Overview
To deliver an effective, high-quality TAU enhanced practitioner service to include the management of an identified caseload, exercising a degree of personal and professional autonomy. To provide professional advice and support to ensure the delivery of safe, effective services for patients undergoing trauma assessments. To deliver high quality, patient-focused care, acting as a role model for practice across the specialty and the Trust. Act as a source of expertise, advice, and knowledge for patients, carers, and healthcare professionals for an efficient, effective, and timely patient pathway. Work within the multi-professional team, facilitating optimal evidenced-based care throughout all aspects of the trauma assessment pathway and in all clinical settings. Support the planning and scheduling of trauma assessment lists. Lead the TAU and assist in developing and modernising this service to meet current and future requirements. Work collaboratively with other acute areas to improve patient flow across the hospital, through both the trauma assessment unit and other departments.
Responsibilities
* Support consultants with screening and assessment of virtual fracture clinic patients, emergency patients and GP new patient referrals.
* Coordinate patients suitable for trauma assessment unit, using guidelines and clinic knowledge to facilitate appropriate care.
* Take the clinical lead in assessing and reviewing patients attending the TAU. Perform physical examinations as required.
* Lead in clinic-related audit activity, providing expert advice and clinical teaching to the orthopaedic ward team.
* Educate, assess, and support patients after trauma assessments, including the aftercare of patients with fragility fractures. Advise patients on the complications of trauma assessment surgery.
* Promote good health practices to improve patients' recovery time and general health.
* Attend and participate in the trauma MDT as appropriate.
* Collaborate with colleagues to review traumatic wounds, x-rays and assessment of trauma patients.
* Support the ward team with post-operative criteria-led discharge.
* Engage with and support digital innovation pertaining to patient tracking processes for TAU patients.
* Support the consultants with developing guidelines and enhance services for patients within TAU.
* With the trauma assessment lead consultant, audit model hospital trauma assessment data, sharing findings at relevant meetings/forums. Review the patient-related outcome measures (PROMS), supporting the MDT team with reporting, planning, and the ongoing use of data.
* Critically evaluate current practice using Care Quality Indicators as agreed with the multi-professional team.
* Use clinical knowledge and professional judgment to act on patients' urgent health concerns and test results, liaising with the appropriate clinician. Develop new processes and policies for TAU patients, which will guide practice.
* To participate in investigations into complaints and incidents, including those relating to surgical site infection, as requested by Lead Nurse for Surgery.
Communication
* Demonstrate high levels of customer care and be an ambassador for customer care within the Trust.
* Demonstrate a sound understanding of clinical governance, including PSIRF, and clinical risk, demonstrating this daily. Act as a role model to promote and facilitate high standards of clinical practice.
* Be an information source on trauma care both within and outside the organisation. Be an empathetic, accessible, and responsive point of contact for patients and carers, ensuring positive patient experience is central to the patient pathway.
* Facilitate a robust and timely communication pathway for TAU patients, including those with complex needs. Promptly answer phone and email queries and concerns in a timely manner. Take responsibility for timely verbal and written communications with patients, carers, and colleagues. Ensure all information provided to patients and carers is accurate and up to date. Ensure all documentation is complete and up to date, in line with professional body and Trust guidelines.
* Challenge decisions made by others if they contravene policy or are not in the best interest of the patient.
Research, Audit, and Education
* Ensure all provided care is evidence-based. Participate in and develop audits to support the TAU service. Monitor standards of care using data to improve, develop, and promote the TAU service.
* Undertake continuing professional development, including mandatory and statutory training, maintaining a portfolio of evidence to support clinical supervision, critical reflection, and achievement of appraisal goals. Facilitate and deliver educational sessions to a wide range of audiences. Use external resources to keep up to date with the latest national evidence and research. Develop resources for patients and carers. Undertake research projects for the trauma and orthopaedic service. Participate in Quality Improvement projects as requested by the Lead Nurse for Surgery.
Professional Practice and Governance
* The post holder is expected to practice within the legal and ethical framework for the relevant Professional Code of Conduct, ensuring valid registration. Work both independently and as part of a multi-professional team. Develop the role of the TAU enhanced practitioner. Take responsibility for the management of all trauma assessment patients, processing referrals, coordinating nurse-led clinics, and interpreting results, according to agreed protocols. Provide clinical expertise in the management of patients undergoing trauma assessments, autonomously managing own caseload. Line management of TAU staff.
Safety, Equality and Infection Control
* The post holder is required to take responsible care for the health and safety of themselves and others, cooperate with Buckinghamshire Healthcare NHS Trust to ensure statutory and departmental safety regulations are adhered to. Maintain confidentiality and ensure the principles of the Data Protection Act 2018 are applied to patient, staff and Trust information. The Trust welcomes all persons irrespective of age, ethnicity, gender, sexual orientation, religion, disability, or other status. All staff must attend mandatory training and follow infection control guidelines and procedures.
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