Swydd-ddisgrifiad a phrif gyfrifoldebau manwl

1.    To be responsible/accountable for the assessment diagnosis, planning, implementation and evaluation of Podiatric care to a variety of patients with a wide range of clinical needs:

2.    This includes:  patients with medical condition that affect the feet such as patients with Diabetes at different risk categories, Chronic Neuropathy; Chronic diseases including; e.g. Rheumatoid   Arthritis; Vascular problems, Terminally ill patients and patients with Physically/Mental Health/Learning Difficulties.

3.    To be responsible for the assessment of new patients with subsequent development of individual care packages and provision of the appropriate footcare education advice to patients

4.    To be responsible for the assessment, diagnosis, planning, implementation and evaluation of Podiatric Care to a variety of patients with a wide and high range of clinical needs including: Biomechanical conditions 

Diabetes 

Chronic neuropathy 

Connective tissue disorders 

Nail surgery 

Vascular Problems 

Wound management/ tissue viability 

Mental Health issues

Vulnerable patients 

5.    Able to carry out a foot ulcer risk assessment and ulcer management, including the identification of vascular insufficiency, neurological deficit, significant foot deformity, trauma or increased foot pressures.

6.    Understanding of the wound healing process and its potential complications and carryout sharp debridement wounds, wound bed management and use of appropriate dressing.  Recognise sign and symptoms of wound infection and manage appropriately. To recognises the need, and refers the patient, for advanced management. 

7.    To preform basic biomechanical examination, produce temporary insoles and refer appropriately. 

8.    To perform comprehensive assessment of the diabetic/high risk foot including: providing a 

full annual review assessment to including sensory, vascular analysis (ABPI’s as required).  

9.    To Understand an refer appropriately for investigations as required e.g. microbiology, radiology

10.  To use the decision-making process to identify when patients require the intervention of other professional and/or departmental specialist areas by following agreed departmental referral pathways e.g. acute wound care/biomechanics.

11.  To participate/carry out nail surgery.

12.  To be actively involved in the provision of Foot Health Education advice to patients, relatives and carers

13.  Care will be provided mainly in a range of primary care settings, involving working on your own in community clinics, patients’ homes, ward rounds, hospital setting and residential homes for the elderly.   

14.  To have the capability to move and handle patients who may be immobile, wheelchair or bed-bound often in confined spaces.

15.  To have highly developed physical skills, precision hand/eye co-ordination which involves highly skilled debridement techniques of acute/chronic, neuropathic and ischaemic wounds, often for long periods.

16.  To follow departmental Policies Procedures and Guidelines but have the discretion to make own clinical diagnosis and decisions within professional boundaries.

17.  To undertake other work or duties across the whole service, as directed by the Team Leaders.

18.  To actively be involved in support student/ apprentice training and staff from other disciplines.

19.  To support Footcare Assistants and band 5 Staff.

20.  To be flexible and provide cover for other Podiatrists at short notice or during periods of absence.

21.  To implement in day to day work Trust values in delivery care to the Trust diverse population.