NHS Jobs
Location
Nuneaton, Warwickshire | United Kingdom
Job description
PURPOSE To provide specialist advice to support the assessment, planning and management of care to patients with diagnosed hip and fragility fractures. To promote a culture that recognises and meets the specialist and complex needs of hip and fragility fracture patients, whilst ensuring that performance targets such as reduction in length of stay. Accountable for own professional actions and not directly supervised. Physically assess hip fracture patients and implement treatment and care plan in a timely manner. Contribute to improving the care and outcomes for patients with fractured neck of femurs by leading and implementing best practice and ensuring all care is evidence based Undertakes research and leads clinical audits in own specialist area. To actively lead, participate and manage data collection for patients with hip fractures and ensure that performance is communicated within the directorate. To provide clinical expertise to the departmental team, acting as a role model in the delivery of patient care. To lead, support, supervise and teach staff, within the specialist area. The post holder will work closely with and support the department / ward manager and multi-disciplinary team members in monitoring and maintaining policies, standards of nursing care, staff and service development within the department/ward environment The post holder is expected to always act in a manner consistent with the NMC Code of Professional Conduct, carrying out his/her duties in accordance with Trust policies and procedures. MAIN DUTIES AND RESPONSIBILITIES Ensure patient safety is maintained. To undertake initial assessments of referred patients with fractured neck of femur within the Emergency Department; to include adequate pain relief, bloods, ECGs, cognition assessment and fundamental nursing assessments are completed. To undertake a comprehensive psycho-social, functional and medical history assessment. To lead on specific aspects of care delivery to patients who are diagnosed with fractured neck of femur. To be the key liaison with theatres, geriatric, anaesthetic and orthopaedic teams in the coordination of ensuring patients do not have unnecessary delays for surgery and reduce pre-op fasting by attending trauma meetings daily and working with ward teams. To effectively manage and coordinate beds for patients with fractured neck of femurs by identifying patients suitable for step down to other ward and ensure the effective treatment and nursing care is provided for patients not directly admitted to the trauma orthopaedic ward. To lead on service improvement in the management and care of patients with fractured neck of femur and fragility fractures working with other agencies both internally and externally. To provided specialist clinical advice, support and education to professions/ staff and other agencies internally and externally. To promote a culture of demonstrable best practice and integrated evidence based practice using advanced levels of clinical reasoning and clinical judgement. To have understanding of safeguarding, being able to appropriately identify those patients at risk, managing referrals and assist with investigations in line with Trust policy and procedure. To have an understanding of the Mental Capacity Act and Deprivation of Liberty and be able to apply to this clinical practice. To exercise a high degree of personal and professional autonomy and make appropriate judgements to meet the needs of this high risk patient group for example assessment of patient condition, develop management plans for ongoing care for patients. Establish and maintain effective communication with various individuals and groups on highly complex potentially stressful topics in a range of situations including supporting patients and their relatives/carers through the diagnosis, management and prognosis of fragility fractures. To discuss and agree short, medium or long term goals, prioritise care and develop plans with the patient, family carer and health care team. To liaise with the multidisciplinary team, co-ordinating and participating in case discussions recommending best course of action as necessary. To support patients/carers encouraging them to promote their own health and well-being and to express their interests and concerns. To provide support and care for the patient and his/her family respecting their need for privacy and dignity. Actively promote best practice, ensuring all care is evidence based. Be professionally responsible for adherence to Trust policies and procedures. Lead / participate in audits of practice (NHFD), research and clinical effectiveness in accordance with the Divisional audit plan. Participate and contribute to developments within the management of patients with hip fractures. Apply current research findings to clinical care and actively disseminate these findings. Produce written communications which are clear, fluent, concise and easily understood. Carry out nursing procedures and treatments in accordance with approved procedures. Ensure the delivery of evidence-based nursing care in accordance with NMC Code of Professional Conduct within the clinical care area as an autonomous practitioner. Develop and provide education programmes to patients, carers, multi-disciplinary teams, nursing and medical staff. Act as a role model exploiting at every opportunity to enhance the knowledge of others in issues relating to specialty. Oversee and input into the NHFD. To contribute and report to the Orthopaedic speciality Mortality meetings. Apply current research findings to clinical care and actively disseminate these findings. To regularly provide structured teaching sessions to Emergency Department and ward staff on best practice standards for patients with fractured neck of femurs. A willingness to undertake or participate in research projects with an aim to publish results. To maintain a flexible approach to the role and ensure provision of an effective and efficient service within agreed budgets and resources. Establish and maintain good working relationships with clinicians, nursing staff and the wider team involved in the care delivery for patients suffering fractured neck of femur.
Job tags
Salary
£43.74k - £50.06k per annum
