Trauma Rehabilitation Coordinator

Swydd ddisgrifiad a phrif gyfrifoldebau manwl

Main Duties and Responsibilities

The post holder will
• be an autonomous practitioner holding a trauma clinical case load in own professional field
• work within a defined area of responsibility without direct supervision and within appropriate guidelines as the specialist Trauma Unit Rehabilitation Coordinator for the Trust
• work with the Trauma Unit Team to provide information, support, and signposting to ensure optimal recovery for all trauma patients.
• be responsible for identifying patients who have been assessed as having an injury severity score over 9, creating and managing a live database of these patients to track progress.
• be responsible for coordination and communication of the rehabilitation and repatriation clinical pathways for patients who have suffered major trauma, ensuring the rehabilitation prescription is received from the major trauma centre and disseminated to the relevant clinical staff
• act as an advocate for patients, both adult and paediatric, with trauma-related injuries admitted to the acute hospital, co-ordinating their acute stay, rehabilitation, and discharge from the Trauma Unit
• work as a Key worker and coordinate the care of trauma patients regardless of which speciality they are under
• work collaboratively within the multi-professional team to facilitate a smooth and safe transition from hospital to community or on to further rehabilitation
• be a key member of the MDT - proactively ensuring MDT conversation, development of plans and adherence to agreed actions.
• assist in the completion and coordination of Rehabilitation Prescriptions for eligible patients and liaise with the NMRT (was TARN) administrator regarding quality of data
• provide professional leadership and direction to the MDT in the planning, coordination, and evaluation of the rehabilitation pathway
• attend relevant trauma unit and wider network meetings as a representative of the Trust
• advise on service developments in line with local and national guidance
• work closely with the Clinical Site Managers, consultants, and major trauma centres to ensure repatriation of patients from major trauma centres within specified timeframes to the appropriate clinical speciality ensuring clinical management plans are in place
• collect appropriate data from teams involved in the patient pathway to enable evaluation of service and patient experience
• undertake evaluation of the patient journey, critically analysing areas of good practice and using evaluation tools to identify where pathway improvements could be made and ensuring lessons learned are disseminated to wider multidisciplinary team
• contribute to the investigation and analysis of trauma risks issues, incidents, and death, escalates outcome to trauma unit clinical lead, and implementing learning from actions

Clinical Duties & Responsibilities

The post holder will
• Use advanced skills in analysing the results of the assessments, interpreting a range of options, formulate professional judgements, and work with patients to identify goals which are appropriate for the patient and others involved in their care
• Give specialist advice considering the options available to the multi-disciplinary team on the treatment and handling of patients to maximise their rehabilitation potential and enable the planning of their future clinical management
• Provide highly specialised advice to the patient, family, and carers regarding the management of complex trauma related conditions
• Demonstrate and apply a high level of understanding of the effect of disability, to be able to educate patient and carer in issues relating to their diagnosis/prognosis and rehabilitation, and promote an understanding of its functional implications
• Organise and ensure the delivery of coordinated multi-disciplinary programmes of care for complex trauma patients
• Have applied knowledge of informed consent and patients’ capacity to give consent, taking account of these within working practice and providing advice to staff when required
• Ensure accurate written and electronic records are maintained for record keeping including comprehensive assessment reports and TARN data collection
• Actively participate in the discharge planning process to ensure patients are provided with appropriate on-going care following their acute admission
• Attend and contribute to clinical handovers
• Offer clinical leadership to Inpatient Therapy Staff as required
• Coordinate and communicate current and future rehabilitation pathways for patients
• To be responsible for all aspects of own professional activities, ensuring own competence, recognising own professional boundaries, and seeking advice and supervision as appropriate, applying all relevant policies, protocols, and procedures
• Respect the individuality, values, cultural and religious diversity of clients and contribute to the provision of a service sensitive to these needs
• Assess and manage clinical risk, responding to and resolving problems in order to reduce risk, maintain patient independence and improve safety.
• Provide advice and develop strategies in relation to outcomes and liaise with other professions/agencies regarding future management
• Contribute to the Trust clinical governance arrangements and quality agenda, including the setting and monitoring of practice standards
• Work with the multi-disciplinary teams to ensure completion of rehabilitation outcome measures on admission and discharge from the trauma unit

Communication

The post holder will
• Demonstrate excellent communication skills both with patients, relatives and other healthcare professionals working within the trust and across the network
• Actively participate in, and foster partnership working with internal and external agencies
• Represent the trauma unit at relevant Trust policy and protocol development groups to
ensure that the Trauma Unit is incorporated into Trust wide patient care planning
• Use a range of verbal and non-verbal communication tools to communicate effectively with patients and family/carers to progress rehabilitation programmes and discharge plans, to ensure an understanding of their condition/problem so that patients are supported in self-management of their condition.
• Ensure that full and accurate records of all relevant information is filed in the patients notes
• Effectively support colleagues in their delivery of highly sensitive or unwelcome information regarding patients rehabilitation, goals, progress, potential for recovery and recommended discharge destinations to patients, carers, and other professionals.
• Competently deal with patients/carers who may be dissatisfied with their experience of service provision and demonstrate negotiation skills in seeking an outcome that is acceptable to all parties, using an awareness of the Trust’s complaints procedure

Service Development

The post holder will
• Participate in the development and delivery of educational programmes both internally and across the network
• Work closely with the clinical teams to appropriately plan the treatment, and management of their patients in trauma- advising as appropriate to ensure the safe management of cases
• Provide support to all grades of staff regarding the care and management of trauma patients, offering guidance, support, and education
• Lead audits that assess the achievement of Trauma Unit standards and escalate areas of non-achievement to TU governance groups and actively engage staff in their participation
• Demonstrate the ability to reflect on ethical issues and to provide guidance to other staff as necessary
• Critically evaluate current research findings and apply them to practice and disseminate findings at a local level
• Maintain own clinical skills and knowledge to support a professional CPD portfolio to ensure ongoing professional registration
• Contribute to and work within the quality and governance framework, particularly in relationship to patient safety and risk management