Job responsibilities
The
post holder is responsible for the management of a defined caseload of
patients. The post holder will be
responsible for identifying, assessing and recommending / initiating
treatment for patients who have suffered a fragility fracture in patients
over the age of 50; with the aim of reducing their risk of subsequent or
secondary fractures. The post holder will also contribute to the initial
development of the Fracture Liaison Service and the on-going subsequent
improvement of the Service in LTHT and wider, using resource cost
effectively.
The
post holder will be expected to request DXA scans following appropriate
training as part of their role and will be expected to complete the nurse
prescribing course whilst in the post.
The
post holder will be responsible for the delivery of the clinical pathway.
Assess health needs of individual
patients and provide care to meet these needs through a process of shared
decision making. Accept referrals to
agreed criteria and work in partnership with other professionals to deliver
co-ordinated programmes of care effectively and referring patients to other
practitioners as required.
Deliver expert clinical care to
patients in agreed practice settings, working as part of
nursing/multidisciplinary teams.
Communicate with patients in ways
that empower them to make informed choices about their health and health
care.
Provide appropriate education to
patients and their families to promote health and encourage self-care.
Use communication skills to impart
information to patients and carers and provide them with advice and emotional
support as appropriate.
Maintain adequate patient
documentation to up-load onto the Fracture Liaison Service Database.
Be involved with developing
standards of care, practice guidelines and where appropriate Care Pathways
for the patient/client group.
Demonstrate and share clinical
practice developments to provide evidence-based care and contribute to
service improvement in accordance with local policy initiatives.
Contribute appropriately to
clinical governance activities that relate to own area of practice and
patient/client group.
Support clinical and management
teams in the delivery of Trust and Clinical Service Unit objectives.
Effective prioritisation of
workload and time management when lone working or as part of team.
3. ORGANISATIONAL CHART
4. PRINCIPAL DUTIES & AREAS OF
RESPONSIBILITY
Acts
in accordance with the Nursing and Midwifery Code of Conduct
Clinical
Clinical
care delivery
Provide a clinical lead and role
model to nursing staff by delivering high quality care.
Undertakes clinical procedures
where dexterity and accuracy are required.
Maintain a safe working environment
Responsibilities
for patient and client care
- Assesses, plans, implements and
evaluates care and treatments using specialist clinical knowledge and skills.
Organises own clinical workload.
Receives supervision of clinical
care and outcomes from Team Leader.
Freedom
to act
- Refer patients as appropriate to
other members of the multi-disciplinary team
- Make clinical assessments and
treatment decisions within clearly defined policies and protocols
Communication
- Maintains accurate clinical and
other records using the Leeds Teaching Hospitals Trusts documentation.
- Support patients and their families
communicating sensitive condition related information and ensuring they
receive required information to enable them to participate in their care
delivery
- Liaise with Community Services (as
appropriate) to ensure seamless provision of care delivery
Education and Training
- Provide training and education of
learners and other junior staff
- Actively participate in the
development of own personal development plan and performance review
- Provide education and training to
patients and their carers.
- Keep up to date with developments,
advances within the specialty
- Leadership and management
- Investigate and respond to
accidents, complaints, untoward incidents and other significant events
- Work with Team Leader to promote
the development of nurses as appropriate
- Under the direction of Team Leader
participates in or leads the development of specific elements of nursing
practice, reflecting the CMT and Nursing Directorate business plans
- Participates in the setting,
monitoring and improvement of standards and the quality of patient care,
including those standards defined in the National Benchmarks for Essential
Care
- Promote evidence-based practice,
wherever possible
- Engages users and carers views on
service delivery and development
- Implement policy and practice guidelines
specific to the clinical specialty, proposing changes where appropriate
- Contribute to policy and protocol
development for speciality area
- Exercises a personal duty of care
in relation to equipment, resource and stock control utilising equipment and
supplies appropriately.
Research
and Audit
- Contribute to the research agenda
- Undertake audit programmes specific
to client group, treatments and developments.
- Participate in clinical trials as
appropriate.
5.
THE LEEDS WAY VALUES
Our
values are part of what make us different from other trusts, so we see this
as a strength, as well as a responsibility. They have been developed by our
staff and set out what they see as important to how we work. Our five values are:
Patient-centred
Collaborative
Fair
Accountable
Empowered
All
our actions and endeavours will be guided and evaluated through these values
Additionally,
the following are core values which relate specifically to this post:
Commitment to delivering high
quality evidence-based care
Commitment to working in a
multi-disciplinary team
Commitment to the specialty area,
valuing the contribution of all team members, encouraging a positive and
creative working environment
Commitment to own personal and
professional development and to the development of others within the team.
6. WEST YORKSHIRE ASSOCIATION OF ACUTE
TRUSTS (WYAAT)
Leeds
Teaching Hospitals NHS Trust is part of the West Yorkshire Association of
Acute Trusts (WYAAT), a collaborative of the NHS hospital trusts from across
West Yorkshire and Harrogate working together to provide the best possible
care for our patients.
By
bringing together the wide range of skills and expertise across West
Yorkshire and Harrogate we are working differently, innovating and driving
forward change to deliver the highest quality care. By working for Leeds Teaching Hospitals NHS
Trust this is your opportunity to be a part of that change.
WYAAT
is the acute sector arm of the West Yorkshire and Harrogate Health and Care Partnership,
one of the largest integrated care systems in the country. The Partnerships
ambition is for everyone to have the best possible health and wellbeing, and
the work of WYAAT, and each individual trust, supports that ambition.
7. INFECTION CONTROL
The
jobholder must comply at all times with the Leeds Teaching Hospitals NHS
Trust Infection Control policies, in particular by practising Universal
Infection Control Precautions. Hand hygiene must be performed before and
after contact with patients and their environment.
8. HEALTH AND SAFETY / RISK MANAGEMENT
All
staff are responsible for working with their colleagues to maintain and
improve the quality of services provided to our patients and other service
users. This includes complying at all
times with the Leeds Teaching Hospitals NHS Trust Policies, including Health
and Safety policies, in particular by following agreed security and safer
working procedures, and reporting incidents using the Trust Incident
Reporting system
9. EQUALITY AND DIVERSITY
The
jobholder must comply with all policies and procedures designed to ensure
equality of employment and that services are delivered in ways that meet the
individual needs of patients and their families. No person whether they are staff, patient
or visitor should receive less favourable treatment because of their gender,
ethnic origin, age, disability, sexual orientation, religion etc.
10. TRAINING AND PERSONAL DEVELOPMENT
CONTINUOUS PROFESSIONAL DEVELOPMENT
The
jobholder must take responsibility in agreement with his/her line manager for
his/her own personal development by ensuring that Continuous Professional
Development remains a priority. The
jobholder will undertake all mandatory training required for the role.
11. COMMUNICATION & WORKING
RELATIONSHIPS
Matron
All grades nursing staff
Allied Health Professionals
Medical staff
Members of Clinical Management Team
Primary Care Trusts
12. SPECIAL WORKING CONDITIONS
i) PHYSICAL EFFORT
There
is a frequent requirement for job holder to spend a substantial proportion of
their working time sitting or standing in a restricted position and an
occasional requirement to exert moderate physical effort.
ii)
MENTAL EFFORT
There
is a frequent requirement for the job holder to concentrate where their work
pattern may be unpredictable.
iii)
EMOTIONAL EFFORT
The
nature of the clinical and none clinical duties will require the job holder
to be involved in distressing or emotional circumstances on a frequent basis.
iv)
WORKING CONDITIONS
The
nature of the clinical and none clinical duties will require the job holder
to be involved in occasional exposure to unpleasant or highly unpleasant
working conditions.
