Trauma Nurse Practitioner

This is an exciting opportunity within the Worcestershire Acute Hospitals NHS Trust Trauma and Orthopaedic department to recruit a full time Trauma Nurse Practitioner to work within the T&O service. This is and advanced practice role and will facilitate the trauma pathway for all trauma patients from admission through to discharge. The Trauma Practitioner will work closely with the orthopaedic medical teams to provide efficient and effective patient care for trauma patients throughout the Worcestershire Royal hospital site. The post holder will work in a variety of settings such as the A&E, SCDU, Orthopaedic and Trauma wards and trauma clinic. The post holder will demonstrate strong clinical leadership skills and experience and will support the junior doctors and nursing teams. They will also providing a review service for outlying patients and work collaboratively with members of the multidisciplinary teams and theatres. The seven day rota works on a shift system which includes a high proportion of weekend working.

The post holder will be a registered nurse or Allied health professional and is required to work autonomously at an advanced level. They will have or working toward a qualification in health assessment and non medical prescribing and require good clinical decision making skills and a commitment to on-going learning at degree or masters level. A broad knowledge of trauma and orthopaedic conditions is essential.

Job description

Job Purpose

This is a multifaceted role the crosses the traditional boundaries between nursing and medicine, which facilitates the trauma process for all trauma patients from their admission to discharge and includes

Using expert knowledge to clinically assess and examine patient in the A&E department. History taking and facilitating the admission process by requesting relevant investigations. Fast tracking patients to the trauma wards as appropriate.

The co-ordination for the process for all trauma patients from the A&E to theatre and through to discharge when appropriate.

The post holder will be a team member within the daily consultant led trauma ward rounds, contributing to the review and treatment planning for all trauma patients. Ensuring plans are communicated and implemented. Liaising with other clinical teams to optimise patients for their surgery. The post holder will contribute to the Grand ward round.

The post holder will co-ordinate the ambulatory trauma patients and ensure the pre assessment process is carried out for this patient group and a treatment plan is formulated and communicated with the patients.

Contributing to the planning and organisation of trauma theatre list

Providing an outreach service for outlying patients, including regular review of patients to ensure plan of care is implemented. They will offer support and advice for trauma patients and staff throughout the Worcestershire hospital sites.

Effective planning, co-ordination and communication within the multidisciplinary team.

Provide the interface between the clinical trauma service, patients and relatives to explain current treatment plans, delays and cancellations in treatment.

Providing education information and advice to other professionals, including medical and surgical teams across the Acute Unit, district nurses, GPs, practice nurses, community hospitals and community therapists.

The post holder will be required to a independent non-medical prescriber of to work towards the Non medical prescribing qualification.

The post holder will take an active role in facilitating patients with hip and femoral fractures to achieve Best Practice Tariff for Hip Fractures. The will drive the process and

be an active part of the audit process, contributing to NHFD and the Harm reviews for hip fractures.

The post holder will work autonomously but collaborate with the multidisciplinary team.

Key Duties: Clinical Assessment/ Ward environment

Clinical examination and assessment and clerking of patients

Managing the Bluespier trauma board for both trauma and Ambulatory trauma and contributing to the decision making for listing patients for surgery and contributing to the trauma huddles

Contributing to the Golden patient selection ensuring patients fitness for surgery and communication of the anaesthetic team

Assessment of the deteriorating patient

Involvement in discharge planning and Electronic discharge summaries regarding treatment and management

Non medical prescriber

Lead post take ward round

Participation in pre and post-operative ward rounds

Undertake nurse-led ward rounds if applicable

Maintenance of records and databases

Referral for investigations and formulation of a treatment plan based on interpretation of results Interpretation of Xrays and other diagnostic investigations

Performing Fascia iliaca blocks to patient with confirmed hip fractures.

Perform interventional procedures such as joint aspirations/ suturing etc

Working with anaesthetic team to ensure alternative pain relief

Application of skin and skeletal traction

Application of surgical appliances such as collars, TLSO etc

Identification of medical risks and referral to specialty teams such as Anaesthetics

Providing information and support to junior medical teams and ward staff

Contribute to the BPT for hip and femoral fractures and participate in the harm process for hip fractures

Supporting the frailty teams with assessment of patient

General Duties

Clinical

The post holder will;

Person specification

Personal Qualities

Essential

• Good communication skills.

Experience

Essential

• 3 yrs Experience of band 5 or above
• Extended role working
• Experience of liaising with the medical team and the multidisciplinary team
• Experience within the speciality of trauma and orthopaedics and or theatre

Desirable

• MSK experience

Qualifications

Essential

• First Level Registration / Therapies Professional registration
• First level Degree
• Heath assessment module

Desirable

• ENB 219 orthopaedic course or equivalent orthopaedic module.
• MSc or working towards MSc
• Teaching qualification
• Independent and supplementary non-medical prescriber

Knowledge and Skills

Essential

• Evidence of current knowledge of orthopaedics and trauma
• Evidence of being up-to-date with current issues in medical and professional care
• Evidence of research based practice
• Organisational skills
• Fully aware of principles of infection control
• Fully aware of health and safety issues.
• Computer skills

About the employer

Worcestershire Acute Hospitals NHS Trust is a large acute and specialised hospital trust that provides a range of local acute services to the residents of Worcestershire and more specialised services to a larger population in Herefordshire and beyond.

The Trust operates hospital-based services from three sites in Kidderminster, Redditch and Worcester

Our workforce is more than 7,000 strong, and our caring staff are recognised as providing good and outstanding patient-centred care. You could be one of them.

We are committed to recruiting the best people to work with us. Our values, which we ask all staff to demonstrate, underpin our everyday work and remain firmly at the heart of all we do.

Being open and honest

Ensuring people feel cared for

Showing respect to everyone

We are committed to developing a culture of continuous improvement by embedding the principles of our Improvement System.

We are proud to have achieved Timewise accreditation - this means we are committed to embedding flexible working within our organisation as a flex positive employer.

DBS Checks and Costs

Any applicants who are offered posts requiring a DBS check as part of their employment check will have the cost of this check (at the current rate) deducted from their salary. Please see link in Supporting Information section for more details on DBS checks and costs.