PRIMARY DUTIES & AREAS OF RESPONSIBILITY 1. Assist in the delivery of an advanced level of care for patients attending the Emergency Department (trauma team activations) and patients admitted to the Major Trauma Service to ensure that standards are met, timely decisions are made and that all appropriate specialities are involved in the care of the patient. 2. Navigate the patient through the entire pathway from ED through to discharge from the MTC ensuring compliance with all standards 3. Utilise their in depth knowledge of the care pathway and the complex needs of the trauma patients to provide advanced level clinical coordination of the care pathways from admission to discharge or transfer of care, including liaison with services and to make independent onward referral where required. 4. Support the ongoing assessments of patients including, when required, supporting medical staff in completing secondary and tertiary surveys/assessments and the ordering and follow up investigations for the purpose of diagnosis and treatment planning. 5. Using proactive and skilled approach, undertake specialist and comprehensive assessment of patients needs and use advanced clinical reasoning, analytical and investigative skills to interpret clinical and non-clinical information in order to formulate an opinion to inform and influence discharge plans and actively manage the patient pathway (including the completion of patient Trauma Tertiary Survey (TTS)) as outlined in the National Major Trauma measures. 6. Communicate with patients and provide an evidence based rationale for their treatment plans and on-going pathway, supporting them to make informed choices on managing their recovery. Provide up to date information regarding treatment plans and ensure this is reflected in discharge documentation and the rehabilitation prescription. 7. Attend and coordinate the multidisciplinary team (MDT) meetings, Major Trauma ward rounds, MTCC meetings, and any other relevant clinical meetings as appropriate to oversee and promote well organised, multi-disciplinary care for all major trauma patients. 8. Provide specialist advice and support to medical and nursing staff and members of the wider MDT and work with the MDT to develop, implement and evaluate integrated care pathways and systems of the MDT documentation. 9. Act as a resource with for staff caring for patients in outlying wards enabling them to manage additional care needs while working to repatriate patients as soon as possible. 10. Liaise between all disciplines and departments, leading on the timely preparation and scheduling of patients for further investigations, interventions or treatments, including surgery, where appropriate and in the formulation of discharge plans including repatriation. 11. Deliver expert trauma care clinical advice to healthcare professionals in all secondary healthcare settings within the local health economy and liaise with healthcare providers to ensure safe transfer of complex patients who require specialist care of repatriation. 12. Lead in the development of guidelines and policies to support evidence based practice and compliance with national and local standards. To develop pathways, policies and Standard Operating Procedures (SOP) for the MTC and participate in working groups across disciplines and service lines, seeking assurance of onward care and delivery of the rehabilitation prescriptions. 13. Work in partnership with the rehabilitation coordinators, bed management and operational teams to ensure swift and clinically effective repatriation and discharge of trauma patients. Education 14. To produce and provide patients and their relatives with relevant and accessible written information regarding their treatment in accordance with Trust standards. 15. Provide or aid the provision of specific trauma related education and opportunities within the MDT. 16. Work with other clinical staff to identify gaps in relation to specialist patients and ensure staff are appropriately educated. 17. Keep up to date with national and local developments in NHS policy and practice developments 18. To be responsible for maintaining own competencies for practice through CPD activities and maintain a portfolio which reflects personal development and enables maintenance of NMC registration. 19. To maintain up to date specialist knowledge in the management of patients. 20. Participate in and assist with any appropriate /relevant Trust approved research projects relevant to major trauma patients. 21. Act as a mentor /supervisor to members of the Major Trauma Service as appropriate. 22. Undertake teaching and presentations to promote the Major Trauma Service and the treatment pathways for Major trauma patients. E.g. deliver core trauma training to a range of personnel such as scribe training, collar care (including competency sign off when appropriate), Trauma Immediate Life Support (TILS), and Trauma Team Training (TTT). 23. Willingness to undertake MSc level education relevant to the post. Management 24. Under the direction of the MTC clinical lead, MTC manager and MTC lead nurse provide clinical leadership to the team in the provision of the trauma service. 25. Liaise effectively with all other disciplines within the trust and wider trauma system. 26. Participate in the management of change to improve standards and communication links between providers within the MTC and wider trauma systems. 27. Initiate new ideas and methods and encourage other staff to do the same in support of modernisation and development of the service in conjunction with key clinical leads. 28. Ensure Health and Safety of patients and colleagues at all time in line with current Health and Safety legislation. 29. To deputise to the MTC Lead Nurse. 30. Encourage and enable staff involvement in the management of resources. Work with relevant services managers to providing feedback of their experience of the current service and suggestions for improvement. 31. Actively involve service users in providing feedback of their experience of the current service and suggestions for improvement. 32. Contribute to the local resolution, investigation and follow up action of any informal or formal complaints within the Major Trauma Service. 33. To use the Healthroster rota system to ensure robust service cover over 7, annual leave allocation and ensure the partial approve of this within the Trust allocated timeframes. Professional 34. Attend relevant trauma governance meetings, ensuring feedback is provided to team members and staff within the trauma pathway. 35. Contribute and support relevant key quality and performance indicators associated with the trauma pathway. 36. To regularly lead and participate in activities designed to improve service delivery and policy changes within the team. 37. To work with the therapy services managers, clinical specialist and service lines teams in developing the strategic and operational management of the Major Trauma service and rehabilitation pathway for Major trauma patients. 38. Ensure standards for best practice are maintained and act as a senior professional role model. 39. Comply to trust and professional mandatory training requirements. 40. To undertake the measurement and evaluation of own and others current practices through the use of evidence based practice projects, audit, outcome measures and benchmarking. Leads on and participates in audits in areas relevant to trauma/ polytrauma, ensuring that the results are used to sustain and/or improve the quality of care. 41. To be professionally and legally responsible and accountable for all aspects of own work including maintenance of medical devices. Emotional and mental effort 42. Ensure good communications with patients who have impaired understanding or communication difficulties. 43. Frequently using complex problem solving skills, making and dealing with difficult clinical decisions. 44. Daily requirement for multi-tasking e.g. writing notes, communicating with teams, telephone calls, with regular interruptions/bleep. 45. With teams set goals and plans for the patient. Summarise treatment and future goals when writing rehabilitation prescriptions or discharge reports. 46. Dealing with patients and families undergoing major changes in their health and social position, e.g. anxious and/or angry carers, family, family breakdown, isolated and depressed patients and carers on a daily basis. 47. Dealing with death, bereavement, the terminally ill, distressing conditions and treatments, including children. 48. Frequently helping patients and carers come to terms with their impairments, disability and handicap. 49. Immediate response to complaints/demands from distressed or anxious carers and other professionals 50. Occasionally dealing with confrontation and differing professional and ethical opinions regarding case management.