PURPOSE AND SCOPE
- To manage a caseload of clients with complex needs, using evidence based/client centred principles to assess, plan, implement and evaluate interventions.
- To work as part of the multi / interdisciplinary team providing specialist rehabilitation.
- To be OT clinical lead and specialist in rehabilitation of Spinal Cord Injuries.
- To act as deputy lead in absence of Head OT.
- To provide leadership for junior staff, through supervision and appraisal.
- To participate in the planning, development and evaluation of OT services, holding responsibility for defined projects.
- To contribute to the maintenance and development of the OT Service.
- To independently manage a designated caseload of clients with complex needs.
- To complete specialist assessments of clients to address their occupational performance & skill deficit using specialist standardised and non-standardised assessment tools.
- To work with clients, their carers/relatives to identify OT goals as part of the overall care plan and participate in joint goal setting and rehabilitation planning with other team members.
- To plan and carry out regular goal review with the patient/family/carers to discuss progress and plan future goals.
- To plan and implement client centred individual and/or group interventions, enabling the clients in areas of self-maintenance, productivity & leisure, using graded activity to achieve therapeutic goals.
- To work as part of the multi / interdisciplinary team providing specialist rehabilitation.
- To conduct and develop rehabilitation groups, working with other members of the multi / interdisciplinary team.
- To monitor, evaluate and modify treatment in order to measure progress and ensure effectiveness of intervention and to ensure a high standard of evidence based clinical and professional practice is maintained and developed and intervention progresses to a satisfactory closure.
- To provide occupational therapy intervention at the Hospital, the patient’s home or other community setting.
- To carry out home visits in liaison with other health and social care professionals to identify equipment and care needs required for discharge as appropriate.
- To provide clinical specialist advice/support to the occupational therapy team and other team members as appropriate in the area of Spinal Cord Injury.
- To lead and co-ordinate case conferences and family meetings.
- To act as a key worker for designated patients.
- To recommend and/or arrange for the provision, delivery and fit of standard specialist disability equipment frequently entailing manual effort and undertaking risk assessment for safe fitting and use.
- To participate in clinical meetings which review individual patients’ progress.
- To provide help and advice to patients, their families and other carers, teaching and demonstrating relevant treatment techniques, moving and handling and use of equipment to optimise patients’ functional ability and independence.
- To refer clients on to other agencies as appropriate.
- To use communication, problem solving, reasoning and negotiation skills to establish a therapeutic relationship in complex cases. This will involve managing barriers to communication i.e. cultural, physical, cognitive and emotional.
- To promote awareness of the role of the OT within the team, negotiating priorities where appropriate.
- To attend multi-disciplinary client meetings and feedback as appropriate.
- To record all occupational therapy intervention in compliance with departmental guidelines, organisational policies and College of Occupational Therapists and Hospital standards and guidelines.
- To keep accurate statistics of activity as required.
- Provide written reports with future recommendations as appropriate.
- To adhere to organisational policies and apply the code of ethics and professional conduct for Occupational Therapists (College of Occupational Therapy 2000), to ensure safe practice.
- To comply with organisational policies relating to Equal Opportunities, Data Protection and Health and Safety at Work legislation, taking responsibility to attend mandatory training as necessary.
LEADERSHIP SUPERVISON & APPRAISAL
- To actively participate in supervision and appraisal using reflection and analysis to inform practice and identify training needs.
- Personal Development Review is used in the organisation and is an integrated part of the development of the individual. All staff are expected to take an active part in regular performance reviews.
- To carry out appraisals and perform reviews with members of the occupational therapy team as necessary.
- To provide effective guidance, supervision and appraisal for junior staff.
Training Staff & Students
- To act as a clinical educator to students on placement.
- To promote best practice in Spinal Cord Injury occupational therapy to other occupational therapists and across the organisation acting as a resource for training and specialist advice.
- To provide support, guidance, teaching and clinical supervision to junior occupational therapists and to rehabilitation assistants involved in the occupational therapy rehabilitation programmes to ensure high standards of intervention & health and safety are maintained at all times.
- To prioritise and delegate appropriate case load to occupational therapy assistant providing appropriate supervision.
- To provide training in the use of standardised and non-standardised assessments used in spinal cord injury to members of the occupational therapy team.
- To provide training in the use of treatment techniques currently used in spinal cord injury.
- To provide advice and guidelines via supervision, training or joint sessions to members of the occupational therapy team with complex cases.
- To assist in the induction and training of new and existing staff from immediate team and other disciplines.
SERVICE DEVELOPMENT & DELIVERY
- To develop the Spinal Cord Injury occupational therapy service in line with recommended guidelines/standards of practice and ensure occupational therapy practice is evidence based in conjunction with the Head OT and other Head’s of Service.
- To identify areas of service development in conjunction with the Head OT and take a lead in implementing these.
- To undertake any other appropriate additional duties as required by the Head OT or Therapy Services Manager.
- To assist in the recruitment and selection of occupational therapy staff and other healthcare professionals as required.
- To assist in the ongoing development and future strategic planning of neurological and spinal injury rehabilitation services within the Hospital and any associated stakeholders.
- To ensure service is delivered in line with professional guidelines & department procedures.
- To participate in and attend all induction, service meetings, education and training opportunities within the service, and externally.
- To participate and present at internal and external training as indicated via personal development review.
- To attend all mandatory training courses which include food hygiene, basic life support, first aid training, manual moving and handling and equal opportunities.
- To receive professional supervision on a regular basis from the Head OT.
- To identify any development or training needs and reflect this in professional portfolio and personal development review.
- To maintain and develop professional knowledge and be conversant with professional developments evidencing sound critical appraisal skills and continuing professional development.
- The post holder is expected to maintain and update their professional portfolio to reflect on standards of practice and demonstrate evidence based practice.
- Develop and maintain expertise in Spinal Cord Injury and act as a resource for other team members, accessing external training where relevant.
CLINICAL GOVERNANCE, QUALITY & STANDARDS
- To be aware of and adhere to Organisations Health and Safety Regulations and contribute to the wellbeing of all persons attending occupational therapy in the unit.
- To contribute in the development and achievement of the Hospital’s and OT department’s clinical governance plan and quality agenda, leading on designated projects.
LINE MANAGEMENT, STAFF, BUDGETS & DEPARTMENT
- To monitor sickness absence and other form of leave and authorise as appropriate in absence of Head OT.
- To provide leadership to the inpatient / outpatient occupational therapy team and be responsible for receiving and prioritising referrals related to your department, and managing staff work load in absence of Head OT.
- To assist Head OT in ensuring that any equipment used in the rehabilitation activities is properly maintained, stored safely and regularly checked.
- To identify occupational therapy equipment/materials needed and feedback as appropriate to Head OT
- To attend any identified organisational meetings advising on aspects of Spinal Cord Injury occupational therapy (as authorised by the therapy services manager and/or Head OT) to help contribute to the development of the service and its associated stakeholders. Also to provide effective briefing to the occupational therapy team.
- To deputise for Head OT at Hospital meetings as appropriate.
RESEARCH & PRACTICE DEVELOPMENT
- To undertake clinical audit and research projects relevant to OT and/or Spinal Injury service area.
- To assist in the evaluation of the service through use of audit, outcome measures and in-service research projects.