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• To provide a high standard of physiotherapy care to a complex patient group on each rotation within Critical Care.
• Has the major job responsibility for the day to day running of specified clinical trials / research, this will include the recruitment, assessment and ongoing follow-up of patients for specific trials.
• To participate in the Physiotherapy respiratory rotational scheme within the Critical care setting.
Communication & Relationships
• To provide and receive complex patient information including diagnosis and prognosis, which may be sensitive and where there may be barriers to communication due to patient’s physical and psychological condition, or their understanding of English Skilled use of verbal and non verbal communication tools will be required
• To communicate effectively with patients and/or family members, to provide them with information about clinical trials in an understandable, comprehensive and unbiased manner prior to obtaining informed consent for trials.
• To follow department guidelines to assess capacity and gain required level of consent from patients and/or family members for their treatment
• To be responsible for communicating the clinical trial protocol to all staff involved, included any changes that may be necessary, to ensure the safe and effective running of the trials
• To communicate effectively with the sponsor of specified research trials.
Analytical and Judgement Skills
• To interpret a range of clinical and non-clinical information relating to individual patients some of which may be complex and act appropriately on those findings
• To undertake a comprehensive specialist assessment of patients, plan and implement an appropriate programme of physiotherapy care using advanced clinical reasoning, and determine the most appropriate treatment methods from a range of physiotherapy options.
• To monitor and evaluate patient progress within their treatment programme through regular re-assessment and re-evaluation of clinical and non-clinical facts and make changes as appropriate
• In conjunction with MDT colleagues, to develop comprehensive discharge plans for patients’ onward transfer from the hospital setting.
• To continually monitor the adherence to the study protocol and notify the research coordinator if there are any problems that may compromise the integrity of the study.
Planning & Organisational Skills-Research Physiotherapist
• To be responsible for a caseload of complex patients within the rotational area working without direct supervision. This will involve the assessment of patients (at recruitment, baseline and follow up) in specified clinical research trials.
• To plan ongoing monitoring and analysis of patient recruitment and problems encountered in research trials in order to affect and manage appropriate changes and the smooth running of these trials.
• To plan organise and deliver physiotherapy care to these patients
• To prioritise workload to be able to ensure that data is available for analysis to meet deadlines for reports, conference presentations and publications.
• To contribute to the planning of new clinical research trials and to be involved in writing trial protocols, patient information sheets, and consent forms.
Physical Dexterity Skills
• To demonstrate highly developed dexterity for assessment and application of a range of manual physiotherapy treatments and techniques including therapeutic handling of patients.
• Basic keyboard skills for a wide range of data entry and retrieval activities.
7. KEY RESULT AREAS-Research Physiotherapist
• To undertake comprehensive assessment of physiotherapy needs of patients including those with diverse and complex presentations
• To manage clinical risk within own patient caseload, including the ability to identify potentially life threatening conditions and act appropriately
• To develop and deliver physiotherapy treatment programme for patients based on knowledge of evidence based practice and available treatment options using advanced clinical assessment, reasoning skills, and knowledge of treatment skills e.g. manual techniques, patient education, exercise programmes, and other options
• To be able to assess, commence and wean patients using non invasive ventilation
• To ensure physiotherapy treatment is an integral part of patients overall management and contributes to their recovery process maximising function and contributing to a timely discharge from hospital
• To work as part of a multi-disciplinary team delivering care to patients within a ward area and within agreed referral protocols to proactively identify those patients who have the potential to benefit from physiotherapy intervention
• To evaluate and monitor patient progress adjusting treatment programmes accordingly ensuring treatment is carried out in the most appropriate and effective way and to the highest possible standard
• To motivate and encourage patients active participation in all aspects of their physiotherapy care and clinical research trials
Policy & Service Development
• To carry out all duties in accordance with the requirements of the Chartered Society of Physiotherapy and Organisation policies and procedures
• To carry out all duties in accordance with local clinical protocols and standards in the rotational area
• To use evidence based practice, audits, published research to inform own practice
• To identify and discuss with Senior Physiotherapists any potential areas for service improvement or change based on evidence or knowledge and implement accordingly as agreed with them
• To comment on and contribute to proposals for change in clinical or department policies identified and proposed by others as requested.
• To collect and manage research data, which contributes to, changes both locally and nationally
Financial & Physical Resources
• To be responsible for the safe use of equipment by self and patients in the care of the post holder
Human Resources-Research Physiotherapist
• To be responsible for allocation of work to Junior Physiotherapists, Technical Instructors and Physiotherapy Assistants within agreed clinical protocols in the rotational area and ensure work is undertaken to a satisfactory standard
• May occasionally have to support in student supervision of physiotherapy students on placement in the clinical area
• To provide appropriate and relevant advice and education on physiotherapy issues as requested by ward staff and other multi-disciplinary team members in the ward area e.g. work experience students and students from other professional groups
• To participate in staff appraisal scheme and personal development planning as an appraisee.
• To participate in and contribute to the delivery of in service training within Physiotherapy and Critical Care Teams
• To deputise for the senior physiotherapist in the team as required
• To attend departmental staff meetings and multi-disciplinary team meetings in the rotational area
• To act as a resource for advice/support regarding on call situations for non-respiratory specialist physiotherapists. This may include coming into the hospital to assist the on call physiotherapist if appropriate
• To maintain accurate comprehensive and up to date treatment records for each patient in line with legal requirements.
• To communicate assessment and treatment results to the multi-disciplinary team in the form of reports and letters as required
• In line with departmental guidelines and procedures to provide daily statistics for use by the rehabilitation department to monitor and evaluate service activity levels
• To maintain accurate and secure database of patients recruited into study and ensure that Caldicott Guidelines are adhered to at all times.
• To navigate electronic databases and online resources for literature searches of medical publications and other reference material.
• To design and create reports and presentations at least monthly.
• To be involved in the planning and feedback on use of databases for gathering research information.
• To be responsible for ensuring that databases are backed up or saved onto the server where the TrustOrganisation IM&T Department will automatically back them up.
Research & Development-Research Physiotherapist
• Major job responsibility of the post is the day to day running of specified clinical research trials
• To ensure that staff taking part in the trial are informed, and trained in any additional skills required for implementing the trial.
• To ensure that Good Clinical Practise (GCP) underpins the trials and promote GCP to other staff involved with the trial.
• To design, implement and evaluate recruitment strategies for study participants including taking informed consent and ensures adherence to these protocols. Requires ability to assess patient eligibility for trial by reviewing medical records and assessing the patient.
• To set up procedures for ensuring that all recruits are followed up and if not reasons for losses to follow-up are noted and all adverse events and complications are noted and the appropriate people are notified.
• To communicate the trial protocol to other members of the team involved, identifying the stage of recruitment / passage of patient through the trial, updating them on any changes in the trial protocol, to ensure the safe and effective running of the trial.
• Prepare accurate and timely reports (both written and electronic) of trial status,
• To be involved in the preparation of data, and provide information required to write up papers for publication in peer reviewed journals.
• To present research findings at internal clinical research meetings and at national and international academic meetings as appropriate.
• Degree or equivalent diploma in Physiotherapy
• State Registered with Health Professions Council
• Substantial Junior Physiotherapy NHSORGANISATION experience across a range of clinical specialities
• Experience of working as part of a multi-disciplinary team
• Evidence of formal post-graduate courses and CPD.
• High level of planning and organisational skills
• Excellent communicational and interpersonal skills
• Ability to work autonomously
• Knowledge of research methodology
• IT skills including experience of Microsoft office
• Critical care and surgery experience
KNOWLEDGE, TRAINING & EXPERIENCE-Research Physiotherapist
• The post holder is expected to:
o hold a degree or equivalent diploma in Physiotherapy
o be state registered with health professions council
o have considerable Junior physiotherapy ORGANISATION experience across a range of clinical specialities
o have experience within critical care and surgery areas
o maintain own clinical professional development (CPD) by keeping up to date with new trends and developments in area of work
o maintain and develop current knowledge of evidence based practice in the areas of each rotation, developing specialist knowledge, clinical reasoning and practical skills in particular conditions, patient groups and treatment modalities e.g. non invasive ventilation
o have an advanced understanding of physiotherapy clinical practices and procedures within the rotational Critical Care setting
o have specialist knowledge of manual handling legislation and current best practice including range of appropriate equipment and take a role in advising other health care professionals in the speciality area
o attend and actively participate in team in-service training within the rotational area
• Rotational posts are designed to consolidate and build on skills and academic knowledge gained during the first two years post graduation allowing the physiotherapist an opportunity to spend longer in specific areas of work enabling further development of more specialist clinical and managerial competencies.
• To communicate effectively and work collaboratively with the wider multi disciplinary team including medical, nursing and other therapy colleagues to facilitate delivery of a co-ordinated multi-disciplinary service to patients. This will include attendance at social rounds, ward rounds, case conferences and ad hoc situations on the ward, communicating the physiotherapy aspects of patients care and ensuring there integration into the patients overall treatment plan
• To communicate effectively and work collaboratively with the primary care teams/local authority who may be involved in the ongoing management of patients’ care post discharge including community nursing services, GP’s, and domiciliary physio services.