Advanced Rehabilitation Assistant

2 weeks ago

London, Greater London, United Kingdom Guy's and St Thomas' NHS Foundation Trust Full time

Job summary

An exciting opportunity has arisen to work within our team at the Amputee Rehabilitation Unit (ARU) as an Advanced Amputee Rehabilitation Assistant for 3 days per week ( hours) on Tuesday, Thursday and Fridays. This role is for someone with a genuine and proven enthusiasm for amputee rehabilitation.

Based in Kennington, the ARU is part of the Community Directorate of Guys and St Thomas's NHS Foundation Trust. This is an inpatient rehabilitation facility that provides intensive amputee rehabilitation over 6 days to those who have been affected by a major amputation of one or more limbs. Patients generally stay between 4 and 7 weeks.

The team currently consists of a Clinical Lead AHP, prosthetist visiting x2 per week, physiotherapists, occupational therapists, rehab assistants, counsellors visiting x2 per week, nursing team and nursing assistants, medics and pharmacists.

We are looking for a dynamic individual who has already had experience working in a health care setting or with amputees in a hospital or rehabilitation setting and would fit well into a multi-disciplinary team approach to rehabilitation.

Please note you will be required to join the Saturday rota at the ARU, which provides a 6 day a week therapy service. You will be working a 1 in 6 Saturday rota currently, however this may be stopped during 2024 and reverting to a 5 days service.

Main duties of the job

The role includes both clinical and non clinical administrative tasks. Clinically leading exercise groups, wheelchair skills groups, gardening and craft groups and work alongside the occupational therapist to deliver functional breakfast groups.

Completing standardised assessments such as the MOCA (cognitive assessment), and physiotherapy outcome measures such as the 2 Minute Walk Test and Timed Up and Go along with others.

Completing one to one rehabilitation sessions including both occupational therapy treatment sessions, such as washing and dressing practice, transfers, bed mobility and meal prep, and physiotherapy treatment sessions including delivering exercise programmes, walking practise using prosthetic limbs and early walking aids.

Completing lower limb rehabilitation and when applicable upper limb rehabilitation .

Admin responsibilities include use of Microsoft Office package for stock checks, ordering stock (use of oracle online system), completion of audits, writing notes, cleaning of equipment, setting up group work, referrals, wheelchair maintenance along with others.

Please see the attached Job description and person specifications for more duties and responsibilities.

About us

The essence of the Amputee rehabilitation unit ( ARU ) model of care is to provide specialist rehabilitation for people who have undergone major amputation. Therapy is delivered to maximise patient outcomes and goal attainment.

The ARU brings together the essential elements of evidence based post-operative amputee care in an appropriately staffed and equipped specialist unit. Such elements include access to specialist medical, nursing, therapy and counselling professionals in amputee care. This facilitates early mobilisation, prosthetic provision and psychological care within a dedicated rehabilitation setting.

The ARU accepts amputees with major amputation that will benefit from a specialist, coordinated rehabilitation programme. Patients will transfer from acute services within 14 days of amputation. Most will be of older age, be deconditioned with significant comorbidities and have complex discharge/social care requirements. Predominantly, patients will be registered across south east London but may reside outside of this region.

The successful candidate will have opportunities for internal and external training and development. We hold weekly in service training, which is both uni and multi professional and we strongly encourage self directed learning. Prosthetic trade representatives frequently visit and our dynamic team provide the opportunity to keep up to date with the latest prosthetic developments.

Job description

Job responsibilities

To work as an autonomous practitioner with support and direction from qualified physiotherapists and occupational therapists in the performance of specific tasks for individuals or groups of patients as part of treatment and rehabilitation programmes as part of the Amputee MDT Rehabilitation Team

To carry own caseload of patients with which may include complex conditions as delegated by the Highly Specialist Physiotherapist and Highly Specialist Occupational Therapist.

To be highly skilled and technically specialised within specific clinical area of amputee rehabilitation

To provide competent treatment to patients within set clinical protocols.

Ability to work with minimal or no immediate supervision of a qualified member of staff.

To use own clinical judgement and knowledge in regards to progressing and/or making minor modifications to treatment programmes within agreed clinical protocols and parameters.

To assist with the care of patients including preparing drinks, supervising drinking, toileting, washing, dressing and undressing.

To be able to recognise change in the condition of a patient with guidance from qualified staff and to watch the patient response to any treatment undertaken.

To be responsible for teaching therapeutic techniques or related activity to patients or carers within an agreed scope of practice, taking into account barriers to communication

To monitor the reaction of patients to specific therapy techniques undertaken.

To demonstrate an awareness of clinical risk and ability to manage clinical risk within own caseload at all times including observing patients in all situations applicable to rehabilitation and therapy, ensuring safety and security at all times.

Please see the attached Job description and person specifications for more duties and responsibilities.

Person Specification

Skills/Knowledge/ Ability

Essential

Ability to treat patients within prescribed clinical protocols/programmes with minimum or no immediate supervision Ability to work effectively and contribute as a member of a multi-therapy and multidisciplinary team Ability to present information, written and orally, in a clear and logical manner and maintain legible and accurate notes, both written and electronic Ability to plan and lead group patient treatment Ability to identify need for patients to be referred on to other professional groups or community resource Ability to identify need for patients to be referred on to other professional groups or community resource Able to maintain own caseload of patients with complex conditions, as delegated by the occupational therapist and/or physiotherapist and to prioritise appropriately in order to meet deadlines Ability to progress (and/or make minor adjustments to) prescribed treatment plans, when appropriate, by using own clinical judgement and knowledge within agreed parameters Knowledge of the proper and safe use of wheelchairs Good interpersonal skills in order to communicate and work effectively and appropriately with other clinical staff and patients from a diverse range of social and cultural backgrounds

Previous experience

Essential

Experience of treating patients in a rehabilitation setting Experience of administrative work photocopying, filing Experience of working in a team Experience of assessing patients requiring walking/ other aids and instruct them in their proper and safe usage

Desirable

Previous experience running exercise classes

Qualifications/ Education

Essential

Completed Health & Social Care NVQ Level 4 OR Individuals with significant experience in relevant work environment who can demonstrate competence to a standard that would gain the NVQ Level 3 through the Accreditation of Prior Experience and learning may also be considered OR Established and significant experience in a therapy unit/department working with inpatient and outpatient populations

Desirable

Working with amputee population

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