Band 6 Critical Care Physiotherapist

Job description

Job responsibilities

Clinical

To be professionally and legally responsible and accountable for all aspects of own work, including the management of patients in their care

To undertake a comprehensive examination and assessment of patients including those with diverse presentations/multi pathologies; use specialised clinical reasoning skills and manual examination techniques to provide an accurate diagnosis of their condition

Based on the examination, assessment, diagnosis, and current best practice to clinically reason and formulate a physiotherapy treatment plan.

To deliver an individual physiotherapy treatment programme, this could include manual physiotherapy techniques, patient education, nasopharyngeal endotracheal/tracheal suction, tracheostomy management and ventilation weaning and non-invasive ventilation delivery and the use of positive pressure as well as functional rehabilitation.

To constantly re-examine the patients response to treatment and modify programme accordingly

To formulate accurate prognoses, expected outcome, recommend best course of intervention and develop comprehensive discharge plans

To continually evaluate own clinical practice based on valid research evidence and audit including national and local clinical guidelines

To motivate and encourage patients to actively participate in physiotherapy programmes

To identify and participate in suitable audit and research topics involving the uni and multi-professional team in order to ensure effectiveness

To organise and prioritise own workload and delegate responsibility as appropriate

To take delegated responsibility from the Lead and clinical specialist physiotherapist for managing patients with particular conditions, some of which are complex and be responsible for providing specialised physiotherapy input for patients with these conditions within each specialty

To communicate clinical findings to the patient, assess their understanding of treatment proposals, gain valid informed consent and have the capacity to work within a legal framework with patients who lack capacity to consent to treatment

To use a range of verbal and non-verbal tools to communicate effectively with patients and carers to progress rehabilitation and treatment programmes. This will include patients who may have difficulties in understanding or communicating e.g., patients who may be dysphasic, deaf, blind or unable to accept diagnosis

To communicate effectively verbally and non-verbally with all members of multi-disciplinary team (MDT) e.g., Doctors, nurses, social workers, other AHPs, physiotherapy colleagues and outside agencies. This often involves membership of multiple MDTs

To manage clinical risk within own patient case load and seek advice or support from seniors where appropriate

To work within Trust HCPC and CSP standards and guidelines

To monitor practice of juniors and assistants undertaking delegated tasks and advise/guide as appropriate

When working on the emergency on-call rota, undertake the assessment and treatment of acutely ill patients with respiratory problems, who may have a complex presentation and maintain associated records as an autonomous practitioner

When working on the emergency on-call Rota, provide advice to medical and nursing staff and other members of the multi-disciplinary team regarding patients respiratory and chest functions/condition

To be responsible for maintaining accurate and comprehensive patient treatment records in line with Chartered Society of Physiotherapy (CSP) standards of practice

To represent physiotherapy service and/or individual patients at the multi-disciplinary team meetings, to ensure the delivery of a co-ordinated multi-disciplinary service and integrate physiotherapy treatment into the treatment programme. This will include discussion of patient care, patient progress and involvement in discharge planning.

To be responsible for the safe and competent use of all equipment, gym equipment and patient appliances and aids used by patients including manual handling equipment

Professional

To be responsible for maintaining own competency to practice through CPD activities and maintain a portfolio which reflects professional and personal development

To maintain and develop current knowledge of evidence-based practice in the areas of each rotation, developing intermediate/specialised knowledge of particular conditions and patient types

To participate in the staff appraisal scheme as an appraisee and be responsible for complying with the agreed objectives and personal development programme to meet set knowledge and competencies, plus service needs

To participate in staff appraisal scheme as an appraiser of junior staff and assistants. To be responsible for agreeing objectives and personal development programme with appraisee to meet set knowledge, competencies and service needs

To be an active member of the CPD training programme by participation in, in-service training programmes, tutorials, individual training sessions, external courses and peer review as appropriate

To undertake as directed the collection of data for use in service audit and research projects

To undertake the measurement and evaluation of practice within team through use of evidence-based practice projects, audit and outcome measures

Organisational

To be responsible as appropriate for the supervision of junior staff, students and assistants daily

To ensure that your own practice and that of staff under your supervision meet the required professional standards of physiotherapy practice

Deputise for the Lead / clinical specialist in their absence, taking responsibility for operational management of the team, allocating and organising the work of junior and assistant staff to ensure service priorities are met

To be responsible for organizing and planning own caseload to meet service and patient priorities, re-adjusting plans as situations change/arise on a day-to-day basis

Person Specification

Education/Training/Qualifications

Essential

• Degree in Physiotherapy
• HCPC Registration

Desirable

• Portfolio evidence of post graduate learning in Critical Care Environment
• Involvement in/member of relevant SIG

Work Experience

Essential

• Variety of undergraduate rotations
• Core post graduate rotations
• Experience of working as part of an MDT
• Experience of working in ICU resp and rehab needs
• Caseload management
• Experience of working in a stressful environment and with emotional or aggressive patients
• Experience of participation in Respiratory on-call service
• Experience of understanding clinical governance and its implications for service
• Experience in audit, research and understanding quality issues
• Experience in critical care at B6 level

Knowledge, Skills and Abilities

Essential

• deliver individualised treatment programme with physio specific techniques
• Contribute to education of less experienced staff and students
• Evidence of teaching clinical skills to wider MDT

Desirable

• Evidence of deputising for clinical lead

Personal Qualities

Essential

• Effective verbal and non-verbal communication
• Excellent organisational skills
• competent IT skills
• Ability to arrange travel to BRI if on that rotation

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

North Bristol NHS Trust

Address

Southmead Hospital, Westbury-on-Trym,

Bristol

BS10 5NB

Employer's website

https://www.nbt.nhs.uk (Opens in a new tab)