Job responsibilities Main Duties and Responsibilities Rotation between Bolsover Street and Stanmore sites when applicable. Clinical Work with the limb reconstruction team to develop a multi-disciplinary service that optimises patient care. Autonomously review both Inpatients and Outpatients. Educating, reviewing and caring for patients in Limb reconstruction, Tissue Viability, Microbiology and combined clinics, seeking support when appropriate. This will include management and care of complex wounds and external fixators. This may warrant undertaking clinical shifts to develop own practice and understanding of current issues. Ensure that you take the Lead role within the MDT in coordination of the patient pathway (and outpatients as required). Attend case and MDT conferences as required. To work within the professional registration of the post holder acting as a role model through the provision of professional leadership and demonstration of competent practice. In extraordinary circumstances as defined by the Chief Nurse and in conjunction with the Deputy chief nurse - work as a member of the ward/centre/unit team to provide fundamental and safe levels of care. Demonstrate in-depth knowledge of your service that is based on evidence and research to assess, plan, implement and evaluate episodes of care for individual patients. To provide expert knowledge, advice and clinical support to members of the multidisciplinary team and ensure that all nursing and medical needs are understood and carried out in accordance with the present standards and protocols. Develop and co-ordinate Integrated Care Pathways (ICPs) of care to promote reduction of current waiting times, reducing delayed discharges and preventing re-admission/failed discharges into hospital. To assist in the development and implementation of local practice guidelines and protocols. To ensure that all information and knowledge provided is based on best practice and strives to meet the Trusts Values, vision, aims and objectives and should incorporate local and national policies, procedures, NICE guidelines and any other relevant legislation or national/international guidelines. Be available to offer advice on all aspects of your speciality, providing clinical advice and supporting Trust staff in meeting the standards and protocols in delivery of care for your speciality. Where appropriate give advice and support on your speciality to staff outside of the Trust Influence effective multidisciplinary teamwork and communication between health, social and voluntary organisations to deliver co-ordinated, seamless care. Co-ordinate/manage any relevant clinics for your service or/and be prepared to develop such clinics to benefit the LRUBIU patient group. Work autonomously, providing an effective nurse led service as needs dictate Organise radiographs, blood tests and other appropriate investigations (dependant on your skill level and training). Interpret the investigation results (ensure red flags are noted) and make appropriate plan of care, liaising with consultant of the speciality/GP, as required, regarding future treatment and management dependant on your speciality. Ensure that robust systems are in place for effective monitoring of performance against national and local indicators and any other reporting requirements. The post holder will be expected to be familiar with all local and NICE guidance relevant to your speciality KEY AREAS Management and Leadership Ensure staffs take responsibility for their own learning and encourage the development of lifelong learning and improving professional knowledge and competence in yourself and others. To line manage other team members where appropriate. Complete a Job Plan (in line with your direct line manager) for the role as per the Trusts Job Planning for Nurse Specialists and Consultant Nurses. Develop agreed care protocols, including shared/joint care, in conjunction with other members of the multidisciplinary team. To deputise for the Service Lead in their absence, if relevant. Using effective Clinical Leadership skills, promote a supportive collaborative team-working environment that inspires colleagues to encompass all the Trust values, aims and objectives to meet the Trust vision. Prepare reports and audits as required for your speciality including presenting aspects of the Quality reporting, and feedback at relevant senior meetings, Divisional Operational meetings, Incident review group, Nursing leadership forum, CNS forum. Ensure that specific specialised procedures and protocols to cover all aspects of care within the Royal National Orthopaedic Hospital are readily available for staff. Supervise the maintenance of equipment and ensure all equipment complies with CNST Standards and current legislation. Promote and initiate innovations and change related to improvement of clinical services in relation to your speciality. Assist with the management of complaints (including being the Lead for investigations), review services and assist with Serious Incident (SIs) root cause analysis (RCAs) in conjunction with the Triumvirate. Professional Acts as a positive role model through the provision of effective professional leadership for relevant clinical areas and demonstration of competent and accountable clinical practice. Demonstrates knowledge of contemporary clinical practice, explores new ideas and introduces positive, evidence-based change in line with local and national/international initiatives and share with your team To establish and maintain professional networking relationships with all professionals and groups/Trusts. To be accountable for ones own professional practice and professional development and ensure registration and compliance with the NMC and the Code of professional Conduct or other relevant regulatory body for your discipline and support junior members of staff to do the same. Develop and implement educational programmes for staff with regard to your speciality, education for patients, carers and colleagues and evaluate effectiveness of this delivery with your team. To collect and analyse incidents and prevalence data for your speciality within the Royal National Orthopaedic Hospital NHS trust, identifying trends and translating these to reports/action plans. Works within the financial budget allocated to your speciality, in collaboration with the line manager, operational manager and divisional head of nursing. Education, Training and Development Act as an advisor /educator and role model to less experienced doctors, nurses and therapists (MDT) to ensure appropriate care is planned, implemented and evaluated To work in close collaboration with other clinicians to set and maintain local standards Trust, with regards your speciality. Assist in the development of competency-based frameworks for nurses, monitoring and evaluating their effectiveness, in order to fast track development of nursing staff. To maintain links with the appropriate Higher Education facilities such as Universities, via the link tutors and provide external training as required. Supervise facilitation of MSc Professional Nursing Practice, BSc Professional Nursing Practice, Nurses Returning to Practice, students and all learners wishing to extend their knowledge of your speciality. To actively participate in your own appraisal and those appraises. Run recruitment and retention strategies within your division. Maintain a current awareness of local, regional, national, and international perspectives using and sharing this knowledge to influence service development. Promote the improvements of quality and clinical effectiveness within resource constraints. Monitor risks in own and wider practices, challenging others and identifying issues with your service. Maintain and update the risk register with your line Manager. Participate and support where required on Trust Panels and investigations (both Serious Incidents, Disciplinary and Root Cause Analysis) involving staff members. Audit Undertake audits in relation to your speciality in order to assess and monitor the quality of nursing practice in the clinical setting. Assist other team members to do the same. Ensure feedback to other interested parties are given so that lessons learnt and changes in practice made can be shared. Facilitate research-based, innovative practice in the delivery of your speciality and act as a change agent in the implementation of changes identified to improve care. Assess and monitor the number and themes from your incidence reports which occur within the RNOHT, encouraging transparency and a culture of no blame to encourage high levels of no harm reporting, while reporting all levels of harm. Develop local, standard policies and practices which further the philosophy of patient-centred, individual, research-based care for all patients within your speciality.