NursingNetUK

Detailed job description and main responsibilities

Clinical Practice 

• Assess, differentially diagnose, plan, implement and evaluate individual treatment interventions for major trauma patients by virtue of expert clinical judgement and close liaison with members of the MDT and the MT coordination service.   
• Use expertise and decision-making skills to inform clinical reasoning approaches when dealing with differentiated and undifferentiated individual presentations and complex situations, synthesising information from multiple sources to make appropriate, evidence-based judgements and/or diagnoses. 
• Initiate, evaluate and modify a range of interventions which may include prescribing medicines, therapies, lifestyle advice and care. 
• Exercise professional judgement to manage risk appropriately, especially where there may be complex and unpredictable events and supporting teams to do likewise to ensure safety of individuals, families and carers. 
• Utilise complex decision-making skills to promote high quality care in unpredictable and challenging circumstances. 
• Ensure compliance with their respective code of professional conduct and work within their scope of practice. 
• Works in conjunction with the MDT to clearly define values, direction and policies impacting upon trauma care. 
• Work alongside the MT coordination and rehabilitation teams to provide exemplary care to patients who have sustained traumatic injuries.  
• Work in partnership with individuals, families and carers, using a range of assessment methods as appropriate  
• Be able to demonstrate a critical understanding of their broadened level of responsibility and autonomy. This includes being critically aware of their limits of their own competence and professional scope of practice, including when working with complexity, risk, uncertainty and incomplete information. 
• Be responsible and accountable for their decisions, actions and omissions at this level of practice. 
• Utilise professional judgement and maturity, understanding when to seek help. 
• Demonstrate critical reflection on own practice, self-awareness, emotional intelligence, and openness to change. 
• Demonstrate effective communication skills, supporting people in making decisions, planning care or seeking to make positive changes, using Health Education England’s framework to promote person-centred approaches in health and care 
• Work collaboratively with an appropriate range of multi-agency and inter-professional resources, developing, maintaining and evaluating links to manage risk and issues across organisations and settings. 
• Evidence the underpinning subject-specific competencies i.e., knowledge, skills and behaviours relevant to the role setting and scope, and demonstrate application of the capabilities to these, in an approach that is appropriate to the individual role, setting and scope.  
• Act as a clinical role model/advocate for developing and delivering care that is responsive to changing requirements, informed by an understanding of local population health needs, agencies and networks. 
• Actively implement effective systems and processes for infection control management whilst working clinically and be a role model for other members of the clinical team.   
• Initiate drug therapy/medication within the parameters of agreed clinical guidelines and in accordance with the legal framework you work under to supply and prescribe medicines (if from professional group legally entitled to prescribe). 
• Attend the daily major trauma (MT) ward round and MDTs to review all new trauma patients admitted to the hospital and continue to review as part of an ACP lead ward round as appropriate to the patient need. 
• Provide a patient-centered advocacy role to support and integrate MT with other Speciality Teams involved in MT patient care.  
• With appropriate senior support, provide support to frailty trauma teams to ensure frail patients have holistic assessment and management including falls and fracture prevention. 
• Work closely with the clinical coordinating teams to ensure Trauma Tertiary Surveys (TTS) are and Quaternary Trauma Survey’s (QTS) completed, and ensure outstanding actions followed up in a timely fashion. 
• Work closely with the rehabilitation coordinating team to ensure the rehabilitation prescription contains accurate, patient-friendly information with clear plans for all injuries and any ongoing follow up details are documented 
• Work closely with the MDT and medical colleagues to ensure a timely and safe discharge or repatriation is planned, ensuring appropriate escalation in line with local and regional guidance. 
• Attend trauma calls to provide support to the MT team and to provide a continuity of care for MT patients.  
• Work collaboratively with other speciality teams to improve pathways and care delivery, for example frailty trauma. 
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• Leadership and Management 
• Role model the trust values, demonstrating a person-centred approach to service delivery and development. 
• Lead new practice and service redesign solutions in response to feedback, evaluation and need, working across boundaries and broadening sphere of influence. 
• Critically apply advanced clinical expertise to influence clinical practice to enhance quality, reduce unwarranted variation and promote the sharing and adoption of best practice. 
• Evaluate their own practice, and participate in multi-disciplinary service and team evaluation, demonstrating the impact of advanced practice on service function and effectiveness, and quality 
• Continually develop practice in response to changing population health need, engaging in horizon scanning for future developments 
• Pro-actively initiate and develop effective relationships, fostering clarity of roles within teams, to encourage productive working.  
• Actively engage in peer review to inform own and other’s practice, formulating and implementing strategies to act on learning and make improvements. 
• Actively seek feedback and involvement from individuals, families, carers, communities and colleagues in the co-production of service improvements. 
• Demonstrate team leadership, resilience and determination, managing situations that are unfamiliar, complex or unpredictable and seeking to build confidence in others. 
• Demonstrate receptiveness to challenge and preparedness to constructively challenge others, escalating concerns that affect individuals’, families’, carers’, communities’ and colleagues’ safety and well-being when necessary. 
• Negotiate an individual scope of practice within legal, ethical, professional and organisational policies, governance and procedures, with a focus on managing risk and upholding safety. 
• With the support of the leadership teams, makes representation as appropriate at various meetings, providing feedback to the organisation on clinical and professional issues which have an impact on care and standards of practice within their sphere of responsibility. 
• Participate in business planning and the development of financial bids for service development. 
• Discuss patient and relatives' experiences with them in order to prevent complaints from developing and to assist the management team in investigating and responding to complaints when they arise.   
• Participates in the investigation of clinical incidents and serious incidents. Leads and facilitates others to share lessons learned adapt systems and processes accordingly.   
• Support team members from a managerial perspective including direct line manger responsibilities, such as sickness management, appraisals and conduct management.   
• Attend the weekly and monthly MT governance review meetings, mortality and morbidity and case reviews, contributing to discussion and presenting cases. 
• Develop ability to act as Point of Contact for Trauma Unit referrals, assisting TTL in complex decision making (with senior top cover available).  
• Involvement in local and national networking and forums to improve and develop major trauma services. 
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• Education 
• Develop a culture of organisational learning to inspire future and existing staff. 
• Act as a role model, educator, supervisor, coach, and mentor, seeking to instil and develop the confidence of others. 
• Responsively lead on driving an education agenda which facilitates the learning of the wider workforce, especially when key areas of growth are identified.  
• Engage in self-directed learning, critically reflecting to maximise clinical skills and knowledge, as well as own potential to lead and develop both care and services. 
• Critically assess and address own learning needs, negotiating a personal development plan that reflects the breadth of ongoing professional development across the four pillars of advanced clinical practice.  
• Facilitate collaboration of the wider team and support peer review processes to identify individual and team learning. 
• Identify further developmental needs for the individual and the wider team and supporting them to address these. 
• Supporting the wider team to build capacity and capability through work-based and inter- professional learning, and the application of learning to practice 
• Engage with, appraise, and respond to individuals’ motivation, development stage and capacity, working collaboratively to support health literacy and empower individuals to participate in decisions about their care and to maximise their health and well-being. 
• To support all service lines in the delivery of National Major Nursing Group Competencies to ensure MT educational standards are maintained.