Worcestershire Acute Hospitals NHS Trust

Trauma Nurse Practitioner

The closing date is 16 June 2025

Job summary

**This vacancy is only open to internal applicants from Worcestershire Acute NHS Trust**

This is an exciting opportunity within the Worcestershire Acute Hospitals NHS Trust Trauma and Orthopaedic department to recruit a Trauma Nurse Practitioner to work within the T&O service. This is a practitioner role and will facilitate the trauma pathway for all trauma patients from admission through to discharge. You will work closely with the orthopaedic medical teams to provide efficient and effective patient care for trauma patients. The post holder will work in a variety of settings such as the A&E, SAU, SDEC, and the trauma wards and trauma clinics. You will demonstrate strong clinical assessment skills, clinical leadership and clinical decision making skills. You will work collaboratively with members of the multidisciplinary teams, anaesthetics and theatres to improve patient flow and promote efficient trauma care. The Trauma practitioner service runs a seven-day rota works on a long day shift pattern which includes weekend working. The post holder will be a registered nurse or Allied health professional and is required to work autonomously at an advanced level. They will have a qualification in health assessment and require good clinical decision making skills and a commitment to on-going learning at masters level. A broad knowledge of trauma and orthopaedic or muscular skeletal and frailty conditions and a non medical prescribing qualification is essential.

Main duties of the job

Clinical examination/assessment and clerking of patients

Assessment of the deteriorating patient

Involvement in discharge planning and Electronic discharge summaries regarding treatment and management

Non medical prescriber

Lead post take ward round

Participation in pre and post-operative ward rounds

Undertake nurse-led ward rounds if applicable

Maintenance of records and databases

Referral for investigations and formulation of a treatment plan based on interpretation of results Interpretation of X-rays and other diagnostic investigations

Performing Fascia iliaca blocks to patient with confirmed hip fractures.

Perform interventional procedures such as joint aspirations/ suturing etc

Working with anaesthetic team to ensure alternative pain relief

Application of skin and skeletal traction

Application of surgical appliances such as collars, TLSO etc

Identification of medical risks and referral to specialty teams such as Anesthetics

Providing information and support to junior medical teams and ward staff

Contribute to the BPT for hip and femoral fractures and participate in the harm process for hip fractures

Supporting the frailty teams with assessment of patient

About us

Our purpose is simple - Putting Patients First. We are looking for exceptional colleagues who can help us achieve this.

Worcestershire Acute Hospitals NHS Trust is a large acute and specialised hospital trust that provides a range of local acute services to the residents of Worcestershire and more specialised services to a larger population in Herefordshire and beyond.

The Trust operates hospital-based services from three sites in Kidderminster, Redditch and Worcester

Our workforce is over 7,000 strong, and our caring staff are recognised as providing good and outstanding patient-centred care. You could be one of them.

We are committed to recruiting the best people to work with us to achieve our Vision - working in partnership to provide the best healthcare for our communities, leading and supporting our teams to move 4ward. Our 4ward behaviours, which we ask all staff to demonstrate, underpin our everyday work and remain firmly at the heart of all we do.

Our objectives are simple:

Best services for local people
Best experience of care and best outcomes for our patients
Best use of resources
Best people

Better never stops, and our Clinical Services Strategy provides a clear future vision for our Trust, our hospitals, our services and our role in the wider health and care system.

We are proud to have achieved Timewise accreditation - this means we are committed to embedding flexible working within our organisation as a flex positive employer.

Date posted

02 June 2025

Pay scheme

Agenda for change

Band

Band 7

Salary

£46,148 to £52,809 a year

Contract

Permanent

Working pattern

Full-time

Reference number

C9365-25-0487

Job locations

Charles Hastings Way

Worcester

Worcestershire

WR5 1DD

Job description

Job responsibilities

WORCESTERSHIRE ACUTE HOSPITALS NHS TRUST

JOB DESCRIPTION

Post Title: Trauma Nurse Practitioner

Grade: Band 7

Pay Band: Band 7 (47,810 - 54,710)

Hours: 37.5 Hrs

Contract: Permanent

Location / Department: T&O Countywide

Accountable to: Stacey Waldron

Divisional Head of Nursing for Surgery

Reports to: Tracey Dennehy

Lead Advance Practitioner, Trauma

and Orthopaedics

Cherelle Crooke / Lorna Bell

Directorate Managers T&O

Key Working Relationships: On Call Orthopaedic Consultant and Consultant Mentor. Trauma and Orthopaedic Practitioner Team

Risk Assessment: Lone working

Manual handling

Contact with bodily fluids

Infection control

Visual display unit operation

Job Purpose:

This is a multifaceted role the crosses the traditional boundaries between nursing and medicine, which facilitates the trauma process for all trauma patients from their admission to discharge and includes:

Using expert knowledge to clinically assess and examine patient in the A&E department. History taking and facilitating the admission process by requesting relevant investigations. Fast tracking patients to the trauma wards as appropriate.

The co-ordination for the process for all trauma patients from the A&E to theatre and through to discharge when appropriate.

The post holder will be a team member within the daily consultant led trauma ward rounds, contributing to the review and treatment planning for all trauma patients. Ensuring plans are communicated and implemented. Liaising with other clinical teams to optimise patients for their surgery. The post holder will contribute to the Grand ward round.

The post holder will co-ordinate the ambulatory trauma patients and ensure the pre assessment process is carried out for this patient group and a treatment plan is formulated and communicated with the patients.

Contributing to the planning and organisation of trauma theatre list

Providing an outreach service for outlying patients, including regular review of patients to ensure plan of care is implemented. They will offer support and advice for trauma patients and staff throughout the Worcestershire hospital sites.

Effective planning, co-ordination and communication within the multidisciplinary team.

Provide the interface between the clinical trauma service, patients and relatives to explain current treatment plans, delays and cancellations in treatment.

Providing education information and advice to other professionals, including medical and surgical teams across the Acute Unit, district nurses, GPs, practice nurses, community hospitals and community therapists.

The post holder will be required to a independent non-medical prescriber of to work towards the Non medical prescribing qualification.

The post holder will take an active role in facilitating patients with hip and femoral fractures to achieve Best Practice Tariff for Hip Fractures. The will drive the process and

be an active part of the audit process, contributing to NHFD and the Harm reviews for hip fractures.

The post holder will work autonomously but collaborate with the multidisciplinary team.

Key Duties: Clinical Assessment/ Ward environment

Clinical examination/assessment and clerking of patients

Assessment of the deteriorating patient

Involvement in discharge planning and Electronic discharge summaries regarding treatment and management

Non medical prescriber

Lead post take ward round

Participation in pre and post-operative ward rounds

Undertake nurse-led ward rounds if applicable

Maintenance of records and databases

Referral for investigations and formulation of a treatment plan based on interpretation of results Interpretation of X-rays and other diagnostic investigations

Performing Fascia iliaca blocks to patient with confirmed hip fractures.

Perform interventional procedures such as joint aspirations/ suturing etc

Working with anaesthetic team to ensure alternative pain relief

Application of skin and skeletal traction

Application of surgical appliances such as collars, TLSO etc

Identification of medical risks and referral to specialty teams such as Anesthetics

Providing information and support to junior medical teams and ward staff

Contribute to the BPT for hip and femoral fractures and participate in the harm process for hip fractures

Supporting the frailty teams with assessment of patient

General Duties:

Clinical

The post holder will;

Undertake clinical assessment and formulation of clinical management plan of patients to incorporate physiological, psychological and pharmacological considerations, making multifaceted complex clinical decisions regarding patient management and clinical outcomes, including, where appropriate, listing patients for trauma procedures and discharging patients from the service when treatment is complete.
Demonstrate a high level of competence in clinical, diagnostic and examination skills
Facilitates the Trauma admissions process for trauma patients admitted to the Alexandra Hospital or Worcestershire Royal Hospitals. Participates in the daily on call orthopaedic consultant trauma meeting and trauma rounds.
Uses advanced knowledge and skills to accelerate the admissions process through the A&E department and fast tracking hip fracture patients as appropriate.
Ensures all trauma patients have a detailed care plan, which reflects the specialist trauma care patients receive for their condition or injury.
Ensures patients are medically fit for surgery or makes appropriate referrals to other specialities for assessment or treatment of conditions, which prevents patients having surgery. Requesting investigations that assist in optimisation of patients for surgery.
Works with the capacity teamto identify a priority list for admission, work to repatriate and/or transfer trauma patients form the major trauma centre to the trauma ward or the most appropriate clinical area.
Facilitates good communications with all agencies involved in the continuity of patient care.
Provides efficient and effective liaison, co-ordinates and facilitates multi-disciplinary care for outlying trauma patients.
Acts as a resource for patients, relatives and carers requiring information and advice regarding episodes of care.

Logistical and Administration

Listing of patient on to the Bluespier trauma boards for surgical treatment

Taking referrals form both sites for treatment of trauma conditions and injuries.

Take referrals for ambulatory trauma cases, ensure the patient is prepared and schedule cases on the theatre lists. Maintain the Abulatory referrals trauma board

Advice and support for medical and nursing staff

Collect and input outcome data e.g. NHFD

Working closely with the Orthogeriatrician teams

Liaison with therapies and other members of the multidisciplinary team

Liaison with capacity teams and senior managers regarding priority for treatment

Organising additional theatre lists for extra capacity for trauma cases

Driving Best Practice Tariff process for hip and femoral fractures

Providing an interface between patients waiting at home for surgery and admission on ambulatory treatment pathways.

Practice and Service Development, Research & Evaluation

Maintain databases and monitoring clinical outcomes in relation to a range of surgical procedures

Compile reports relating to clinical outcomes

Participate in audit

Participate in medical/nursing research

Undertake independent audit projects

Ongoing development of the range of nurse led services within directorates

Contribution to the Surgical site infection data collection

Participation of developing new skills and advancing the service

Education

Be a source of knowledge and advise at all levels within the organisation.
Will provide support and advice to the junior medical team.
Provide both formal and informal teaching for orthopaedic ward staff and outlying ward staff and as part of the clinical study days.
Provide informal teaching to patients and relatives.
Offer teaching to community staff regarding trauma and the management and conditions.
Will participate in induction for both medical and nursing staff programmes and mandatory training for all grades of staff.
Will pursue personal study in professional development and clinical upgrading relating to liaison and discharge planning.

Management

Will assist in investigation of complaints
Ensure effective communication to ward staff, clinic staff and theatre staff regarding clinical decisions to maximise clinical benefit and the appropriate use of resources
Will keep adequate records and provide statistical information and reports on request.
Provide support and guidance for junior members of the medical and nursing team

Professional

Works within the scope of professional practice, local policies and protocols.
To maintain a professional attitude and perform all duties and conduct themselves in accordance with the NMC professional code of conduct.
Show evidence of continuing professional development in line with revalidation requirements and maintain professional registration.
Maintain competency of advanced practices and policies and protocols relating to clinical practice.
Always work to the trust Values