Specialist Inpatient Physiotherapist

Clinical 1. To be professionally and legally accountable and responsible for all aspects of own work including the management of individual caseload, working within accepted codes of professional conduct and clinical guidelines to minimise clinical risk. To be able to undertake assessments and report safeguarding issues and refer to appropriate teams. 2. To demonstrate highly advanced theoretical knowledge of anatomy, physiology, and pathology and utilise highly developed clinical reasoning skills to assess and treat patients within specialist orthopaedic clinical areas such as, limb reconstruction, sarcoma, bone infection, day surgery, complex revision procedures and amputees. 3. To promote and expand the role of Physiotherapy in early discharge/daycase post-operative pathways for primary joint arthroplasty patients and seek opportunities to work with other members of the MDT to improve pathways, review Patient Information leaflets and identify new ways of working in keeping with relevant clinical governance processes. 4.To undertake a highly specialist assessment of Orthopaedic patients as an autonomous practitioner to determine appropriate rehabilitation programmes for each patient setting realistic, patient centred goals and treatment plans. To facilitate the discharge planning of complex patients demonstrating an appreciation for common discharge destinations such as community hospitals, short stay hub beds and home-based rehabilitation. 5.To undertake as a specialist autonomous practitioner, comprehensive assessments of highly complex patients presenting with multiple pathologies, using advanced bio psychosocial clinical reasoning skills, expert knowledge of evidence-based practice, and advanced rehabilitation expertise to interpret and analyse clinical and non-clinical facts, which may include very personal, emotive or contentious information. 6.Demonstrate critical awareness of knowledge and evaluation of new literature to Develop new skills in response to emerging knowledge and techniques at the interface between different specialities. Create a research-based diagnosis to problems by integrating knowledge from new or interdisciplinary fields and make judgements with incomplete or limited information. 7. To be able to use musculoskeletal imaging such as x-rays and MRI scans to inform clinical decision making and have experience of treating patients under the plastics speciality to include those having rotational as well as free flap procedures and skin grafts. 8. To have experience of working with patients undergoing oncology treatment and demonstrate understanding of how chemotherapy or radiotherapy treatment may affect their presentation. To demonstrate a sensitive and empathetic approach towards these patients and to play an active role in coordinating their onward rehabilitation particularly when they are from an out of area locality. 9. To initiate outpatient physiotherapy referrals where indicated and liaise with wider teams such as orthotics, trauma physiotherapy, plaster room, hand therapy and spinal cord injury outreach teams to influence patient care as patient need dictates. 10. To be responsible for planning, prioritising and managing own caseload of patients using advanced evidence based and client centred principles to assess, plan and evaluate interventions. To show initiative in assisting other less experienced staff to manage their caseload and in ensuring caseload is spread across the team in times of high service demand or staff shortages. 11. To provide a comprehensive, specialist follow up physiotherapy service for day case and early discharge UKR, and TKR patients as required. 12. To recognise and appropriately manage any early post operative complications. 13. To attend Clinical Governance Groups where relervant to clinical caseload and ensure that the Team Lead is made aware of any changes to the wider orthopaedic services. 14. To represent the physiotherapy service at ward rounds, clinics and case conferences as appropriate. 15. To identify patient concerns related to the clinical presentation and use current evidence to respond to them. 16. To advise patients and referrers on return to work, sports and other activities. 17. To encourage health promotion within the hospital by example and advice to individual patients. This will involve providing complex and sensitive information. 18. To be aware of the boundaries of own practice, and to manage the associated clinical risk by seeking support from senior clinical colleagues are required. 19. To have the ability to work within the Trusts guidelines and Chartered Society of Physiotherapy Guidelines and to have a good working knowledge of national standards. To maintain good clinical documentation in line with local, Trust and CSP standards. 20. To enhance the profile of Physiotherapy within consultant led sarcoma and limb reconstruction clinics as required and to look for opportunity to influence the provision of pre-habilitation and post-operative rehabilitation to these patients. 21. To implement policies and propose changes to practice procedures for own area. To propose policy or service changes that could impact beyond own area of work 22. To participate in on-call, weekend work duties and late shift working patterns () as required by the service or Team Leader. Job description Job responsibilities Clinical 1. To be professionally and legally accountable and responsible for all aspects of own work including the management of individual caseload, working within accepted codes of professional conduct and clinical guidelines to minimise clinical risk. To be able to undertake assessments and report safeguarding issues and refer to appropriate teams. 2. To demonstrate highly advanced theoretical knowledge of anatomy, physiology, and pathology and utilise highly developed clinical reasoning skills to assess and treat patients within specialist orthopaedic clinical areas such as, limb reconstruction, sarcoma, bone infection, day surgery, complex revision procedures and amputees. 3. To promote and expand the role of Physiotherapy in early discharge/daycase post-operative pathways for primary joint arthroplasty patients and seek opportunities to work with other members of the MDT to improve pathways, review Patient Information leaflets and identify new ways of working in keeping with relevant clinical governance processes. 4.To undertake a highly specialist assessment of Orthopaedic patients as an autonomous practitioner to determine appropriate rehabilitation programmes for each patient setting realistic, patient centred goals and treatment plans. To facilitate the discharge planning of complex patients demonstrating an appreciation for common discharge destinations such as community hospitals, short stay hub beds and home-based rehabilitation. 5.To undertake as a specialist autonomous practitioner, comprehensive assessments of highly complex patients presenting with multiple pathologies, using advanced bio psychosocial clinical reasoning skills, expert knowledge of evidence-based practice, and advanced rehabilitation expertise to interpret and analyse clinical and non-clinical facts, which may include very personal, emotive or contentious information. 6.Demonstrate critical awareness of knowledge and evaluation of new literature to Develop new skills in response to emerging knowledge and techniques at the interface between different specialities. Create a research-based diagnosis to problems by integrating knowledge from new or interdisciplinary fields and make judgements with incomplete or limited information. 7. To be able to use musculoskeletal imaging such as x-rays and MRI scans to inform clinical decision making and have experience of treating patients under the plastics speciality to include those having rotational as well as free flap procedures and skin grafts. 8. To have experience of working with patients undergoing oncology treatment and demonstrate understanding of how chemotherapy or radiotherapy treatment may affect their presentation. To demonstrate a sensitive and empathetic approach towards these patients and to play an active role in coordinating their onward rehabilitation particularly when they are from an out of area locality. 9. To initiate outpatient physiotherapy referrals where indicated and liaise with wider teams such as orthotics, trauma physiotherapy, plaster room, hand therapy and spinal cord injury outreach teams to influence patient care as patient need dictates. 10. To be responsible for planning, prioritising and managing own caseload of patients using advanced evidence based and client centred principles to assess, plan and evaluate interventions. To show initiative in assisting other less experienced staff to manage their caseload and in ensuring caseload is spread across the team in times of high service demand or staff shortages. 11. To provide a comprehensive, specialist follow up physiotherapy service for day case and early discharge UKR, and TKR patients as required. 12. To recognise and appropriately manage any early post operative complications. 13. To attend Clinical Governance Groups where relervant to clinical caseload and ensure that the Team Lead is made aware of any changes to the wider orthopaedic services. 14. To represent the physiotherapy service at ward rounds, clinics and case conferences as appropriate. 15. To identify patient concerns related to the clinical presentation and use current evidence to respond to them. 16. To advise patients and referrers on return to work, sports and other activities. 17. To encourage health promotion within the hospital by example and advice to individual patients. This will involve providing complex and sensitive information. 18. To be aware of the boundaries of own practice, and to manage the associated clinical risk by seeking support from senior clinical colleagues are required. 19. To have the ability to work within the Trusts guidelines and Chartered Society of Physiotherapy Guidelines and to have a good working knowledge of national standards. To maintain good clinical documentation in line with local, Trust and CSP standards. 20. To enhance the profile of Physiotherapy within consultant led sarcoma and limb reconstruction clinics as required and to look for opportunity to influence the provision of pre-habilitation and post-operative rehabilitation to these patients. 21. To implement policies and propose changes to practice procedures for own area. To propose policy or service changes that could impact beyond own area of work 22. To participate in on-call, weekend work duties and late shift working patterns () as required by the service or Team Leader.