Join to apply for the Bone Health and Fracture Prevention CNS role at University Hospitals Bristol and Weston NHS Foundation Trust
The Bone Health & Fracture Prevention Clinical Nurse Specialist (CNS) will provide specialist support for patients over the age of 50 who sustain a fragility fracture by coordinating the Fracture Liaison Service for Weston General Hospital. Aspects Of This Work Will Include:
* Identifying patients who have recently suffered a low impact (fragility) fracture.
* Referring patients under the age of 75 for assessment of bone mineral density (a Dual Energy X-ray Absorbtiometer (DXA) scan) in line with NICE TA161.
* Communicating the need for bone protection therapy and calcium/vitamin D3 supplementation to GP’s of patients over the age of 75, without the need for a DXA scan, unless there are reasons for DXA scanning (as per protocol).
* Identification of patients who will benefit from an osteoporosis specialist clinic review with either Rheumatologist or CNS.
* Identification and coordination of patients requiring initiation on parenteral treatments e.g., Denosumab or IV bisphosphonates or Teriparatide.
* Discussing DEXA results, treatment options, lifestyle advice, and pain management to patients in outpatient appointments (after training).
* Providing education, training, and health promotion sessions to patients and health professionals.
* Carrying out audit programmes to establish the effectiveness of fragility fracture patient identification, referral pathways, and treatment interventions.
* Involvement in Research and Development studies appropriate to the department.
* Demonstrating politeness, courtesy, and sensitivity in providing compassionate care for patients, visitors/relatives, and colleagues.
* Contributing towards sharing good practice within the multidisciplinary team.
* Promoting a positive image of University Hospital Bristol & Weston NHS Foundation Trust at all times.
* Working cohesively with all members of the multidisciplinary team and promoting effective liaison to ensure that the very best services to patients are provided at all times.
* Communicating effectively within the multidisciplinary team, motivating and supporting team members while maintaining confidentiality with patients and carers. Giving written and verbal advice/teaching to patients and carers.
* Working with staff in the Fracture Clinic, Orthopaedic Wards, Plaster Room, ER department, Radiology, Rapid Response Team, IT department, and Elderly Care departments to further develop the systems in place that identify patients with low trauma (fragility) fractures.
* Ensuring that suitable patients are referred to the DXA scanner.
* Working with hospital teams to ensure that appropriate systems are in place and being followed for low-impact fracture patients to have suitable blood investigations according to pre-defined protocols.
* Continuing the development of the Weston Fracture Reduction Service.
University Hospitals Bristol and Weston NHS Foundation Trust (UHBW) is one of the largest acute Trusts in the country, bringing together a combined workforce of over 13,000 staff and over 100 different clinical services across 10 different sites, serving a core population of more than 500,000 people across South West England. UHBW has been rated by the CQC as ‘Good’ overall, and our staff are proud to deliver excellent care to the people of Bristol, Weston, and beyond. As a forward-thinking multi-award winning Trust and a digital exemplar committed to improving patient care, our world-leading research and innovations are having a positive local and global impact. Our hospitals are spread across Bristol and Weston, join us and you can enjoy the very best of both worlds; city living within a stone’s throw of the countryside or beside the seaside, both with easy access to all that the South West has to offer. UHBW is committed to safeguarding and promoting the welfare of children, young people, and vulnerable adults. As an equal opportunities employer actively working towards a diverse workforce, we aim to recruit and retain a workforce that represents the rich diversity of the local population at all levels and are committed to designing our services around the needs of individual patients and those around them.
For further details / informal visits contact:
Name: Lakshmi Iyer
Job title: Matron - Outpatient Services
Email address: madalakshmi.iyer@uhbw.nhs.uk
Telephone number: 07477575597
Seniority level
* Entry level
Employment type
* Full-time
Job function
* Health Care Provider
* Industries: Hospitals and Health Care
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