Swydd-ddisgrifiad a phrif gyfrifoldebau manwl

Clinical

• To assess and treat a specific caseload of patients with complex needs, prioritising efficiently to help prevent readmissions.

• To apply a high level of knowledge and understanding in the speciality including neurological conditions.

• To undertake individual initial screens to identify patient need including areas affecting functional ability, followed by agreed assessment plans.

• To design/plan individual patient programmes to implement oneself or to delegate as appropriate

• To assess and treat the patient’s personal and domestic daily living functional activity level to maximise independence.

• To select and conduct standardised cognitive and perceptual testing to identify areas affecting functional ability and indicate need for further assessment/treatment.

• To carry out an initial risk assessment where necessary and monitor ongoing risk.

• To assess need and risk factors for hoist and wheelchair provision.

• To carry out home visits with or without the patient to assess environmental risks and functional ability at home.

• To advise on, recommend, make provision for the installation of; appropriate aids and adaptations to the patients’ social and physical environment.

• To assess and manufacture appropriate upper limb and lower limb splints as needed. To design and monitor ongoing splint regimes.

• To carry out community visits to assess for and practise daily living skills as needed.

• To monitor and evaluate treatment, including using outcome measures in order to measure progress and ensure effectiveness of the intervention.

• To undertake discharge planning and coordination of complex patients.

• To take a lead in the decisions regarding placement after discharge.

• To refer onto appropriate agencies for :- the continuation of treatment, reassessment, monitoring, provision of further adaptations.

• To carry out joint working with others from the Trust and across other agencies.

Documentation

• To maintain up to date activity data and activity records in accordance with Professional and Trust standards.

• To provide reports on home visits.

• To provide specific reports to other agencies as appropriate.

Professional Ethics

• To adhere to the COT Code of Ethics and Professional Conduct, and all other relevant policies and procedures. These include maintaining confidentiality and respecting the patient’s dignity, privacy culture and wishes

• To provide guidance to junior/support staff on ethical issues.

Leadership, Supervision and Appraisal

• To lead and manage the O.T. team in the Neuro Outlier/ITU Unit.

• To participate in the planning and implementing of the induction, training and education of students and other staff in this setting, and take a lead when needed.

• To undertake the supervision and appraisal of junior/support staff as delegated by the Lead O.T.

• To provide specialist training on an individual basis.

• To provide advice to junior/support staff and students on a day to day basis as required.

• To deputise for the Lead O.T. in an absence.

Training Staff and Students

• To participate in the planning and implementing(taking a lead as needed ) of the induction, training and education of students and other staff in this setting.

• To be responsible for the supervision and written assessment of O.T. students on practice placement on a regular basis.

• To give presentations/training on specialist topics.

• To organise and implement the training programme for O.T. team in the Stroke Unit.

Service Development and Delivery

• To work with other staff within the department to ensure that equipment is maintained and stock monitored.

• To manage own caseload efficiently, including methods of prioritisation in order to achieve timely and safe discharges of patients from hospital and to help prevent admissions/readmissions.

• To facilitate, coordinate and monitor the workloads of the O.T team members the Stroke Unit

• To participate in the operational planning and implementation of policies within the department

• Assist with the recruitment and appointment of O.T. staff.

• To represent O.T. on Trust wide (and linked agencies) working parties and groups as delegated by the Lead O.T.

• To take a lead on specific projects as delegated by the Lead O.T.

• To participate in, and take a lead as needed, in the Therapies special interest group for the relevant clinical area.

Personal/Professional Development

• To participate in internal and external training opportunities to meet identified objectives and demonstrate ongoing development.

• To apply specialist skills and knowledge in order to maintain professional competence and fitness to practise as a senior O.T.

• To maintain a professional portfolio for CPD , regarding learning outcomes

Clinical Governance

• To comply with all Trust Policies and procedures including Infection

• Control, the Health & Safety at Work Act and the Data Protection Act To report on complaints, accidents and any deficits in equipment as soon as possible.

• To be familiar with and comply with local fire procedures.

• To be familiar with all Trust and Therapy emergency procedures, on and off site and to respond as necessary eg. emergency resuscitation, hydrotherapy etc.

• To assess for and advise on risk factors in given situations.

• To contribute to the Trust and Therapies clinical governance and quality agenda including the setting and monitoring of practice standards.

• To participate in the evaluation and audit of practice, clinical pathways and protocols within the clinical area.

• To apply national guidelines/legislation relating to health care.

Research and Practice Development

• To undertake research and/or audit projects relevant to O.T. and/or service area and disseminate findings at local level.

• To broaden research and development skills through participation in local audit and research projects.

Work force

• To supervise and delegate to Rehab Therapy Assistants, Band 5 and 6 OTs, when appropriate.

• To advise and demonstrate to carers, nursing and other staff on the safe manual handling, positioning and moving of patients.

• To co-operate with the other Senior members of the MDT in the organisation of the workload, and to assist the Lead OT/ Therapy Manager in departmental managerial matters when required.

• To contribute to the education of Therapy Assistants.

• To be responsible for the appraisals of staff in your team, delegating to the

Band 6 OT when possible.

Partnerships/Communications and Relationships

• To communicate effectively with patients and carers, O.T colleagues, multidisciplinary team members and other agencies

• To participate (and take a lead as needed) in the multidisciplinary team meetings and case conferences, with regard to patient care programmes.

• To advise and educate patients and carers regarding aids and equipment in the home and outside community

• To participate in staff meetings and other meetings (taking a lead as needed) as directed by the Lead O.T.

• To promote the O.T. role within the Stroke Unit, the Trust, and to other agencies.

General

• The post holder will be experienced in assessing a patient’s needs and establishing an appropriate treatment plan

• The post holder will be physically fit and able to carry out regular manual handling tasks, including assisting with patient transfers, manipulating an upper limb, and using equipment such as a hoist or wheelchair.

• The post holder should be flexible and be able to adapt their treatment planning in light of unforeseen circumstances or a change in the patient’s condition.

• The post holder will be able to manage sensitive situations, dealing with patients or family members who are distressed.

• The post holder will be confident of working in the ward environment, or in patients’ homes.

• The post holder may be required to undertake other duties which fall with the grade of the job, in discussion with the Lead O.T.

• This job description will be reviewed in the light of changing service requirements. Any such changes will be discussed with the post holder.