Rehabilitation Coordinator

**Internal Competitions Only

Rehabilitation Coordinator

Specified purpose, Full Time

Overview of Role

Job Summary:

· Complete a comprehensive pre-admission assessment and providing timely patient information on rehabilitation needs and readiness to the admitting consultants and the admission teams in the NRH Brain Injury and Stroke programmes.

· Coordination role – aware of rehabilitation needs of patient cohort and direct/triage referral to correct pathway of post-acute care, subject to the criteria and services provided at the site to ensure appropriate patient rehabilitation placement.

· Attend IDT/ MDT meetings at acute and post-acute sites in early developmental stage to familiarise self with suitable patient cohort needs of post-acute site.

· Collaborative working to develop communication linkages and shared purpose.

· Work on stakeholder engagement and advancing pathways across the sites.

· Added transparency to decision making processes with accurate traceability/tracking of decisions & enhanced practice/relationships.

· Oversee waiting list management/validation and risk assessments.

Patient care:

· Gather detailed pre-admission information of patients needs and develop detailed pre-admission reports to facilitate admission to rehabilitation setting and support treating teams.

· To streamline the transfer of individuals from acute to post-acute care & between post- acute services.

· To provide a high level of professional leadership and to demonstrate innovative practice in the provision of care, in line with the Scope of Practice and service needs.

· To establish and maintain clear lines of communication with all aspects of the service e.g. to attend team meetings and case conferences as appropriate to the post.

· To maintain satisfactory clinical records in keeping with best practice, professional and statutory guidelines and to liaise with supportive services both voluntary and statutory relevant to the post.

· To be responsible for accurate, contemporaneous record keeping using assessment protocols, reference to outcome measures, comprehensive progress records and discharge reports/centralised repository as required.

· To use specialist knowledge to refer to other health professionals as appropriate.

· To enhance continuity of care in facilitating an effective communication model between post-acute care providers and hospital based teams.

· In the network role, facilitate the multi-disciplinary team to expedite the patient’s journey supporting them to consider alternatives to admission for those patients, whose health care needs can be met outside the inpatient setting. Work closely with community team and initiatives to achieve this.

· Support the multidisciplinary teams in the network role in overcoming delays in complex discharges. Attend regular meetings on delayed discharges and actively participate in initiatives to manage complex discharges.

Service development:

· Work closely with all post-acute rehabilitation units in relation to appropriate and timely assessments and transfer of patients to establish and incorporate a Person Centred Care model and service.

· To develop and administer the highest quality of service by identifying and implementing operational procedures in line with best practice standards.

· To keep abreast with new developments, skills, and technology to ensure continuing competence in the post.

· To enhance own skills in order to initiate and respond to changes in the work environment as additional roles may be demanded e.g. data analysis, clinical audit, risk assessment and research.

· To propose and implement changes to service in line with new developments and evidence, in conjunction with line manager.

Education and Training:

· To act as a positive role model for colleagues and others in relation to professional conduct and practice in the area of discharge planning/on-going care.

· Be responsible for identifying his/her own training development needs in consultation with the line manager in order to keep professionally and clinically updated.

· To be responsible for creating an environment conducive to learning and development of self and others.

• Attend mandatory NRH/ HSE land training.

Patient Advocacy:

· To foster and promote that regard is taken to the dignity, choices, self-esteem and well-being of clients and their relatives in the area of on-going care.

· In collaboration with clients, take available opportunities to represent views of and negotiation behalf of individual clients and/or client groups at a multidisciplinary level and with other personnel or agencies as appropriate.

· To develop systems to give service users and carers an opportunity to have views represented in relation to services provided in the area of speciality and service developments.

· Gather, analyse and evaluate information to identify problems in partnership with the patient, carer and colleagues.

· Participate in multidisciplinary case review meetings to discuss progress and to plan treatment and safe discharge/onward transfer to post-acute care.

· Maintain confidentiality.

Communication and Information:

· Communicate effectively and accurately in written and electronic media to convey information in a clear and concise manner.

· Develop collaborative interdisciplinary, multidisciplinary and cross organisational working relationships professional colleagues across referring hospitals, treating teams, post-acute services, long- term care settings etc.

· Communicate with the clinical team in a sensitive professional manner using a positive approach to problem solve complex issues / challenges.

· To create and promote good working relationships through open communication regularly and appropriately with relevant stakeholders.

· Maintain appropriate records and statistics sufficient for organisational and legal purposes to include work related injuries/incidents.

· To collect, interpret, and present data and information through audit of service activity, clinical standards, and outcome measures.

· Be a point of contact for patients and or family members and deal with queries regarding admission to specialist rehabilitation services across the network.

· Provide regular update to admissions teams and waiting list management groups.

Health & Safety:

The Rehabilitation Coordinator will:

· Promote a safe working environment in accordance with Health and Safety legislation.

· Be aware of and implement agreed policies, procedures and safe professional practice by adhering to relevant legislation, regulations and standards.

· Actively participate in risk management issues, identify risks and take responsibility for appropriate action.

· Report any adverse incidents in accordance with organisational guidelines.

Administrative:

The Rehabilitation Coordinator will:

· Promote good working practice and uniformity of standards of best practice.

· Promote quality by reviewing and evaluating the service regularly, identifying changing needs and opportunities to improve services, in collaboration with the relevant others.

· Develop and implement service / business plans, quality initiatives, audits etc. and report on outcomes in collaboration with Line Manager.

· Collect and evaluate data about the service user group and demonstrate the achievement of the objectives of the service.

· Oversee the upkeep of accurate records in line with best clinical governance, organisational requirements and the Freedom of Information Act, and render reports and other information / statistics as required.

· Promote good team working, and a culture that values diversity.

· Engage in IT developments as they apply to service user and service administration.

· Keep up to date with developments within the organisation and the Irish Health Service.

Confidentiality:

· The Rehabilitation Coordinator shall adhere to NRH/ HSE confidentiality policy which states that records and information are strictly confidential.

· Healthcare records and patient information must be stored and communicated in compliance with data protection policy and the standards for healthcare record management. Healthcare records must never be left in such a manner that unauthorised persons can obtain access to them and must be kept in safe custody when no longer required.

For informal enquiries, please contact Ms. Kate Kurtin, Brain Injury and Stroke Programmes Manager by email kate.curtin@nrh.ie

Shortlisting will be carried out on the basis of the information supplied in your CV. The criteria for Shortlisting are based on the requirements of the post as outlined above. Failure to include information regarding these requirements may result in you not being called forward for the next stage of the selection process.