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Trauma Clinical Nurse Specialist

Hywel Dda University Health Board
£44,398 to £50,807 per annum
Closing date
25 Nov 2023

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Nurse, Adult nurse, Trauma nurse
Band 7
Contract Type
Full Time
You will be expected to monitor and provide guidance/support to staff and relatives under the supervision of the Orthogeriatrician and Orthopaedic team. Assisting and supporting with admissions and discharges including those of a complex nature

You will need to clinically assess patients and participatein setting goals, benchmark standards of care and collaborate to ensure high standards of care.

You will be responsible for review of urgent and emergency referrals of Orthopaedic Trauma patients from the Accident and Emergency Department in conjunction with the on-call Orthopaedic Medical staff. To be involved with the initial management of these patients in the Emergency Department and their admission to the Orthopaedic Trauma wards. This will include initial assessment of certain categories of patients according to protocols (for example, Fracture Neck of Femur patients), including institution of appropriate investigations and prompt ward admission to avoid delays.

Main duties of the job

This role requires the successful post-holder to:
  • Coordinate pre-operative assessment, peri-operative support, rehabilitation and discharge planning for older patients complex patients
  • Collect National Hip Fracture Data (NHFD) alongside routine clinical assessments.
  • Ensure high standards of patient care, assisting the orthogeriatric team top provide assessment, treatment and rehabilitation.
  • Be a key driver in the development and evaluation of care pathways, ensuring clinical excellence on the ward.
  • Improve timeliness and consistency of care.
  • Facilitate effective patient pathway coordination through collaboration with relevant services to ensure timely, appropriate and safe care.
  • Ensure that theatre space is used effectively and prevents unnecessary pre-op fasting.
  • Assess patients being admitted from the clinics for urgent surgery, or being placed on the surgical waiting list, to establish their future inpatient care needs at the time of their outpatient visit.
  • Arrange initial assessment, admission and investigations of patients admitted from Fracture Clinics to avoid delays and be responsible for the facilitation of pre-operative assessment of patients to be admitted for surgery from the Fracture Clinics.

About us

Hywel Dda University Health Board is the planner and provider of NHS healthcare services for people in Carmarthenshire, Ceredigion, Pembrokeshire and its bordering counties. Our 11,000 members of staff provide primary, community, in-hospital, mental health and learning disabilities services for around 384,000 people across a quarter of the landmass of Wales. We do this in partnership with our three local authorities and public, private and third sector colleagues, including our volunteers, through:

Four main hospitals: Bronglais General in Aberystwyth, Glangwili General in Carmarthen, Prince Philip in Llanelli and Withybush General in Haverfordwest

Seven community hospitals: Amman Valley and Llandovery in Carmarthenshire Tregaron, Aberaeron and Cardigan in Ceredigion and Tenby and South Pembrokeshire Hospital Health and Social Care Resource Centre in Pembrokeshire

48 general practices (six of which are managed practices), 47 dental practices (including three orthodontic), 99 community pharmacies, 44 general ophthalmic practices (43 providing Eye Health Examination Wales and 34 low vision services) and 17 domiciliary only providers and 11 health centres

Numerous locations providing mental health and learning disabilities services

Highly specialised and tertiary services commissioned by the Welsh Health Specialised Services Committee, a joint committee representing seven health boards across Wales.

Job description

Job responsibilities

The ability to speak Welsh is desirable for this post English and/or Welsh speakers are equally welcome to apply.

Interviews to be held on 30/11/2023.

You will be able to find a full job description and person specification attached within the supporting documents.

The Health Board is committed to supporting its staff to fully embrace the need for bilingualism thereby enhancing patient and service user experiences. In our commitment to increase the number of staff who are able to communicate in Welsh with patients and professionals, we welcome applications from Welsh speakers.

The ability to communicate in Welsh is desirable for this post. If you do not meet the Welsh Language requirements specified, the Health Board offers a variety of learning options and staff support to help you meet these minimal desirable requirements during the course of your employment with us.

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Person Specification

Qualifications and Knowledge


  • Registered Nurse
  • Relevant Degree
  • Relevant Master's degree, or equivalent experience with a willingness to work towards
  • Evidence of Trauma/Orthopaedic specialist courses or qualification
  • Understanding of Trauma Pathways across the Health Board and Wider South Wales Trauma Network
  • Understanding the clinical standards as detailed in the National Hip Fracture Database (NHFD)


  • Non-medical Prescriber, or willing to undertake
  • Evidence of higher level of practice development within specialist area
  • Additional clinical skills such as Venepuncture, cannulation, Complex wound dressing
  • Clinical Supervision course
  • Evidence of study or research in this field



  • Experience working in a leadership role at Band 6 or above
  • Extensive previous experience of working within Trauma speciality
  • Demonstrable experience of complex decision making
  • Leadership and management experience
  • Significant experience where a degree of autonomous working has been required
  • Experience of multi-professional working
  • Presenting information and data in departmental meetings and National hip fracture database meetings
  • Supporting the Clinical Leads for the National Hip fracture database with data collection and validation and audit
  • Supporting the Senior Nurse Manager with investigations of clinical incidents


  • People management experience
  • Teaching and education assessment experience

Language Skills


  • Welsh Speaker (Level 1)

Employer details

Employer name

Hywel Dda University Health Board


Bronglais General Hospital


SY23 1ER

Any attachments will be accessible after you click to apply.


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