Senior Technical Instructor

2 months ago

Plymouth, United Kingdom University Hospitals Plymouth NHS Trust Full time

An exciting opportunity has arisen for an experienced, motivated and passionate Senior Technical Instructor to join our highly regarded Emergency care physiotherapy team. The post holder will support the emergency care team in providing physiotherapeutic assessment, treatment and discharge planning for patients, particularly frail elderly patients who may have range of medical and social problems. The post holders will work collaboratively as part of the multidisciplinary team to prevent hospital admission and facilitate hospital discharge for patients admitted to our medical assessment or short stay wards.

**Preference will be given to internal Trust staff, as well as ‘Priority’ and 'At Risk' status including NHS At Risk staff throughout Devon who are able to display recent relevant experience as dictated by the Person Specification.**

To perform specific therapeutic (clinical and non-clinical) assessment, treatment and discharge of an identified caseload of patients within the emergency care wards. The clinical caseload will be allocated and indirectly supervised by Physiotherapists and Occupational therapists within the area.

To undertake all aspects of clinical duties within an agreed protocol within the individuals scope of practice. To ensure competence is gained and retained in all areas in which you practice.

To work without direct supervision, but under the direction of an HCPC registered therapist to perform specific tasks for an individual or group of patients, as part of their treatment and rehabilitation programmes.

To work within protocols and competencies specific to this post. To act as first contact in specific situations.

**Patient management includes**: assessment and information gathering to identify patient needs; development of treatment plans and review of progress at regular intervals; and delivery of care and rehabilitation.

Treatment activities might include following exercise and mobility programmes; and educating & advising patients and their families about their situation and options for the future. There will be liaison with family, carers and external agencies to ensure safe and effective discharge of patients from the Acute Trust and/or appropriate transfer of care to other services.

Clinical
- To be accountable for own clinical practice and caseload management. To work without direct supervision but under the direction of the qualified staff in the performance of specific tasks for emergency care patients, as part of their treatment and rehabilitation programmes. Duties may include:
Initial assessment, treatment of post-operative patients, in accordance with established protocols, scope of practice and competence.

Development and Implementation of rehabilitation treatment programmes.

To understand and communicate complex information in simple and clear terms to patients, relatives, carers and other members of the MDT.

Develop person-specific goals for individuals and their carers.

Training and education of emergency care staff in the delivery of rehabilitation exercise programmes.

Positioning advice and care.

Conduct basis physiotherapeutic respiratory assessment.

Recognise acute and chronic deterioration and modify treatment accordingly.

Assessing performance of activities of daily living.

Teaching the use of specialist rehabilitation equipment.

Carry out level 1 & 2 psychological interventions, e.g. active listening
- To understand, provide, receive and exchange complex condition related information with patients and relatives, who may have communication difficulties. Patients may have complex acute or long term communication difficulties following trauma or long term ventilation, e.g. tracheostomy patients.
- To be actively involved in the communication of information regarding patient’s conditions and any other useful information to the physiotherapists and other members of the multidisciplinary team.
- To communicate effectively with patients and carers. Communication skills of persuasion, motivation and explanation will be needed. Barriers to communication may include loss of hearing, altered perception, pain and language disorders associated with brain injury.
- To be aware at all times of the needs of patients during illness or disability and to promote and encourage independence and restoration of function.
- Be aware of the entire emergency care pathway, including hyper acute / acute / rehab phases and the implications of this on standards of therapy care.
- Plan and manage own patient caseload across emergency care areas.
- To work independently, but under the direction of a Physiotherapist to perform procedures and treatment plans for an individual or group of patients, as part of their treatment and rehabilitation programmes.
- To write treatment notes in a concise, accurate and timely manner in line with departmental standards. These notes do not require qualified staff countersignature.
- To be involved in the induction, training, devel

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