Clinical Triage Practitioner
2 months ago
Job summary
The main purpose of the role is to work as an autonomous practitioner within the QEF Care and Rehabilitation Centre working closely with acute services, GPs and those who refer clients for consideration to our inpatient rehabilitation will be responsible for fulfilling the service clinical triage requirements and will need to undertake assessments of clients with a range of clinical presentations, many of which will have a neurological diagnosis or will need to use specialist clinical reasoning, evidence based practice, enhanced assessment, problem solving and decision-making skills, to identify the client needs, determine suitability for our service and make recommendations on the clinical pathway the client will most benefit will be a crucial role in the development of a trusted assessor process with those referring into our Care and Rehab Service.
Main duties of the job
To be professionally and legally accountable for all aspects for your own and delegated work. To work within codes of practice and professional guidelines. To undertake specialist holistic rehab assessment (including those with complex presentations and multi pathologies) making use of clinical reasoning skills. This may include face assessment or telephone assessment / triage. To control and manage triage calls effectively by using skilled questioning, active listening and excellent verbal communication skills in a calm, professional manner. To evaluate patient progress, write reports and assessments and being responsible for the handover To effectively communicate with patients, family members, carers and colleagues using tact and persuasive skills. This may involve using skills where patients have difficulties in communication, hearing loss, diminished sight, depression, aphasia, speech problems, cognitive impairment, behavioural problems and pain To work in line with QEF policies and procedures. (Full duties in the Job description)
About us
QEF & ITS FAMILY OF CHARITIES
QEF is a Surrey based charity committed to providing life-transforming services that enable people with disabilities to increase their independence and achieve their goals in Care and Rehab Centre (CRC) is a state of the art 48 bedded rehab centre. We offer four different client pathways to include Neuro Rehabilitation, General Rehabilitation, Complex Neurological Care and Out Patient / Respite Services
Job description
Job responsibilities
To be professionally and legally accountable for all aspects for your own and delegated work.
To work within codes of practice and professional guidelines.
To undertake specialist holistic rehab assessment (including those with complex presentations and multi pathologies) making use of clinical reasoning skills. This may include face assessment or telephone assessment / triage.
To control and manage triage calls effectively by using skilled questioning, active listening and excellent verbal communication skills in a calm, professional manner.
To evaluate patient progress and / or change, reassess and understand the clinical rationale for altering a rehabilitation plan and interventions
To understand and be acutely aware of significant medical observations during assessment and treatment of patients and know who to report this to
To complete a written and thorough assessment of all clients requiring an in person assessment
To work with the business development team, and admissions and discharge coordinator, sharing findings of your assessment in a proactive and timely manner so to support effective and efficient communication to referrers regarding outcome of clinical triage and the safe admission of clients.
To maintain an effective and efficient communication line with HOCS to discuss any complex clients or assessments, ensuring that decisions are not made in silo and the appropriate clinical guidance is obtained.
To maintain up-to-date clinical skills and rotate into clinical team as appropriate to support client rehab and / or care and maintain clinical skills. Clinical skills will be utilised for complex and needed face assessment of referrals and clinic support
To be responsible for the handover process to the relevant QEF CRC clinical staff regarding outcome of clinical triage and /or face assessment, including recommendations for therapy input, and appropriate rehab program with the aim to create a smooth and effective transition of care from clients place of residence into to the CRC
To demonstrate the importance of gaining patient and where appropriate family, carer or additional professional consent for all interactions and assessments.
To effectively communicate with patients, family members, carers and colleagues using tact and persuasive skills. This may involve using skills where patients have difficulties in communication, hearing loss, diminished sight, depression, aphasia, speech problems, cognitive impairment, behavioural problems and pain
To work in line with QEF policies and procedures.
To work within your own professional body such as the RCN, CSP or RCOT, demonstrating a good working knowledge of national and local standards of practice in keeping with legal and operational requirements
Organise and manage own time in keeping with line manager expectations.
To conduct and contribute to risk assessments and any relevant health and safety assessments that may be required for new client admissions
To be responsible for the handover process to the relevant QEF CRC staff of resulting recommendations from risk and health and safety assessments.
Take an active part in the development of the QEF CRC service and in supporting the organisational aims and objectives regarding models of care and clinical pathways.
To work effectively within the service and liaise appropriately with members of the MDT.
To ensure that accurate and timely written records are kept which comply with the QEF policy and HCPC guidance, reporting on any issues as appropriate.
To participate in the on-going development of the role and support the development of the protocols and processes in the Triage
To support the HOCS, General Manager and therapy team leads with day-to-day planning and delivery of a high quality service.
Participate in annual audit plans for the Service and annual staff surveys.
To undertake evidence based practice to further own clinical practice and maintain competency.
To comply with the collection of data required by the service including SSNAP data.
To participate in clinical supervision
To participate in the staff appraisal scheme and personal development plans
Person Specification
Knowledge and skills
Essential
Ability to demonstrate and evidence effective clinical skills equivalent to Band 6 competency level Able to demonstrate sound theoretical knowledge of varied neurological conditions; Examples include ABI, TBI, incomplete spinal injury, Guillan Barre and Multiple Sclerosis Able to complete a full and thorough neurorehab assessment Familiar with and understands requirements for the use of varied pieces of rehabilitation equipment for transfer and mobility purposes Understanding of what rehabilitation potential and change means and how this may be captured through use of rehab outcomes Experience of setting goal Ability to prioritise workload and remain calm Well developed written and verbal communication skills Able to communicate effectively with clients, carers, AHPS and wider team members Ability to triage a diverse range of referrals and make decisions Able to identify risks and act accordingly with regard to safety of patients and others Able to work autonomously and / or within the MDT when required Ability to receive and act on developmental feedback
Experience
Essential
5 years + post qualification clinical experience 3 years + Community experience 3 years + Experience with neurologically impaired adults Solid experience of working in a team / MDT environment Experience of working in a rehab setting Experience of working autonomously Experience of carrying a caseload Experience of making decisions based on clinical rationale
Desirable
Experience of working in a customer focused environment
Qualifications
Essential
Registered nurse or post graduate physiotherapist / occupational therapist Current NMC or HCPC registration Completed Mentorship and / or clinical supervision training Evidence of ongoing professional development
Desirable
Post graduate training Msc, MSc modules, PGDip, PGcert-
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