and their families, ensuring patients feel reassured and supported. Take patient phone calls and seek advice from relevant specialist therapists when appropriate, and to use reassurance skills that require tact and persuasion on occasions. To maintain accurate clinical records, ensuring compliance with hospital, Frimley Health, professional standards and local guidelines. Report untoward incidents, accidents, complaints and any other relevant information to specialist therapists immediately. Participate fully as a team member, sharing knowledge and information and supporting colleagues, to promote a cohesive team. To attend and be an active member in speciality and department staff meetings. To use interpreters when required to ensure effective communication occurs with patients who are hard of hearing or do not speak/understand enough English for the purposes of consent and cooperation for treatment. Research/Audit/Quality In line with Trusts commitment to Clinical Governance to participate in the therapy departments clinical audit programme To contribute to the therapy annual business plan.