Trauma Nurse Practitioner
The closing date is 10 June 2026.
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 advanced practice role 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 support the junior doctors and nursing teams. They will also provide 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 be working toward a qualification in health assessment and non‑medical prescribing and require good clinical decision‑making skills and a commitment to ongoing learning at degree or masters level. A broad knowledge of trauma and orthopaedic conditions is essential.
Main duties of the job
* Clinical examination, 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 with the anaesthetic team.
* Assessment of the deteriorating patient.
* Non‑medical prescriber.
* Lead post‑take ward round.
* Participation in pre‑ and post‑operative ward rounds.
* Maintenance of databases.
* Referral for investigations and formulation of a treatment plan based on interpretation of results; interpretation of X‑rays and other diagnostic investigations.
* Perform interventional procedures such as fascia iliaca blocks, joint aspirations, suturing etc.
* Working with the anaesthetic team to ensure alternative pain relief.
* Application of surgical appliances such as skin and skeletal traction, collars, TLSO etc.
* Identification of medical risks and referral to specialty teams such as Anaesthetics.
* Contribution to the BPT for hip and femoral fractures and participation in the harm process for hip fractures.
* Supporting the frailty teams with assessment of patients.
About us
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.
We ask all staff to demonstrate the following values: 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 the Timewise accreditation – this means we are committed to embedding flexible working within our organisation as a flex‑positive employer.
DBS Checks and Costs
Any applicant who is offered a post 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.
See the Supporting Information section for more details on DBS checks and costs.
Job responsibilities
Job Purpose:
This multifaceted role crosses the traditional boundaries between nursing and medicine. It facilitates the trauma process for all trauma patients from admission to discharge and includes:
* Using expert knowledge to clinically assess and examine patients 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.
* Co‑ordination of the process for all trauma patients from the A&E to theatre and through to discharge when appropriate.
* Working as 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.
* Co‑ordinating ambulatory trauma patients and ensuring the pre‑assessment process is carried out and a treatment plan is formulated and communicated.
* Contributing to the planning and organisation of trauma theatre lists.
* Providing an outreach service for outlying patients, including regular review of patients to ensure the plan of care is implemented. Offering support and advice for trauma patients and staff across the Worcestershire hospital sites.
* Effective planning, coordination and communication within the multidisciplinary team.
* Providing the interface between the clinical trauma service, patients and relatives to explain current treatment plans, delays and cancellations.
* 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.
* Being an independent non‑medical prescriber, working toward the non‑medical prescribing qualification.
* Taking an active role in facilitating patients with hip and femoral fractures to achieve Best Practice Tariff for Hip Fractures, driving the process and being an active part of the audit process, contributing to NHFD and harm reviews for hip fractures.
* Working autonomously but collaborating 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 with 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 X‑rays and other diagnostic investigations.
* Perform fascia iliaca blocks to patients 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 patients.
General Duties
* Undertake clinical assessment and formulation of a clinical management plan of patients to incorporate physiological, psychological and pharmacological considerations, making multifaceted complex clinical decisions regarding patient management and clinical outcomes, including, where appropriate, listing patients for trauma procedures and discharging patients from the service when treatment is complete.
* Demonstrate a high level of competence in clinical, diagnostic and examination skills.
* Facilitate the Trauma admissions process for trauma patients admitted to Worcestershire Royal Hospitals or the Alexandra for acute admissions and Kidderminster Hospital for ambulatory patients. Participate in the daily on‑call orthopaedic consultant trauma meeting and trauma rounds.
* Use advanced knowledge and skills to accelerate the admissions process through the A&E department and fast‑track hip fracture patients as appropriate.
* Ensure all trauma patients have a detailed care plan, which reflects the specialist trauma care patients receive for their condition or injury.
* Ensure patients are medically fit for surgery or make appropriate referrals to other specialties for assessment or treatment of conditions, preventing patients having surgery. Request investigations that assist in optimisation of patients for surgery.
* Work with the capacity team to identify a priority list for admission, work to repatriate and/or transfer trauma patients from the major trauma centre to the trauma ward or the most appropriate clinical area.
* Facilitate good communications with all agencies involved in the continuity of patient care.
* Provide efficient and effective liaison, coordinate and facilitate multi‑disciplinary care for outlying trauma patients.
* Act as a resource for patients, relatives and carers requiring information and advice regarding episodes of care.
Logistical and Administration
* Listing of patient on the Bluespier trauma boards for surgical treatment.
* Taking referrals from both sites for treatment of trauma conditions and injuries.
* Take referrals for ambulatory trauma cases, ensure the patient is prepared and schedule cases on the theatre lists. Maintain the ambulatory referrals trauma board.
* Advice and support for medical and nursing staff.
* Collect and input outcome data e.g. NHFD.
* Working closely with the Orthogeriatrician teams.
* Liaison with therapies and other members of the multidisciplinary team.
* Liaison with capacity teams and senior managers regarding priority for treatment.
* Organise additional theatre lists for extra capacity for trauma cases.
* Drive the Best Practice Tariff process for hip and femoral fractures.
* Provide an interface between patients waiting at home for surgery and admission on ambulatory treatment pathways.
Practice and Service Development, Research & Evaluation
* Maintain databases and monitor clinical outcomes in relation to a range of surgical procedures.
* Compile reports relating to clinical outcomes.
* Participate in audit.
* Participate in medical/nursing research.
* Ongoing development of the range of nurse‑led services within directorates.
* Contribution to the Surgical site infection data collection.
* Participation in developing new skills and advancing the service.
Education
* Be a source of knowledge and advice at all levels within the organisation.
* Provide support and advice to the junior medical team.
* Provide both formal and informal teaching for orthopaedic ward staff and outlying ward staff and as part of the clinical study days.
* Provide informal teaching to patients and relatives.
* Offer teaching to community staff regarding trauma and the management and conditions.
* Participate in induction for both medical and nursing staff programmes and mandatory training for all grades of staff.
* Pursue personal study in professional development and clinical upgrading relating to liaison and discharge planning.
Management
* Assist in investigation of complaints.
* Ensure effective communication to ward staff, clinic staff and theatre staff regarding clinical decisions to maximise clinical benefit and appropriate use of resources.
* Keep adequate records and provide statistical information and reports on request.
* Provide support and guidance for junior members of the medical and nursing team.
Professional
* Work within the scope of professional practice, local policies and protocols.
* Maintain a professional attitude and conduct oneself in accordance with the NMC professional code of conduct.
* Show evidence of continuing professional development in line with revalidation requirements and maintain professional registration.
* Maintain competency of advanced practices and policies and protocols relating to clinical practice.
* Always work in accordance with trust values.
Person Specification
Personal Qualities
* Demonstrate initiative, motivation and ability to problem‑solve.
* Calm under pressure.
* High professional standards.
* Flexible.
* Committed to quality improvement.
* Ability to work within professional boundaries.
Experience
* 3 years 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.
* MSK experience.
Qualifications
* First level registration / therapies professional registration.
* Health assessment module.
* ENB 219 orthopaedic course or equivalent orthopaedic module.
* MSc or working towards MSc.
* Teaching qualification.
* Independent and supplementary non‑medical prescriber.
Knowledge and Skills
* 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.
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Worcestershire Acute Hospitals NHS Trust
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