Job summary
Clinical Nurse Specialist - Trauma & Orthopaedics Band 7
Site: West Middlesex University Hospital
We are looking for an enthusiastic and innovative Clinical Nurse Specialist for Trauma and Orthopaedics who will help support our cohort of patient at the West Middlesex site.You will have individual, multiple skills and an appetite to deliver a first class nursing service at one of the UKs most successful and progressive NHS Foundation Trusts. The role entailspromoting excellence in nursing practice through the integration of expert clinical practice, education, consultancy, acting as a resource and commitment to nursing research. The successful candidate will work within a well-established team.
The clinical nurse specialist for Trauma and Orthopaedics functions within a field of practice that focuses on the needs of the patient and encompasses interactions with others in delivering nursing, health and social care. The CNS also has a key role in the collection of data and planning of care for groups of patients within the orthopaedic pathways. This includes assessment, treatment and/or referral or discharge.
The key services delivered by this Division are Emergency and Elective Surgery, Theatres, Intensive Care and Burns services all of which are delivered through the busy but well organised and supported wards and departments.
Main duties of the job
The successful candidate will also:
Working autonomously whilst working as part of a multi-disciplinary team, assessing and managing caseload of orthopaedic patients.
Maintain effective communication with patients, carers and professionals to ensure seamless service delivery
To be responsible for coordinating the orthopaedic MDT meetings to ensure that all patient cases are discussed and managed within a multi-disciplinary setting.
As the specialist nurse member of the MDT to provide expert knowledge and ensure there is adequate psychological support, information and appropriate onward referral of patients to other health care professionals and external agencies, and to audit the service.
To be responsible for improving the pathway of care for orthopaedic patients.
To act as an advocate for patients and to raise the awareness of the needs of this specific patient group. To set up, coordinate and manage monthly support groups for patients, their carers and relatives.
To be responsible for the development and education of nurses within the Trust.
To undertake primary research within the field of orthopaedics.
To participate and assist in audits.
To manage and maintain the National Hip Fracture Database, and associated reports.
In conjunction with other nursing staff, to assist in the development of a comprehensive plan of nursing care for individual patients.
About us
Chelsea and Westminster Hospital NHS Foundation Trust is one of England's top-performing and safest trusts. We operate two main acute hospital sites--Chelsea and Westminster Hospital and West Middlesex University Hospital--along with award-winning clinics across North West London.
Our nearly 7,500 staff care for a diverse population of 1.5 million, providing full clinical services, including maternity, A&E, and children's services, plus specialist HIV and sexual health clinics. The Care Quality Commission rates us 'Good' in safety, effectiveness, care, and responsiveness, and 'Outstanding' in leadership and resource use.
We continually invest in our facilities, including a £30m expansion of critical care at Chelsea and Westminster and an £80m Ambulatory Diagnostic Centre at West Middlesex.
We are committed to equal opportunities and believe that diversity drives innovation and excellence. As part of our dedication to equity, we actively welcome applications from individuals from the global majority, veterans and underrepresented communities. We value the unique perspectives and experiences that diverse teams bring and are committed to creating an environment where all voices are heard, respected, and empowered to succeed."
If you haven't heard from us within three weeks of the closing date, your application was likely unsuccessful. Employment is subject to a six-month probationary period.
Some roles may require weekend shifts at multiple sites.
Job description
Job responsibilities
Roles and Responsibilities
- Working autonomously whilst working as part of a multi-disciplinary team, assessing and managing caseload of orthopaedic patients
Maintain effective communication with patients, carers and professionals to ensure seamless service delivery
To be responsible for coordinating the orthopaedic MDT meetings to ensure that all patient cases are discussed and managed within a multi-disciplinary setting.
As the specialist nurse member of the MDT to provide expert knowledge and ensure there is adequate psychological support, information and appropriate onward referral of patients to other health care professionals and external agencies, and to audit the service.
To be responsible for improving the pathway of care for orthopaedic patients.
To act as an advocate for patients and to raise the awareness of the needs of this specific patient group. To set up, coordinate and manage monthly support groups for patients, their carers and relatives.
To be responsible for the development and education of nurses within the Trust.
To undertake primary research within the field of orthopaedics.
To participate and assist in audits.
To manage and maintain the National Hip Fracture Database, and associated reports.
In conjunction with other nursing staff, to assist in the development of a comprehensive plan of nursing care for individual patients.
- To be responsible for improving access for screening, investigation, treatment and follow-up of patients.
- To be responsible for managing a hip fracture follow up clinic with review at 120 days post-surgery telephone or face to face clinic visit according to Royal College of Surgeon guidelines
- To provide expert nursing and support for all members of the multi-professional team regarding the cart of individuals.
- To use advanced examination and assessment skills to complete a comprehensive systematic assessment in a defined group of patients. This includes taking a patient history which explores physical, social, emotional, spiritual, psychological and environmental components
- To order and interpret appropriate laboratory and radiological investigations and respond accordingly
- To supply and administer treatment and medication in accordance with Trust guidelines
- To be able to identify signs and symptoms of unstable or abnormal health conditions and responds appropriately.
- To provide telephone advice to patients, their carers and primary care teams and arrange rapid referral and access to the orthopaedic service as required
- To participate in discharge planning ensuring that the necessary arrangements and referrals are made to ensure continuity of care and patient/family support
- To maintain a high profile in the clinical area, acting as a role model for expert clinical nursing practice and for other healthcare professionals
- To recognise opportunities to develop own scope of practice initiatives
- To assist in establishing, implementing and monitoring Trust guidelines, policies and protocols
- To produce, implement and evaluate standards of nursing care and liaise with other orthopaedic CNSs across the Network/UK to implement agreed standards of care and clinical practice
- To implement and disseminate change through policy and guideline development based on evidence.
Education/Leadership:
- To contribute to formal and informal education provision. To actively participate in the provision of education for patients, carers, relatives and staff groups (e.g. nurses and members of the MDT), and to evaluate education programmes based on evidence based practice in relation to orthopaedics.
- To work collaboratively on education strategies which support services and orthopaedic service development.
- To participate in teaching and assessing in clinical practice, including mentoring and preceptorship of nurses undertaking post registration courses in orthopaedics.
- To discuss with patients any orthopaedic conditions and treatments on their lifestyle, offering health promotion advice, strategies for maintaining quality of life and activities of daily living as well as patient participation in their care.
- Contributes to the setting up and running of Trust study days.
- To establish links with other CNSs in order to share and/or learn from examples of best practice.
Research/audit/quality:
- To be proactive in ongoing audit in order to assess effectiveness of service
- To participate as appropriate in relevant research studies
- To regularly audit the role of the Orthopaedic Clinical Nurse Specialist, eliciting the views of patients, carers and professionals to ensure a high quality service
- To critically evaluate research and audit findings and disseminate these findings to clinical practice and members of the MDT as appropriate in order to develop best practice and perform service improvement initiatives.
- To develop baseline research skills which can be utilised in the advancement of the body of evidence supporting clinical decision making in orthopaedics.
- To generate questions for research arising out of practice and to collaborate with relevant people in order to investigate these questions thereby acting as a research generator and coordinator.
- To initiate and undertake primary nursing research and ensure that patients benefit from evidence based practice
- To attend relevant departmental and Directorate meetings relating to clinical governance and to contribute to the clinical governance agenda.
- To contribute to the development of orthopaedic nursing care locally and nationally by participating in specific groups and committees
PLEASE SEE JD/PS FOR FULL DUTIES OF THE POST
Job description
Job responsibilities
Roles and Responsibilities
- Working autonomously whilst working as part of a multi-disciplinary team, assessing and managing caseload of orthopaedic patients
Maintain effective communication with patients, carers and professionals to ensure seamless service delivery
To be responsible for coordinating the orthopaedic MDT meetings to ensure that all patient cases are discussed and managed within a multi-disciplinary setting.
As the specialist nurse member of the MDT to provide expert knowledge and ensure there is adequate psychological support, information and appropriate onward referral of patients to other health care professionals and external agencies, and to audit the service.
To be responsible for improving the pathway of care for orthopaedic patients.
To act as an advocate for patients and to raise the awareness of the needs of this specific patient group. To set up, coordinate and manage monthly support groups for patients, their carers and relatives.
To be responsible for the development and education of nurses within the Trust.
To undertake primary research within the field of orthopaedics.
To participate and assist in audits.
To manage and maintain the National Hip Fracture Database, and associated reports.
In conjunction with other nursing staff, to assist in the development of a comprehensive plan of nursing care for individual patients.
- To be responsible for improving access for screening, investigation, treatment and follow-up of patients.
- To be responsible for managing a hip fracture follow up clinic with review at 120 days post-surgery telephone or face to face clinic visit according to Royal College of Surgeon guidelines
- To provide expert nursing and support for all members of the multi-professional team regarding the cart of individuals.
- To use advanced examination and assessment skills to complete a comprehensive systematic assessment in a defined group of patients. This includes taking a patient history which explores physical, social, emotional, spiritual, psychological and environmental components
- To order and interpret appropriate laboratory and radiological investigations and respond accordingly
- To supply and administer treatment and medication in accordance with Trust guidelines
- To be able to identify signs and symptoms of unstable or abnormal health conditions and responds appropriately.
- To provide telephone advice to patients, their carers and primary care teams and arrange rapid referral and access to the orthopaedic service as required
- To participate in discharge planning ensuring that the necessary arrangements and referrals are made to ensure continuity of care and patient/family support
- To maintain a high profile in the clinical area, acting as a role model for expert clinical nursing practice and for other healthcare professionals
- To recognise opportunities to develop own scope of practice initiatives
- To assist in establishing, implementing and monitoring Trust guidelines, policies and protocols
- To produce, implement and evaluate standards of nursing care and liaise with other orthopaedic CNSs across the Network/UK to implement agreed standards of care and clinical practice
- To implement and disseminate change through policy and guideline development based on evidence.
Education/Leadership:
- To contribute to formal and informal education provision. To actively participate in the provision of education for patients, carers, relatives and staff groups (e.g. nurses and members of the MDT), and to evaluate education programmes based on evidence based practice in relation to orthopaedics.
- To work collaboratively on education strategies which support services and orthopaedic service development.
- To participate in teaching and assessing in clinical practice, including mentoring and preceptorship of nurses undertaking post registration courses in orthopaedics.
- To discuss with patients any orthopaedic conditions and treatments on their lifestyle, offering health promotion advice, strategies for maintaining quality of life and activities of daily living as well as patient participation in their care.
- Contributes to the setting up and running of Trust study days.
- To establish links with other CNSs in order to share and/or learn from examples of best practice.
Research/audit/quality:
- To be proactive in ongoing audit in order to assess effectiveness of service
- To participate as appropriate in relevant research studies
- To regularly audit the role of the Orthopaedic Clinical Nurse Specialist, eliciting the views of patients, carers and professionals to ensure a high quality service
- To critically evaluate research and audit findings and disseminate these findings to clinical practice and members of the MDT as appropriate in order to develop best practice and perform service improvement initiatives.
- To develop baseline research skills which can be utilised in the advancement of the body of evidence supporting clinical decision making in orthopaedics.
- To generate questions for research arising out of practice and to collaborate with relevant people in order to investigate these questions thereby acting as a research generator and coordinator.
- To initiate and undertake primary nursing research and ensure that patients benefit from evidence based practice
- To attend relevant departmental and Directorate meetings relating to clinical governance and to contribute to the clinical governance agenda.
- To contribute to the development of orthopaedic nursing care locally and nationally by participating in specific groups and committees
PLEASE SEE JD/PS FOR FULL DUTIES OF THE POST
Person Specification
Education and Qualifications
Essential
- Registered Nurse
- Degree in Nursing
- Teaching qualification
- Nurse Prescribing qualification
Desirable
- Masters degree or working towards
Experience
Essential
- Experience of working in an inpatient and outpatient orthopaedic specialty.
- Experience of teaching on formal & informal education programmes.
- Recent experience of audit
- Experience of nurse led clinics.
- Experience of working within a multidisciplinary team.
Desirable
- Clinical supervision experience.
- Experience in research
Skills and Knowledge
Essential
- Experience of working within a role involving MDT communication.
- Excellent leadership skills.
- Experience of working both autonomously & independently.
Desirable
- Innovative and flexible working practices
Person Specification
Education and Qualifications
Essential
- Registered Nurse
- Degree in Nursing
- Teaching qualification
- Nurse Prescribing qualification
Desirable
- Masters degree or working towards
Experience
Essential
- Experience of working in an inpatient and outpatient orthopaedic specialty.
- Experience of teaching on formal & informal education programmes.
- Recent experience of audit
- Experience of nurse led clinics.
- Experience of working within a multidisciplinary team.
Desirable
- Clinical supervision experience.
- Experience in research
Skills and Knowledge
Essential
- Experience of working within a role involving MDT communication.
- Excellent leadership skills.
- Experience of working both autonomously & independently.
Desirable
- Innovative and flexible working practices
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 for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Additional information
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 for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).